iBoske | Elevated Blood Pressure and Hypertension

Jess Montoya

Inform member of BP and ask member, "Have you seen your PCP in the last year?". Yes. No.
Have we coordinated care with PCP? Yes. No..
Review PCP Recommendations with member. Include any specific recommendations about lifestyle modifications and/or prescription medications.. Review WPC "Blood Pressure Facts and Effects on the Body" and "Take Control of My Health". Document any PCP recommendations and update medication list to include PCP meds.
Then....
Highlight the various steps that member can take to better manage their blood pressure. Ask member for any thoughts on information provided..
If willing, ask member to consider the reflection question on on page 2 of "Blood Pressure- Take Control of My Health". Ok.
Document member's goals for self management and notify team..
Coordinate care and document any PCP recommendations.. Document PCP coordination efforts in record.
Review PCP Recommendations with member. Include any specific recommendations about lifestyle modifications and/or prescription medications.. Review WPC "Blood Pressure Facts and Effects on the Body" and "Take Control of My Health". Document any PCP recommendations and update medication list to include PCP meds.
Then....
Highlight the various steps that member can take to better manage their blood pressure. Ask member for any thoughts on information provided..
If willing, ask member to consider the reflection question on on page 2 of "Blood Pressure- Take Control of My Health". OK.
Document member's goals for self management and notify team..
Is member willing to engage with PCP? Yes. No.
Question. Assist member in scheduling an appointment. Assess need for prompts or reminders, need for transportation, etc..
Document date and time of PCP appointment and any prompts or assistance needed. Schedule follow-up visit or phone call.. Coordinate care and obtain any PCP recommendations..
Review PCP recommendations with member, include any specific recommendations about lifestyle modifications and/or prescription medications.. Review WPC "Blood Pressure Facts and Effects on the Body" and "Take Control of My Health".
Highlight the various steps that member can take to better manage their blood pressure. Ask member for any thoughts on information provided..
If willing, ask member to consider the reflection question on on page 2 of "Blood Pressure- Take Control of My Health". Ok.
Document member's goals for self management and notify team..
Encourage member to engage w/ PCP and document conversation in record. Engage emergency services, if needed.. Note: Inability to engage or coordinate with PCP does not prevent ongoing health promotion. Team wil focus on lifestyle modifications.
Review WPC "Blood Pressure Facts and Effects on the Body" and "Take Control of My Health". Highlight the various steps that member can take to better manage their blood pressure.
Ask member for any thoughts on information provided.. If willing, ask member to consider the reflection question on on page 2 of "Blood Pressure- Take Control of My Health".
Document member's goals for self-management and notify team..