Enhancing Systems of Care to Improve Hypertension Guideline Implementation
| Status: | Withdrawn |
|---|---|
| Conditions: | High Blood Pressure (Hypertension) |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 2/27/2019 |
| Start Date: | February 2019 |
| End Date: | January 2024 |
Enhancing Systems of Care to Improve Hypertension Guideline Implementation to Communities With Health Disparities
This study is a prospective cluster randomized trial testing a systems-level strategy to
implement current American Heart Association hypertension guidelines in African American
communities at risk for cardiovascular related health disparities. The trial will take place
within an integrated health system serving Detroit and will assess blood pressure control
over one year's time.
implement current American Heart Association hypertension guidelines in African American
communities at risk for cardiovascular related health disparities. The trial will take place
within an integrated health system serving Detroit and will assess blood pressure control
over one year's time.
The trial will randomize 12 clinics within the Henry Ford Health System to two arms. The
first arm will be comparison clinics that continue to use existing team-based strategies for
hypertension management. The second arm will be intervention clinics. These clinics will have
enhancements to existing team-based hypertension management. The first enhancement is
clinical decision support based in the electronic health record. The second enhancement is
improved protocols to implement telehealth prescribing that is nurse-led.
The trial will enroll participants through an urban emergency department. Participants will
be assigned to one of these 12 clinics and continue study activities for 1 year. Clinicians
at the clinics will manage blood pressure. Study specific visits will occur at 3, 6, 9, and
12 months. Primary outcome assessment is 12 months.
first arm will be comparison clinics that continue to use existing team-based strategies for
hypertension management. The second arm will be intervention clinics. These clinics will have
enhancements to existing team-based hypertension management. The first enhancement is
clinical decision support based in the electronic health record. The second enhancement is
improved protocols to implement telehealth prescribing that is nurse-led.
The trial will enroll participants through an urban emergency department. Participants will
be assigned to one of these 12 clinics and continue study activities for 1 year. Clinicians
at the clinics will manage blood pressure. Study specific visits will occur at 3, 6, 9, and
12 months. Primary outcome assessment is 12 months.
Inclusion Criteria:
- Adult (>18 years) African Americans
- Lacks established primary care for BP management
- History of HTN
- SBP ≥ 140 mmHg
Exclusion Criteria:
- Pregnancy
- Need for hospitalization from ED
- Serious comorbid conditions
- Alcohol or drug dependence
- Suspected resistant HTN
- Anticipated poor-adherence to study designated primary care clinic
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Henry Ford Hospital Founded in 1915 by auto pioneer Henry Ford and now one of...
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