NYU Hypertension Initiative

The NYU Hypertension Initiative aims to improve blood pressure (BP) control for NYU Langone Health (NYULH) patients. This program is aligned with the projects ADDRESS-BP (Actions to Decrease Disparities in Risk and Engage in Shared Support for Blood Pressure Control in Blacks) and ADHERE (Addressing Disparities in Hypertension and Reducing Racial Inequities through Engagement). ADDRESS-BP is funded by the National Heart, Lung and Blood Institute and aims to address barriers to adoption of evidence-based interventions to improve hypertension control among Black patients followed by NYULH Faculty Group Practices. The ADDRESS-BP program pairs practice facilitators and community health workers (CHWs) to build organizational capacity to support the integration of three proven programs in existing practice workflows: 1) engaging nurse case managers, 2) encouraging patients to use remote BP monitoring, and 3) providing support to patients to address their social needs. The program has made CHWs key members of the primary care team to help patients stay engaged with nurse counseling and stick to home BP monitoring. ADHERE is a Centers for Disease Control and Prevention – Prevention Research Centers special interest project which leverages the infrastructure of the ADDRESS-BP study to evaluate a CHW-led hypertension management education and coaching program to improve BP control and racial discrimination related outcomes for Black patients with hypertension. The study was implemented at 2 NYULH primary care practices. Both sites received CHW-led health education and health coaching for hypertension control. One site received an enhanced curriculum including discussions and strategies to address racial discrimination related stress.