Digital Health, Electronic Health Record, Hypertension
Conditions
Brief summary
Investigators are examining the quality improvement impact of providing patients with a an electronic health record-connected blood pressure cuff. Investigators will give half of patients already eligible for hypertension management within a clinical pharmacist panel, the ability to upload their blood pressure data into Stanford's electronic health record.
Interventions
OTHERConnected-device
This intervention will allow patients to upload blood pressure data automatically from a blood pressure cuff into the electronic health record.
OTHERUsual care
This intervention will consist of usual clinical care as determined by the clinical pharmacist.
Sponsors
Stanford University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Hypertension as defined by clinical pharmacist usual care panel (2 or more readings of blood pressure \>140/90)
Exclusion criteria
* Pregnancy * Chronic kidney disease III or IV * Systolic heart failure with ejection fraction \<35% * Current use of 3 or more anti-hypertension drugs
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in blood pressure over time in control group vs. the intervention group | From enrollment to 6 months later | Difference in the change in blood pressure between the control group and intervention group. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient visits | From enrollment to 6 months later | Measurement of the number of in-person visits |
| Patient remote interactions | From enrollment to 6 months later | Measurement of the number of patient phone calls plus patient-portal messages to the clinical pharmacist |
| Medication changes | From enrollment to 6 months later | Number of changes in medication or medication dose |
| Blood pressure control | From enrollment to 6 months later | Time to reach target blood pressure control (Adults 18-59 years of age \<140/90 mm Hg, Adults 60-85 years of age, without a diagnosis of diabetes, \<150/90 mm Hg, Adults 60-85 years of age, with a diagnosis of diabetes, \<140/90 mm Hg) |
Countries
United States
Outcome results
None listed