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Controlling High Blood
Pressure (CBP)
High blood pressure, or hypertension, increases the risk of heart
disease and stroke, which is the leading cause of death in the
United States. Controlling high blood pressure is an important step
in preventing heart attacks, heart failure, stroke, and kidney disease.
Healthcare providers can help individuals manage their high blood
pressure by prescribing medications and encouraging low-sodium
diets, increased physical activity and smoking cessation3.
Measure
This measure is the percentage of
patients 18 to 85 years of age who
had a diagnosis of hypertension and
whose blood pressure (BP) was
adequately controlled during the
measurement year, based on the
following criteria:
• Patients 18 to 59 years of age whose
BP was less than 140/90 mm Hg
• Patients 60 to 85 years of age with a
diagnosis of diabetes whose BP was
less than 140/90 mm Hg
Data Source for control­—
chart review
Patients age 18-59 whose most recent
BP was <140/90 mm Hg.
Cardiovascular
Conditions
HEDIS®
(Healthcare Effectiveness
Data and Information Set) 1
Exclusions
Patients with end-stage renal disease,
or pregnancy, or transient or “white
coat” hypertension
Patients age 60-85 with a dx of
diabetes whose most recent BP was
<140/90 mm Hg.
Patients age 60-85 without a dx of
diabetes whose most recent BP was
<150/90 mm Hg.
• Patients 60 to 85 years of age without
a diagnosis of diabetes whose BP
was less than 150/90 mm Hg 2
LifeWise Health Plan of Oregon
Cardiovascular
Conditions
HEDIS®
• Diagnosis of diabetes, HTN, high
BP, elevated BP, border HTN,
intermittent HTN, history of HTN,
HVD, hyperpiesia
• The most recent BP (must use last
BP measurement in the year being
assessed)
Tips for provider when talking
to the patient 3*
• Before taking a patient’s blood
pressure, have the patient sit quietly
with back supported, feet on floor,
arm at heart level.
• Always record the blood pressure
using the same arm. Record which
arm is used and the size of the cuff.
Use the correct cuff to fit the
patient’s arm.
• Take it twice: If the patient has a
high blood pressure reading at the
beginning of the visit, retake and
record it at the end of the visit.
• Remind patients with hypertension
about the importance of taking
prescribed medication.
• Ask your patient if they are taking
medications as prescribed. (If they
aren’t, document this.)
• Encourage your patients to keep
a frequent record of their blood
pressure, taking it at approximately
the same time every day and using
the same arm. If the patient does
not own a blood pressure cuff, many
pharmacies can take their blood
pressure.
Source
1
HEDIS is a registered trademark of the
National Committee for Qualtiy Assurance
(NCQA).
2
US Department of Health and Human
Services., Agency for Healthcare Research
and Quality., “National Quality Measures
Clearing House Accessed January 28,
2015 http://www.qualitymeasures.ahrq.gov/
content.aspx?id=48620
3
US Department of Health and Human
Services. , National Institutes of Health.,
National Heart, Lung, and Blood Institute.,
National High blood Pressure Education
Program., “National High Blood Pressure
Education Program” NIH Publication No. 035233 December 2003 Accessed March 31,
2015
http://www.nhlbi.nih.gov/files/docs/guidelines/
express.pdf
* This information is from current medical
literature and provided to you solely for
informational purposes. It does not constitute
medical advice and is not intended for use in
medical diagnosis or treatment.
• If the patient owns a blood pressure
cuff, encourage them to bring the cuff
with them at least yearly so that you
can check its accuracy.
033020 (10-2015)
What to look for
LifeWise Health Plan of Oregon