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Using Health Information Systems to Identify and Control Hypertension: Lessons from the ASTHO Million Hearts Learning Collaborative

Resource Type,
Topic,
Data Systems Tools,
Algorithms,
State Examples,
Success Stories,
Hypertension Detection,
Hypertension Definitions,
Screening and Referral Systems,
Community-Clinical Linkages,
Community Healthcare Professionals,
Community Team-based Care/Care Coordination,
Hypertension Treatment and Management,
Standardizing Clinical Practice,
Team-based Care,
Data-Driven Action,
Using Data to Identify Uncontrolled and Undiagnosed,
Financing and Policy,
Supporting Community Healthcare Professionals,
Supporting Prevention and Self-management,
Sustainable Systems Change,
Cross-sector Partnerships,
Monitoring and Evaluation,
Recommendations,
Guidelines

This white paper shares how states have identified a number of successes, challenges, and lessons learned about how to effectively use health information systems (HIS) to improve hypertension identification, management, and control.

Colorado Data Summary: ASTHO-Million Hearts State Learning Collaborative

Topic,
Resource Type,
Hypertension Detection,
Screening and Referral Systems,
Sustainable Systems Change,
Colorado,
State Examples,
Success Stories,
Evidence-Based and Promising Programs,
Clinical Practice,
Primary Care and Public Health Integration,
Cross-sector Partnerships

Data summary of the Las Animas-Huerfano Counties Million Hearts learning collaborative, aiming to improve the use and sharing of clinical data to better identify individuals with undiagnosed or uncontrolled hypertension and support ...

Million Hearts State Learning Collaborative: Colorado State Snapshot

Topic,
Resource Type,
Hypertension Detection,
Screening and Referral Systems,
Evidence-Based and Promising Programs,
Primary Care and Public Health Integration,
Sustainable Systems Change,
Cross-sector Partnerships,
State Examples,
Success Stories,
Colorado

A summary of Colorado Department of Public Health and Environement's (CDPHE) development of a model to engage local public health agencies (LHPAs) and primary care clinics to improve hypertension diagnosis and control in two frontier ...

Million Hearts State Learning Collaborative: Arkansas State Snapshot

Topic,
Resource Type,
Hypertension Detection,
Screening and Referral Systems,
State Examples,
Success Stories,
Arkansas,
Community-Clinical Linkages,
Community Team-based Care/Care Coordination,
Hypertension Treatment and Management,
Team-based Care,
Data-Driven Action,
Using Data to Identify Uncontrolled and Undiagnosed,
Sustainable Systems Change,
Monitoring and Evaluation

This resource is a snapshot of the work Arkansas 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 ...

Million Hearts State Learning Collaborative: Connecticut State Snapshot

Topic,
Resource Type,
Hypertension Detection,
Screening and Referral Systems,
Sustainable Systems Change,
Cross-sector Partnerships,
State Examples,
Success Stories,
Connecticut,
Community-Clinical Linkages,
Community Team-based Care/Care Coordination,
Hypertension Treatment and Management,
Identifying and Addressing Medication Adherence,
Data-Driven Action,
Using Data to Identify Uncontrolled and Undiagnosed

This resource is a snapshot of the work Connecticut 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 ...

National Association of Chronic Disease Directors (NACDD) Cardiovascular Health Project Resources

Resource Type,
Topic,
Data Systems Tools,
Algorithms,
State Examples,
Success Stories,
Hypertension Detection,
Hypertension Definitions,
Screening and Referral Systems,
Community-Clinical Linkages,
Community Healthcare Professionals,
Community Team-based Care/Care Coordination,
Hypertension Treatment and Management,
Standardizing Clinical Practice,
Team-based Care,
Data-Driven Action,
Using Data to Identify Uncontrolled and Undiagnosed,
Financing and Policy,
Supporting Prevention and Self-management,
Sustainable Systems Change,
Communication,
Cross-sector Partnerships,
Monitoring and Evaluation,
Recommendations,
Guidelines

This document features opportunities and resources for state health departments to support health systems change and the goals of several federal and national initiatives of the Division for Heart Disease and Stroke Prevention (DHDSP), the ...

Million Hearts State Learning Collaborative: North Dakota 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,
Sustainable Systems Change,
Evidence-Based and Promising Programs,
Home Blood Pressure Monitoring and Self-management,
Information Exchange and Health Information Technology,
Cross-sector Partnerships,
North Dakota,
Primary Care and Public Health Integration

This resource is a snapshot of the work North Dakota 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 ...

Million Hearts State Learning Collaborative: Texas 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,
Sustainable Systems Change,
Evidence-Based and Promising Programs,
Self-management and Lifestyle Change,
Home Blood Pressure Monitoring and Self-management,
Texas,
Information Exchange and Health Information Technology,
Cross-sector Partnerships

This resource is a snapshot of the work Texas 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 practices ...

ASTHO-Million Hearts: Texas Community-Clinical Linkages Project

Topic,
Resource Type,
Hypertension Detection,
Screening and Referral Systems,
Texas,
State Examples,
Success Stories,
Community-Clinical Linkages,
Community Healthcare Professionals,
Community Team-based Care/Care Coordination,
Pharmacists,
Hypertension Treatment and Management,
Team-based Care,
Data-Driven Action,
Hospital and Health Systems Data,
Using Data to Identify Uncontrolled and Undiagnosed,
Financing and Policy,
Supporting Community Healthcare Professionals,
Supporting Prevention and Self-management,
Evidence-Based and Promising Programs,
Primary Care and Public Health Integration,
Quality Improvement

2016 presentation describing partnership project between United Health Care and Texas State Department of Health, whose aim was to reduce hypertension across the State with a focus on disparate populations.

Public Health Agency-Payer Collaboration to Address Hypertension

Resource Type,
Topic,
State Examples,
Success Stories,
Community-Clinical Linkages,
Community Healthcare Professionals,
Community Team-based Care/Care Coordination,
Pharmacists,
Data-Driven Action,
Hospital and Health Systems Data,
Information Exchange and Health Information Technology,
Surveillance,
Financing and Policy,
Payment Models and Healthcare Delivery Reform,
Supporting Community Healthcare Professionals,
Sustainable Systems Change,
Aligned Vision and Leadership,
Cross-sector Partnerships,
Recommendations,
Guidelines

Partnerships between state health agencies and public and private payers are critical to effective statewide efforts to improve hypertension identification and control. This white paper describes opportunities, strategies, and example ...

Key Recommendations: How State Health Agencies Can Support Million Hearts

Resource Type,
Topic,
State Examples,
Success Stories,
Community-Clinical Linkages,
Community Healthcare Professionals,
Community Team-based Care/Care Coordination,
Pharmacists,
Data-Driven Action,
Information Exchange and Health Information Technology,
Hospital and Health Systems Data,
Surveillance,
Financing and Policy,
Payment Models and Healthcare Delivery Reform,
Supporting Community Healthcare Professionals,
Sustainable Systems Change,
Cross-sector Partnerships,
Recommendations,
Guidelines

ASTHO convened a Million Hearts Advisory Roundtable to find innovative strategies for public health and primary care integration to support the Million Hearts initiative. Key recommendations from this action-oriented meeting outline ...

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 ...