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Home » HTN Specialist » Certified HTN Centers » Criteria for HTN Centers

CRITERIA FOR ASH HYPERTENSION DESIGNATED CENTERS

Hypertension Centers will be accredited at two (2) levels, "Hypertension Practice Center" and "Hypertension Comprehensive Center", with the "Comprehensive Hypertension Center" encompassing research and education. One over-arching criterion for accreditation of a Hypertension Center is that the facility will be directed by a physician who has received designation as a Hypertension Specialist by the Hypertension Specialist Program of ASH.

ASH COMPREHENSIVE HYPERTENSION CENTERS

These Centers are located in either academic medical centers or in large multi-specialty clinics. These centers may exist independently or as part of larger divisions or departments.

  • Director must be an ASH Designated Specialist in Clinical Hypertension
  • More than 50 % of practice must be devoted to patients with hypertension and related disorders
  • Personnel are certified in recording blood pressure and in maintaining equipment for both the Center and self-monitoring for patients
  • Performs and interprets 24-hour ambulatory blood pressure recording
  • Facilities to perform extensive multi-specialty examination and treatment to assess complicated hypertension problems:

Cardiovascular risk assessment:

  • quantitative echocardiography
  • exercise testing
  • measurement of arterial compliance
  • ankle-brachial index
  • carotid doppler

Diagnostic Evaluation:

  • Renal angiography
  • Renal vein renin sampling
  • Doppler renal ultrasound
  • CT Angiography
  • MR Angiography
  • Adrenal vein sampling for Aldosterone

Interventions:

  • Renal angioplasty with/without stenting
  • Laparoscopic adrenalectomy
  • Participation in investigator-initiated research and/or in appropriate multi-center trials and observational studies
  • Recognition as referral and treatment resource for resistant and secondary hypertension, and alternative therapies.
  • Performs ongoing quality improvement in accord with standardized quality performance guidelines, reporting of NCQA indicators, patient outcomes, etc. NOTE: ASH Designated Hypertension Centers have the options of collecting and reporting this data, or the data could be captured by a Center's participation in the ASH Hypertension Registry Initiative.
  • Personnel participate in ongoing hypertension educational activities
  • Director must hold an academic appointment
  • Organized as a hypertension center by the parent organization, encouraging collaboration with other disciplines, e.g., nephrology, cardiology, etc.
  • Personnel participation in investigator-initiated research, both basic and applied
  • Personnel participation in the training of those interested in hypertension as a specialty
  • Personnel participation in the publication of scholarly articles related to the field of hypertension and related disorders

ASH DESIGNATED HYPERTENSION PRACTICE CENTERS

These Centers are either private or group medical practices.

  • Director must be an ASH Designated Specialist in Clinical Hypertension
  • More than 50 % of practice must be devoted to patients with hypertension and related disorders
  • Personnel are certified in recording blood pressure and in maintaining equipment for both the Center and self-monitoring for patients
  • Performs and interprets 24-hour ambulatory blood pressure recording
  • Access to extensive multi-specialty examination and treatment to assess complicated hypertension problems:

Cardiovascular risk assessment:

  • quantitative echocardiography
  • exercise testing
  • measurement of arterial compliance
  • ankle-brachial index
  • carotid doppler

Diagnostic Evaluation:

  • Renal angiography
  • Renal vein renin sampling
  • Doppler renal ultrasound
  • CT Angiography
  • MR Angiography
  • Adrenal vein sampling for Aldosterone

Interventions:

  • Renal angioplasty with/without stenting
  • Laparoscopic adrenalectomy
  • Participation in investigator-initiated research and/or in appropriate multi-center trials and observational studies
  • Recognition as referral and treatment resource for resistant and secondary hypertension, and alternative therapies.
  • Performs ongoing quality improvement in accord with standardized quality performance guidelines, reporting of NCQA indicators, patient outcomes, etc. NOTE: ASH Designated Hypertension Centers have the options of collecting and reporting this data, or the data could be captured by a Center's participation in the ASH Hypertension Registry Initiative.
  • Personnel participate in ongoing hypertension educational activities

BENEFITS FOR AN ASH DESIGNATED HYPERTENSION CENTER

  • Given the recent approval of the Hypertension Taxonomy Code by the AMA scheduled to take effect October 2011, Hypertension Specialists in ASH Designated Centers will be able to bill Third Party Payers for reimbursement of appropriate Hypertension Services
  • Presentation of a plaque and decals confirming designation
  • Listing in national roster of ASH Designated Hypertension Centers on the ASH Website
  • Opportunity to participate in clinical hypertension research
  • ASH to provide Patient Information brochures & educational material related to hypertension and its co-morbidities
  • ASH promotion and marketing of Designated Centers to facilitate expansion and strengthening of patient base and referrals.