Multisociety Jordan National Hypertension Registry (JNHR) Initiative
Multisociety Jordan National Hypertension Registry (JNHR) Initiative
National Implementation Plan and Operational Framework
A Collaborative Program of Nine Jordanian Medical Societies Coordinated by the Jordanian Cardiac Society (JCS)
Participating Societies
• Jordanian Cardiac Society (JCS)
• Jordan Atherosclerosis Society (JAS)
• Jordan Society of General Practitioners (JSGP)
• Jordan Society of Internal Medicine (JSIM)
• Jordan Society of Nephrology (JSN)
• Jordan Society of Family Medicine (JSFM)
• Jordan Emergency Medicine Society (JEMS)
• Jordan Endocrine and Diabetes Society (JEDS)
• Jordan Nutrition Society (JNS)
Registry Completion Model
The registry is designed to minimize physician workload and maximize feasibility in high-volume clinical settings.
Who Completes the Registry?
Primary data entry should be performed by a trained:
• Hypertension Registry Nurse
or
• Designated clinic data coordinator
or
• Trained medical assistant
The treating physician does not complete the full form.
The physician’s role is limited to:
• Confirming diagnosis
• Confirming treatment plan
• Validating data accuracy
This confirmation should take less than 30–60 seconds per patient.
Is Data Entry Manual or Automatic?
The system should be semi-automated:
Automatic Data Population (where electronic systems exist):
• Patient age and sex
• Laboratory results (eGFR, LDL, HbA1c, UACR)
• Blood pressure readings (if integrated devices are used)
• Medication list (if EHR-linked)
Manual Entry (Minimal Required Fields):
• Risk factor checkboxes
• Acute events
• Adherence
• Follow-up status
In high-volume primary care centers, the form should be limited to essential fields only.
The model allows expansion in university hospitals to include extended research variables.
National Implementation Plan – Three Phases
Year 1 – Pilot Phase
Objective: Demonstrate feasibility
• Select 3 major hospitals
• Select 5 primary healthcare centers
• Assign one Hypertension Registry Nurse at each site
• Use REDCap or secure cloud-based platform
• Provide short focused training (2–3 hours)
• Collect data from 1,000–2,000 patients
• Issue first national summary report
Key Outcome:
Feasibility confirmed and data completeness >80%
Year 2 – Expansion Phase
Objective: Structured scale-up
• Include private sector hospitals
• Link with central laboratories
• Implement partial automatic data extraction (BP and labs)
• Launch national dashboard for quality monitoring
• Submit first international scientific abstract
Key Outcome:
5,000–10,000 patients registered
Year 3 – National Integration Phase
Objective: Formal national adoption
• Sign Memorandum of Understanding with Ministry of Health
• Gradual integration with national electronic health records
• Introduce national quality indicators
• Compare performance across governorates
• Publish annual national hypertension report
• Initiate international research collaborations
Key Outcome:
Establishment of a National Hypertension Quality Index
Principles for Success
• Do not rely solely on physicians for data entry
• Keep data entry simple and time-efficient
• Implement semi-automatic data capture whenever possible
• Avoid collecting unnecessary variables
• Produce annual outcome reports demonstrating measurable benefit
Scalability
The registry can be expanded in university hospitals to include:
• Advanced imaging data
• Research biomarkers
• Longitudinal outcomes
• Linkage with cardiology registries
This model ensures:
• Practical implementation in busy Jordanian clinics
• Minimal burden on physicians
• High data quality
• International compatibility
• Sustainable long-term operation
