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Systemic Implementation Strategies to Improve Hypertension: The Kaiser Permanente Southern California Experience  John J. Sim, MD, Joel Handler, MD, Steven.

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Presentation on theme: "Systemic Implementation Strategies to Improve Hypertension: The Kaiser Permanente Southern California Experience  John J. Sim, MD, Joel Handler, MD, Steven."— Presentation transcript:

1 Systemic Implementation Strategies to Improve Hypertension: The Kaiser Permanente Southern California Experience  John J. Sim, MD, Joel Handler, MD, Steven J. Jacobsen, MD, PhD, Michael H. Kanter, MD  Canadian Journal of Cardiology  Volume 30, Issue 5, Pages (May 2014) DOI: /j.cjca Copyright © 2014 Canadian Cardiovascular Society Terms and Conditions

2 Figure 1 Kaiser Permanente Southern California hypertension control rates. HTN, hypertension. Canadian Journal of Cardiology  , DOI: ( /j.cjca ) Copyright © 2014 Canadian Cardiovascular Society Terms and Conditions

3 Figure 2 Kaiser Permanente Southern California population overview.
Canadian Journal of Cardiology  , DOI: ( /j.cjca ) Copyright © 2014 Canadian Cardiovascular Society Terms and Conditions

4 Figure 3 Kaiser Permanente hypertension algorithm. ACE, angiotensin-converting enzyme; ACEI, angiotensin-converting enzyme inhibitor; BP, blood pressure; CKD, chronic kidney disease; CVA, cerebrovascular accident; eGFR, estimated glomerular filtration rate; HCTZ, hydrochlorothiazide; MI, myocardial infarction; NNT, number needed to treat; NSAID, nonsteroidal anti-inflammatory drug; TIA, transient ischemic attack. Canadian Journal of Cardiology  , DOI: ( /j.cjca ) Copyright © 2014 Canadian Cardiovascular Society Terms and Conditions

5 Figure 4 Combination pill use and hypertension control at Kaiser Permanente Southern California. Since 2005, when the combination of lisinopril/HCTZ was advocated, hypertension control rates have steadily increased, paralleling the proportion of those prescribed the lisinopril/HCTZ combination pill. HCTZ, hydrochlorothiazide; HTN, hypertension. Canadian Journal of Cardiology  , DOI: ( /j.cjca ) Copyright © 2014 Canadian Cardiovascular Society Terms and Conditions

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