Hypertension is one of the leading and most preventable contributors to maternal mortality and to disparities in maternal morbidity and mortality. Hypertension is also a health equity issue, with significant racial and ethnic disparities in both the prevalence of hypertension, and in its management and control. Addressing hypertension is essential to ensuring equitable, affordable, client-centered, quality family planning services.
To support Title X grantees in developing a systematic, comprehensive method to improve care within their networks, the RHNTC is convening a six-month learning collaborative: Strengthening Hypertension Services to Improve Health Outcomes and Equity. The learning collaborative will run from September 2022 through March 2023.
The goal of this learning collaborative is to support grantee efforts in improving hypertension prevention and control through measurable change using the RHNTC’s Hypertension Prevention and Control Improvement Toolkit.
By the end of the learning collaborative, participants will be able to:
- Describe the impact of addressing hypertension prevention and control in a reproductive health care setting
- Use quality improvement (QI) principles to measure performance and improve hypertension prevention and control
- Implement a plan for improving hypertension prevention and control in their networks
- Demonstrate improvements in hypertension-related performance measures
Each team will receive a Certificate of Completion to celebrate their commitment and contributions.
The learning collaborative will include up to 10 Title X grantee agencies that have identified one service site to consistently engage in this effort. Each team will consist of:
- Grantee (and, when applicable, subrecipient) representative(s) who: hold decision-making roles; develop clinical policies and protocols; and will be in a position to implement changes across the network after the learning collaborative ends
- Service site representative(s), including: frontline staff (e.g., front desk, nurses, family planning counselors) from the grantee’s network; and those responsible for clinic management and oversight of clinical care (e.g., clinic manager, clinician, medical director). Their primary role will be to lead/oversee implementation at the site.
Throughout the learning collaborative, participants will: engage in monthly virtual learning sessions and coaching calls; and carry out QI during action periods in between sessions.
Learning sessions: The RHNTC will facilitate six monthly virtual learning sessions. These learning sessions will include presentations and facilitated discussions on common barriers, challenges, and strategies for strengthening hypertension services. Sessions dates and times will be finalized once applicants have been selected.
Supplies: Participating teams will receive a Site Supply Kit to support learning session topics. Supply kits include: printed training and education materials; posters for the clinic; and supplies to support self-monitoring of blood pressure and accurate measurement of blood pressure in the clinical setting (e.g., a range of cuff sizes).
Action periods: Between learning sessions, teams will be expected to:
- Meet as a QI team
- Implement improvement plans
- Conduct Plan-Do-Study-Act (PDSA) cycles
- Track evaluation measures
Estimated time commitment:
- QI team meetings: 1–2 hours/month
- Implementing QI plan activities and PDSA: 2–4 hours/month
- Data collection and reporting: 1–2 hours/month
Coaching calls: Each team will have the opportunity for monthly Zoom sessions with an RHNTC coach to discuss challenges and strategies specific to their improvement plans.
Participating teams will be asked to complete a hypertension self-assessment for the selected site. In addition, teams will report each month on one or more of the following hypertension-related performance measures:
- Percentage of Title X users with blood pressure screening
- Percentage of Title X encounters with high blood pressure detected and blood pressure management provided
- Percentage of clients whose blood pressure was adequately controlled
Registrations are due by 11:59 PM ET on August 31, 2022. Registrations must be submitted by a Title X grantee. The RHNTC will notify all applicants of the outcome of their registration by September 9, 2022. Registrations will be accepted on a first-come first-serve basis.
Learning Collaborative Sessions
||Learning Collaborative Outline
|Hypertension Learning Collaborative Orientation
| Session 1: Assess your program’s hypertension prevention and control efforts
|Session 2: Train and prepare staff for hypertension prevention and control improvements
|Session 3: Integrate hypertension prevention and screening into all client visits
|Session 4: Strengthen support for clients with, or at risk for, hypertension
|Session 5: Integrate hypertension into community participation and program promotion activities
|Session 6: Successes and lessons learned: team presentations
*Session dates/times will be scheduled once applicants are selected