Category: Professional Posters
Purpose: Nearly two-thirds of Americans have hypertension or pre-hypertension yet only 54% are controlled. Uncontrolled hypertension is a risk factor for coronary artery disease, stroke, and kidney disease.
In 2018, an interprofessional hypertension clinic for uninsured individuals commenced at Clinic with a Heart in Lincoln, Nebraska. The clinic runs monthly and is staffed by advanced practice clinicians, pharmacist, dietician, nurse, interpreters, and ancillary staff. Goals are to treat blood pressure (BP) to meet national guidelines and to educate patients on self-care including diet, exercise, stress reduction and smoking cessation. This retrospective review was conducted in patients to measure BP control.
Methods: Twenty-four patients were seen from January–December 2018. Data collected included: age, gender, race, frequency of visits, concomitant illnesses, concomitant medications, smoking status, and baseline and follow-up BP. Prescribed medications and monitoring labs and associated costs were also captured. Student’s paired t test was used to measure the change in BP comparing pre and post intervention.
Results: Most patients were White (46%) or Black (25%), 58% female and had mean age of 47.3+10.1 years. Mean SBP was reduced from 153.7+22.7 mmHg to 123.1+10.9 mmHg (p=0.001) at first control. BP control defined as 6 months. BP control defined as 6 months. The total clinic costs in 2018 were $1,973.41 and the mean annual cost per patient (medications and labs) was $82.22.
Conclusion: An interprofessional hypertension chronic care clinic for uninsured patients is effective in significantly lowering blood pressure and achieving control.