PHYSICIANS’ ALLIANCE FOR QUALITY Implementing Bluetooth Device for Blood Pressure Improvement Janice Finder, RN, MSN Director, Population Health & Performance Improvement Houston Methodist Physicians’ Alliance for Quality HMPAQ Board of Directors April 8, 2015
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PHYSICIANS’ ALLIANCE FOR QUALITY
Implementing Bluetooth Device for Blood Pressure
ImprovementJanice Finder, RN, MSNDirector, Population Health & Performance ImprovementHouston Methodist Physicians’ Alliance for QualityHMPAQ Board of DirectorsApril 8, 2015
• Dr. Julia Andrieni• Janice Finder, RN, Director• Laura Moore, RN, Manager• April Moretto, RN, Care Manager• Dawn Dees, RN, Care Manager• Jennifer Putz, Intern
Team Acknowledgement
Proven Consumers Within a Personalized Health & Care Experience
Consumer/Experience
Proven Consumers Within a Personalized Health & Care Experience
Health Care
• Utilizing the Bluetooth blood pressure device will decrease blood pressure in 30% of the participants from high risk range 160/100 to below or equal to 140/90, which is rising risk, within 8 months.
• Results: 100% of participants decreased blood pressure from high risk range to rising risk range, or better.
Aim Statement
• Reduce health care costs• Diabetes and hypertension on the rise• Ability to track from home = better
monitoring• White coat syndrome• Engages participants• Validates health conditions visually• Increases awareness of health related
behaviors
Why Use a Bluetooth Medical Device? – Context of the Problem
MANAGING POPULATIONS
HighRisk
Population(56)
Rising RiskPopulation
(190)
High Risk•Systolic BP >160 (Uncontrolled
Hypertension Stage II)•Diastolic BP >100 (Uncontrolled
• Provides integrated health care technology between patients, clinicians, and caregivers.
• MyGlucoHealth– Bluetooth enabled blood glucose meter
• MyHealthPoint– free Mobile App that is designed to be used
with a personalized online portal
• Reliable, affordable, all elements, customer service
Entra Health Systems
Patient Engagement 2016
Blood Pressure Operations Process Map – Milestone 1
Clinical Compliance Process Map – Milestone 2
Operation Implementation – Problem Areas
Building an Effective Team
Population Health Team
Doctors
ParticipantsCare Navigators
Bluetooth TeamClear Goals
CONTROLLED BLOOD PRESSURE
75%(n=6)
IMPROVEMENT IN BLOOD PRESSURE
BUT STILL UNCONTROLLED
25%(n=2)
6 High Risk Hypertensive Participants becameLow Risk
2 High Risk Hypertensive Participants
became Rising Risk
High Risk Hypertensive Participants (n=8)(Definition: SPB>160 and/or DBP >100)
PHASE I RESULTSJuly 14, 2014 – Nov 28,
2014
75% of the High Risk Hypertensive Participants with Bluetooth Capable Blood Pressure Monitoring Devices Normalized Their Blood Pressure With Interventions
5
Participants That Lowered Blood Pressure Risk Level
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Bluetooth Users
Non Blue-tooth Users
100%
71%
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Congratulations, ALL Improved!
• Increase usage /increase sample size - 40• Reward with incentive to keep the device• Include IT in the pairing to assure
successful internet• Monitor Phase I for sustained improvement