NURS FPX 6414 Assessment 2 Proposal to Administration

,

NURS FPX 6414 Assessment 2 Proposal to Administration

NURS FPX 6414 Assessment 2 Proposal to Administration

Name

Capella university

NURS-FPX 6414 Advancing Health Care Through Data Mining

Prof. Name

Date

Video Presentation and Spreadsheet: Proposal to Administration

Hello everyone, I am _____, and in this presentation, I will highlight the need for hypertension follow-up care to promote consistent monitoring and education. I will also describe the outcomes related to hypertension follow-up care and benchmarks related to those outcomes. Additionally, I will describe the data collection methods and the rationale behind using them. Lastly, I will share data in a spreadsheet and evaluate the data trending and measures based on benchmarks and evidence-based resources.

Specific Quality Outcome for Hypertension Follow-Up Care

Blood pressure control rate is a specific chosen quality outcome for hypertension follow-up care in healthcare settings. Hypertension, being a chronic condition, requires consistent monitoring and follow-up to achieve the optimal blood pressure control rate and improve the health of hypertensive patients in old age. A significantly high percentage of patients in their follow-up care of hypertension treatment depict optimal blood pressure control (Mahmood et al., 2020). This is possible when patients with high blood pressure are consistently getting their hypertension monitoring done by nursing staff and are continually educated on self-management of their health condition. This quality outcome of balanced and maintained blood pressure is crucial through adequate follow-up care (Mahmood et al., 2020). This prevents the negative health implications of unaddressed hypertension, such as the incidence of stroke, heart attacks, and kidney diseases. According to one study, the risk of cardiovascular diseases becomes two-fold higher with every 20 mmHg rise in systolic blood pressure and 10 mmHg increase in Diastolic Blood pressure (Fuchs & Whelton, 2019).

Benchmarks for the Blood Pressure Control Rate Outcome Indicator

This quality outcome can be measured by monitoring blood pressure levels and evaluated with the benchmarks established by the American Heart Association (AHA). The AHA has developed the blood pressure category where the systolic and diastolic blood pressure ranges are given to evaluate the status of the quality outcome of hypertension. When the SBH and DBP range in less than 120/80 mmHg, the optimal blood pressure control rates is achieved. Any readings beyond this result in elevated blood pressure, stage 1 and stage 2 hypertension, and lastly, hypertensive crisis (American Heart Association, 2023).

Evaluation of Data Measures and Data Trending

It is imperative to analyze the blood pressure measurements and frequency to evaluate the data measures and trends or patterns for blood pressure control rate. Furthermore, it is essential to analyze whether it is recorded during routine follow-ups, appointments, or through remote monitoring (Muntner et al., 2020). The data are collected using Electronic Health Records or patient-self-reporting technologies such as patient portals or tracking systems. The rationale behind these collection methods lies in the reason that the patient health records, such as past histories of blood pressure measurements, can be quickly drawn from patient portals and EHRs (Lee et al., 2022). Moreover, the current data on blood pressure measurements to find the optimal blood pressure control rate post-follow-up care can be effectively obtained through patient self-reporting systems of patient portals and relevant tracking systems (Sheppard et al., 2020).

Data Spreadsheet

The data spreadsheet highlights the quality improvement indicator of controlled blood pressure, focusing on follow-up care.

Characteristics
% of people with controlled blood pressure in 2017
% of people with controlled blood pressure in 2018

Number of adults

1518

2094

Had usual healthcare facility

46.5 

50.5

Had no healthcare visit in the past year

6.9

7.9

Had healthcare visit in past year

52.1

56.6

Interpretation of Data Spreadsheet

The quality outcome indicator of blood pressure control rate was analyzed from 2017 to 2018. The data showed that the number of adults with controlled blood pressure in the population progressed as the years passed. According to these data, about 1518 adults were experiencing balanced and controlled blood pressure in 2016; this number increased to 2094 adults with hypertension in 2018. Similarly, the percentage of the population with adequate healthcare facilities increased from 2017 to 2018 (Muntner et al., 2020). These data highlight that healthcare facilities improved hypertension follow-up care and chronic management. Lastly, the data depicted the trends in healthcare visits or follow-ups in the past year with the percentages of people with controlled blood pressure. The data of the hypertensive population with no follow-up in the preceding year had lower rates of controlling BP than those who were eagerly acquiring their hypertension management in past year follow-ups. The data show that follow-up care helps control people’s blood pressure effectively (Muntner et al., 2020).

Conclusion

Hypertension follow-up care is necessary for long-term hypertension management and preventing hypertension-related cardiovascular diseases. The quality outcome indicator for this position is regulated blood pressure control rates and manifesting the efficacy of care treatments and the need for dietary and lifestyle modification. The data are analyzed to address this concern and highlight the significance of hypertension follow-up care to measure controlled blood pressure rate and adjust medication accordingly.

References

American Heart Association. (2023, May 30). Understanding blood pressure readings. American Heart Association. https://www.heart.org/en/health-topics/high-blood-pressure/understanding-blood-pressure-readings 

Fuchs, F. D., & Whelton, P. K. (2019). High blood pressure and cardiovascular disease. Hypertension75(2), 285–292. https://doi.org/10.1161/HYPERTENSIONAHA.119.14240 

Lee, E. B., Hu, W., Singh, K., & Wang, S. Y. (2022). The association among blood pressure, blood pressure medications, and glaucoma in a nationwide electronic health records database. Ophthalmology129(3), 276–284. https://doi.org/10.1016/j.ophtha.2021.10.018 

Mahmood, S., Jalal, Z., Hadi, M. A., & Shah, K. U. (2020). Association between attendance at outpatient follow-up appointments and blood pressure control among patients with hypertension. BMC Cardiovascular Disorders20(1). https://doi.org/10.1186/s12872-020-01741-5 

NURS FPX 6414 Assessment 2 Proposal to Administration

Muntner, P., Hardy, S. T., Fine, L. J., Jaeger, B. C., Wozniak, G., Levitan, E. B., & Colantonio, L. D. (2020). Trends in blood pressure control among US adults with hypertension, 1999-2000 to 2017-2018. JAMA324(12). https://doi.org/10.1001/jama.2020.14545 

Sheppard, J. P., Tucker, K. L., Davison, W. J., Stevens, R., Aekplakorn, W., Bosworth, H. B., Bove, A., Earle, K., Godwin, M., Green, B. B., Hebert, P., Heneghan, C., Hill, N., Hobbs, F. D. R., Kantola, I., Kerry, S. M., Leiva, A., Magid, D. J., Mant, J., & Margolis, K. L. (2020). Self-monitoring of blood pressure in patients with hypertension-related multi-morbidity: Systematic review and individual patient data meta-analysis. American Journal of Hypertension33(3), 243–251. https://doi.org/10.1093/ajh/hpz182 

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