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Green County Health Department Blood Pressure Screening Forms

Wisconsin,
Resource Type,
Topic,
Engagement and Education Materials,
Provider Materials and Forms,
Hypertension Detection,
Screening and Referral Systems,
Community-Clinical Linkages,
Community Team-based Care/Care Coordination,
Hypertension Treatment and Management

The Green County Health Department (Wisconsin) developed this blood pressure screening form for use during community-based screenings. It contains space for personal information, nurse's notes, referrals, and follow-up blood pressure ...

My Blood Pressure Passport

Texas,
Resource Type,
Engagement and Education Materials,
Patient Materials,
Topic,
Hypertension Treatment and Management,
Home Blood Pressure Monitoring and Self-management,
Evidence-Based and Promising Programs,
Self-management and Lifestyle Change

This resource, developed by the Texas Heart Disease and Stroke Program, provides patients with information on how to measure and evaluate their blood pressure as well as space to record their measurements and current medications, allowing ...

My Blood Pressure Passport (Spanish)

Topic,
Resource Type,
Texas,
Engagement and Education Materials,
Patient Materials,
Hypertension Treatment and Management,
Home Blood Pressure Monitoring and Self-management,
Evidence-Based and Promising Programs,
Self-management and Lifestyle Change

This is a spanish language resource, there is also an english version on the Tools for Change website. This resource, developed by the Texas Heart Disease and Stroke Program, provides patients with information on how to measure and ...

Valley Community Health Center Hypertension Referral Form

Topic,
Resource Type,
Hypertension Detection,
Screening and Referral Systems,
North Dakota,
Engagement and Education Materials,
Provider Materials and Forms,
Community-Clinical Linkages,
Community Team-based Care/Care Coordination,
Hypertension Treatment and Management,
Home Blood Pressure Monitoring and Self-management,
Data-Driven Action,
Information Exchange and Health Information Technology,
Hospital and Health Systems Data,
Using Data to Identify Uncontrolled and Undiagnosed,
Financing and Policy,
Supporting Community Healthcare Professionals,
Evidence-Based and Promising Programs,
Primary Care and Public Health Integration,
Sustainable Systems Change,
Monitoring and Evaluation

Dental clinic blood pressure referral form, developed by North Dakota Department of Health and used by Valley Community Health Centers in North Dakota.

Patient Agreement Form: CNMI

Topic,
Resource Type,
Northern Mariana Islands,
Engagement and Education Materials,
Provider Materials and Forms,
Community-Clinical Linkages,
Community Team-based Care/Care Coordination,
Hypertension Treatment and Management,
Home Blood Pressure Monitoring and Self-management,
Identifying and Addressing Medication Adherence,
Evidence-Based and Promising Programs,
Self-management and Lifestyle Change,
Sustainable Systems Change,
Communication

Agreement form that includes information about the program for patients to review before enrolling.

C.H.I.L.L.I Protocol to Detect Hypertension in the Undiagnosed Patient (Oklahoma)

Oklahoma,
Topic,
Resource Type,
Engagement and Education Materials,
Provider Materials and Forms,
State Examples,
Hypertension Detection,
Screening and Referral Systems,
Hypertension Treatment and Management,
Standardizing Clinical Practice

The Oklahoma Foundation for Medical Quality published this one-page document with guidance on accurate blood pressure measurement and a protocol for clinicians to use with patients who have elevated blood pressure and are not currently ...

Jasper Newton County Public Health Department Home Blood Pressure Policy

Texas,
Resource Type,
Engagement and Education Materials,
Provider Materials and Forms,
Workflows and Protocols,
Topic,
Hypertension Detection,
Screening and Referral Systems,
Hypertension Treatment and Management,
Home Blood Pressure Monitoring and Self-management,
Evidence-Based and Promising Programs,
Self-management and Lifestyle Change,
Recommendations,
Guidelines

This resource documents the policy and procedure of the Jasper Newton County Public Health Department's Home Blood Pressure Monitoring Program. This program, in collaboration with the Texas Department of State Health Service's ...

Million Hearts State Learning Collaborative: Wisconsin State Snapshot

Topic,
Resource Type,
Hypertension Detection,
Screening and Referral Systems,
State Examples,
Success Stories,
Community-Clinical Linkages,
Community Team-based Care/Care Coordination,
Hypertension Treatment and Management,
Data-Driven Action,
Using Data to Identify Uncontrolled and Undiagnosed,
Sustainable Systems Change,
Monitoring and Evaluation,
Wisconsin,
Evidence-Based and Promising Programs,
Self-management and Lifestyle Change,
Home Blood Pressure Monitoring and Self-management

This resource is a snapshot of the work Wisconsin performed as a part of the Year 4 Cohort of the ASTHO Million Hearts Learning Collaborative. It includes details on their priority population, partners, aim statement, evidence-based ...

Optimus Health Care Collaborative Practice Agreement

Topic,
Resource Type,
Hypertension Treatment and Management,
Connecticut,
Policies and Legislation,
Workflows and Protocols,
Team-based Care,
Financing and Policy,
Payment Models and Healthcare Delivery Reform,
Evidence-Based and Promising Programs,
Clinical Practice,
Recommendations,
Guidelines

This is a Collaborative Practice Agreement between a pharmacist and physician granting clinical privilege to the pharmacist in accordance with the Connecticut Pharmacy Practice Act. The purpose of this agreement is to optimize patient ...

Flowchart for Referral into Passport Programs: Guam

Guam,
Resource Type,
Workflows and Protocols,
Topic,
Hypertension Detection,
Screening and Referral Systems,
Community-Clinical Linkages,
Community Team-based Care/Care Coordination,
Hypertension Treatment and Management,
Standardizing Clinical Practice,
Data-Driven Action,
Information Exchange and Health Information Technology,
Evidence-Based and Promising Programs,
Self-management and Lifestyle Change,
Sustainable Systems Change,
Communication

This flowchart shows the protocol for patients who come for a visit and are referred into the Passport to Hypertension Services (programs requiring formal registration).

Hypertension Intervention Initiative Program Participant Packet: Guam

Topic,
Community-Clinical Linkages,
Community Team-based Care/Care Coordination,
Hypertension Treatment and Management,
Standardizing Clinical Practice,
Evidence-Based and Promising Programs,
Self-management and Lifestyle Change,
Sustainable Systems Change,
Communication,
Guam,
Resource Type,
Engagement and Education Materials,
Patient Materials

The packet contains registration forms, program information, waiver and consent form, and information regarding the Passport to Hypertension Services.