Table. State and Tribal Characteristics and Results of Evidenced-Based and Promising Best Practices in 3 States, ASTHO/CDC Heart Disease and Stroke Prevention Learning Collaborative, 2013–2018.

Best Practices Used to Achieve Results	New York State	Oklahoma	Arkansas
Community–clinical linkages
Establish connections between health care, public health, and other jurisdictions to improve access to hypertension services and support throughout the care continuum, as well as increase data sharing among states and territories.	Local health departments and Federally Qualified Health Centers; home blood pressure monitoring program with clinical support; health information exchange data analysis.	Pharmacy hypertension clinic; Choctaw Nation health system and pharmacists; academic partnership with University of Oklahoma Health Sciences Center College of Pharmacy.	Partnerships with providers, local health units, community pharmacies and senior centers in rural, underserved communities.
Data-driven action
Improve data exchange or capacity by using health information technology to facilitate patient identification, referral, and follow-up.	Metrics developed with electronic medical record data; data registries used to track and contact patients; data system used to evaluate and report clinical outcomes.	Data from electronic health records used to identify patients with uncontrolled hypertension for referral (counseling or management).	Used data from electronic medical records to identify undiagnosed hypertension. Partnership with Humana to improve quality of care.
Standardization of clinical practice
Implement protocols to ensure consistency in intervention implementation and data collection and analysis methods.	Adopted and implemented hypertension treatment protocols; home blood pressure program with clinical support; and systems for tracking and follow-up.	Developed a referral process; established a pharmacist–provider collaboration; educated and counseled patients; calculated arteriosclerotic cardiovascular disease risk; and conducted blood pressure monitoring and follow-up.	Protocols for referrals to local clinics established a program for counseling by pharmacist; developed strategies for hypertension management based on a team-based care framework.
Financing and policy
Create a sustainable system to improve hypertension prevention, detection, and control through payment reform, and help jurisdictions leverage funding outside of the learning collaborative to establish systems of care or expand their programs and initiatives to other areas throughout the jurisdiction.	Instituted a 90-day pharmacy benefit to expand coverage for medications for hypertension in their Medicaid-managed care plans.	Computed a return of investment of $160 per dollar spent, based on the average emergency department cost of a single cardiovascular disease event.	Established a partnership with a private payer, a health care coalition, and a hospital to develop a payer model for transition of hypertension care from emergency departments to team-based care and medical homes.

Abbreviations: ASTHO, Association of State and Territorial Health Officials; CDC, Centers for Disease Control and Prevention.