1. Share your experience: Module 1 Apply the science of improving care to measuring BP accurately March 9, 2016

2. Expectations Report your “Measure accurately” assessment data (for example, results from the “Technique quick-check,” “Environmental scan” or “Process mapper”) Discuss your process improvements related to office BP measurement accuracy Share opportunities identified in the “Staff hazard” assessment Share your challenges and successes Learn from project faculty and other quality improvement teams

3. Polling question #1 Who is on our webinar today? Physician Physician Assistant or Nurse Practitioner Nurse (RN, LPN, LVN) Medical Assistant (MA, CMA) Educator Executive Office manager or staff QIN-QIO staff Other

4. Polling question #2 Did you attend the “SYE” Kickoff Webinar on February 10th? Yes No 4

6. Polling question #3 Measuring accurately involves proper patient positioning. Which of the following is not considered proper patient positioning? Seated in a chair with the back supported Legs crossed Feet flat on the ground or supported by a footstool Arm supported with the blood pressure cuff in place and positioned so that the cuff is at the level of the patient’s heart

7. Polling question #4 Which “Measure accurately” assessment tools have you used to ensure your staff and environment are optimized? (multiple answers) “Technique quick-check” tool “Environmental scan” tool “Process mapper”

8. Share your experience “Staff hazard” assessment What is the most likely way that your practice or health center might fail to adequately respond to the next patient with high blood pressure? What can be done to prevent or minimize that failure?

9. M.A.P. checklists

10. Adaptive Change in Ambulatory Practice (ACAP) 1Conduct “Improvement Science” training 2Identify defects 3Engage practice or health center leadership 4Learn from defects 5Use tools to improve

11. Action items: Module 1 It is crucial that you and your teams view the “Improvement science” webinar Run a query in your EHR to generate your practice or health center’s BP control rate and share it with your entire staff. Use the “Measure accurately” assessment tools to evaluate current BP measurement performance. Identify opportunities to improve patient positioning to ensure accurate measurement. Administer and debrief results from the “Staff hazard” assessment with all staff and prioritize two defects to reduce or eliminate. Discuss findings from the “Measure accurately” assessment tools on the next Share your experiences webinar. Create an action plan that will incorporate measuring accurately into the patient flow of your office.

12. Next steps: Module 2 Automated office BP measurement: An opportunity to engage the entire practice or health center To do Listen to two podcasts (one on the technical aspects and one on the adaptive aspects of Module 2) Complete Module 2 tasks using the tools discussed in the podcasts and referenced in the fast fact sheets All Module 2 materials may be found here (access the module 2 folder) https://ama-assn.box.com/s/5wa519z2fhqbyz8fz8wi6w5uivdoetu0 https://ama-assn.box.com/s/5wa519z2fhqbyz8fz8wi6w5uivdoetu0 Be prepared for the next “Share your experiences” webinar on April 13, 2016 – Register HereRegister Here

13. How to claim CME credit The American Medical Association designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians can claim CME credit and non-physician participants can obtain a certificate of participation. https://cme.ama-assn.org/Activity/4184992/Detail.aspx Access code: 5000 Participants can claim credit until April 17, 2016

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15. References Content included in this Share your experiences webinar slide deck includes references used in the M.A.P. checklists, the ACAP program and in the fast fact sheets. Please refer to the reference lists in the M.A.P. checklists, the ACAP program and in the fast fact sheets for additional information.