Effect of a Secure Message Reminder on Hypertension Follow-up at an Integrated Health Care System

Study Overview
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Brief Summary
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This study will assess whether adding a secure message reminder to routine care improves the percentage of patients who complete a follow-up appointment with a new, documented blood pressure reading.

Detailed Description
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Hypertension is one of the leading risk factors for cardiovascular disease. Optimizing blood pressure management can help prevent adverse cardiovascular outcomes. The National Committee for Quality Assurance (NCQA) defines blood pressure control as less than 140/90 mmHg. Per this definition, less than half of Americans with hypertension are considered controlled. Literature has been published describing several ways of improving blood pressure management, but results have been variable.

Official Title
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Effect of a Secure Message Reminder on Hypertension Follow-up at an Integrated Health Care Delivery System

Conditions
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Hypertension

Intervention / Treatment
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* Other: Secure message reminder


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Member of Kaiser Permanente Georgia Pharmacy Cardiac Risk Service (PCRS) 18-75 years of age Enrolled in http://kp.org Most recent documented blood pressure is greater than or equal to 140/90 mmHg Exclusion Criteria: Most recent documented blood pressure is greater than or equal to 180/110 mmHg

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Routine Care<br>Routine care, no intervention | |
| Active Comparator: Secure message reminder<br>Will receive a secure message reminder asking subjects to schedule an appointment with their provider or make a nurse visit to follow-up on their blood pressure | Other: Secure message reminder<br>* Single secure message reminder asking subjects to schedule an appointment with their provider or make a nurse visit to follow-up on their blood pressure<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Appointment with new blood pressure reading | Percentage of patients who complete an appointment with a new documented blood pressure reading within six weeks after distributing the secure message reminder | 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| New appointment with new blood pressure reading |  | 6 weeks | 
| Existing appointment kept with new blood pressure reading |  | 6 weeks | 
| Change in antihypertensive regimen |  | 6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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hypertension