Measure accurately, Act rapidly, and Partner with patients: An intuitive and practical three-part framework to guide efforts to improve hypertension control.
Hypertension is the leading cause of cardiovascular disease in the United States and worldwide. It also provides a useful model for team-based chronic disease management. This article describes the M.A.P. checklists: a framework to help practice teams summarize best practices for providing coordinated, evidence-based care to patients with hypertension. Consisting of three domains-Measure Accurately; Act Rapidly; and Partner With Patients, Families, and Communities-the checklists were developed by a team of clinicians, hypertension experts, and quality improvement experts through a multistep process that combined literature review, iterative feedback from a panel of internationally recognized experts, and pilot testing among a convenience sample of primary care practices in two states. In contrast to many guidelines, the M.A.P. checklists specifically target practice teams, instead of individual clinicians, and are designed to be brief, cognitively easy to consume and recall, and accessible to healthcare workers from a range of professional backgrounds.
Johns Hopkins University School of Medicine, Baltimore, MD, USA.|Armstrong Institute for Quality and Patient Safety, Baltimore, MD, USA.|Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Baltimore, MD, USA.
Romsai T
http://orcid.org/0000-0003-0650-9548
RT
Boonyasai
American Medical Association, Chicago, IL, USA.
Michael K
http://orcid.org/0000-0003-4386-4864
MK
Rakotz
Johns Hopkins University School of Medicine, Baltimore, MD, USA.|Armstrong Institute for Quality and Patient Safety, Baltimore, MD, USA.
Lisa H
LH
Lubomski
IBM Watson Health, Cambridge, MA, USA.
Donna M
DM
Daniel
Armstrong Institute for Quality and Patient Safety, Baltimore, MD, USA.|Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Baltimore, MD, USA.|Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Jill A
JA
Marsteller
Armstrong Institute for Quality and Patient Safety, Baltimore, MD, USA.
Kathryn S
KS
Taylor
Johns Hopkins University School of Medicine, Baltimore, MD, USA.|Armstrong Institute for Quality and Patient Safety, Baltimore, MD, USA.|Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Baltimore, MD, USA.
Lisa A
LA
Cooper
Maine Medical Center, Portland, ME, USA.
Omar
O
Hasan
University of Colorado School of Medicine, Denver, CO, USA.
Matthew K
MK
Wynia
D001795:Blood Pressure Determination / Q000295:instrumentation / Q000592:standards*; D002318:Cardiovascular Diseases / Q000150:complications / Q000209:etiology* / Q000517:prevention & control; D019468:Disease Management; D055317:Evidence-Based Practice / Q000379:methods; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000175:diagnosis / Q000517:prevention & control / Q000628:therapy; D010348:Patient Care Team / Q000458:organization & administration*; D010817:Physician-Patient Relations; D017410:Practice Guidelines as Topic / Q000592:standards; D011320:Primary Health Care / Q000592:standards*; D058996:Quality Improvement; D040242:Risk Reduction Behavior; D014481:United States / Q000453:epidemiology