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dc.contributor.authorCooper, Lisa A
dc.contributor.authorMarsteller, Jill A.
dc.contributor.authorNoronha, Gary J.
dc.contributor.authorFlynn, Sarah J.
dc.contributor.authorCarson, Kathryn A.
dc.contributor.authorBoonyasai, Romsai T.
dc.contributor.authorAnderson, Cheryl A.
dc.contributor.authorAboumatar, Hanan J.
dc.contributor.authorRoter, Debra L.
dc.contributor.authorDietz, Katherine B.
dc.contributor.authorMiller, Edgar R III
dc.contributor.authorProkopowicz, Gregory P.
dc.contributor.authorDalcin, Arlene T.
dc.contributor.authorCharleston, Jeanne B.
dc.contributor.authorSimmons, Michelle
dc.contributor.authorHuizinga, Mary Margaret
dc.date.accessioned2014-04-03T11:19:58Z
dc.date.available2014-04-03T11:19:58Z
dc.date.issued2013-06-04
dc.identifier.citationdoi: 10.1186/1748-5908-8-60.en_US
dc.identifier.issn1748-5908
dc.identifier.urihttp://jhir.library.jhu.edu/handle/1774.2/36741
dc.descriptionPMC3680084en_US
dc.description.abstractAbstract BACKGROUND: Racial disparities in blood pressure control have been well documented in the United States. Research suggests that many factors contribute to this disparity, including barriers to care at patient, clinician, healthcare system, and community levels. To date, few interventions aimed at reducing hypertension disparities have addressed factors at all of these levels. This paper describes the design of Project ReD CHiP (Reducing Disparities and Controlling Hypertension in Primary Care), a multi-level system quality improvement project. By intervening on multiple levels, this project aims to reduce disparities in blood pressure control and improve guideline concordant hypertension care. METHODS: Using a pragmatic trial design, we are implementing three complementary multi-level interventions designed to improve blood pressure measurement, provide patient care management services and offer expanded provider education resources in six primary care clinics in Baltimore, Maryland. We are staggering the introduction of the interventions and will use Statistical Process Control (SPC) charting to determine if there are changes in outcomes at each clinic after implementation of each intervention. The main hypothesis is that each intervention will have an additive effect on improvements in guideline concordant care and reductions in hypertension disparities, but the combination of all three interventions will result in the greatest impact, followed by blood pressure measurement with care management support, blood pressure measurement with provider education, and blood pressure measurement only. This study also examines how organizational functioning and cultural competence affect the success of the interventions. DISCUSSION: As a quality improvement project, Project ReD CHiP employs a novel study design that specifically targets multi-level factors known to contribute to hypertension disparities. To facilitate its implementation and improve its sustainability, we have incorporated stakeholder input and tailored components of the interventions to meet the specific needs of the involved clinics and communities. Results from this study will provide knowledge about how integrated multi-level interventions can improve hypertension care and reduce disparities. TRIAL REGISTRATION: ClinicalTrials.gov NCT01566864.en_US
dc.description.sponsorshipJH Libraries Open Access Funden_US
dc.language.isoen_USen_US
dc.publisherBioMed Centralen_US
dc.relation.ispartofseriesImplementation science;v. 8 p. 60
dc.subjectAfrican Americansen_US
dc.subjectHealthcare Disparitiesen_US
dc.subjectOutcome and Process Assessment (Health Care)en_US
dc.subjectQuality Improvementen_US
dc.subjectHypertensionen_US
dc.subjectHealth Status Disparitiesen_US
dc.titleA multi-level system quality improvement intervention to reduce racial disparities in hypertension care and control: study protocol.en_US
dc.typeArticleen_US


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