Hypertension: Quality Improvement Resources and Tools


Hypertension: Quality Improvement Resources & Tools

Clinical Practice Guideline

Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents (Published September 2017)

Patient/Family Resources

Healthy Children: Identifying & Treating High Blood Pressure in Children – A brief overview of the AAP’s guideline on high blood pressure in children and adolescents and how recommendations effect pediatricians (English). 

Healthy Children: Identifying & Treating High Blood Pressure in Children – A brief overview of the AAP’s guideline on high blood pressure in children and adolescents and how recommendations effect pediatricians (Spanish). 

Healthy Children: Screening & Treating Kids for High Blood Pressure – A parent-focused breakdown of the AAP’s guideline on high blood in children and adolescents focusing on early detection, screening, diagnosis, management, and treatment (English).

Healthy Children: Screening & Treating Kids for High Blood Pressure – A parent-focused breakdown of the AAP’s guideline on high blood in children and adolescents focusing on early detection, screening, diagnosis, management, and treatment (Spanish).

Provider Resources

PediaLink: Blood Pressure Measurement in Children (Video) – A video tutorial highlighting suggested steps for accurately collecting blood pressure measurement in children.

Screening and Management of High Blood Pressure in Children and Adolescents Guideline Overview (PowerPoint Slides) – Highlights the key action statements and recommendations from the AAP’s guideline on high blood pressure in children and adolescents.

Pediatric Care Online: AAP Guidelines for Childhood Hypertension (Webinar) – Dr. Flynn discusses changes to the new American Academy of Pediatrics childhood hypertension guideline and how these changes will affect the management of children and adolescents with high blood pressure.

EQIPP: Hypertension (Online course) – This course focuses on best practices in identifying and managing patients with hypertension, as well as on how children without hypertension can maintain a healthy blood pressure through proper nutrition, exercise, and other lifestyle behaviors.

National Conference and Exhibition 2017: AAP Guidelines for Childhood Hypertension Highlights (Video) – An overview of the major changes in the 2017 guidelines, as well as implications for the practitioner.

Implementation Tools

Hypertension Quality Improvement (QI) Metrics (Generalist) – Measurable outcomes that are typically based on key action statements. This resource consists of inclusion/exclusion criteria, overall aim/goal, and descriptions of the numerators/denominators needed to calculate the metric.

Hypertension Quality Improvement (QI) Metrics (Subspecialist) – Measurable outcomes that are typically based on key action statements. This resource consists of inclusion/exclusion criteria, overall aim/goal, and descriptions of the numerators/denominators needed to calculate the metric.

Hypertension Key Driver Diagram – This resource serves as a map or guide to quality improvement. Aims are usually identified with key drivers serving as the “what” you need to do and the secondary drivers or implementation tools/resources serving as the “how” you will achieve the desired change.

Modified Blood Pressure (BP) Management Algorithm – A flow diagram designed to determine the action recommended if BP percentile ≥ 90th, based on tables 4 and 5 of the guideline.  

Technical Report for the Diagnosis, Evaluation, and Management of High Blood Pressure in Children and Adolescents Appendix B: Techniques for Implementation and Computing Blood Pressure (BP) Thresholds – Suggested techniques for the implementation of the AAP guideline’s BP definitions into the electronic health record and computing BP thresholds.

Hypertension Calculator – Designed to aid primary care pediatricians and subspecialists in determining blood pressure percentiles at the point of care. The calculator aims to improve the early identification and treatment of hypertension in the outpatient setting.

Quality Improvement Project Resources

Quality Innovation and Improvement Network (QuIIN): The Reducing Diagnostic Errors in Primary Care Pediatrics (Project RedDE!) Toolkit – The toolkit aims to assist primary care practice teams with a systematic approach to reduce diagnostic errors and improve care for children. This toolkit will walk teams through the measurement, screening, recognition, diagnosis, follow-up, and reduction of diagnostic errors associated with pediatric elevated blood pressure, adolescent depression and laboratory testing through improvement science methods. Funding for the Project RedDE! and this toolkit has been provided by the Agency for Healthcare Research and Quality.

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Listing of resources does not imply an endorsement by the American Academy of Pediatrics (AAP). The AAP is not responsible for the content of external resources.​