EHR-Enabled Support Teams for High Blood Pressure Management

Overseen By Tiffany Martinez

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: NYU Langone Health

Must be taking: Antihypertensives

Disqualifiers: Decline observation, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

Duration: 12 months

1726 Participants Needed

Trial Summary

What is the purpose of this trial?

The study team will conduct a cluster randomized control trial in 10 NYU primary care practices to assess the effectiveness and implementation of the multicomponent intervention on medication adherence and blood pressure control for patients who are non-adherent to antihypertensive medications.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It focuses on helping patients who are not sticking to their blood pressure medications, so it's likely you will continue your current treatment.

What data supports the effectiveness of the treatment Electronic Health Record (EHR) Enabled Teamlets for high blood pressure management?

Research shows that using electronic health records (EHRs) to link with pharmacy data can help identify patients with high blood pressure who are not taking their medication as prescribed. This approach, combined with team-based care, has been effective in improving medication adherence and managing blood pressure. ^{1 2 3 4 5}

Is the EHR-Enabled Support Teams approach generally safe for managing high blood pressure?

The use of electronic health records (EHRs) in healthcare has been studied for safety, and while EHRs can help identify medication issues and improve care, they also have potential safety hazards. It's important for healthcare providers to verify and address these risks to ensure safe use. ^{1 6 7 8 9}

How is the EHR-Enabled Support Teams treatment for high blood pressure different from other treatments?

The EHR-Enabled Support Teams treatment is unique because it uses electronic health records (EHRs) to automatically identify patients with high blood pressure and low medication adherence, and then combines this data with team-based care to improve medication adherence and blood pressure management. ^{1 10 11 12 13}

Research Team

Saul Blecker, MD

Principal Investigator

NYU Langone Health

Eligibility Criteria

This trial is for adults over 18 with high blood pressure, diagnosed as having a reading of at least 140/90 or already on antihypertensive medication. They must have visited an NYULH outpatient clinic between June 2022 and December 2025. Healthcare workers involved include physicians, medical assistants, nurses at NYULH ambulatory locations.

Inclusion Criteria

I am a healthcare professional at NYULH seeing adult patients.

I am over 18 and have high blood pressure or am on medication for it.

Exclusion Criteria

No specific exclusion criteria for patients in chart review

I do not wish to be observed without treatment.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a multicomponent intervention to improve medication adherence and blood pressure control

12 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

Treatment Details

Interventions

• Electronic Health Record (EHR) Enabled Teamlets

Trial Overview The study tests if using 'teamlets'—small healthcare teams guided by Electronic Health Records (EHR)—helps patients stick to their blood pressure medications better and control their hypertension more effectively in primary care settings across up to 22 NYU clinics.

Participant Groups

Group I: Intervention Group Experimental Treatment 1 Intervention

Group II: Usual Care Group Active Control 1 Intervention

Usual Care Clinical Decision Support (CDS) Tools

Who Is Running the Clinical Trial?

NYU Langone Health

Lead Sponsor

Trials

1,431

Recruited

838,000+

National Heart, Lung, and Blood Institute (NHLBI)

Collaborator

Trials

3,987

Recruited

47,860,000+

Findings from Research

The Hypertension Management Program (HMP) was successfully adapted and implemented in a federally qualified health center in South Carolina, involving clinical pharmacists in managing hypertension for 316 patients through 758 visits, demonstrating its effectiveness in improving hypertension control.

The total cost of the HMP was $325,532, averaging $3.62 per patient per month, indicating that a team-based, patient-centered approach can be both cost-effective and beneficial in resource-limited settings for managing hypertension.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A Mixed-Methods Approach for Evaluating Implementation Processes and Program Costs for a Hypertension Management Program Implemented in a Federally Qualified Health Center. Tucker-Brown, A., Spafford, M., Wittenborn, J., et al.[2023]

References

1. Canada pubmed.ncbi.nlm.nih.gov

Leveraging Electronic Health Record Technology and Team Care to Address Medication Adherence: Protocol for a Cluster Randomized Controlled Trial. [2023]

2. United States pubmed.ncbi.nlm.nih.gov

The association between EHRs and care coordination varies by team cohesion. [2021]

3. United States pubmed.ncbi.nlm.nih.gov

Development of a Multistep Hypertension Quality Improvement Program in an Academic General Medicine Practice. [2023]

4. United States pubmed.ncbi.nlm.nih.gov

Testing electronic algorithms to create disease registries in a safety net system. [2021]

5. United States pubmed.ncbi.nlm.nih.gov

Electronic health record "super-users" and "under-users" in ambulatory care practices. [2020]

6. United States pubmed.ncbi.nlm.nih.gov

Safe use of electronic health records and health information technology systems: trust but verify. [2018]

7. United States pubmed.ncbi.nlm.nih.gov

Identifying patients with hypertension: a case for auditing electronic health record data. [2021]

8. Germany pubmed.ncbi.nlm.nih.gov

Using Electronic Health Records to Identify Adverse Drug Events in Ambulatory Care: A Systematic Review. [2020]

9. United States pubmed.ncbi.nlm.nih.gov

Computer-based simulation to reduce EHR-related chemotherapy ordering errors. [2021]

10. England pubmed.ncbi.nlm.nih.gov

Comparing ascertainment of chronic condition status with problem lists versus encounter diagnoses from electronic health records. [2023]

11. Brazil pubmed.ncbi.nlm.nih.gov

Blood Pressure Control and Associated Factors in a Real-World Team-Based Care Center. [2021]

12. England pubmed.ncbi.nlm.nih.gov

Implementation of an electronic health records system within an interprofessional model of care. [2017]

13. United States pubmed.ncbi.nlm.nih.gov

A Mixed-Methods Approach for Evaluating Implementation Processes and Program Costs for a Hypertension Management Program Implemented in a Federally Qualified Health Center. [2023]