The Blood Pressure in Control measure is the fourth of 4 key indicators of quality health care. This measure assesses the percentage of continuously enrolled members with hypertension, ages 18-85 years, whose last recorded systolic blood pressure was less than 140 mm/Hg and whose last recorded diastolic blood pressure was less than 90 mm/Hg.
The Blueprint includes performance-based payments to encourage providers to participate in population and community health improvement initiatives with the goal of greater collaboration. These are key indicators that are in alignment with the All Payer Model core quality measures. Improvements in these areas are indicative of an evolving and improving system of care.
The trend line above suggests an opportunity for improvement given that the data is not moving in the right direction. The Blueprint implemented the pay for performance model on this measure in July 2015. This measure was chosen for payment because it reflected a priority of the provider network (ACOs) in Vermont, it could be generated at the Health Service Area level using Vermont’s centralized data source without any need for additional data collection or reporting by providers, it was tied to prevalent underlying health concerns involving complex medical and social determinants, and it could be improved through better coordination, outreach, and transitions between medical and non-medical providers. The Blueprint for Health, in conjunction with the Vermont Department of Health, OneCare Vermont, SASH, New England QIN-QIO, CHAC, and VPQHC, held a 6-month long peer-learning community to support practices in implementing key strategies to improve blood pressure control in patients with hypertension. In the peer-learning community, we have brought together expert faculty to provide a dynamic learning environment and provided practices the opportunity to learn from peers and have quality improvement.
Last updated: 03/02/2020