Chronic Care Management
Hypertension Results:
Represents Health Disparities Collaborative for Hypertension
Overall CAP Results
HYPERTENSION FACTS
Uncontrolled high blood pressure increases the risk of heart failure by 200
percent, compared with those who do not have hypertension. Moreover, the
degree of risk appears directly related to the severity of the high blood pressure.
* More than 50 million Americans have high blood pressure.
(American Heart Association, 2000 Heart and Stroke Statistical Update)
* One-third of those with the disease don't know that they have it.
(Mayo Clinic Report, "Hypertension," November 6, 1997)
* Only 27% of people with hypertension (13.5 million) are treated and have
their high blood pressure controlled.
(American Heart Association, 2000 Heart and Stroke Statistical Update)
Enrollment Facility (Table)
Facility
Cumulative
Frequency
Valid
Percent
Valid Percent
Percent
Cabin Creek
240
30.2
30.2
30.2
Family Care Charleston
283
35.6
35.6
65.7
Family Care Teays Valley
84
10.6
10.6
76.3
New River Health Center
110
13.8
13.8
90.1
5
.6
.6
90.7
74
9.3
9.3
100.0
796
100.0
100.0
North Fayette Family
Health Center
Riverside Health Center
Total
Blood Pressure Check Within Past 6 Months
100
90
80
70
60
50
40
30
20
10
0
A
B
C
D
Average Systolic Pressure
138
137
136
135
134
133
132
131
130
129
128
A
B
C
D
Average Diastolic Pressure
90
88
86
84
82
80
78
76
74
A
B
C
D
Documented Patient Self-Management
100
90
80
70
60
50
40
30
20
10
0
A
B
C
D
Blood Pressure < 140/90 as %
100
90
80
70
60
50
40
30
20
10
0
A
B
C
D
HYPERTENSION FACTS
* High blood pressure can lead to strokes, heart attack, heart failure, kidney
failure, and visual impairment.
(Mayo Clinic, "Track Your Blood Pressure, January 24, 2000,
* The incidence of high blood pressure (HBP) increases with age:
* 44% of men and women aged 55-64 have HBP
* 60% of men and women aged 65 to 74 have HBP
* 64% of men and 77% of women over 75 have HBP
(Supplement 2 to the Journal of the American Society of Consultant
Pharmacists 1999/ vol. 14)
HYPERTENSION FACTS
* 32% of African Americans have high blood pressure.
(Burt et. al, "Trends in the prevalence, awareness, treatment, and control of
hypertension in the adult US population: data from the health examination surveys,
1960-1991. Hypertension 1995: 26:60-9)
* High blood pressure costs $24.5 billion in direct costs in this country each
year.
(American Heart Association: 2000 Heart and Stroke Statistical Update)
Compiled by The National Council on the Aging, March 2000.
Health Disparities Collaborative for Hypertension
Typical Levels
Target Levels
BP <140/90 mmHg
20-30%
>50%
BP Documented
2 times/year
50-70%
>90%
Depression screening
(within last 12 months)
<20%
>70%>
Self management goal setting
(within last 12 months)
<20%
>50%
Smoking cessation
<20%
>30%
West Virginia Healthy People
Year 2010
OBJECTIVE 12.3. Decrease the proportion of adults who have high blood pressure to
no more than 22%. (Baseline: 28.3% in 1997)
Data Source: WVBPH, OEHP, Behavioral Risk Factor Surveillance System (BRFSS)
Women & Heart Disease
* Heart disease is the #1 killer of American women
* One of every three deaths for American women is from heart disease—one in every thirty
deaths is from breast cancer
* Women's heart disease risk starts to rise in middle age
* One in eight American women aged 45-64—and one in three women over 65—has some
form of heart disease
* In 2002, more than 40 million American women are over age 50
* Nearly two-thirds of American women who die suddenly of a heart attack had no prior
symptoms
* About two-thirds of American woman women who have a heart attack do not make a full
recovery
* According to a National Council on the Aging survey: Only 9 percent of American women
view heart disease their main health concern—but 61 percent see breast cancer as their chief
health concern
Internet Links for further information
Health Disparities Collaborative – Cardiovascular Disease
http://www.healthdisparities.net/collaboratives_cardio.html
West Virginia Healthy People 2010 Objectives
http://www.wvdhhr.org/bph/hp2010/objective/contents.html
Cardiovascular Self-Management Tool
http://www.healthdisparities.net/resources.html
Evidence-based Clinical Practice Guidelines
http://www.guideline.gov/index.asp
Improving Chronic Illness Care
http://www.improvingchroniccare.org