Million Hearts

State Learning Collaborative to Improve Blood Pressure Control


ASTHO, with its Million Hearts State Learning Collaborative, supported the efforts of 22 states and the Republic of Palau to help save lives by preventing heart attacks and strokes through blood pressure control. The states include: Alabama, Arkansas, Colorado, Connecticut, District of Columbia, Georgia, Illinois, Indiana, Kansas, Maryland, Michigan, Minnesota, New Hampshire, New York, North Dakota, Ohio, Oklahoma, Palau, Texas, Vermont, Virginia, Wisconsin.

ASTHO’s Million Hearts State Learning Collaborative Booklet

Transforming Systems, Saving Lives ASTHO’s Million Hearts State Learning Collaborative has transformed the way state public health can help prevent, detect, and treat hypertension and chronic diseases. The collaborative helped states reach more people living with diagnosed and undiagnosed hypertension, spread blood pressure control activities to other communities, and leverage results to ensure sustainability and secure additional funding. Read more »

State Systems to Support Hypertension Identification and Control

An inter-related framework for systems in a state that support hypertension identification, management, and control. The below illustration aims to contextualize the roles of a diverse range of state and local-level partners involved in each state’s project, as well as the different settings and partners within a community that are involved in creating systems of care for hypertension identification and control.

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What's New

  •  Engaging Partners for Million Hearts Success
    With support from CDC and the states, the National Association of Chronic Disease Directors worked with 16 state public health agencies to plan and facilitate Million Hearts® Stakeholders Workshops and to provide follow up technical assistance since 2012. This new briefing document summarizes the process and highlights several state case studies.
  •  Aligning Clinical Quality Measures for Blood Pressure Control White Paper: This white paper provides an overview of clinical quality measures commonly used in relation to hypertension control, examines the potential impact of aligning these measures, and describes approaches federal partners and states in the ASTHO Million Hearts State Learning Collaborative are using to support alignment.
  • Community-Clinical Linkages Issue Brief: This issue brief discusses how public health agencies can work with clinical and community partners to improve hypertension control, and highlights examples of successful partnerships from the ASTHO Million Hearts Learning Collaborative.
  • Tools for Change: ASTHO has compiled tools and resources from states, national organizations, and federal agencies to drive the work of states and territories toward achieving the goal of Million Hearts.
  • State Initiatives Map: This clickable map contains descriptions of ASTHO's Million Hearts State Learning Collaborative activities for all 15 participating states, Palau, and the District of Columbia.

ASTHO Million Hearts e-Newsletter Archive

The ASTHO Million Hearts Monitor monthly newsletter is a product of the ASTHO Million Hearts Learning Collaborative. Each issue includes learning collaborative state team updates, partner organization highlights, resources related to blood pressure control, upcoming events, and other information that supports and promotes the goals of the learning collaborative. View archived issues »

Tool to Estimate Return on Investment

With support from CDC, ASTHO has developed a tool that estimates the Return on Investment for quality improvement projects. ASTHO has also formed a tool users group to provide peer support on conceptualizing ROI, identifying and collecting data, and analysis. If you are interested in using this tool, please contact Karl Ensign, ASTHO Senior Director for Planning and Evaluation. Read More »

Evidence-Based Change Strategies

  • Each state will implement projects that address at least two of the following strategies that are aligned with CDC’s Division for Heart Disease and Stroke Prevention State Based Programs:
  • Use aggregated NQF18 data to improve population health outcomes by providing feedback to providers, health systems and communities;
  • Use Health IT to manage patient panels and identify higher risk patients;
  • Use self-measured blood pressure monitoring programs accompanied by clinical support;
  • Engage non-physician team members in hypertension management in health care systems;
  • Implement policy or systems in health care settings that encourage a multi-disciplinary approach to blood pressure control; and
  • Expand the role of clinical team members to include a focus on population or panel management.