Patient Identification and Hypertension Visit Scheduling

One way that the New York State Delivery System Reform Incentive Payment (DSRIP) Program aims to accomplish its goals of healthcare delivery transformation is via the implementation of various projects. This includes cardiovascular. The goal of the cardiovascular project is to improve the management of cardiovascular disease and/or its associated risk factors using evidence-based best practices and strategies for disease management in the community and ambulatory care settings.

This project will include several efforts to address blood pressure control, cholesterol management and tobacco cessation, as well as stroke and cardiovascular disease prevention efforts including the use of aspirin where deemed appropriate. Other strategies focus on improving practitioner population management, implementing evidence-based clinical treatment guidelines, and reinforcement of blood pressure measurement using correct technique and equipment. Patients will be encouraged and supported by their care teams in the self-management of their chronic conditions.

Below you will find CNYCC training resources on Cardiovascular:

CNY Care Collaborative's Patient Identification and Hypertension Visit Scheduling Course Overview

Course Description:

This course will provide guidance on how to identify patients who have repeated elevated blood pressure readings in the medical record but do not have a diagnosis of hypertension and schedule them for a hypertension visit.

Course Objectives:

At the end of CNYCC’s Patient Identification and Hypertension Visit Scheduling course training, participants will be able to: 

  1. Understand the breadth and scope of un-diagnosed hypertension and why identifying it is important.
  2. Understand the parameters for patient identification.
  3. Understand the options for format for scheduling appointments.
  4. Understand the importance of setting up a consistent process to identify and outreach to patients for hypertension visit scheduling. 

CNYCC Performance Activity or Milestone

This Patient Identification and Hypertension Visit Scheduling course is associated with Performance Activity PA_083 due 3/31/2018: “PA_083: Implement the following in accordance to Group 6 - Hypertension Population Management as outlined in the latest iteration of the CNYCC Reference Guide for Cardiovascular Disease Management:

  1. Identify patients who have repeated elevated blood pressure readings in the medical record but do not have a diagnosis of hypertension and schedule them for a hypertension visit
  2. Train at least 75% of indicated staff to ensure effective patient identification and hypertension visit ”

Partner Organizations assigned PA_083 can demonstrate completion of the PA and be eligible to receive payment) in either of two ways:

At least 75% of the partner organizations’ indicated staff must complete CNYCC’s “Patient Identification and Hypertension Visit Scheduling” course

OR

The partner organization may attest that the organization has an existing training that meets the same learning objectives that has been delivered to at least 75% of indicated staff.

Partner organizations selecting Option 2 above must utilize the CNYCC-provided Attestation Template and Roster Template for trained staff (member access required). Equivalency attestations and training rosters must be submitted via HWapps (admin account required).

Partner Organizations not assigned PA_083 are not required to complete CNYCC’s Patient Identification and Hypertension Visit Scheduling training but are invited to utilize the course as a resource, if desired.

CNYCC “Patient Identification and Hypertension Visit Scheduling” Course

CNYCC partner organization employees will have access to CNYCC’s Patient Identification and Hypertension Visit Scheduling course via HWapps, CNYCC’s online Learning Management System licensed from Health Workforce New York (HWNY). The course includes a 30-minute interactive video and a post-course evaluation.

Below you will find instructions on how partner organizations and their employees can access the Patient Identification and Hypertension Visit Scheduling course through HWapps:

Partner organizations will be asked to identify a Partner Administrator that will manage the training process for their employees, unless previously identified.

The Partner Administrator will be provided access to the HWapps Partner Administrator portal and may distribute the training to individual staff members (via the link below).

Once staff members click the link to access the course, they will be asked to sign in (if they have registered for a previous CNYCC course) or register as a new user. After signing in, participants can select Patient Identification and Hypertension Visit Scheduling to begin the course.

Staff members will then be required to view the entire interactive video presentation and complete the post-course evaluation.

Partner Administrators will have the ability to view and monitor the course completion status for their organizations’ employees through the HWapps Partner Administrator portal.

Please click the following link to CNYCC’s Patient Identification and Hypertension Visit Scheduling Course: https://www.hwapps.org/dsrip/courses/patient-identification-and-hypertension-visit-scheduling/

Additional Completion Opportunities for Patient Identification and Hypertension Visit Scheduling Course Requirements

If your organization would like to import the eLearning modules into your own Learning Management System or if your organization has limitations that will prevent employees from accessing embedded videos with audio, please contact cnycchwapps@gmail.com.

For questions related to access for CNYCC’s Patient Identification and Hypertension Visit Scheduling Course, please contact cnycchwapps@gmail.com.

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