Million Hearts® 2022 is a national initiative to prevent 1 million heart attacks and strokes within 5 years. It focuses on implementing a small set of evidence-based priorities and targets that can improve cardiovascular health for all.
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Hypertension Control Change Package, Second Edition
The Hypertension Control Change Package (HCCP) was originally published in 2015 and has been used in the field to improve hypertension (HTN) control by a variety of health centers and clinics. New clinical guidelines, development of new resources, and general advances in quality improvement for HTN management prompted the need for this updated version.
- Information on the Hypertension Control Change Package(link is external) (Last Reviewed 5.28.2020)
- The Hypertension Control Change Package PDF (PDF file)(link is external) (2020)
Cardiac Rehabilitation Change Package
The Cardiac Rehabilitation Change Package (CRCP) presents a listing of process improvements that CR champions can implement as they seek optimal CR utilization. The purpose of the CRCP is to help quality improvement teams from hospitals and CR programs put systems and strategies in place that target improved care for more of the eligible patients. The CRCP is broken down into four main focus areas: Systems Change(link is external), Referrals(link is external), Enrollment and Participation(link is external), and Adherence(link is external).
- Information on the Cardiac Rehabilitation Change Package(link is external) (Last Reviewed 10.24.19)
- Cardiac Rehabilitation Change Package PDF (PDF file)(link is external)
- Additional Resources and References(link is external)
Self-Measured Blood Pressure Monitoring Tools
Strong scientific evidence shows that self-measured blood pressure monitoring (SMBP), also known as home blood pressure monitoring, plus clinical support helps people with hypertension lower their blood pressure.
- Self-Measured Blood Pressure Monitoring: Action Steps for Public Health Practitioners (PDF file)(link is external)
- Self-Measured Blood Pressure Monitoring Action Steps for Clinicians (PDF file)(link is external)
- American Medical Association and Johns Hopkins Medicine Self-Measured Blood Pressure Monitoring Program (PDF file)(link is external)
- Office of the National Coordinator for Health Information Technology SMBP Interactive Infographic for Clinicians (PDF file)(link is external)
Hypertension Treatment Protocols
Use standardized treatment protocols to improve blood pressure control by clarifying titration intervals revealing new treatment options and expanding the types of staff that can assist in timely follow-up with patients.
Create Your Own Protocol
- Protocol Template for Controlling Hypertension in Adults (PDF file)(link is external)
- Elements Associated with Effective Adoption and Use of a Protocol (PDF file)(link is external)
Featured Evidence-Based Protocols by Million Hearts
The featured protocols are examples of a wide variety of available evidence-based protocols that practices and health care systems may consider for adoption and use. Linking to non-federal sites does not constitute an endorsement by the Department of Health and Human Services, the Centers for Disease Control and Prevention, or any of their employees of the sponsors or the information or products presented on the sites. Links to non-federal sites containing protocols serve only as a source of guidance. Health care professionals should always consider the individual clinical circumstances of each person. Links to the protocols are not intended to be a substitute for professional medical advice; individuals should seek advice from their health care professionals.
- The American Medical Association (AMA) protocol (PDF file)(link is external)
- The Kaiser Permanente protocol(link is external)
- The VA/DoD protocol(link is external)
Undiagnosed Hypertension
Last Revised: 6/5/2020