Hypertension Management Using Remote Patient Monitoring

Study Overview
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Brief Summary
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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.

Official Title
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A Pilot Study of Hypertension Management Using Remote Patient Monitoring- Extended Follow Up Using Matched Cohort Design

Conditions
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Hypertension

Intervention / Treatment
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* Behavioral: Controls-ususal care
* Behavioral: Cases-remote patient monitoring prescribed


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 110 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Case<br> | Behavioral: Cases-remote patient monitoring prescribed<br>* Cases: patients prescribed remote patient monitoring for blood pressure during routing care delivery<br>|
| Control<br> | Behavioral: Controls-ususal care<br>* Controls: patients who did not receive remote patient monitoring for blood pressure prescribed during routine care delivery, with multivariable matching to cases<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Controlling High Blood Pressure (NQF 0018) | 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 | 18 months | 
| Controlling High Blood Pressure (NQF 0018) | 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 | 15 months | 
| Controlling High Blood Pressure (NQF 0018) | 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 | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Antihypertensive medication intensification | Count of antihypertensive medication drug classes added or increased during the time frame minus the number decreased or discontinued | 18 months | 
| Antihypertensive medication intensification | Count of antihypertensive medication drug classes added or increased during the time frame minus the number decreased or discontinued | 15 months | 
| Antihypertensive medication intensification | Count of antihypertensive medication drug classes added or increased during the time frame minus the number decreased or discontinued | 12 months |