Engaged patients improve care
A series of SMBP measurements taken over longer periods of time provide a more accurate picture of a patient’s BP than a single BP measured in a doctor’s office. SMBP also helps to more accurately assess whether or not a patient’s BP is controlled. This enables the physician to determine the effectiveness of treatment.
When patients use SMBP monitoring, they are more likely to adhere to treatment. This includes both pharmacologic and nonpharmacological treatment, such as healthy lifestyle changes.
“The patient is engaged in the whole process,” said Elizabeth Philippe, MD, chief of family medicine at CHI. She is also the associate graduate medical education director of CHI’s Teaching Health Center.
“It helped them by being able to take their blood pressure at home to understand the numbers and to see how it can help with the outcome,” she added.
“Self-measured blood pressure can really make a difference in increased awareness—not just for the patients, but their families as well,” said Saint Anthony Amofah, MD, chief medical officer at CHI. He is also the chief academic officer for the Brodes H. Hartley Jr. Teaching Health Center at CHI, as well as the medical director of Health Choice Network.
“We have to multiply the effect of what we learned in the small pilot, and the more patients that can be touched, the better the chances,” Dr. Amofah said.
Personalize care workflows
For the SMBP pilot, CHI focused on using care coordinators to help with patient consent, education, checking out and returning the machines, and documenting BP data.
However, with so many different sites in their network, Dr. Amofah believes it is important to re-examine how they can “personalize the existing workflow and have care teams across the organization be involved in it.” This is so teams do not have to wait for care coordinators, who are limited.
“We know that those patients, their families and the communities that we serve would also have the benefit of the appreciation of the importance of this. So implementation in all the sites becomes very crucial,” he said.
Improving the care provided to patients with hypertension can benefit from a team-based approach, which includes training to enhance the care team’s knowledge of SMBP, educating patients and embedding SMBP into workflows.
With the success of the pilot, CHI aims to “extend the service to all patients so they can all be accurate in self-measured blood pressure at home to assist the physician in the overall control of hypertension,” said Dr. Philippe.
The Target: BP SMBP program provides a host of positive benefits for patients. Proper communication with patients and a system for managing and interpreting SMBP measurements are required for the program to be effective. Learn how SMBP can help improve the diagnosis and management of patients with high blood pressure to improve blood pressure control.
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