A Newsletter for the HHQI Underserved Populations (UP) Network                        May 2014
UPcoming Webinars
There will be two UP Network webinars during the month of May 2014. Click on the date of the session below to register.
Best Practices for Care Transitions: Engaging Emergency Departments and Urgent Care Centers 
  • Overview of the opportunity to improve patients' transitions out of emergency departments and urgent care centers - two healthcare settings not yet widely involved in care transitions QI efforts
  • Discussion of Rhode Island's Safe Transitions Best Practices, with a focus on the emergency department and urgent care settings, and how home health agencies are an important part of the process
  • Sharing of lessons learned and strategies for sustainability


Speaker: Rebekah Gardner, MD Senior Medical Scientist, Healthcentric Advisors, Assistant Professor of Medicine Alpert School of Medicine, Brown University

Alzheimer's Disease: A New Way of Understanding for the Home Care Worker 
  • Gain insight in to what is truly happening to the person with Alzheimer's or a related dementia
  • Work from the "photo album" philosophy
  • Discuss techniques for better communication and strategies for maximizing care 
Speaker: Jane Marks, Consultant on Dementia Care, Sandwich Caring 
Check out the UP Event Archives for previous webinars and teleconferences including:
  • Using Occupational Therapy to Optimize Outcomes
  • Everyone with Diabetes Counts: The Impact on Rural Southern West Virginia
  • UP from a Managed Care Perspective
  • Health Disparities among People with Disabilities
  • Managing by Data: CMS Casper Data Reports
  • Advice and Tips from Home Health Experts
  • Compulsive Hoarding for Care Managers
  • Community Mental Health on Wheels
  • And many more


UP News & Highlights 


May is national High Blood Pressure Education month as well as Stroke Awareness month.


  • Each year, approximately 600,000 Americans die from heart disease - that's 1 out of 4 deaths (CDC).
  • Stroke kills almost 130,000 Americans each year - that's 1 in every 19 deaths (CDC).
  • For people 40-70 years old, "each increment of 20 mm Hg in systolic BP or 10 mm Hg in diastolic BP doubles the risk of cardiovascular disease across the entire BP range from 115/75 to 185/115 mm Hg" (Chobanian, et al., 2003, p. 2562).
  • Diastolic hypertension predominates before age 50 and, until age 50, is a more potent cardiovascular risk factor than systolic blood pressure. After age 50, systolic blood pressure is a more important indicator for CVD (JNC 7 Complete, 2004).


The Cardiovascular Health Part 1 Update is now posted. The update includes hypertension management information on new guidelines along with recently published algorithms and protocols for hypertension management. We encourage readers to continue to use the Cardiovascular Health Part 1: Aspirin as appropriate & Blood pressure control BPIP in conjunction with this Update. 


Strategies to educate and activate patients related to high blood pressure include:
  • Use action planning for lifestyle changes
  • Increase medication knowledge and adherence
  • Assist underserved populations with resources for preventative lifestyle (see Cardiovascular Health Part 1 BPIP, Underserved Population Action Section, p. 70)
  • Consult with a Registered Dietitian for managing diet based on the patient's medical history and personal needs
  • Review BP readings with patient to identify patterns and encourage the monitoring and recording of BPs at home (see Cardiovascular Health Part 1 BPIP, Self-Measured Blood Pressure Monitoring, pp. 50-51)
  • Teach patients to use communication tips when visiting their healthcare providers (example: Ask Me 3)
AHA/ASA 2013


Stroke signs and symptoms: FAST 

  • Facial drooping
  • Arm weakness
  • Speech difficulty
  • Time to call 911



Tools/Resources of the Month 

  • Recommended Lifestyle Modifications for Hypertension Management (p. 48)
  • Blood Pressure Control Tools and Resources (p. 55)
  • CDC's Vital Signs Getting Blood Pressure Under Control (pp. 58-61)
  • Patient/Family Multimedia Tools and Resources (pp. 68-69)

Focused Disease Management:  Heart Failure BPIP


Stroke Resources 



For more information or to suggest future UP topics or speakers, please contact us at HHQI@wvmi.org.

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