Open Forum

 View Only
Back to discussions
Expand all | Collapse all

Nurse led Hypertension clinics

  • 1.  Nurse led Hypertension clinics

    Posted 04-09-2024 14:18

    We are lookiing to begin a nurse managed hypertension clinic following an established protocol.  I would like to connect with any other institutions that already have something like this in place.   Please feel free to reach out to me directly at jpalamon@nm.org



    ------------------------------
    Janet Palamone
    Clinical Nurse Educator
    Northwestern Medical Group
    Chicago IL
    (773)398-0948
    jpalamon@nm.org
    ------------------------------


  • 2.  RE: Nurse led Hypertension clinics

    Posted 04-10-2024 05:27

    Janet, 

    We are looking to do the same at our center. I look forward to getting insight from this thread! Would love to hear what others are doing 



    ------------------------------
    Tania Murrell RN
    Nurse Manager RN
    One World Community Health Centers
    Omaha NE
    (402)739-2322
    ------------------------------



  • 3.  RE: Nurse led Hypertension clinics

    Posted 04-10-2024 06:39

    Good morning Janet,

    Thank you for touching on a vital action. Do you have a model you are working from? Just curious about how this will be a nurse driven initiative? I would like to hear from others on how to operationalize this clinic. 



    ------------------------------
    Maria Vecchiet MSN,RN,NPD-BC,CPN
    Education Specialist
    St.Joseph's Medical Center
    Paterson,N.J
    973-754-3403
    ------------------------------



  • 4.  RE: Nurse led Hypertension clinics

    Posted 04-10-2024 07:13

    Good Morning,

    I am also interested in this and would love to hear from others that have already initiated 

    Anyone willing to share their information and protocols?

    I'm also happy to arrange a zoom meeting for a group of us

     



    ------------------------------
    Heather Bogrett MSN, AMB-BC, RN
    (pronouns she/her/hers)
    Associate Chief Nursing Officer, Ambulatory
    Cambridge Health Alliance
    hbogrett@challiance.org
    ------------------------------

    Original Message


  • 5.  RE: Nurse led Hypertension clinics

    Posted 04-11-2024 06:17
    Edited by Torie Bonnet 04-11-2024 06:19

    I'd be happy to share our protocols and discuss with the group on a call. I shared with Janet individually, but there is a lot of research on this topic and it is a passion project of mine for our organization. Currently, we have protocols for MFM nurse visits and anticoag clinic visits for cardiology. The process is kind of long but well worth it to increase access!



    ------------------------------
    Torie Bonnet MSN RN NE-BC
    Clinical Nurse Edu Specialist-Ambulatory Care
    UNC Health
    Raleigh NC

    torie.bonnet@unchealth.unc.edu
    ------------------------------

    Original Message


  • 6.  RE: Nurse led Hypertension clinics

    Posted 04-11-2024 07:21
    Hello all!
    I would love to participate in a zoom call!
    thanks,
    M

    Melissa Taylor, MSN, RN, AMB-BC, NE-BC

    Director of Ambulatory Nursing – Primary Care

    Elliot Medical Group

    Phone: 603-663-3503

    Email: mtaylor@elliot-hs.org

     

     

    This document contains information constituting records and/or testimony relating to activities of a quality assurance committee and is therefore protected from direct or indirect means of discovery, subpoena, or admission into evidence in any judicial or administrative proceeding, pursuant to NH RSA 151:13-a and/or RSA 329:29-a.

     




    Original Message


  • 7.  RE: Nurse led Hypertension clinics

    Posted 04-11-2024 07:39

    Hi, Torie

     

    I just sent you a private message from Annette and myself. We would love to set up a time for you to share this on our NSI SIG Monthly Networking call. We like to check in with our presenters first to be sure NSI's are clearly delineated and standard (Donabedian model) applicable. If you presented at conference, I missed it (so many incredible sessions to choose from)! I also haven't had time to see any of the recordings. This is exciting work!!

     

    If anyone else out there has what they believe to be NSI exemplars and are interested in sharing on a national level, please reach out to us in this forum.

     

    Deb

     

    Deborah L. Cantlin, MSN, RN, CHFN

    Continuing Care Manager

    Heart Failure/Pulmonary Hypertension

    603 650 2929

    Pager 6746

     

     




    Original Message


  • 8.  RE: Nurse led Hypertension clinics

    Posted 04-11-2024 09:44

    I would love to join a call about too.  We are looking to formally implement Nurse driven hypertension clinics.



    ------------------------------
    Cheryl Weimer MSN, RN-BC, AGCNS-BC
    Director Ambulatory Patient Care Services
    Sentara Ambulatory Services Division
    Norfolk VA
    (757) 252-3316
    ------------------------------

    Original Message


  • 9.  RE: Nurse led Hypertension clinics

    Posted 04-11-2024 11:51
    I would also love to join the call and share my experience with developing and implement

    Sent from my iPhone


    Original Message


  • 10.  RE: Nurse led Hypertension clinics

    Posted 5 days ago

    Good morning..

    Would you mind sharing your nurse led htn protocol with me? 


    Original Message


  • 11.  RE: Nurse led Hypertension clinics

    Posted 4 days ago
    Good Morning.

    I started a SMBP at our free clinic in 2022. We are in the process of updating and evaluating the protocol. I would be happy to share my information as well as gleam insights from your programs in a group call or zoom meeting.
    Thank-you.
    Caryn Miles, RN, BSN, MPA
    Wausau Free Clinic
    Wausau, WI
    Sent from my iPhone


    Original Message


  • 12.  RE: Nurse led Hypertension clinics

    Posted 4 days ago
    We don't have a Nurse-Led Hypertension Clinic, but we do have a Remote Patient Monitoring program that is managed by our Population Health Nurse Navigator team. Patients are referred by their PCP, Nephrologist, or Cardiologist into this program, receive a BT-enabled BP cuff, assistance with linking to MyChart, an overview of the program, along with instructions on how to properly take a home BP and the frequency needed for the program. All referrals hot a WQ in Epic that the nurses work from and patients are assigned to a specific nurse for continuity. We have a protocol that allows the nurses to titrate up to 3 medications and a dedicated pharmacist as a resource for more complex patients.

    This program has been very successful, especially in our more vulnerable populations, and the patients can participate from the comfort of their own home and would only require a visit if reported BPs are significantly elevate or patient is having symptoms. 

    Thanks,
    Sarah

    Sarah L. Kundrat RN, MSN, NEA-BC
    Associate Chief Nursing Officer
    Executive Director, System Ambulatory Nursing
    UChicago Medicine
    Ofc: 2-3917 | Pager: 9329 | TN202-C






    Original Message


  • 13.  RE: Nurse led Hypertension clinics

    Posted 4 days ago
    Edited by Deborah Cantlin 4 days ago
      |   view attached

    Hello all,

     

    This is another topic that is "hot" in Ambulatory Nursing right now. I am glad because it's a great focus for RN's! I know many Nurses are leading HTN practices across the country and some are using CMS billing codes as part of their practice. This is great since this can be an avenue for nationally tracking our practice interventions!

     

    As a recent Certified Heart Failure Nurse, I saw entirely too many young patients diagnosed with Heart Failure because of uncontrolled Hypertension. This is one of the saddest occurrences since this is preventable. Our country spends 18% of its GDP on healthcare and about 90% of that goes to chronic disease management. We can do better for sure. RN's are uniquely trained and skilled to embed best practices from the AHA such as assessing for BP raisers, following labs and screening (via protocols), providing patient-centered evidence-based education, screening and assessing modifiable risk factors and addressing Social Determinants of Health.

     

    I see great opportunity in piloting full RN-led Team Based evidence-based HTN care.

     

    Please reach out if you are integrating this in your practice! I'd love to collaborate. If we had multiple sites piloting this same practice, this would be powerful!

     

    Attached is the current AHA Guidelines which gives COR 1, LOE A recommendation (the strongest) for Team Based Hypertension Management)

     

    Below: current (reinforced 2025 categories and stages of HTN)

     

     

     

     

     

     

    Please respond with interest and let's keep this going!!!

     

    Deb

     

     

     

     




    Attachment(s)

    pdf
    2025 AHA guidelines.pdf   8.16 MB 1 version
    Original Message


  • 14.  RE: Nurse led Hypertension clinics

    Posted yesterday

    Good morning. I am also interested in reviewing your protocols. Here at La Clinica, we are rewriting our protocol. 


    Original Message


  • 15.  RE: Nurse led Hypertension clinics

    Posted 4 days ago
    I am also interested in viewing your protocols as this has been a subject of discussion in our primary care clinics. Thanks!


    Sabrina L. Sumner, MSN, MDiv, RN, CMSRN, LSSYB –     RN Clinical Manager
    Community Health Administration – Primary Care (Azle, EHC, DHC, MHSW, NEMH, Watauga)
    JPS Health Network  |  1350 S. Main Street  |  Fort Worth, Texas 76104
    Direct 817.702.3608  | Fax 817.702.1495  |  ssumner@jpshealth.org
    Follow JPS Health Network    Facebook   LinkedIn   Instagram


    Information in this transmission and the documents which may accompany it are likely to contain medically privileged, attorney/client privileged, Medical Committee/Medical Peer Review privileged and additional confidential information. Such information is intended only for use of the individual or entity to which it is addressed above. If the recipient of this message is not the intended recipient or is the agent responsible for delivering the information contained within, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately make notification to my attention.




    Original Message


  • 16.  RE: Nurse led Hypertension clinics

    Posted 04-11-2024 07:45
    We have established a robust Nurse-Led RPM Hypertension Management Program and have enrolled over 1800 patients so far, focusing on our more vulnerable populations in the south side communities. Our nurses can nitrate up to 3 anti-hypertensive medications, provide support and education, and can get patients seen sooner when there is an issue. We started in our main primary care clinic on our medical center campus and have expanded to nephrology and cardiology. In the cardiology clinic, the nurses use an adapted protocol for in-person visits.

    This program was a story in our most recent Magnet document and was presented during site visit, really well received by our surveyors.

    I’d be happy to share with anyone interested.

    Sarah

    Sarah L. Kundrat MSN, RN, NEA-BC
    ACNO & Executive Director, Ambulatory
    UChicago Medicine

    Sent from my iPhone


    Original Message


  • 17.  RE: Nurse led Hypertension clinics

    Posted 04-11-2024 07:49

    Yes! Sending you private message as well.

    Deb

     




    Original Message


  • 18.  RE: Nurse led Hypertension clinics

    Posted 04-12-2024 22:47

    Sarah, I would love information as well.

    Thank you,

    Lori Stroud



    ------------------------------
    Lori Stroud RN AMB-BC
    Capital Health Plan
    Tallahassee FL
    (850)893-4454
    ------------------------------

    Original Message


  • 19.  RE: Nurse led Hypertension clinics

    Posted 05-01-2024 07:48

    Hello Sandra,

    We also have a program for RN Titration.  It's referral-based from providers.  I have a question as to how you charge capture for these visits.  Do you charge or do you utilize a no charge code?



    ------------------------------
    Laurie Paoletti-Kortas BSN RN
    Henry Ford Health System
    Richmond MI
    (586)944-9855
    ------------------------------

    Original Message


  • 20.  RE: Nurse led Hypertension clinics

    Posted 05-01-2024 08:20

    Hi, Laurie

     

    I am aware of Care Managers embedding HTN management into their care practices and time-tracking using CMS billing codes for Care Management. This is an excellent avenue as it provides more evidence/outcomes r/t RN Care Management roles.

     

    Also, some people are charging Nurse visit codes.

     

    We must contribute to revenue in all avenues possible in order to speak to our practice as RNs. We are not a "bundled service." Our cost as a profession is not the same as equipment and office supplies. We need to start including revenue contributions along with patient outcomes r/t our practice if we are going to survive as a profession.

     

    I am so proud of so many RNs who are leading this work!

     

    Deb

     




    Original Message


  • 21.  RE: Nurse led Hypertension clinics

    Posted 04-10-2024 07:14
    hello all!
    I would also be interested in learning more about any processes currently in place regarding RN led HTN visits.
    thank you!
    M

    Melissa Taylor, MSN, RN, AMB-BC, NE-BC

    Director of Ambulatory Nursing – Primary Care

    Elliot Medical Group

    Phone: 603-663-3503

    Email: mtaylor@elliot-hs.org

     

     


     






  • 22.  RE: Nurse led Hypertension clinics

    Posted 04-10-2024 09:03

    Hello, 

    I am interested in this as well. Currently, we do RN HTN visits but they are within our primary care clinics where the providers are there to oversee things.



    ------------------------------
    Melissa Roffers BSN RN
    Primary Care Nurse Educator
    Bellin Health
    Green Bay WI
    ------------------------------



  • 23.  RE: Nurse led Hypertension clinics

    Posted 04-10-2024 09:48

    I work with Care Management teams throughout the country. We developed a Nurse-led Evidence-based HTN protocol using the American Heart Associations (AHA)  Hypertension Toolkit for professionals. Nurse Care Managers use this with patients engaged in Care Management. They use time tracking reimbursement via CMS billing codes. Patients receive evidence-based, holistic HTN care, have better outcomes "and" RN Care Managers are able to contribute to practice revenue which promotes RN ability to speak to outcomes directly related to our practice. As well, providers in clinic have more time to manage the more acute needs of patients.

     

    Check out the toolkit on the AHA website. It was designed for our use.

     

    Deb




    Original Message


  • 24.  RE: Nurse led Hypertension clinics

    Posted 04-11-2024 00:38

    Would also be interested in hearing the same! I'll certainly check out the AHA toolkit. There was a session regarding a nurse-driven titration clinic at the conference. I wonder if they may be willing to share their information as well. 



    ------------------------------
    Nikki Price
    Defense Health Agency
    Ewa Beach HI
    (540)836-9799
    ------------------------------



  • 25.  RE: Nurse led Hypertension clinics

    Posted 04-11-2024 09:10

    Good morning,

    This topic sounds like a great choice for our next Community Live Call! Stay tuned for date/time, I'll schedule shortly. It sounds like there are a few of you willing to host/moderate the call. @Heather Bogrett, @Sarah Kundrat, @Deborah Cantlin - I will send you a Doodle calendar and get the call in the books. 

    Let me know if you have any questions! I'll share more information shortly. 

    Jennie



    ------------------------------
    Jennifer Stranix
    Director Membership & Assoc Services
    AAACN
    Pitman NJ
    (856)256-2326
    ------------------------------

    Original Message


  • 26.  RE: Nurse led Hypertension clinics

    Posted 04-11-2024 11:00

    I am new to AAACN and would also like to learn more about nurse driven clinics and protocols.

    Thank you,

    Shannon Hager, BSN, RN
    Director of Nursing & Quality- Beebe Medical Group
    (302)542-9289



    ------------------------------
    Shannon Hager
    Beebe Medical Group
    Ocean View DE
    (302)542-9289
    ------------------------------

    Original Message


  • 27.  RE: Nurse led Hypertension clinics

    Posted 04-12-2024 12:47

    Would love to join a call surrounding this topic.  

     

     

    Thank you!

    Carlene

     

     

    Carlene Lugtu, MCIM, RN

    Senior Program Manager, Nursing Informatics, Ambulatory

    Epic Optimization and Reporting

     

    Stanford Health Care

    Office of the CNIO

    Patient Care Services

    180 El Camino Real- Suite 1199

    Palo Alto, CA 94305

    cell: 650-272-8923

    clugtu@stanfordhealthcare.org

     

     

    Confidentiality notice: This communication and any attachments may contain confidential or privileged information for the use by the designated recipient(s) named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or the attachments is strictly prohibited. If you have received this communication in error, please contact me and destroy all copies of the communication and attachments. Thank you.

     




    Original Message


  • 28.  RE: Nurse led Hypertension clinics

    Posted 04-16-2024 13:40
    I, as well, would love to join in on a call regarding initiating and maintaining nurse-led HTN programs. I implemented a SMBP Program for our small clinic last year. It would be interesting to hear other clinicians' experiences with this program. 

    Thank-you!

    Caryn Miles, RN, BSN, MPA

    Wausau, WI 54403



    Original Message


  • 29.  RE: Nurse led Hypertension clinics

    Posted 04-17-2024 12:45

    Hi Jennie, 

    I would also like to be included in this call!

    Thanks, Kristin

    Kristin Serdy BSN, RN
    Team RN, Lancaster Downtown 
    304 N. Water St., Lancaster, PA
     O: 717-299-6372 ext. 11106



    ------------------------------
    Kristin Serdy
    BSN RN
    Union Community Care
    New Holland PA
    (717)333-3558
    ------------------------------

    Original Message


  • 30.  RE: Nurse led Hypertension clinics

    Posted 04-18-2024 13:00

    Good afternoon!

    In response the overwhelming interest in this topic, join us for a Community Live call on Tuesday, April 30 1:00 pm Eastern. @Heather Bogrett will facilitate an open conversation to discuss nurse-driven HTN protocols.  Whether you have valuable experience to share or you're looking to deepen your understanding, this conversation is for you!

    Register Now

    We look forward to seeing you online!

    Jennie



    ------------------------------
    Jennifer Stranix
    Director Membership & Assoc Services
    AAACN
    Pitman NJ
    (856)256-2326
    ------------------------------



  • 31.  RE: Nurse led Hypertension clinics

    Posted 04-30-2024 11:09

    Hi Jennifer,

    This sounds like a great Community Live event! I am interested in registering, but I can't seem to register with the following link: https://lp.constantcontactpages.com/ev/reg/25b3wrg 

    Is there a different link I might be able to use to register for the call? Thank you again!

    Best,

    Charlene



    ------------------------------
    Charlene Platon MS RN FNP-BC
    Director of Ambulatory Nursing
    Stanford Health Care
    Menlo Park CA
    (650)206-3958
    ------------------------------

    Original Message


  • 32.  RE: Nurse led Hypertension clinics

    Posted 04-30-2024 14:48

    Hi Jennifer,

    I was looking forward to this topic but I wasn't able to join.  Was the call recorded?

    Thank you,

    Katy Wheeler

    Katherine Wheeler BSN RN
    Clinical Educator Ambulatory Services
    University of Maryland Medical Center
    410-856-3526| katherine.wheeler@umm.edu



    ------------------------------
    Katherine Wheeler
    Ambulatory Clinical Educator
    Univ of Maryland Medical System
    Edgewater MD
    (443)994-1952
    ------------------------------

    Original Message


  • 33.  RE: Nurse led Hypertension clinics

    Posted 04-30-2024 15:21
    Hi Katherine,

    I'm sorry you weren't able to attend the call this afternoon. The call was recorded and will be filed in the Open Forum Community Library. I'll make sure to post when it's available.


    Have a great day,
    Jennie


    Jennifer Stranix
    Director of Membership & Assoc. Services

    American Academy of Ambulatory Care Nursing (AAACN)
    e: jennifer@aaacn.org  p: 856.256.2326



    Original Message


Related Content