Foundation Program Sites

Blood Pressure Control Equity

Join our conversation

In person

If you are unable to join with the below options, there will be a physical space reserved in the Foundation for Health Care Quality’s Seattle office to participate in the virtual meeting at the below address:


Industrious 400U @ Rainier Square
400 University Street
Floor 3
Seattle, WA 98101

Directions to FHCQ Office

Online

Meeting ID: 228 845 023 710

Passcode: bg7Wot

 

Background

High blood pressure or hypertension (HTN), which can lead to heart disease and/or stroke, impacts about half of American adults.(1) However, only 16.1% of those adults have their high blood pressure under control through medication and lifestyle changes, with disparities based on race, ethnicity, education, income, living in an urban or rural setting, and other social drivers of health.(2,3,4)  Blood pressure control rates are lower for non-Hispanic (NH) Black persons, Asian American persons, and Hispanic person when compared to NH White persons, and NH Black and Hispanic individuals.(5) Native communities in Washington state also experience significant disparities in hypertension and cardiovascular health.(6) Social drivers of health significantly influence disparities in blood pressure control; for example, food insecurity has been associated with 14-77% increase in hypertension risk.(7) Healthcare access including insurance coverage influences attendance at appointments and acquiring and taking medication. Washingtonians do not receive the same standard of care across the state (e.g., multiple medications, accurate dose titration) with variation in therapy selection and care delivery models.(8,9,10,11) Improving blood pressure control quality metrics stratified by social drivers of health has promise to reduce inequities in morbidity and mortality related to hypertension.

 

Next Meeting Time Materials
Mar 13th, 2025 3-4:30pm Please see below

Meeting Materials

Date Materials
January 16th, 2025

January Agenda

Draft Charter and Roster

February 13th February Agenda
January Minutes
Workplan/Evidence Table
March 13th March Agenda
February Minutes
Materials/Workplan
April 10th April Agenda
March Minutes
Materials/Evidence Table
May 8th May Agenda
April Minutes
Materials/Evidence Table
June 12th June Agenda
May Minutes
Evidence Table
Materials
July 10th July Agenda
June Minutes
Materials/Evidence Table
August 14th August Agenda
July Minutes
Materials/Evidence Table
September 11th September Agenda
August Minutes
Materials
October 9th October Agenda
September Minutes
Materials
November 13th November Agenda
October Minutes
Draft Report & Guidelines
 

Read ourer

Workgroup Members

Name Title Organization
Norris Kamo, MD (Chair) Section Head, Adult Family Medicine Virginia Mason University Village Clinic
Jake Berman, MD (vice-chair) Director of Population Health Integration University of Washington Medicine
Mia Wise, MD Chief Medical Officer Kinwell Health
Albert Tsai, MD Vice President, Community Impact, Puget Sound American Heart Association
Elhami Hannan, MD Nephrologist Kadlec Medical Center
Nicholas Koenig, MD Cardiovascular Quality Improvement Program Medical Director Kaiser Permanente
Elizabeth C Slye, RN Registered Nurse Kaiser Permanente
Kimberly Parrish, MHA, RN Director, Clinical Excellnence – Hospital Access WSHA
Josephine Young, MD Medical Director, Commercial Markets Premera Blue Cross
Laura Hanson, PharmD Ambulatory Pharmacy Manager Virginia Mason
Nicole Treanor, , MS, RD, CDCES Registered Dietician Virginia Mason
Jordan Despain, MD Family Medicine Physician Confluence
Kristina Petsas, MD Market Chief Medical Officer, PNW, AK and HI United Healthcare
Theresa Kreiser, MS Senior Improvement Advisor Comagine Health
Katrina Gangsaas Community Health Supervisor YMCA
Mary Beth McAteer, MLIS Librarian Virginia Mason
Molly Parker, MD, MPH Chief Medical Officer of Population Health Jefferson Healthcare
Jessica Beach, MPH, MPA Health Equity Director Molina
Leo Morales, MD Assistant Dean for Healthcare Equity and Quality | Co-director Latino Center for Health UW Medicine
Eugene Yang, MD Clinical Professor of Medicine, Division of Cardiology UW Medicine
Chris Longnecker, PhD Associate Professor, Global Health | Director, Global Cardiovascular Health Program UW Medicine
Dionna Washington Peer Navigator Harborview Adult Medicine Clinic
Jonathan Liu, MD Principal, Health Strategy Amazon (Global Benefits)
Jason Tzau, PharmD Sr Mgr, US Health Plans Amazon (Global Benefits)

(1) Centers for Disease Control and Prevention. (2025, January 3). High blood pressure facts. https://www.cdc.gov/high-blood-pressure/data-research/facts-stats/index.html

(2) https://odphp.health.gov/healthypeople/objectives-and-data/browse-objectives/heart-disease-and-stroke/increase-control-high-blood-pressure-adults-hds-05/data?group=Obesity%20status%20(20%20years%20and%20over)&from=2017&to=2020&state=United%20States&populations=#edit-submit

(3) Vogel MT, Petrescu-Prahova M, Steinman L, et al. Partnerships for Blood Pressure Control in Washington State, December 2016-July 2017. Health Promot Pract. 2021;22(1):52-62. doi:10.1177/1524839919853819

(4) Fryar CD, Ostchega Y, Hales CM, Zhang G, Kruszon-Moran D. Hypertension Prevalence and Control Among Adults: United States, 2015-2016. NCHS Data Brief. 2017;(289):1-8.

(5) Abrahamowicz, A. A., Ebinger, J., & Whelton, S. P. (2023). Racial and ethnic disparities in hypertension: Barriers and opportunities to improve blood pressure control. Current Cardiology Reports, 25(1), 1–10. https://doi.org/10.1007/s11886-022-01826-x

(6) Parker T, Kelley A, Cooeyate N, Tsosie N. Tribal Perspectives on Hypertension: Results From the Center for Native American Health Native-CHART Needs Assessment. J Prim Care Community Health. 2022 Jan-Dec;13:21501319221144269. doi: 10.1177/21501319221144269. PMID: 36524696; PMCID: PMC9761798.

(7) Te Vazquez J, Feng SN, Orr CJ, Berkowitz SA. Food insecurity and cardiometabolic conditions: a review of recent research. Curr Nutr Rep. 2021;10(4):243–54. https://doi.org/10.1007/s13668-021-00364-2.

(8) Brownstein JN, Chowdhury FM, Norris SL, et al. Effectiveness of Community Health Workers in the Care of People with Hypertension. Am J Prev Med. 2007;32(5):435-447. doi:10.1016/j.amepre.2007.01.011

(9) Vogel MT, Petrescu-Prahova M, Steinman L, et al. Partnerships for Blood Pressure Control in Washington State, December 2016-July 2017. Health Promot Pract. 2021;22(1):52-62. doi:10.1177/1524839919853819

(10) Ostchega Y, Fryar CD, Nwankwo T, Nguyen DT. Hypertension Prevalence Among Adults Aged 18 and Over: United States, 2017-2018. NCHS Data Brief. 2020;(364):1-8.

(11) Schoenthaler, EdD A, Lancaster, PhD K, Midberry, Mph S, et al. The FAITH Trial: Baseline Characteristics of a Church-based Trial to Improve Blood Pressure Control in Blacks. Ethn Dis. 2015;25(3):337. doi:10.18865/ed.25.3.337