Henry Ford Hospital

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  • 1. 2008-2009 Best Practices in Managing Hypertension Sponsored by AMGA and Daiichi Sankyo. Wrap-Up Meeting November 18-20, 2009 San Diego, CA Henry Ford Health System Division of Nephrology and Hypertension An Effective Approach to Lowering Blood Pressure in Chronic Kidney Disease Add your company logo here
  • 2. Overview
    • Large urban sub-specialty clinic within the Division of Nephrology and Hypertension
        • located at a 903-urban academic medical center
    • NP managed CKD clinic
        • Upon referral to the clinic many of the patients are considered resistant
        • 85.4% of patients noted with CKD stages 3 and 4
        • Patient characteristics
            • Older ( mean age = 71)
            • Predominately AA
            • Highly complex ( significant co-morbidities)
  • 3. Overview
    • Real time data submitted into a dedicated queryable CKD database (Web-enabled, FM Pro 8 software)
    • -matrixed to accommodate multiple CKD variables
    • -facilitates report generation
    • - ongoing maintenance provided by systems analyst
    • Patient data directly submitted into corporate electronic health record system (Careplus)
  • 4. Team Composition
    • Naima Ogletree, MSN-APN-BC (chair)
    • Schawana Thaxton, MSN, NP-C (co-chair)
    • Jerry Yee, MD (lead physician)
    • Collaborative Relationships
        • Pharmacy
        • Dietitian
        • Lead CSR
        • Nursing staff (RN, MA)
        • IT personnel (software engineer)
  • 5. HTN Algorithm
  • 6. Project Overview
    • Total engagement of nursing staff
    • Improved design and implementation of the BP follow up clinic
    • Develop and distribute BP report card
  • 7. Project Overview
    • Applied various modes of delivery of health education information
      • Shared medical group visits
        • Curriculum development ( Hypertension and the CKD patient)
        • PharmD lecture on medication management
      • Provision of HTN-specific educational materials
      • Increased community awareness via outreach
        • BP screening
        • Educate the community on HTN and its associated risk in the development of CKD
  • 8. Project Goals
    • Aim 1: determine whether an algorithmic approach to treating HTN could achieve a 60% and 40% attainment rate at a SBP cut point of