ArticleBMC public health2022
Impact of COVID-19-related care disruptions on blood pressure management and control in community health centers.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed, 19 citations in OpenAlex.
- Impact of a free medication policy on blood pressure among older patients with hypertension: an interrupted time series analysis.BMC public health · 2026Article
- Trends in Blood Pressure Control During the COVID-19 Pandemic: A Study of 17 US Health Systems in the National Patient-Centered Clinical Research Network Blood Pressure Control Laboratory.Journal of the American Heart Association · 2026Article
- Applying a Bayesian spatiotemporal model to examine excess county-level cardiovascular disease death rates during the COVID-19 pandemic.American journal of epidemiology · 2025Article
- Telemedicine Use and Hypertension Control in an Urban Community Health Center Cohort.Journal of general internal medicine · 2025Article
- Changes in blood pressure measurement prevalence among United States adults with hypertension before and during the COVID-19 pandemic.Preventive medicine reports · 2024Article
- Care Quality and Equity in Health Centers During and After the COVID-19 Pandemic.American journal of preventive medicine · 2024Article
- Article
- Spatial Analysis of Health System Factors in Infectious Disease Management: Lessons Learned from the COVID-19 Pandemic in Korea.Healthcare (Basel, Switzerland) · 2024Article
- An Intersectoral Approach to Hypertension Care: Solutions for Improving Blood Pressure Control in São Paulo, Brazil.American journal of hypertension · 2024Article
- Understanding Gaps in the Hypertension and Diabetes Care Cascade: Systematic Scoping Review.JMIR public health and surveillance · 2024Article
- Editors' Commentary on the 2023 ESH Management of Arterial Hypertension Guidelines.Hypertension (Dallas, Tex. : 1979) · 2023Article
- Self-Measured Blood Pressure Telemonitoring Programs: A Pragmatic How-to Guide.American journal of hypertension · 2023Article
- A Mixed-Methods Evaluation of a Primary Care Remote Blood Pressure Monitoring Quality Improvement Pilot.Journal of primary care & community healthObservational
- Changes in Rates of Uncontrolled Hypertension Among Federally Qualified Health Center Patients, 2019 to 2022: State-Level Group-Based Trajectory Modeling Analysis.Journal of primary care & community healthArticle
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Authors and funding
9 authors at 5 institutions in 2 countries.
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Abstract
backgroundUncontrolled hypertension is a leading risk factor for cardiovascular disease. To ensure continuity of care, community health centers (CHCs) nationwide implemented virtual care (telehealth) during the pandemic. CHCs use the Centers for Medicare & Medicaid Services (CMS) 165v8 Controlling High Blood Pressure measure to report blood pressure (BP) control performance. CMS 165v8 specifications state that if no BP is documented during the measurement period, the patient's BP is assumed uncontrolled.
methodsTo examine trends in BP documentation and control rates in CHCs as telehealth use increased during the pandemic compared with pre-pandemic period, we assessed documentation of BP measurement and BP control rates from December 2019 - October 2021 among persons ages 18-85 with a diagnosis of hypertension who had an in-person or telehealth encounter in 11 CHCs. Rates were compared between CHCs that did and did not implement self-measured BP monitoring (SMBP).
resultsThe percent of patients with hypertension with no documented BP measurement was 0.5% in December 2019 and increased to 15.2% (overall), 25.6% (non-SMBP CHCs), and 11.2% (SMBP CHCs) by October 2021. BP control using CMS 165v8 was 63.5% in December 2019 and decreased to 54.9% (overall), 49.1% (non-SMBP), and 57.2% (SMBP) by October 2021. When assessing BP control only in patients with documented BP measurements, CHCs largely maintained BP control rates (63.8% in December 2019; 64.8% (overall), 66.0% (non-SMBP), and 64.4% (SMBP) by October 2021).
conclusionsThe transition away from in-person to telehealth visits during the pandemic likely increased the number of patients with hypertension lacking a documented BP measurement, subsequently negatively impacting BP control using CMS 165v8. There is an urgent need to enhance the flexibility of virtual care, improve EHR data capture capabilities for patient-generated data, and implement expanded policy and systems-level changes for SMBP, an evidence-based strategy that can build patient trust, increase healthcare engagement, and improve hypertension outcomes.
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