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Chronic Disease Electronic Management System (CDEMS) Tracking Process: Palau

Topic,
Hypertension Detection,
Screening and Referral Systems,
Sustainable Systems Change,
Communication,
Resource Type,
Palau,
Data Systems Tools,
Hypertension Treatment and Management,
Standardizing Clinical Practice,
Data-Driven Action,
Hospital and Health Systems Data,
Surveillance

Developed a process for CDEMS to track patients’ hypertension progress at the community health centers, outpatient department, and emergency room with hypertension clinics.

Participant Weekly Interview Form: CNMI

Northern Mariana Islands,
Topic,
Hypertension Detection,
Screening and Referral Systems,
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,
Team-Based Care,
Evidence-Based and Promising Programs,
Self-Management and Lifestyle Change,
Sustainable Systems Change,
Communication,
Resource Type,
Engagement and Education Materials,
Provider Materials and Forms

Questionnaire for weekly phone interview with participants enrolled in the peer coaching program.

Hypertension Project Poster: Commonwealth of the Northern Mariana Islands (CNMI)

Topic,
Resource Type,
Hypertension Detection,
Sustainable Systems Change,
Screening and Referral Systems,
Hypertension Treatment and Management,
Northern Mariana Islands,
Engagement and Education Materials,
Patient Materials,
Provider Materials and Forms,
Workflows and Protocols,
Community-Clinical Linkages,
Community Team-Based Care/Care Coordination,
Team-Based Care,
Evidence-Based and Promising Programs,
Primary Care and Public Health Integration,
Communication

Poster used as a visual to summarize Commonwealth of the Northern Mariana Islands' (CNMI) project. Target audience includes community members, public health programs, other jurisdictions, funders, and partners.

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 ...

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.

Blood Pressure Educational Graphics: Guam

Topic,
Resource Type,
Guam,
Engagement and Education Materials,
Patient Materials,
Hypertension Detection,
Hypertension Definitions,
Evidence-Based and Promising Programs,
Self-Management and Lifestyle Change,
Sustainable Systems Change,
Communication

Education materials developed for partners to educate patients of priority population. The materials covered information on the definition of hypertension, what are the current guidelines, and listed facts specific to Guam's population.

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.