Northwestern University
The purpose of this study is to evaluate the effectiveness of automatically-generated medical advice to patients about to their home blood pressure monitoring results sent through patient portal messages compared to no automated advice and the effectiveness of automated transmission of remotely-obtained blood pressure values compared to self-reported values on systolic blood pressure at 1-year follow up in patients with uncontrolled hypertension whose physicians or advance practice providers provide primary care at Northwestern Medicine. Persistence of effects through 18 months will also be assessed.
Inclusion Criteria: * Age 18-84 years at enrollment date * Receives hypertension care primarily from a participating clinician * Blood pressure on the two most recent days when ambulatory clinic blood pressure was obtained prior to patient identification to was ≥140 mm Hg systolic and/or ≥90 diastolic or last ambulatory clinic blood pressure was ≥150 mm Hg systolic and/or ≥95 diastolic * Currently has or is willing to obtain a patient portal account from NM. Exclusion Criteria: * Dementia, * Nursing home resident, * Stage 5 chronic kidney disease or renal replacement therapy, * Pregnancy, *…
Participants will be provided with a home blood pressure monitor and method to use the EHR portal to enter home collected blood pressures into the EHR.
Patients will received periodic messages about the results of their home blood pressure monitoring with suggestions to consult with clinical care team when indicated.
Participants will be provided with a blood pressure monitor and application to automatically transmit home blood pressures to their EHR record.
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