Table 1. Reach and implementation of ReDChiP Care Management Program.
| Patients identified through registry reporta | Patients contactedb through outreach (% of registry populationc) | Patients in first session due to outreach (% of registry populationc) | Patients in first session due to PCP referral | Total patients attending first session | Patients completing three sessions (% of first session participants) | |
| Clinic A | 721 | 695 (96) | 51 (7) | 124 | 175 | 66 (38) |
| Clinic B | 448 | 187 (42) | 28 (6) | 13 | 41 | 13 (32) |
| Clinic C | 385 | 364 (95) | 34 (9) | 47 | 81 | 35 (43) |
| Clinic D | 505 | 275 (54) | 24 (5) | 84 | 108 | 48 (44) |
| Clinic E | 286 | 173 (60) | 4 (1) | 95 | 99 | 36 (36) |
| Clinic F | 1619 | 343 (21) | 43 (3) | 82 | 125 | 47 (38) |
| Total | 3964 | 2037 (51) | 184 (5) | 445 | 629 | 245 (39) |
| Pre-intervention BPd mean (SD), mm Hg | 147/85 (14/10) | N/A | N/A | N/A | 148/86 (15/12) | 149/86 (14/12) |
| Black (%) | 2497 (63) | N/A | N/A | N/A | 377 (60) | 149 (61) |
BP, blood pressure; SD, standard deviation; N/A, not applicable.
a. Excludes patients whose blood pressures were found to be controlled during chart verification by care managers.
b. Patients were reached to discuss the care management program.
c. Registry refers to those patient identified through the registry report.
d. Mean pre-intervention blood pressure: blood pressure at the time of registry report and/or referral.