Clinical Outcomes

  • ↓ Systolic BP (average 8–12 mmHg reduction over 12 weeks)

  • ↓ Resting heart rate

  • ↓ Anxiety severity (GAD-7)

  • ↓ Stress load (HRV SDNN improvements)

  • ↑ Sleep efficiency and recovery biomarkers

Experience & Access Outcomes (CMS Required)

  • Patient Activation Measure (PAM) ↑

  • Patient-Reported Outcomes (PROMIS Anxiety/Stress) improved

  • Timely Access to Care through blended outdoor + telehealth model

  • Care Coordination Score ↑

Equity & Environmental Outcomes (VBOHC-specific)

  • ↑ Nature-dose minutes/week

  • ↑ Green/blue-space exposure

  • ↓ Allostatic load index (environment-first stress scoring)

  • ↑ Community-level health equity indicators

Cost & Utilization Outcomes (CMS Value Benchmarks)

  • ↓ ED visits related to anxiety + hypertensive symptoms

  • ↓ Medication escalation

  • ↑ Longitudinal adherence & engagement

  • ↓ Total cost of care (TCOC) in anxiety–cardiac cohorts

Join Anxiety & Heart Health Pilot