Hypertension
Conditions
Brief summary
A longer-term follow-up of patients with remote patient monitoring ordered from the initial six pilot primary care clinics (from the prior study periods: Study 1 and Study 2) will be performed and compared to a cohort of patients without RPM orders, matched on clinical and demographic characteristics, from the same six pilot primary care clinics, to serve as contemporary controls.
Interventions
BEHAVIORALControls-ususal care
Controls: patients who did not receive remote patient monitoring for blood pressure prescribed during routine care delivery, with multivariable matching to cases
BEHAVIORALCases-remote patient monitoring prescribed
Cases: patients prescribed remote patient monitoring for blood pressure during routing care delivery
Sponsors
Omron Healthcare Co., Ltd.
Northwestern University
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 110 Years
Inclusion criteria
Cases Patients from any of 6 primary care sites that participated in remote monitoring pilots who had remote patient monitoring (RPM) ordered by a primary care clinician between November 18, 2018 and August 14, 2021 \-
Exclusion criteria
* Patients whose RPM ordered by non-primary care clinics Matching cohort Inclusion * Patients from the six pilot clinics AND * Meet the matching criteria Exclusion * Patients with any RPM order between between November 18, 2018 and August 14, 2021
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Controlling High Blood Pressure (NQF 0018) | 18 months | Proportion of patients who satisfy the performance measure Controlling High Blood Pressure (NQF 0018), last BP done within 1 year and is less than 140/90 mm Hg |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Antihypertensive medication intensification | 18 months | Count of antihypertensive medication drug classes added or increased during the time frame minus the number decreased or discontinued |
Other
| Measure | Time frame | Description |
|---|---|---|
| Ambulatory care utilization--office visits | 18 months | Count of primary care office visits during time frame |
| Ambulatory care utilization--telephone calls | 18 months | Count of primary care telephone encounters during time frame |
| Mean SBP at most recent office visit | 18 months | Mean SBP at most recent office visit |
| Proportion of patients with an increase in serum creatinine of ≥30% | 18 months | Proportion of patients with an increase in serum creatinine of ≥30% |
| Ambulatory care utilization--patient portal messages | 18 months | Count of primary care patient portal encounters during time frame |
| Mean SBP on most recent measurement date (office or out of office) | 18 months | Mean SBP on most recent measurement date (office or out of office) |
Countries
United States
Outcome results
None listed