Blood Pressure First Medication Therapy Management

Study Overview
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Brief Summary
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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
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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.

Official Title
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Evaluation of the Impact of Self-insured Employer Implementation of an Innovative Care Model Utilizing Pharmacist-delivered MTM Services for Health Plan Beneficiaries With High Blood Pressure

Conditions
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Hypertension, Blood Pressure, Cardiovascular Diseases

Intervention / Treatment
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* Behavioral: Health Management; Blood Pressure


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Cohort<br>This project will evaluate the impact of self-insured employers implementing an innovative care model utilizing pharmacist-delivered MTM services for health plan beneficiaries with high blood pressure. | Behavioral: Health Management; Blood Pressure<br>* 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.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Blood Pressure Control | Management of Systolic and Diastolic Blood Pressure Measures | 6-months | 
| Blood Pressure Change | Systolic and Diastolic Blood Pressure Measure Changes | 6-months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Blood Pressure Medication Adherence | Medication Adherence for Blood Pressure Medications as Measured by Proportion of Days Covered (PDC) | 6-months | 
| Health Care Utilization of Primary Care Services | Evaluation of Pre- and Post-Intervention Frequency of Primary Health Care Visits | 6-months | 
| Health Care Utilization of Emergency Department Services | Evaluation of Pre- and Post-Intervention Frequency Emergency Department Visits | 6-months | 
| Health Care Utilization of Hospital Services | Evaluation of Pre- and Post-Intervention Frequency of Hospital Visits | 6-months |