Development and Implementation of an Academic Detailing Service for Hypertension in in Primary Care
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Publication Date
2024
Keywords
oregon, oaa 2024
Disciplines
Cardiology | Medical Education | Primary Care
Abstract
Hypertension is the number one modifiable cardiovascular risk factor and yet, remains one of the most challenging disease states to attain adequate control in. According to the National Health and Nutrition Examination Surveys (NHANES), less than 50% of adults with hypertension were considered controlled as of 2018, based on a hypertension definition of ≥ 140/90 mmHg. Academic detailing is an interactive educational outreach strategy that has been shown to improve evidence-based prescribing patterns. The objective of this quality improvement project is to develop and implement a clinical pharmacist-led academic detailing service for hypertension in a primary care setting, emphasizing improving provider knowledge in prescribing practices that have been shown to increase large-scale hypertension control rates. This objective was measured by a survey sent to prescribers before and after the detailing session that gauged knowledge and confidence in the key messages. Individual sessions with each provider were conducted to review best practice recommendations in conjunction with any areas identified for improvement in their prescribing patterns based on a brief review of their patient panel. Toolkits were developed for both the detailer and the provider. Key messages relayed during these sessions included use of single-pill combination antihypertensives, recommended follow-up and monitoring, and utility of 24-hour ambulatory blood pressure monitoring. Results and conclusions will be shared when the project is completed.
Area of Special Interest
Cardiovascular (Heart)
Specialty/Research Institute
Graduate Medical Education
Specialty/Research Institute
Primary Care
Specialty/Research Institute
Pharmacy
