Primary process measure
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% with uncontrolled BP with medication titration in last 3 months
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Uncontrolled BP ≥140/≥90 (or ≥130/≥80 if DM or chronic kidney disease); titration can be dose increase or medication change/addition
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Secondary process measures
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% with BP measure in EMR in last 12 months
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% with history of pre-HTN with BP measure in last 12 months
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Two clinic BPs ≥120-<140≥80-<90; not on HTN medication
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% with HTN with measure in last 6 months
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Two clinic BP ≥140/≥90 OR use of a HTN medication OR ICD9 diagnosis (401.xx)
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% with HTN on a thiazide diuretic
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% with HTN and DM on ACE-I or ARB
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DM defined by ICD9 code 250.xx
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% with lipid panel performed in last 5 years*
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May not be possible as EMR only in all clinics since March 2006
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% with BP≥135/≥85 screened for DM in last 5 years*
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May not be possible as EMR only in all clinics since March 2006
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Implementation uptake process measures
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% with BP measured with OMRON
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% of SBP and DBP measures ending in zero
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% of eligible patients enrolled in care management
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% completion rate for those enrolled in care management
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Provider behavioral intention related to assessment and partnership skills
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Measured at completion of the website review and at 6 months post-intervention
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Change in provider self-reported use of assessment and partnership behaviors
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Measured before the website review and at 6 months post-intervention
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% of providers receiving web training at each site
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Measured at 6 months post-intervention
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Provider self-reported use of HTN dashboard
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Measured at 6 months post-intervention
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Primary outcome measure
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% with controlled BP
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Controlled BP defined as <140/<90 (or <130/<80 if DM or chronic kidney disease present)
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Secondary outcome measures
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% with controlled LDL
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Controlled LDL defined as <130 (or <100 if DM or coronary artery disease)
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% with controlled HDL
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Controlled HDL defined as >50 in women or >40 in men
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% with controlled triglycerides
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Controlled triglycerides defined as <150
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% with controlled A1C
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Controlled A1C defined as <7.0
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Mean SBP, DBP, LDL, HDL, triglycerides, A1C
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