Reducing Clinical Inertia in Hypertension Treatment: A Pragmatic Trial
| Status: | Completed |
|---|---|
| Conditions: | High Blood Pressure (Hypertension) |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 18 - 79 |
| Updated: | 8/17/2018 |
| Start Date: | November 2009 |
| End Date: | October 2010 |
Health Promotion Outreach To Overcome Clinical Inertia In The Treatment Of Patients With Poorly-Controlled Hypertension
The goal of this project is to use health information technology and team-based care in novel
ways to support the establishment of a Patient-Centered Medical Home model of care aimed at
improving the diagnosis and management of hypertension. Compared with patients who receive
usual care, patients who receive intervention will have a lower average systolic blood
pressure 9 months after randomization.
ways to support the establishment of a Patient-Centered Medical Home model of care aimed at
improving the diagnosis and management of hypertension. Compared with patients who receive
usual care, patients who receive intervention will have a lower average systolic blood
pressure 9 months after randomization.
Inclusion Criteria:
- Adult men and women age 18-79
- At least 2 Blood Pressure readings from separate days on record
- Average of last 3 Blood Pressure readings (or last 2 if only 2 available) with
(Systolic Blood Pressure ≥140 or Diastolic Blood Pressure ≥90) and (last Systolic
Blood Pressure ≥135 or last Diastolic Blood Pressure ≥85), recorded by any University
of Colorado Hospital clinic within the last 18 months
- No clinic visit in the past month
- At least one Primary Care Physician visit in the past 18 months
- First Primary Care Physician visit at least 6 months in the past
Exclusion Criteria:
- Serious comorbidities, including active cancer diagnosis, hospice care, nursing home
residence
- Diagnosis of diabetes (these patients are enrolled in a separate study that also
targets Blood Pressure control)
- End-stage renal disease / hemodialysis
- Primary Care Physician appointment pending
- Patient instructed to monitor Blood Pressure at home / documentation of white coat
hypertension
- Blood Pressure managed by specialist or outside provider
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