Hypertension Outcomes In an Urban Nurse‐Managed Center

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Abstract
Purpose To assess the quality of hypertension (HTN) care in an urban nurse‐managed center (NMC) by chart audits of insured and uninsured (N= 52) African Americans who were managed by nurse practitioners. Data Sources A chart audit form was developed by the authors that merged Health Plan Employer Data and Information Set (HEDIS) criteria with the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure (JNC VI) criteria. Conclusions There was near comparable hypertension control among the two groups. No difference was found in systolic blood pressure (BP) control; however, the uninsured group had a slightly greater average diastolic BP compared with the insured group. There was no significant difference in the number of HTN medications or the number of risk factors. A significant difference was found in the number of NP visits per year between the two groups; the uninsured group averaged 3.2 more visits per year.