Table 2.

Heart Health Improvement Project primary blood pressure and smoking cessation clinical outcomes.

Outcome	Description	Practice target
Hypertension control	Number of patients between 18 and 85 years of age diagnosed with hypertension, and a BP<140/90 mm Hg (consistent with controlled stage II hypertension)	≥70% of patients diagnosed with hypertension who have controlled stage II hypertension (BP<140/90 mm Hg)
Tobacco use screening	All patients ≥18 years of age have smoking status updated within past 2 years	≥75% of patients have smoking status documented per practice
		Rates of current smokers
		Rates of former smokers who relapse
		Rates of former and never smokers
		Rates of secondary smoking exposure
Tobacco use counseling	Use of 4 Rsa to improve rates of smoking cessation	EHRb documentation of smoking cessation counseling, referral to AL Quitline, medication documentation (including over-the-counter medication)
Tobacco use screening and counseling	Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months and who received cessation counseling intervention if identified as a tobacco user	5-10% increase from baseline

^a4 Rs: relevance, risks, rewards, roadblocks.

^bEHR: electronic health record.