Mullane CR. Implementing a pilot project to assist patients in controlling blood pressure in a primary care setting through a nurse-led blood pressure clinic. Quality Improvement poster presented at Nursing Passion: Re-Igniting the Art & Science, Advocate Aurora Health Nursing & Research Conference 2022; November 9, 2022; virtual.
Quality Improvement poster presented at Nursing Passion: Re-Igniting the Art & Science, Advocate Aurora Health Nursing & Research Conference 2022; November 9, 2022; virtual.
Background: This project is a Quality improvement (QI) project focuses on non-provider-led blood pressure (BP) appointments in a primary care clinic and aims to improve the number of patients with adequate BP.
Local Problem: When combining the individual QI reports of the three participating primary care providers (PCPs) from January 2021, 304 out of 411 had adequate BP control, which is 73% of the combined patient population of Dr. Olsen, Dr. Sethi, and APNP Villwock.
Method: The question this QI project seeks to answer is (P) will patients ages 18-85, whose PCP is Dr. Olsen, Dr. Sethi, or APNP Villwock, who have a diagnosis of HTN and (I) attend a new RN-led BP clinic, (C) compared to the former MA-patient non-provider-led BP appointment, (O) obtain and maintain adequate BP control, defined as less than 140/90 mmHg, (T) within 9 weeks? The goal is to implement a RN-led BP clinic and achieve greater than 73% on the combined QI score for the three participating providers at the AAH RiverCenter family practice clinic. This QI project also aims to increase the provider satisfaction by 5% measured by a Pre-and-Post-Implementation Provider Satisfaction Survey.
Results/Conclusion: Results indicated the implementation of a RN-led BP clinic for the three participating providers achieved a combined QI score of 78% and 100% increase in the provider satisfaction for BP management through non-provider-led BP appointments.
Implications for Practice: The RN-led BP clinic workflow successfully increased the number of patients with adequate BP and should be a workflow more primary care clinics adopt. This QI project has implications on the future research in nursing, healthcare delivery models, team-based care, and supporting nurses to work to the full extent of their scope-of-practice.