Virtual Hypertension Management Pilot

Study Overview
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Brief Summary
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Investigators are examining the quality improvement impact of providing patients with a an electronic health record-connected blood pressure cuff. Investigators will give half of patients already eligible for hypertension management within a clinical pharmacist panel, the ability to upload their blood pressure data into Stanford's electronic health record.

Official Title
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Virtual Hypertension Management Pilot: Randomized Evaluation of Electronic Health Record-connected Blood Pressure Cuffs in a Clinical Pharmacist Panel.

Conditions
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Hypertension, Electronic Health Record, Digital Health

Intervention / Treatment
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* Other: Connected-device
* Other: Usual care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Hypertension as defined by clinical pharmacist usual care panel (2 or more readings of blood pressure >140/90) Exclusion Criteria: Pregnancy Chronic kidney disease III or IV Systolic heart failure with ejection fraction <35% Current use of 3 or more anti-hypertension drugs

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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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 |
| --- | --- |
| Placebo Comparator: Control<br>This arm will consist of the usual care of management of hypertension by a clinical pharmacist. | Other: Usual care<br>* This intervention will consist of usual clinical care as determined by the clinical pharmacist.<br>|
| Active Comparator: Intervention<br>This arm will consistent of usual care plus the addition of a blood pressure cuff that will allow patients to upload data to the electronic health record via a secure portal. | Other: Connected-device<br>* This intervention will allow patients to upload blood pressure data automatically from a blood pressure cuff into the electronic health record.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in blood pressure over time in control group vs. the intervention group | Difference in the change in blood pressure between the control group and intervention group. | From enrollment to 6 months later | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient visits | Measurement of the number of in-person visits | From enrollment to 6 months later | 
| Patient remote interactions | Measurement of the number of patient phone calls plus patient-portal messages to the clinical pharmacist | From enrollment to 6 months later | 
| Medication changes | Number of changes in medication or medication dose | From enrollment to 6 months later | 
| Blood pressure control | Time to reach target blood pressure control (Adults 18-59 years of age <140/90 mm Hg, Adults 60-85 years of age, without a diagnosis of diabetes, <150/90 mm Hg, Adults 60-85 years of age, with a diagnosis of diabetes, <140/90 mm Hg) | From enrollment to 6 months later |