title: Improving blood pressure control in a large multiethnic California population through changes in health care delivery, 2004-2012.
abstract: The Kaiser Permanente Southern California (Kaiser) health care system succeeded in improving hypertension control in a multiethnic population by adopting a series of changes in health care delivery. Data from the Healthcare Effectiveness Data and Information Set (HEDIS) was used to assess blood pressure control from 2004 through 2012. Hypertension control increased overall from 54% to 86% during that period, and 80% or more in every subgroup, regardless of race/ethnicity, preferred language, or type of health insurance plan. Health care delivery changes improved hypertension control across a large multiethnic population, which indicates that health care systems can achieve a clinical target goal of 70% for hypertension control in their populations.
authors.affiliation: Centers for Disease Control and Prevention, 4770 Buford Hwy, NE, Mailstop F-72, Atlanta, GA 30341. Telephone: (770) 488-1053. E-mail: kmshaw@cdc.gov.
authors.forename: Kate M
authors.initials: KM
authors.lastname: Shaw
authors.affiliation: Kaiser Permanente Southern California, Anaheim, California.
authors.forename: Joel
authors.initials: J
authors.lastname: Handler
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Hilary K
authors.initials: HK
authors.lastname: Wall
authors.affiliation: Kaiser Permanente Southern California, Anaheim, California.
authors.forename: Michael H
authors.initials: MH
authors.lastname: Kanter
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American; D000368:Aged; D000369:Aged, 80 and over; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001213:Asian; D002140:California / Q000453:epidemiology / Q000208:ethnology; D003695:Delivery of Health Care / Q000592:standards*; D019468:Disease Management; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D017064:Process Assessment, Health Care; D058996:Quality Improvement; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000959:Antihypertensive Agents