Improving Health Outcomes: Blood Pressure

NCT02021981 | Unknown

• 1 other identifier: #2013-1094
• Study Type: observational
• Target: 10
• Locations: 1 country
• Sites: 1

Brief Summary

This quality improvement project is focused on improving hypertension care delivery processes in ambulatory clinical practices, 5 in Illinois and 5 in Maryland for a total of 10 practice sites.The primary aim of this quality improvement project is to improve blood pressure control among patients receiving routine care for hypertension in a diverse group of ambulatory clinical practices. A secondary aim is for American Medical Association (AMA) and Johns Hopkins Medicine (JHM) quality improvement staff to figure out the best way to help clinical practices in achieving improved blood pressure control, including working to increase the use of home blood pressure monitoring.

Conditions

Hypertension

Keywords

Quality Improvement; Primary Care; Blood Pressure, High; Feedback; Knowledge

Outcome Measures

Primary Outcomes (1)

• Improve blood pressure control

  The primary aim of this quality improvement project is to improve blood pressure control among patients receiving routine care for hypertension in a diverse group of ambulatory clinical practices. Specifically, we will measure change from baseline in Systolic Blood Pressure at 12 months.

  One year

Secondary Outcomes (1)

• The best way to help clinical practices improve blood pressure control

  One year

Study Arms (10)

Observational Group 1

Coach care teams in the practice site on how to implement evidence-based enhancements in hypertension care delivery processes, using established quality improvement principles and methods. In one year, figure out the best way to help different types of ambulatory clinical practices achieve improved blood pressure control.

Observation Group 2

Coach care teams in the practice site on how to implement evidence-based enhancements in hypertension care delivery processes, using established quality improvement principles and methods. In one year, figure out the best way to help different types of ambulatory clinical practices achieve improved blood pressure control.

Observation Group 3

Coach care teams in the practice site on how to implement evidence-based enhancements in hypertension care delivery processes, using established quality improvement principles and methods. In one year, figure out the best way to help different types of ambulatory clinical practices achieve improved blood pressure control.

Observation Group 4

Coach care teams in the practice site on how to implement evidence-based enhancements in hypertension care delivery processes, using established quality improvement principles and methods. In one year, figure out the best way to help different types of ambulatory clinical practices achieve improved blood pressure control.

Observation Group 5

Coach care teams in the practice site on how to implement evidence-based enhancements in hypertension care delivery processes, using established quality improvement principles and methods. In one year, figure out the best way to help different types of ambulatory clinical practices achieve improved blood pressure control.

Observation Group 6

Coach care teams in the practice site on how to implement evidence-based enhancements in hypertension care delivery processes, using established quality improvement principles and methods. In one year, figure out the best way to help different types of ambulatory clinical practices achieve improved blood pressure control.

Observation Group 7

Coach care teams in the practice site on how to implement evidence-based enhancements in hypertension care delivery processes, using established quality improvement principles and methods. In one year, figure out the best way to help different types of ambulatory clinical practices achieve improved blood pressure control.

Observation Group 8

Coach care teams in the practice site on how to implement evidence-based enhancements in hypertension care delivery processes, using established quality improvement principles and methods. In one year, figure out the best way to help different types of ambulatory clinical practices achieve improved blood pressure control.

Observation Group 9

Coach care teams in the practice site on how to implement evidence-based enhancements in hypertension care delivery processes, using established quality improvement principles and methods. In one year, figure out the best way to help different types of ambulatory clinical practices achieve improved blood pressure control.

Observation Group 10

Coach care teams in the practice site on how to implement evidence-based enhancements in hypertension care delivery processes, using established quality improvement principles and methods. In one year, figure out the best way to help different types of ambulatory clinical practices achieve improved blood pressure control.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

This quality improvement project will be conducted in 10 ambulatory practice sites that are distinguished by their medical specialty and practice size. There are 9 diverse sites that specialize in family medicine and internal medicine. One site is a cardiology practice. Practices range in size from a mid-size medical group to a single-physician practice. The total number of physicians participating in this project is between 40 and 50. The sites are located in various neighborhoods in the Chicago and Baltimore metropolitan areas and in rural Maryland. The patient populations of the sites are representative of the United States population.

The Practice Sites must * Self-identify as either primary care internal medicine, family practice, or cardiology * Have an electronic health record * Serve patient populations that are diverse and representative of the U.S. adult population * Have a significant number of male and female patients, age 18 or older, voluntarily receiving care for hypertension * Have the resources, staff, and commitment to complete this quality improvement project

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

• American Medical Association: lead
• Johns Hopkins University: collaborator

Study Sites (1)

American Medical Association

Chicago, Illinois, 60611-5885, United States

Location

MeSH Terms

Conditions

Hypertension

Condition Hierarchy (Ancestors)

Vascular Diseases; Cardiovascular Diseases

Study Officials

• Omar Hasan, MBBS MPH FACP

  American Medical Association

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Vice President, Improving Health Outcomes

Study Record Dates

• First Submitted: December 17, 2013
• First Posted: December 27, 2013
• Study Start: October 1, 2013
• Primary Completion: January 1, 2017
• Study Completion: July 1, 2017
• Last Updated: July 13, 2016

Record last verified: 2016-07

Locations

US (1)