Process and Implementation
Controlling High Blood Pressure - Example Indicators
Indicators in this Section
- ›Process and Implementation
- Intermediate Outcome Indicators
- Long-Term Indicators
Availability and expanded coverage of services (change in covered benefits)
Note: After selecting interventions and strategies, 6|18 teams may choose to document or assess changes in coverage or benefits. This section provides example indicators to measure changes in covered benefits.
Potential Measures
Potential Measures
Frequency
Frequency
Changes in language describing covered benefits, as found in Medicaid contracts with MCOs/ACOs:
- Documentation of change in coverage benefits for evidence-based treatments, leading to a new or enhanced Medicaid service/benefit, compared to prior language describing benefits.
Changes in language describing covered benefits, as found in State Plan Amendments, Section 1115 waiver letters, or documents that give notice of administrative changes to covered benefits (example: annual notice of requirements or other relevant documents).
Changes in language describing covered benefits, as found in Medicaid contracts with MCOs/ACOs:
- Documentation of change in coverage benefits for evidence-based treatments, leading to a new or enhanced Medicaid service/benefit, compared to prior language describing benefits.
Changes in language describing covered benefits, as found in State Plan Amendments, Section 1115 waiver letters, or documents that give notice of administrative changes to covered benefits (example: annual notice of requirements or other relevant documents).
Based on state activities
Based on state activities
Increasing awareness of benefits and reimbursement
Potential Measures
Potential Measures
Frequency
Frequency
Promotion of benefits – Promoting benefits to providers and enrollees.
Provider education – Provider resources on billing and coding.
Promotion of benefits – Promoting benefits to providers and enrollees.
Provider education – Provider resources on billing and coding.
Based on state activities
Based on state activities
Partnership building between public health and Medicaid
Potential Measures
Potential Measures
Frequency
Frequency
Communication – Increased frequency and alignment of communication between state public health and Medicaid agencies, including regular meetings around joint goals.
Coordination – Increased coordination between agencies around activities for promotion, programming, data collection and use, etc.
Staff – Dedicated staff members (e.g., liaison between agencies).
Data sharing – Data sharing agreements.
Understanding – Increased understanding of partner agency’s operations and processes.
Communication – Increased frequency and alignment of communication between state public health and Medicaid agencies, including regular meetings around joint goals.
Coordination – Increased coordination between agencies around activities for promotion, programming, data collection and use, etc.
Staff – Dedicated staff members (e.g., liaison between agencies).
Data sharing – Data sharing agreements.
Understanding – Increased understanding of partner agency’s operations and processes.
Based on state activities
Based on state activities
Legend
HEDIS HEDIS Measure
Medicaid Medicaid Core Set Measure
NQF National Quality Forum (NQF) Endorsed Measure
MIPS MIPS Measure
Million Hearts Million Hearts Measure
References
- National High Blood Pressure Education Program. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure pdf icon[PDF – 223 KB]external icon. Bethesda, MD: National Heart, Lung, and Blood Institute; 2003.
- James PA, Oparil S, Carter BL, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8)external icon. JAMA. 2014;311:507-20.
- Whelton PK, Carey RM, Aronow WS, Casey DE, Collins KJ, Dennison C, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults.external icon Hypertension. 2018;71(19):e13–115.