Key2025

  1. Develop shared data platforms and dashboards, Pull vital records and demographic data to identify hot spots and disparities of people with elevated blood pressure (3)
  2.  CBOs evaluate data about resources and services that are most needed by clients (4)
  3. Cross-sector collaboration to share nurses, interpreters, physicians (8)
  4. Launch cultural tailored public education campaigns that target populations that are identified by health system stratified data (12)
  5. Clarify CHW roles and expand training – potential pilot project with SMBP and follow-up with clients about home BPs and whether they are taking their meds and have nurses and CHWs for ongoing support (15)
  6.  Empower all providers to “own” blood pressure by creating simple referral pathways to primary care (16)