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 .
A novel approach to quality improvement in a safety-net practice: concurrent peer review visits.
OBJECTIVE Concurrent peer review visits are structured office visits conducted by clinician peers of the primary care clinician that are specifically design ed to reduce competing dem and s , clinical inertia , and bias . We assessed whether a single concurrent peer review visit reduced clinical inertia and improved control of hypertension , hyperlipidemia , and diabetes control among underserved patients . METHODS We conducted a r and omized encouragement trial to evaluate concurrent peer review visits with a community health center . Seven hundred twenty-seven patients with hypertension , hyperlipidemia , and /or diabetes who were not at goal for systolic blood pressure ( SBP ) , low-density lipoprotein cholesterol ( LDL-C ) , and /or glycated hemoglobin ( A1c ) were r and omly assigned to an invitation to participate in a concurrent peer review visit or to usual care . We compared change in these measures using mixed models and rates of therapeutic intensification during concurrent peer review visits with control visits . RESULTS One hundred seventy-one patients completed a concurrent peer review visit .  SBP improved significantly ( p < .01 ) more among those completing concurrent peer review visits than among those who failed to respond to a concurrent peer review invitation or those r and omized to usual care . There were no differences seen for changes in LDL-C or A1c .  Concurrent peer review visits were associated with statistically significant greater clinician intensification of blood pressure ( p < .001 ) , lipid ( p < .001 ) , and diabetes ( p < .005 ) treatment than either for control visits for patients in either the nonresponse group or usual care group . CONCLUSIONS Concurrent peer review visits represent a promising strategy for improving blood pressure control and improving therapeutic intensification in community health centers
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 .