January Updates: Self-Measured Blood Pressure Pilot

A Centers for Medicare & Medicaid Services (CMS) Special Innovation Project to reduce uncontrolled hypertension among Rhode Island residents and streamline care planning for clinicians. Learn more.

Recent Webinar

Self-Measured Blood Pressure: A Practice Perspective

January 21, 2020 at 12:00pm-1:00pm | View the webinar

In this webinar Chris Campanile, MD, PhD and Joseph Bizier, PharmD, BCACP, will discuss their experience launching a SMBP Program at their Coastal Hillside practice, the support of technology to assess real-time data and their success to date. They will also review their workflows to minimize the burdens of a new project, while maximizing patient outcomes.

At the end of this webinar you will be able to:

  • Describe the steps to launching a Self-Measured Blood Pressure Program in your practice
  • Identify practical workflows for capturing, tracking and acting upon home BP readings

About the Speakers

Chris Campanile, MD, PhD
Chris Campanile, MD, PhD is a family practice physician at Coastal Hillside Family Medicine. Hillside is a founding practice of CSI-RI, the Chronic Care Sustainability Initiative, Rhode Island’s multi-payer practice improvement program. Coastal Hillside is Level 3 Recognized by NCQA and Dr. Campanile successfully attested for Meaningful Use in 2011. He is also a Clinical Coordinator at Healthcentric Advisors (formerly Quality Partners of RI), the state’s CMS Quality Improvement Organization. He has worked with many practices in Rhode Island assisting in the transformation to the patient centered medical home. Dr. Campanile received a PhD in Pharmacology from the University of Wisconsin and his MD from the Medical College of Virginia. He completed his residency in Family Medicine at Brown University Alpert Medical School where he is now a Clinical Associate Professor in the Department of Family Medicine.
Joseph Bizier, PharmD, BCACP
Joseph Bizier, PharmD, BCACP, is a clinical pharmacist at Coastal Medical, a primary care driven Accountable Care Organization (ACO) supporting the three-part aim of better care, better health and lower cost. Coastal delivers care to 120,000 patients with a team of over 125 providers located in 20 medical offices across Rhode Island. As a member of Coastal’s pharmacy team, Joseph provides in-office medication therapy management for patients with chronic diseases, including diabetes, hypertension, hyperlipidemia, and respiratory disorders.

December Blood Pressure Pilot Data

Initial analysis of the data demonstrates that:

  • 54% of the patients participating in the pilot with uncontrolled BP (>140/90) have reduced their average BP to below 140/90 by the middle of January. This decrease from the previous month is related to multiple new patients being added to the portal in the last 1-2 weeks. Evidence to date shows >50% patients under control after approximately 4 weeks in the pilot.
  • To date, alerts have resulted in:
    • 32 medication changes
    • 68 calls to patients
    • 27 messages sent to patients via EHR portal
    • 3 office appointments scheduled

Patient Self-Management Education-Best Foot Forward

The New Year is a great time to launch our mini education class to motivate patients toward healthy lifestyle choices. Materials to be covered include:

  • HTN and Complications
  • DASH Diet
  • Smoking Cessation
  • Physical Movement
  • Stress Reduction/Sleep
  • Setting Attainable Goals

This 90-minute, interactive, group class offering begins the week of Jan. 20th. To schedule a class at your practice, contact Brenda Jenkins at 401-528-3246 or bjenkins@healthcentricadvisors.org

Be Recognized as a Champion!

Healthcentric Advisors will be recognizing the individual who has referred the highest number of patients with uncontrolled blood pressure to the SMBP Pilot that has resulted in active patient participation. This individual will receive a $150 gift card to Al Forno restaurant.

TIP: Our data indicates, providers that have had a brief personal conversation explaining the pilot to the patient and encouraging participation, have had the most engaged patients to date. Motivational Interviewing techniques may be useful tools to employ when discussing HTN control with your patients. View the Motivational Intervention Handout and Motivational Interviewing Strategies and Techniques.

The award will be given at the end of February. There is still time left to get your English and Spanish-speaking patients in the pilot!

We Heard You! New Portal Features

The portal ‘Panel’ feature allows you to create a customizable view of all of your current patients in the pilot.

Coming soon:

  • Sort by provider and practice site
  • View a dashboard highlighting patients who have not taken a blood pressure reading for > 72 and 96 hours
  • Document a note unrelated to a specific reading in the new ‘Notes’ section of the portal. e.g.: Call to the patient to encourage more frequent readings.

We hope these additional features make your experience more valuable.

Time is Running Out!

As a reminder, the BP monitors are distributed on a first come, first serve basis.

Be sure to get your patients referred before they run out!!

Have questions? Contact Brenda Jenkins for support.

Contact Us

Brenda Jenkins, RN, D.Ay., CDOE, CPEHR, PCMH CCE
Program Lead
bjenkins@healthcentricadvisors.org
401-528-3246

Bryan Los
Technical Support
blos@healthcentricadvisors.org
401-528-3258

Nelia Odom, RN, BSN, MBA, MHA, WCC
Self-Measured Blood Pressure Educator
nodom@healthcentricadvisors.org
401-528-3212

Cynthia Stephanopoulos, RN, RAC-CT
Self-Measured Blood Pressure Educator
cstephanopoulos@healthcentricadvisors.org
401-528-3205

Alyson Schena, BS
Program Support
aschena@healthcentricadvisors.org
401-528-3247

Posted in Corporate News.