The HEDIS performance NAVIGATOR for controlling high blood pressure: a resource to assist health plans improve patient adherence.
This article describes how the resources in the Health Plan Employer and Data Information Set (HEDIS; a registered trademark of the National Committee for Quality Assurance) Performance NAVIGATOR for Controlling High Blood Pressure (HEDIS NAVIGATOR) developed by Merck & Co., Inc. assist managed care organizations in understanding and encouraging the active involvement of their members in adhering to a treatment plan developed in partnership by physicians and patients. (HEDIS is a set of standardized performance measures that enable purchasers and consumers to make informed decisions regarding the quality of managed care organizations.) The discussion uses the Health Belief and Transtheoretical Models as a framework to better understand patient behavior change. Targeted strategies to facilitate adherence are also addressed. Examples of structured programs using nationally recommended guidelines and HEDIS NAVIGATOR resources are included to illustrate coordinated efforts to assist patients with high blood pressure adhere to their treatment plan and help managed care organizations improve patient outcomes and HEDIS scores.
Turpin
Robin
R
Outcomes Research Management, Merck & Co., Inc., West Point, Pennsylvania 19486, USA. robin_turpin@merck.com
Jungkind
Kimberly
K
Salvucci
Lucille
L
D003625:Data Collection / Q000379:methods; D019468:Disease Management; D006264:Health Benefit Plans, Employee; D006801:Humans; D006973:Hypertension / Q000517:prevention & control*; D008329:Managed Care Programs / Q000458:organization & administration*; D009937:Organizational Objectives; D010349:Patient Compliance; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D014481:United States