Self-measured blood pressure (SMBP) monitoring refers to the regular measurement of BP by a patient at their home or elsewhere outside the clinical setting. SMBP enables physicians to better diagnose and manage hypertension — and helps patients to take an active role in the process.
The Need for Better Control
High blood pressure is a contributing factor to major health conditions including heart attack, heart failure, stroke, kidney failure, and many others.
Nearly 86 million adults (about 1 in 3) in the United States have high blood pressure and nearly half of those people don't have their blood pressure controlled.
Benefits of SMBP
Improve the accuracy of diagnosing hypertension
Out-of-office BP measurements are recommended to confirm the diagnosis of hypertension. Recent research estimates that up to 30% of patients with non-hypertensive in-office blood pressure readings have elevated blood pressures when measured outside of the office (Masked Hypertension). In addition, up to 35% of people with elevated office blood pressures may have normal blood pressures when measured outside of the office (White-Coat Hypertension). SMBP helps prevent these misclassifications and helps ensure patients are diagnosed more accurately.
Better manage patient blood pressure
Out-of-office BP measurements are recommended for titration of BP-lowering medication, in conjunction with telehealth counseling or clinical interventions. Once patients are diagnosed with hypertension, SMBP can be used before subsequent office visits to easily and accurately determine if their blood pressure is controlled. While there is limited evidence that using SMBP alone in individuals with hypertension improves blood pressure control compared to usual care, there is strong evidence that using SMBP plus additional clinical support is more effective than usual care in lowering blood pressure and improving control among patients with hypertension.
Help patients adhere to treatment
Patients who engage in SMBP may be more likely to take action to improve their health in other ways.
Getting StartedReady to make improvements in diagnosing and managing hypertension? Here's what you need to know.
How the SMBP Program Works
To decide if this program is right for your practice, consider what’s involved. The program delivers measurable positive benefits for patients, but it does require dedication to the process for it to be effective—including proper communication with patients and a system for managing and interpreting their self-measured blood pressures.
Plan for an SMBP Program
We will provide you with the information and resources to help you successfully launch a program for SMBP monitoring at your practice. Initially, you’ll need to develop a budgeting plan and a timeline for staff training.