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Closing the Gap on Health Disparities and Outcomes in Hypertension (2023-2024)

Hypertension affects over 116 million adults in the United States, with direct costs projected to exceed $220 billion by 2035. Disparities are well-documented in hypertension treatment, control and outcomes. The prevalence of hypertension among Black Americans is much higher than among non-Hispanic white Americans, and deaths attributable to hypertension are twice as frequent.

Building on the work of previous teams, this project focused on evaluating the policy implications of the January 2022 ruling from the Centers for Medicare and Medicaid Services and the Agency for Healthcare Research and Quality. This ruling was designed to close the gap in health disparities and treatment outcomes for persons with uncontrolled hypertension by enabling patient-reported self-monitored blood pressure readings to “count” as valid and reliable healthcare quality measures. It was also meant to advance the value and visibility of patient-reported blood pressure and to expand payment options and reimbursement models for healthcare systems, clinics and providers. 

Team members designed and implemented an intervention to encourage participation in a blood pressure reduction initiative. They conducted 1:1 telephone outreach, taught classes and partnered with community organizations as well as creating a portfolio of policy briefs and blogs for lay leaders.

Timing

Summer 2023 – Spring 2024

Team Outputs

Delivery of blood pressure cuffs

Improved website access to Zoom platform for classes

Policy briefs

Blog posts

Closing the Gap on Health Disparity and Outcomes in Hypertension: Utilizing a Quality Improvement Method on Hypertension Management for Black Patients (Poster presented at Fortin Foundation Bass Connections Showcase, April 17, 2024)

This Team in the News

Duke Names Fourth Class of Nakayama Scholars

Meet the Members of the 2023-2024 Student Advisory Council

See related teams, Closing the Gap on Health Disparities and Outcomes in Hypertension (2024-2025) and Closing the Gap on Health Disparity and Outcomes in Hypertension (2022-2023).

Team Leaders

  • Holly Biola
  • Hayden Bosworth, School of Medicine: Population Health Sciences, School of Medicine: Psychiatry and Behavioral Sciences
  • Bradi Granger, School of Nursing
  • Christopher Granger, School of Medicine: Cardiology
  • Neha Pagidipati, School of Medicine: Cardiology
  • Robert Saunders, Margolis Center for Health Policy

Graduate Team Members

  • Vivien Wambugu, Global Health - MS

Undergraduate Team Members

  • Jada Allen, Public Policy (AB)
  • Perisa Ashar, Biomedical Engineering (BSE); Biology (BS2)
  • Rohan Gupta, Economics (AB); Psychology (BS)
  • Huda Haque, English (AB)
  • Camryn Johnson, Biology (BS)
  • Caroline Metz, Biology (BS)
  • Jennifer Nguyen, Public Policy (AB); Masters of Public Policy
  • Ashna Sai, Program II (AB)
  • Anna Tharakan, Biology (BS); Global Health (AB2)
  • Eric Wang, Chemistry (BS); Music (AB2)
  • Velda Wang, Neuroscience (BS); Public Policy (AB2)
  • Elliot Yoon, Psychology (BS)

Community Organizations

  • Benniegirl
  • BeYu Caffe