The Centers for Disease Control and Prevention (CDC) offers many excellent resources for the prevention, detection, and treatment of heart disease and stroke as part of its Million Hearts initiative, a national movement to prevent one million heart attacks and strokes by 2017.
Professional and Educational Resources
Evidence-based Treatment Protocols for Improving Blood Pressure Control
Million Hearts® encourages widespread adoption and use of standardized treatment protocols for improving blood pressure control. Simple, evidence-based treatment protocols can have a powerful impact in improving control by clarifying titration intervals and treatment options, by expanding the types of staff that can assist in timely follow-up with patients, and when embedded in electronic health records, by serving as clinical decision support at the point of care so no opportunities are missed to achieve control. The resources listed include a variety of evidence-based hypertension treatment protocols along with a template to use in developing a custom protocol.
Measure Up Pressure Down™: Provider Toolkit to Improve Hypertension Control. This toolkit from the American Medical Group Foundation and American Medical Group Association (AMGA) offers useful tools, tips, and resources to help jump-start a hypertension quality improvement initiative. The toolkit is based on best practices from the group’s hypertension collaboratives and includes concise one-pagers with actionable steps for implementing evidence-based processes. [Note: This resource covers accurate blood pressure measurement technique and is recommended as a replacement for the Wisconsin Heart Disease and Stroke Program’s 2010 Blood Pressure Measurement Toolkit, which was based on previous clinical guidelines.]
Hypertension Control: Action Steps for Clinicians. This guide delivers proven strategies to help clinicians work with their patients to control hypertension. Strategies include creative ways for clinicians to deliver care to hypertensive patients, improve medication adherence, and optimize patient reminders and supports.
Hypertension Control: Change Package for Clinicians. This change package is a quality improvement tool for ambulatory clinical settings to improve hypertension control. It is intended to provide health care practices with an evidence-based listing of process improvements to more efficiently and effectively care for patients with hypertension. The guide includes change concepts, change ideas, and evidence- or practice-based tools and resources.
Self-Measured Blood Pressure Monitoring: Action Steps for Clinicians. Self-measured blood pressure monitoring plus additional clinical support is one strategy that can reduce the risk of disability or death due to high blood pressure. The purpose of this guide is to help clinicians implement self-measured blood pressure monitoring in their practices by providing evidence-based action steps and resources.
Self-Measured Blood Pressure Monitoring: Action Steps for Public Health Practitioners. Strong evidence suggests that self-measured blood pressure monitoring—when combined with regular support from trained health care professionals—is effective in lowering blood pressure among hypertensive patients. This guide outlines action steps that public health practitioners can take to help patients monitor their own blood pressure.
- American Heart/Stroke Association (AHA/ASA)
- Guidelines for the Early Management of Adults with Ischemic Stroke
- CDC: Division of Heart Disease and Stroke Prevention
- CDC: Vital Signs Website
Related Chronic Disease Topics
Nutrition, physical activity, diabetes prevention and management, and smoking cessation are important to improving cardiovascular health. Diabetes and heart disease share many of the same risk factors, and tobacco use is directly linked to vascular disease and hypertension. In addition to the resources provided by the Chronic Disease Prevention Program, check out these related topics within the Division of Public Health.