Team-based care increased the proportion of people with controlled BP  and reduced both systolic and diastolic BP , especially when pharmacists and nurses were part of the team .
CONTEXT Uncontrolled hypertension remains a widely prevalent cardiovascular risk factor in the U.S. team-based care , established by adding new staff or changing the roles of existing staff such as nurses and pharmacists to work with a primary care provider and the patient .
Team-based care has the potential to improve the quality of hypertension management .
The goal of this Community Guide systematic review was to examine the effectiveness of team-based care in improving blood pressure ( BP ) outcomes .
Patient-Centered Plan-of-Care Tool for Improving Clinical Outcomes
Purpose : In developing our Patient-Centered Team CareSM ( PCTC ) program , we design ed a Plan-of-Care ( POC ) tool to facilitate the physician-patient discussion for setting health goals . This study aim ed to determine the effectiveness of the POC tool in improving clinical outcomes . Methods : We compared baseline and 6-month or greater follow-up values for hemoglobin A1c ( HbA1c ) , low-density lipoprotein ( LDL ) , systolic blood pressure ( SP ) , diastolic blood pressure ( DP ) , and weight for  PCTC patients ( intervention group ) and non-PCTC patients ( control group ) . For the intervention group , we also compared POC tool completeness scores ( 1 , low and 8 , high ) . Results : Of 1366 patients , 1110 ( 593 intervention , 517 control ) had baseline and follow-up clinical measures for analysis . After adjusting for demographics , significant effects occurred in the intervention group for HbA1c ( P = .0067 ) , LDL ( P = .012 ) , and DP ( P = .091 ) . For completeness of POC , a significant association occurred between more fully completed forms ( scores , 5 - 8 ) and change in HbA1c ( P < .001 ) and SP ( P = .011 ) . Conclusion : Patients receiving a POC showed significant improvement in 3 of 5 clinical outcomes compared with those without the tool , and those with more fully completed forms had significant improvement in 2 of 5 clinical outcomes compared with those with partially completed forms
Team-based care increased the proportion of people with controlled BP  and reduced both systolic and diastolic BP , especially when pharmacists and nurses were part of the team .
CONTEXT Uncontrolled hypertension remains a widely prevalent cardiovascular risk factor in the U.S. team-based care , established by adding new staff or changing the roles of existing staff such as nurses and pharmacists to work with a primary care provider and the patient .
Team-based care has the potential to improve the quality of hypertension management .
The goal of this Community Guide systematic review was to examine the effectiveness of team-based care in improving blood pressure ( BP ) outcomes .