CCI MAP Project

Care Coordination Institute (CCI) Labs and the American Medical Association (AMA) have partnered to develop a customized hypertension quality improvement initiative aimed at achieving optimal rates of blood pressure (BP) control. This six month program uses the "M.A.P framework" created by the AMA and Johns Hopkins Medicine. M.A.P stands for: Measure blood pressure accurately, Act rapidly to manage uncontrolled blood pressures, and Partner with patients, families and communities.

BENEFITS OF PARTICIPATION

  1. Improve hypertension management skills and blood pressure (BP) control
  2. Earn up to 60 PI-CME & MOC credits (CEUs can often be translated from CMEs) Complete up to 3 quality improvement (QI) projects for PCMH (re)-certification
  3. Practice facilitation support
  4. Access to national hypertension QI experts
  5. Access to scientific posters, pod casts and publications
  6. Opportunity to gain QI skills applicable to controlling other chronic conditions
  7. Each site receives an automated BP machine to keep in office

MEASURE ACCURATELY: A GUIDE FOR BLOOD PRESSURE MEASUREMENT

Routine casual office BP measurement correlates poorly with a patient's true BP. Poorly performed BP measurements (common) result in inaccurate BP readings, leading to more clinical uncertainty and potential harm to patients over time.

Measure Accurately PI CMI - MOC Part IV: https://cme.ama-assn.org/Activity/4577255/Detail.aspx

TECHNIQUES TO OBTAIN A PROPER BLOOD PRESSURE

  1. Use a validated, automated upper arm blood pressure monitor
  2. Sit in a chair with back well supported
  3. Feet flat on the floor or step stool
  4. BP cuff is correct size for patients arm
  5. BP cuff is placed on bare skin of the patient's upper arm
  6. Arm is supported at heart level
  7. Quiet environment

Take the CCI BP Quiz: http://www.lsscert.com/CCI-QUIZ/Update-2a/story.html

FACTORS FOR SUCCESS

  1. Effective teamwork
  2. Actionable data that leads to sustainable change
  3. A committed staff that uses quality improvement tools to obtain best results

ACT RAPIDLY: MANAGING UNCONTROLLED BLOOD PRESSURE

  1. Rx algorithm improves BP control and outcomes; optimize medication doses (provided in guideline booklet)
  2. Reduce overall therapeutic inertia to <60% of visits
  3. Use single-pill combinations to improve medication adherence and BP control
  4. In general, assess Stage 2 hypertension every 2 weeks and Stage 1 every month
  5. Diuretic intensification strategies are useful for many patients with true treatment resistant hypertension
  6. Reinforce lifestyle change, e.g. DASH and low sodium diet
  7. Listen to pod-casts regarding controlling hypertension, "Reducing Clinical Inertia" and "Treatment Protocols Pod-cast" is available

Act Rapidly PI CME - MOC Part IV: https://cme.ama-assn.org/Activity/4693853/Detail.aspx

Partner with Patients, Families, and Communities

  1. Educate patients to accurately self-measure blood pressure
  2. Encourage patients and families to utilize resources that support healthy lifestyle changes
  3. Engage patients using evidence-based communication strategies

Partner with patients, families and communities PI CME - MOC Part IV: https://cme.ama-assn.org/Activity/4693879/Detail.aspx

How to Get Started

Every practice that participates in MAP must first identify a Physician Champion and Clinical Lead to guide the project. These individuals will assemble the quality improvement team in the practice.

Click here for the overview

Click here for the guidelines





Login / Request Access