Improving Hypertension _ Diabetes Control and Prevention
who is at risk?: blood pressure Considerations for Health Disparity Populations

African American Doctor with Patient Risk factors for consideration in high blood pressure include health conditions (i.e. diabetes, chronic kidney disease, hypercholesterolemia, obesity, sleep apnea), lifestyle and family history. The following points from the American Heart Association (AMA) 2019 Heart and Stroke Statistics Fact Sheets highlight some key populations to consider when evaluating and monitoring a patient for hypertension.
  • Women comprise nearly half of all adults with high blood pressure, yet it is a common misconception that they rarely have high blood pressure. At 65 and older, a woman's risk for having hypertension exceeds that of men.
  • Children and adolescents three years of age or older should have their blood pressured measured annually. Blood pressure checks should be performed at every health care encounter for children and adolescents who are obese, take medications that raise blood pressure, have renal disease, diabetes or a history of aortic arch obstruction or coarctation.
  • African American prevalence of high blood pressure in in the United States is among the highest in the world. More than 40 percent of non-Hispanic African-American men and women have high blood pressure. For African-Americans, high blood pressure also develops earlier in life and is usually more severe.
  • Hispanics and Latinos also have increased rates of hypertension. Raising awareness about the consequences of obesity is necessary in Latino communities, especially because being somewhat overweight can be considered healthy.
provider resource: Reducing Disparities in Healthcare

community Recent studies have shown that despite the improvements in the overall health of the country, racial and ethnic minorities experience a lower quality of health care-they are less likely to receive routine medical care and face higher rates of morbidity and mortality than non-minorities. 

 
patient education for all: find resources in multiple languages

translation Looking for education resources in a particular language? The National Network of Libraries of Medicine (NNLM) and Health Information Translations provide education resources in multiple languages for health care professionals and others to use in their communities. 
 
Resources are easy to read and culturally appropriate.  Access the (NNLM) and Health Information Translation options today.
webinar icon online education: podcasts & webinars

Webinar: Project ECHO Introduction: Our Mission, Model & Impact
Tuesday, November 19, 2019 - 10:30 a.m. to 12:00 p.m.
ECHO Institute hosts this great opportunity to hear a 90-minute overview of the ECHO model and how it started, interact with others learning about ECHO for the first time, and meet members of the ECHO team.

Quality Insights is partnering with the Centers for Disease Control and Prevention (CDC) on Project ECHO, an innovative program that offers providers helpful information about the treatment and management of patients with hypertension and diabetes. Project ECHO is a collaborative model of medical education and care management that empowers clinicians everywhere to provide better care to more people, right where they live. If you have interest in participating in Project ECHO, please contact your local Quality Insights representative.

This one-hour webinar from AHA/AMA, recorded June 2018, reviews the evidence on proven lifestyle interventions and provides strategies to more effectively.
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contact information

For more details about the Improving Hypertension and Diabetes Care & Prevention project, please contact Ashley Biscardi, Sarah Toborowski, and Danielle Nugent.
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This publication was supported by the Cooperative Agreement Number NU58DP2018006563 from the Centers for Disease Control and 
Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the 
Centers for Disease Control and Prevention.  Publication number: DEDPH-HD-110819