How did a physician-led network of primary care organizations achieve an 83.3 percent hypertension control rate, significantly outperforming national averages? Join leaders from Aledade, The Christ Hospital, and Mississippi Community Health Center to discover a proven, scalable playbook for cardiovascular health.

This session dives into the "4Ms" framework (Measure, Manage, Monitor, Motivate) and the technological innovations—from AI-driven worklists to nurse-led remote patient monitoring—that make these results possible. Attendees will leave with practical strategies for leveraging value-based care to close care gaps, address social drivers of health and save more lives in their own communities.

Learning Objectives:

•  Define the "4Ms" framework and its practical application in diverse clinical settings, from rural FQHCs to large urban health systems.
• Identify how multi-source data and automated technology (like EHR overlays and BP dashboards) can alleviate administrative burdens while improving clinical outcomes.
• Summarize effective strategies for reducing health inequities by integrating social drivers of health  (SDOH) data into clinical workflows.