Back to Search
Start Over
Concordance Between Common Hypertension Control Algorithms in Electronic Medical Record Data
- Source :
- Preventing Chronic Disease
- Publication Year :
- 2017
- Publisher :
- Centers for Disease Control and Prevention (CDC), 2017.
-
Abstract
- Because quality improvement metrics and treatment guidelines are used to conduct research, evaluate care quality, and assess population health, they should, ideally, align. We used electronic medical record data to analyze variation between blood pressure control estimates calculated by using thresholds derived from National Quality Forum 0018 (NQF 0018) and Joint National Committee (JNC) treatment guidelines in a cohort of patients with hypertension. Percentage of patients with controlled blood pressure derived from each quality improvement or treatment guideline cutoff varied up to 16.1 percentage points. This variance demonstrates that discrepancies in blood pressure thresholds produce considerable variation in estimates; thus, treatment guidance and metrics should be selected carefully.
- Subjects :
- medicine.medical_specialty
Quality management
Concordance
Blood Pressure
Population health
030204 cardiovascular system & hematology
03 medical and health sciences
0302 clinical medicine
Electronic Health Records
Humans
Medicine
Cutoff
Medical physics
030212 general & internal medicine
Antihypertensive Agents
Evidence-Based Medicine
business.industry
Health Policy
Public Health, Environmental and Occupational Health
Percentage point
Guideline
Blood pressure
Brief
Hypertension
Cohort
Physical therapy
Guideline Adherence
business
Algorithms
Subjects
Details
- ISSN :
- 15451151
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- Preventing Chronic Disease
- Accession number :
- edsair.doi.dedup.....171c9ea16ca822606dc5fd9515606dde