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Featured Clinical Reviews

November 6, 2018

Use of Home Blood Pressure Results for Assessing the Quality of Care for Hypertension

Author Affiliations
  • 1UTHealth McGovern Medical School, University of Texas at Houston-Memorial Hermann Center for Healthcare Quality and Safety, Houston, Texas
  • 2Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Baylor College of Medicine, Houston, Texas
JAMA. 2018;320(17):1753-1754. doi:10.1001/jama.2018.12365

Primary care practices are increasingly participating in pay-for-performance programs linked to quality measures, such as hypertension control. Practices report on these metrics for benchmarking and eligibility for financial incentives as part of accountable care organizations, delivery system reform incentive payment programs, and other initiatives. In this Viewpoint, we recommend that quality measure stewards allow health care organizations to use home blood pressure monitoring (HBPM) when assessing and reporting on hypertension control. This recommendation is based on rigorous evidence for the prognostic value of HBPM; current practice patterns; and the preferences of stakeholders, including health care organizations, clinicians, and patients.

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