1. PHYSICIANS’ ALLIANCE FOR QUALITY
Implementing Bluetooth Device
for Blood Pressure Improvement
Janice Finder, RN, MSN
Director, Population Health & Performance Improvement
Houston Methodist Physicians’ Alliance for Quality
HMPAQ Board of Directors
April 8, 2015

2. • Dr. Julia Andrieni
• Janice Finder, RN, Director
• Laura Moore, RN, Manager
• April Moretto, RN, Care Manager
• Dawn Dees, RN, Care Manager
• Jennifer Putz, Intern
Team Acknowledgement

3. Proven Consumers Within a
Personalized Health & Care
Experience
Consumer/Experience
Proven Consumers Within a
Personalized Health & Care
Experience
Health Care

4. • Utilizing the Bluetooth blood pressure device will
decrease blood pressure in 30% of the
participants from high risk range 160/100 to
below or equal to 140/90, which is rising risk,
within 8 months.
• Results: 100% of participants decreased blood
pressure from high risk range to rising risk
range, or better.
Aim Statement

5. • Reduce health care costs
• Diabetes and hypertension on the rise
• Ability to track from home = better monitoring
• White coat syndrome
• Engages participants
• Validates health conditions visually
• Increases awareness of health related behaviors
Why Use a Bluetooth Medical
Device? – Context of the
Problem

6. MANAGING
POPULATIONS
High
Risk
Population
(56)
Rising Risk
Population
(190)
High Risk
•Systolic BP >160 (Uncontrolled
Hypertension Stage II)
•Diastolic BP >100 (Uncontrolled
Hypertension Stage II)
Rising Risk
•Systolic BP: 140-160
•Diastolic BP: 90-100
Employee
population
segmented by
risk

7. • Blood Pressure Monitor
– Entra Health Systems- $$
– iHealth wrist monitor- $$$
• Blood Glucose Monitor
– Entra Health Systems-$$
– Telcare- $$$$
– iHealth- $$$
Zooming Into Your
Population

8. • Provides integrated health care technology
between patients, clinicians, and caregivers.
• MyGlucoHealth
– Bluetooth enabled blood glucose meter
• MyHealthPoint
– free Mobile App that is designed to be used with a
personalized online portal
• Reliable, affordable, all elements, customer
service
Entra Health Systems

9. Patient Engagement 2016

10. Blood Pressure Operations
Process Map – Milestone 1

11. Clinical Compliance Process
Map – Milestone 2

12. Operation Implementation –
Problem Areas

13. Building an Effective Team
Population
Health
Team
Doctors
ParticipantsCare
Navigators
Bluetooth
TeamClear Goals

14. CONTROLLED BLOOD
PRESSURE
75%
(n=6)
IMPROVEMENT IN
BLOOD PRESSURE
BUT STILL
UNCONTROLLED
25%
(n=2)
6 High Risk
Hypertensive
Participants
became
Low Risk
2 High Risk
Hypertensive
Participants
became Rising Risk
High Risk Hypertensive Participants (n=8)
(Definition: SPB>160 and/or DBP >100)
PHASE I RESULTS
July 14, 2014 – Nov 28, 2014
75% of the High Risk Hypertensive Participants with Bluetooth Capable Blood Pressure
Monitoring Devices Normalized Their Blood Pressure With Interventions
5

15. Participants That Lowered
Blood Pressure Risk Level
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Bluetooth
Users
Non
Bluetooth
Users
100%
71%

16. www.valleystreamsoccerclub.com
Congratulations, ALL
Improved!

17. • Increase usage /increase sample size - 40
• Reward with incentive to keep the device
• Include IT in the pairing to assure successful
internet
• Monitor Phase I for sustained improvement
Maintaining Improvement

18. Questions?