2025 Southeastern Residency Conference

PURPOSE:
Recognizing that veterans have a higher prevalence of cardiovascular disease (CVD) and CVD-related mortality than the general population, there is a need to manage risk factors, including blood pressure. Over 70% of patients within the Veterans Affairs healthcare system have hypertension (HTN), but less than 33% have controlled blood pressure. To address the issue of uncontrolled blood pressure and reduce CVD risk, a remote, population health-based, pharmacist-managed quality improvement HTN management service was implemented at a rural Veterans Affairs clinic. This project aims to evaluate the implementation of the service.
 
METHODS:
This retrospective study evaluated the implementation of the pharmacist-managed HTN clinic using the RE-AIM implementation science framework, a five-domain model designed to assess the impact and implementation of health interventions. The domains of reach, effectiveness, and implementation were evaluated. Reach outcomes included the demographics of veterans who participated in the clinic. Effectiveness outcomes were collected at three months and the most recent visit. Outcomes included changes in baseline blood pressure and home monitoring, the percentage of veterans whose blood pressure was controlled,  and the number and types of interventions completed. Implementation outcomes include the average number of patient visits, percentage of eligible patients completing at least one visit, average number of completed visits, number of unsuccessful visit attempts, percentage of calls successfully completed, and number and types of barriers to blood pressure management.
 
RESULTS:
In progress
 
CONCLUSION:
In progress