title: Improving hypertension control in diabetes: a multisite quality improvement project that applies a 3-step care bundle to a chronic disease care model for diabetes with hypertension.
abstract: Hypertension in diabetes patients leads to significant morbidity and mortality. Nonetheless blood pressure (BP) control in patients with diabetes remains disappointing. The authors applied a care bundle to decrease the proportion of patients with BP exceeding 130/80. Teams from 4 sites in 3 states (Minnesota, Florida, and Arizona) developed a bundle consisting of a standardized BP process, an order set, and a patient goal. Baseline data were collected in the first 12 weeks, followed by 6 weeks of implementing changes. The final 16 weeks represented the intervention. There was a statistically significant decrease in the proportion of patients with uncontrolled BP in 3 of 4 sites (P < .0001 in all 3 sites demonstrating improvement). There was a statistically significant improvement in the satisfaction survey (P = .0011). Implementing an evidence-based care bundle for hypertension in diabetes mellitus can improve BP outcomes.
authors: 1Mayo Clinic Health System, Owatonna, MN, Eau Claire, WI, and Tomah, WI.
authors: Mark E
authors: ME
authors: Lindsay
authors: Michael J
authors: MJ
authors: Hovan
authors: James R
authors: JR
authors: Deming
authors: Vicki L
authors: VL
authors: Hunt
authors: Stephanie G
authors: SG
authors: Witwer
authors: Leslie A
authors: LA
authors: Fedraw
authors: Jerry W
authors: JW
authors: Sayre
authors: Marc R
authors: MR
authors: Matthews
authors: Valerie W
authors: VW
authors: Halling
authors: Robert C
authors: RC
authors: Graber
authors: Rachel L
authors: RL
authors: Martin
authors: Jacqueline C
authors: JC
authors: Wright
authors: Jane F
authors: JF
authors: Myers
authors: Reinold H
authors: RH
authors: Plate
authors: Sonja M
authors: SM
authors: Hruska
authors: Kathy A
authors: KA
authors: Huttar
authors: Linda S
authors: LS
authors: Pachuta
authors: Roger K
authors: RK
authors: Resar
authors: Frederick D
authors: FD
authors: Edwards
authors: Yu-Hui H
authors: YH
authors: Chang
authors: Stephen J
authors: SJ
authors: Swensen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001794:Blood Pressure; D048909:Diabetes Complications / Q000628:therapy*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000628:therapy; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D017146:Models, Organizational; D064872:Patient Care Bundles / Q000379:methods*; D017060:Patient Satisfaction; D058996:Quality Improvement / Q000458:organization & administration*; D019984:Quality Indicators, Health Care; D055815:Young Adult
keywords: care bundle; diabetes; hypertension; quality project