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Get Out Front of Hypertension
Adult Primary Care team increased the proportion of patients with their high blood pressure under control after a concerted outreach effort.
Details
Why This Matters
- Controlling high-blood pressure is essential to patient health.
Test of Change
- Reaching out to at-risk patients for hypertension, especially diabetics

Look to ID Persistent Asthma
This Pediatrics department identified persistent asthmatics and helped them manage their chronic condition better.
Details
Why This Matters
- We can offer excellent care to our youngest asthma patients by helping them manage their condition to avoid scary ER visits.
Test of Change
- Proactively identifying asthma patients and explaining the medication regimen

Better Workflow Controls Blood Pressure
Primary care team increased percentage of hypertensive patients whose blood pressure is under control, from 65 percent to 76 percent in four months.
Details
Why This Matters
- Hypertension is a serious health problem that can lead to heart failure or a heart attack.
Test of Change
- Clinical nursing assistants consistently sent patients with elevated blood pressure to nurse practitioners for management

Transformed Team Tracks Transplant Patients
UBT dramatically improves the percentage of kidney transplant patients getting follow-up screenings and services.
Details
Why This Matters
- Regular follow-up care is crucial for kidney transplant patients, who are at risk for a host of complications, including cancer and pneumonia.
Test of Change
- Team hosted a special clinic for post-transplant patients, enabling them to get all their follow-up care in one visit