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29 November 2012
NEW Consumer Survey Underscores the Need for Patients & Physicians to Work Together to Get High Blood Pressure Under Control
120 Healthcare Organizations Join Together for New National Campaign Aimed at Preventing, Detecting and Controlling High Blood Pressure
Washington, D.C.--A majority of patients can't recall whether their physician mentioned their blood pressure numbers and among patients with high blood pressure, only 56 percent say they talked with their doctor about ways to reduce their high blood pressure, according to a new survey released today by the American Medical Group Foundation (AMGF), the nonprofit education and research arm of the American Medical Group Association (AMGA). The survey results were released at the launch event where the U.S. Surgeon General, Regina M. Benjamin, MD, MBA, talked about the public health challenge of lowering the nation's blood pressure. The new national healthcare campaign, called Measure Up, Pressure Down, is aimed at preventing, detecting and controlling high blood pressure.
More than 120 medical groups and health systems including the Mayo Clinic, Cleveland Clinic and Kaiser Permanente have joined the campaign with the goal to have 80 percent of high blood pressure patients in control of their condition by 2016. AMGF is joined in this effort by supporting organizations including the U.S. Department of Health and Human Services Million Hearts initiative, Institute for Healthcare Improvement, Association of Black Cardiologists, and Institute for Health and Productivity Management.
Despite the fact that according to a CDC study, one in three (68 million) U.S. adults have high blood pressure and less than half have their condition under control, 77 percent of the respondents to AMGF's new survey said they are "confident their lifestyle choices will help keep their BP in healthy level."
These findings underscore the fact that high blood pressure is one of the nation's most significant health issues. CDC says high blood pressure contributes to nearly 1,000 deaths a day and accounts for an estimated $156 billion in healthcare services, medications and lost productivity. One of the most effective ways to control high blood pressure is for the patient to work with a coordinated health care team to get their condition under control. The team-based approach involves physicians, nurses, pharmacists, health coaches and other members of a medical team working together to provide the best level of care to patients.
"By challenging medical groups and health providers to raise the bar on high blood pressure care and control, we can make a radical difference in the health and wellbeing of our population," says Donald W. Fisher, PhD, CAE, President and Chief Executive Officer of AMGA and Secretary of the Board of AMGF. "AMGA member medical groups are well positioned to successfully lead this critically important national effort. Their team-based approach to care offers a proven model for delivering quality, cost-effective care that improves patient outcomes."
Fisher was part of a panel of national experts that spoke at the Measure Up, Pressure Down campaign kick-off event today held at the National Press Club in Washington, D.C. The panelists discussed the societal and financial costs, how to improve care, community-based strategies, the patient's role, and strategies for patient engagement.
Medical groups and health systems participating in Measure Up, Pressure Down have pledged to work toward achieving the campaign's goal by adopting one or more of the campaign planks, or care evidence-based care processes known to improve the quality of care for patients with high blood pressure care. AMGF developed 8 planks based on best practices from AMGA's two high blood pressure learning collaboratives and in consultation with the campaign's National Steering Committee and Scientific Advisory Council (see the full list of planks at the end of this document). All 120 Measure Up, Pressure Down groups have agreed to do three things:
- Work toward the goal of 80% of patients with high blood pressure in control.
- Implement as many of the primary planks as possible with some groups adopting the value-add planks to achieve breakthrough results.
- Report quarterly on blood pressure control rates to enable AMGF to evaluate campaign implementation and outcomes.
The campaign has two national sponsors that are committed to helping resolve this public health challenge.
"Daiichi Sankyo is excited to be a part of this campaign and help support the goal to reduce the burden of high blood pressure in the United States," said Oliseyenum M. Nwose, MBBS, MRCPath, AFPM, Executive Medical Director, Medical Affairs, Therapeutic Areas Head, Hypertension and Metabolism at Daiichi Sankyo, Inc. "Many patients are still not controlled, which drives the need for more options - both pharmaceutical products and management tools. That's why we're committed to supporting proactive hypertension management efforts such as Measure Up, Pressure Down."
The second campaign sponsor also feels the need for more options--for both patients and physicians--in managing high blood pressure.
"Novartis Pharmaceuticals Corporation (NPC) is proud to partner with the AMGF to tackle the significant health issue of hypertension," said Kevin Rigby, Vice President, Public Affairs & U.S. Country Public Affairs Head, Novartis Pharmaceuticals Corporation. "Our sponsorship of the Measure Up, Pressure Down campaign is an extension of our strong heritage in the treatment of cardiovascular disease. We are committed to not only providing effective medicines that treat hypertension, but also innovative programs and services that help healthcare providers and patients manage their high blood pressure."
In addition to the Surgeon General and Fisher, the national experts included Janet Wright, MD, FACC, Executive Director, Million Hearts, U.S. Dept. of Health and Human Services; Robert E. Nesse, MD, President and Chief Executive Officer, Mayo Clinic Health System, and Chair, AMGA; William A. Conway, MD, Interim Executive Vice President and Chief Executive Officer, Henry Ford Medical Group, and Chair, AMGF; Don Goldmann, MD, Senior Vice President, Institute for Healthcare Improvement; Ola Akinboboye, MD, MPH, MBA, President, Association of Black Cardiologists: and Iris Molotsky, Patient Representative, Mid-Atlantic Permanente Medical Group. The moderator was Jerry Penso, MD, MBA, Chief Medical and Quality Officer, AMGA.
For more information about the campaign, visit www.MeasureUpPressureDown.com.
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About the Measure Up, Pressure Down Campaign
The American Medical Group Foundation (AMGF), the nonprofit arm of the American Medical Group Association, launched Measure Up, Pressure Down-a three-year national campaign to improve care and reduce the burden of high blood pressure on November 29 2012. Measure Up Pressure Down includes more than 120 medical groups, health systems and national organizations such as the U.S. Department of Health and Human Services, Mayo Clinic, Cleveland Clinic, Kaiser Permanente, and Geisinger Health System. The goal of the three-year campaign is to have 80 percent of high blood pressure patients in control of their condition by 2016. Presenting sponsors of the campaign include Daiichi Sankyo, Inc. and Novartis Pharmaceuticals Corporation.
About the Eight Campaign Planks
Based on best practices from two AMGA high blood pressure learning collaboratives and consultation with the campaign's National Steering Committee and Scientific Advisory Council, AMGF has identified 8 Process Planks for achieving optimum hypertension outcomes. The 8 Process Planks are in two categories--primary planks and value added planks. They are as follows:
- Direct care staff trained in accurate blood pressure measurement
- Use hypertension guideline and monitor adherence
- Address blood pressure numbers for every hypertension patient at every primary care visit
- Make an appointment for all patients not at goal and with new prescription within 30 days
- Put a prevention, engagement and self-management program in place
- Create a registry to identify and track hypertension patients
- Train all team members in the importance of blood pressure goals
- Ensure that all specialties intervene with patients not in control
By engaging the members of the American Medical Group Association along with patients, consumers, and public and private partners, we can realize significant benefits for the nation.