Hypertension: BP measured and at target

Clinical Quality & Outcomes

How this indicator is defined

Methodology version v1.0

Percentage of rostered patients with hypertension who have a blood-pressure measurement in the past year AND whose most recent measurement is at the guideline target.

Proportion of eligible patients (composite)

The percentage of eligible patients (the denominator) who meet ALL of these criteria: Blood pressure measured (within 1 year) AND Blood pressure at target (within 1 year). Each patient is counted once.

Data inputs

  • Blood pressure measured
  • Blood pressure at target

Derived from

What this indicator measuresName, alignment, goal, rationale.
Indicator nameField 1Indicator name
Hypertension: BP measured and at target
AlignmentField 2Alignment
  • Hypertension Canada Guidelines
  • Ontario Health MyPractice Primary Care indicator catalogue
Strategic goalField 3Strategic goal
Ensure patients with hypertension have their blood pressure both monitored and controlled to the guideline target, reducing cardiovascular and renal risk.
RationaleField 5Rationale
Control requires BOTH measurement and a result at target — measuring without achieving control, or an old at-target reading with no recent measurement, is not adequate control. The AND combiner expresses this honestly.
How it's computedScoring method, numerator, denominator, inclusions, exclusions.
NumeratorField 6Numerator
Active rostered patients in the denominator with a documented BP measurement within 1 year AND a documented at-target measurement within 1 year of the reporting-period end.
DenominatorField 7Denominator

Active rostered patients with hypertension, age 18+ at reporting-period end.

  • Sex eligibility: F, M
  • Age range: 18120
  • Active as of reporting-period end: yes
ExclusionsField 9Exclusions
  • Patients in palliative care.
  • Patients deceased before the reporting-period end date.
How patients are attributedAttribution rule and risk adjustment.
Attribution ruleField 10Attribution rule
Enrolment (rostered)
Risk-adjustment modelField 11Risk-adjustment model
None
How comparison worksPeer group, reliability threshold, peer comparator.
Reliability thresholdField 13Reliability threshold
20
Data + reportingData source, reporting frequency, direction of improvement, limitations.
Reporting frequencyField 15Reporting frequency
quarterly
Direction of improvementField 16Direction of improvement
Higher is better
Targets + governanceTarget, justification, owner, review, approval, version, notes.
TargetField 18Target
65.0% — the clinic's target for this indicator, set by the product owner.
Methodology versionField 23Methodology version
v1.0