Table 1 ALTA components
ALTA components | ALTA activities |
|---|---|
Identify | • EHR registry to identify Latino patients with uncontrolled Hypertension and are prescribed antihypertensive medications • Screen patients for medication non-adherence using a standardized adherence screening and document the result in the EHR |
Refer | • Send EHR alert to clinic Health Coach (e.g., RN, MA) about patient’s BP level and adherence status |
Coach | • Structured assessment of medication adherence • Use of motivational interviewing to identify facilitators/barriers to adherence and discuss personalized strategies to improve adherence behaviors • Use of structured medication titration algorithm to optimize patient treatment regimen • Use of teach back to ensure patient understanding of treatment plan • Co-creation of culturally-relevant goals and action plans |
Document | • Structured documentation of coaching sessions in EHR to enable tracking patients’ progress over time • EHR Documentation of individualized treatment plan, medication adherence goals, and action plan to guide future sessions and share with primary care provider for clinic visits |
Monitor | • Consistent monitoring of patient progress through completion of and tracking follow-up sessions with ALTA patients |