Blood Pressure, Cardiovascular Diseases, Hypertension
Conditions
Brief summary
The primary objective of this project is to improve the health status of participants through pharmacist-delivered blood pressure control programs that demonstrate value to employers and justify adoption, sustainability and scalability of these programs.
Detailed description
Univariate comparisons of the baseline/pre-intervention outcomes to the post-intervention outcomes will be performed on outcomes in order to determine how the intervention affects each. For continuous outcomes data the univariate comparisons of the pre-treatment and post-intervention outcomes will be performed using related samples t-test comparisons. For categorical outcomes data, comparisons of pre-intervention to post-intervention time frames will be performed using McNemar tests.
Interventions
Pharmacists will work with the patient/study subject, referred to as the participant hereafter, and the participant's other health care providers to manage their blood pressure, making recommendations for medication and lifestyle adjustments as needed.
Sponsors
Study design
Eligibility
Inclusion criteria
* All health plan beneficiaries 18 years-of-age and older * Have filled at least one blood pressure medication in the last three months, * Have a known hypertension diagnosis or have an uncontrolled blood pressure
Exclusion criteria
* Not an adult * Not a health plan beneficiary of the self-insured employer * Not ambulatory and able to work or participate in care visits
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Blood Pressure Control | 6-months | Management of Systolic and Diastolic Blood Pressure Measures |
| Blood Pressure Change | 6-months | Systolic and Diastolic Blood Pressure Measure Changes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Blood Pressure Medication Adherence | 6-months | Medication Adherence for Blood Pressure Medications as Measured by Proportion of Days Covered (PDC) |
| Health Care Utilization of Primary Care Services | 6-months | Evaluation of Pre- and Post-Intervention Frequency of Primary Health Care Visits |
| Health Care Utilization of Emergency Department Services | 6-months | Evaluation of Pre- and Post-Intervention Frequency Emergency Department Visits |
| Health Care Utilization of Hospital Services | 6-months | Evaluation of Pre- and Post-Intervention Frequency of Hospital Visits |
Countries
United States