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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 ...

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.

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 ...

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.