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 emphasize the importance of hypertension follow-up care to ensure consistent monitoring and patient education. I will discuss the outcomes linked to hypertension follow-up care and the benchmarks used to assess these outcomes. Furthermore, I will explain the methods used for data collection and the reasoning behind their selection. Lastly, I will present a spreadsheet containing relevant data and provide an evaluation of data trends and performance measures based on established benchmarks and evidence-based resources.

Specific Quality Outcome for Hypertension Follow-Up Care

The primary quality outcome chosen for evaluating hypertension follow-up care in healthcare settings is the blood pressure control rate. Since hypertension is a chronic condition, ongoing monitoring and follow-up are essential to achieve and maintain optimal blood pressure levels, particularly in older adults. Research indicates that a high percentage of patients receiving regular follow-up care demonstrate better blood pressure control (Mahmood et al., 2020). This success largely depends on continuous blood pressure monitoring by nursing staff combined with ongoing patient education focused on self-management strategies. Achieving and sustaining controlled blood pressure is critical because it helps prevent serious complications such as stroke, myocardial infarction, and kidney disease. For instance, Fuchs and Whelton (2019) found that cardiovascular disease risk doubles with every 20 mmHg increase in systolic blood pressure or 10 mmHg rise in diastolic blood pressure.

Benchmarks for the Blood Pressure Control Rate Outcome Indicator

To measure this quality outcome, blood pressure levels are regularly monitored and compared against benchmarks established by the American Heart Association (AHA). The AHA categorizes blood pressure readings into specific ranges that help classify patient status. An optimal blood pressure control rate is indicated by systolic and diastolic blood pressure readings below 120/80 mmHg. Readings above this threshold are classified as elevated blood pressure, stage 1 or stage 2 hypertension, and, in severe cases, hypertensive crisis (American Heart Association, 2023).

Evaluation of Data Measures and Data Trending

Analyzing blood pressure measurements and their frequency is vital for evaluating data trends and control rates. It is important to determine whether measurements are taken during routine follow-ups, scheduled appointments, or remotely via telemonitoring (Muntner et al., 2020). Data collection commonly utilizes Electronic Health Records (EHRs) and patient self-reporting technologies such as patient portals and mobile tracking systems. The rationale for these methods lies in their ability to quickly retrieve historical blood pressure data and track current measurements efficiently (Lee et al., 2022). Self-reporting systems also provide timely data to assess whether patients maintain optimal blood pressure control following follow-up care (Sheppard et al., 2020).

Data Spreadsheet

The table below summarizes key indicators of blood pressure control, focusing on follow-up care quality improvement between 2017 and 2018.

Characteristics	% of People with Controlled Blood Pressure in 2017	% of People with Controlled Blood Pressure in 2018	Number of Adults
Number of adults			1518 (2017) / 2094 (2018)
Had usual healthcare facility	46.5%	50.5%
Had no healthcare visit in past year	6.9%	7.9%
Had healthcare visit in past year	52.1%	56.6%

Interpretation of Data Spreadsheet

Analysis of data from 2017 to 2018 reveals an upward trend in the number of adults achieving controlled blood pressure. In 2017, 1518 adults were reported to have balanced and well-managed blood pressure, which increased to 2094 adults by 2018. Additionally, the proportion of adults with access to regular healthcare facilities improved slightly during this period (Muntner et al., 2020). These findings suggest enhancements in hypertension follow-up care and chronic disease management services. Moreover, the data demonstrate that individuals who attended healthcare visits within the past year had higher rates of blood pressure control compared to those who had no visits. This correlation highlights the crucial role of follow-up care in effectively managing hypertension and preventing complications.

Conclusion

Hypertension follow-up care plays a vital role in long-term management and the prevention of hypertension-related cardiovascular diseases. The key quality outcome indicator is the blood pressure control rate, which reflects the effectiveness of medical treatments and the necessity for lifestyle and dietary modifications. Continuous data monitoring and analysis allow healthcare providers to evaluate the success of interventions, ensure controlled blood pressure, and adjust medications as needed, ultimately improving patient outcomes.

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

NURS FPX 6414 Assessment 2 Proposal to Administration

Fuchs, F. D., & Whelton, P. K. (2019). High blood pressure and cardiovascular disease. Hypertension, 75(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. Ophthalmology, 129(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 Disorders, 20(1). https://doi.org/10.1186/s12872-020-01741-5

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. JAMA, 324(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 Hypertension, 33(3), 243–251. https://doi.org/10.1093/ajh/hpz182

NURS FPX 6414 Assessment 2 Proposal to Administration