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

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores new methods to help people manage high blood pressure. It focuses on using electronic health records (EHRs) to create support teams, known as EHR-Enabled Teamlets, that assist patients in adhering to their medication plans. The trial includes one group receiving usual care and another receiving the new team-based support. This study suits individuals with high blood pressure who have visited an NYU clinic since June 2022. As an unphased trial, it offers participants the opportunity to contribute to innovative healthcare solutions that could enhance future treatment strategies.

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 prior data suggests that this EHR-enabled teamlet intervention is safe for managing high blood pressure?

Research has shown that Electronic Health Records (EHR) can safely assist small healthcare teams in managing chronic conditions like high blood pressure. Studies have found EHR systems effective for blood pressure management without major safety concerns.

One study demonstrated that EHR alerts helped doctors quickly identify high blood pressure and decide on the best actions, whether in-person or remotely, with no major safety issues reported. Team-based care models using EHRs have also shown promise in improving blood pressure control without causing harm.

Overall, EHR systems are considered safe tools that help healthcare teams manage high blood pressure effectively. There is no evidence of serious side effects or dangers associated with using EHR in these settings. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about EHR-Enabled Teamlets for managing high blood pressure because they integrate technology with personalized care. Unlike standard treatments that rely mainly on medication and patient self-monitoring, this approach uses Electronic Health Records (EHR) to create a coordinated care team that helps tailor treatment plans to individual needs. This method aims to enhance communication between healthcare providers and patients, potentially leading to more effective blood pressure management and improved health outcomes. By leveraging real-time data, this innovative strategy could revolutionize how hypertension is managed, making treatment more efficient and personalized.

What evidence suggests that this EHR-enabled teamlet intervention is effective for managing high blood pressure?

Research has shown that Electronic Health Records (EHR) can help doctors manage high blood pressure more effectively. In this trial, participants in the Intervention Group will receive care through EHR-enabled teamlets, which include an EHR-driven dashboard for tracking patients' progress. This approach can reduce variations in high blood pressure treatment in primary care. Studies have found that EHRs enhance medical teams' understanding and treatment of high blood pressure. By tracking patients' health data, EHRs help ensure medication adherence and blood pressure control. This method simplifies the process for doctors to support patients in following their treatment plans. ^{5 6 7 8 9}

Who Is on the Research Team?

Saul Blecker, MD

Principal Investigator

NYU Langone Health

Are You a Good Fit for This Trial?

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.

Exclusion Criteria

No specific exclusion criteria for patients in chart review

I do not wish to be observed without treatment.

Timeline for a Trial Participant

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

What Are the Treatments Tested in This Trial?

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.

How Is the Trial Designed?

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+

Published Research Related to This Trial

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]

Citations

1. sciencedirect.com sciencedirect.com/science/article/pii/S2772963X24007087

Using Electronic Health Records to Evaluate Treatment ... More than 45% of patients with markedly elevated blood pressure did not achieve control at 12 months. Black patients, despite more frequent antihypertensive ...

2. ahajournals.org ahajournals.org/doi/10.1161/JAHA.123.030884

Design and Implementation of an Electronic Health Record ... We describe the development of a provider‐facing hypertension management platform. We enumerate key steps of the development process, including ...

3. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC11232442/

Development and usability of an EHR‐driven hypertension ... An EHR‐driven dashboard can be a novel tool for addressing hypertension disparities in primary care. It offers a platform where clinicians can ...

4. ojphi.jmir.org ojphi.jmir.org/2024/1/e48300

Electronic Health Records for Population Health Management This study sought to assess the comparability of 6 different EHR-based hypertension prevalence estimates with estimates from a national survey.

5. researchprotocols.org researchprotocols.org/2023/1/e45915/

A Multisite Electronic Health Record Integrated Remote ... The primary outcome of this study will be the absolute difference in systolic BP in mm Hg from enrollment to 6 months. Secondary outcome ...

6. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC10926825/

Design and Implementation of an Electronic Health Record ... Digital monitoring holds immense potential for revolutionizing chronic disease management. Our team developed a hypertension management platform ...

7. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC7887650/

Improving cardiovascular outcomes by using team-supported ... Our project will address uncontrolled BP by leveraging team-based care, the Veteran's Health Administration Electronic Health Record, and ...

8. bmccardiovascdisord.biomedcentral.com bmccardiovascdisord.biomedcentral.com/articles/10.1186/s12872-024-04161-x

Use of electronic health records to characterize patients with ... In this retrospective cohort study, we applied two computable definitions to the EHR data to identify patients with controlled and uncontrolled hypertension.

9. jamanetwork.com jamanetwork.com/journals/jamanetworkopen/fullarticle/2788120

Clinician Decisions After Remote Notification of Elevated ... These findings suggest that EHR alerts for elevated BP during remote monitoring were effective in prompting a mix of remote and office-based management.