Chronic Care Management

1
Chronic Care Management
Hypertension Results
Represents Health Disparities Collaborative for
Hypertension Overall CAP Results
2
HYPERTENSION FACTSUncontrolled high blood
pressure increases the risk of heart failure by
200 percent, compared with those who do not have
hypertension. Moreover, the degree of risk
appears directly related to the severity of the
high blood pressure. More than 50 million
Americans have high blood pressure.
(American Heart Association, 2000 Heart and
Stroke Statistical Update) One-third of
those with the disease don't know that they have
it. (Mayo Clinic Report, "Hypertension,"
November 6, 1997) Only 27 of people with
hypertension (13.5 million) are treated and have
their high blood pressure controlled.
(American Heart Association, 2000 Heart and
Stroke Statistical Update)
3
Enrollment Facility (Table)
Facility
Cumulative
Frequency
Percent
Valid Percent
Percent
Cabin Creek
Valid
240
30.2
30.2
30.2
Family Care Charleston
283
35.6
35.6
65.7
Family Care Teays Valley
84
10.6
10.6
76.3
New River Health Center
110
13.8
13.8
90.1
North Fayette Family
5
.6
.6
90.7
Health Center
Riverside Health Center
74
9.3
9.3
100.0
Total
796
100.0
100.0
4
Blood Pressure Check Within Past 6 Months
100
90
80
70
60
50
40
30
20
10
0
A
B
C
D
5
Average Systolic Pressure
138
137
136
135
134
133
132
131
130
129
128
A
B
C
D
6
Average Diastolic Pressure
90
88
86
84
82
80
78
76
74
A
B
C
D
7
Documented Patient Self-Management
100
90
80
70
60
50
40
30
20
10
0
A
B
C
D
8
Blood Pressure lt 140/90 as
100
90
80
70
60
50
40
30
20
10
0
A
B
C
D
9
HYPERTENSION FACTS High blood pressure can
lead to strokes, heart attack, heart failure,
kidney failure, and visual impairment.
(Mayo Clinic, "Track Your Blood Pressure, January
24, 2000, The incidence of high blood
pressure (HBP) increases with age
44 of men and women aged 55-64 have HBP
60 of men and women aged 65 to 74 have HBP
64 of men and 77 of women over 75 have
HBP (Supplement 2 to the Journal of the
American Society of Consultant Pharmacists 1999/
vol. 14)
10
HYPERTENSION FACTS 32 of African Americans
have high blood pressure. (Burt et. al,
"Trends in the prevalence, awareness, treatment,
and control of hypertension in the adult US
population data from the health examination
surveys, 1960-1991. Hypertension 1995 2660-9)
High blood pressure costs 24.5 billion in
direct costs in this country each year.
(American Heart Association 2000 Heart and
Stroke Statistical Update) Compiled by The
National Council on the Aging, March 2000.
11

Health Disparities Collaborative for Hypertension
Typical Levels
Target Levels
BP lt140/90 mmHg 20-30 gt50
BP Documented 2 times/year 50-70 gt90
Depression screening (within last 12 months) lt20 gt70gt
Self management goal setting (within last 12 months) lt20 gt50
Smoking cessation lt20 gt30
12
West Virginia Healthy People Year
2010 OBJECTIVE 12.3. Decrease the proportion of
adults who have high blood pressure to no more
than 22. (Baseline 28.3 in 1997) Data Source
WVBPH, OEHP, Behavioral Risk Factor Surveillance
System (BRFSS)
13
Women Heart Disease
Heart disease is the 1 killer of American
women One of every three deaths for
American women is from heart diseaseone in every
thirty deaths is from breast cancer
Women's heart disease risk starts to rise in
middle age One in eight American women
aged 45-64and one in three women over 65has
some form of heart disease In 2002, more
than 40 million American women are over age 50
Nearly two-thirds of American women who die
suddenly of a heart attack had no prior
symptoms About two-thirds of American
woman women who have a heart attack do not make a
full recovery According to a National
Council on the Aging survey Only 9 percent of
American women view heart disease their main
health concernbut 61 percent see breast cancer
as their chief health concern
14
Health Disparities Collaborative Cardiovascular
Disease http//www.healthdisparities.net/collabor
atives_cardio.html West Virginia Healthy People
2010 Objectiveshttp//www.wvdhhr.org/bph/hp2010/o
bjective/contents.htmlCardiovascular
Self-Management Toolhttp//www.healthdisparities.
net/resources.htmlEvidence-based Clinical
Practice Guidelineshttp//www.guideline.gov/index
.aspImproving Chronic Illness
Carehttp//www.improvingchroniccare.org
Internet Links for further information