Peer Comparison Feedback to Providers to Improve Hypertension Control

NCT05160012 | Active Not Recruiting

• 1 other identifier: 849584
• Study Type: interventional
• Target: 93
• Locations: 1 country
• Sites: 1

Brief Summary

As part of a roll out of new payment model for physicians based on hypertension control, the investigators will evaluate a monthly peer comparison message to Primary Care Providers at Penn Medicine Lancaster to see whether provider engagement with patients' overall hypertension management increases, as measured by new or increasing doses of anti-hypertensive medications.

Conditions

Hypertension

Outcome Measures

Primary Outcomes (1)

• Change in new hypertensive medication prescriptions or an increased dose of hypertensive medication

  Change in new hypertensive medication prescriptions or an increased dose of hypertensive medication from baseline to the follow up period, as measured by the proportion of patients with a new prescription or dose placed for hypertensive medications in the electronic health record (EHR) from baseline to follow-up

  6 months

Secondary Outcomes (1)

• Change in hypertension control percentage

  6 months

Study Arms (2)

Control

NO INTERVENTION

This group will not receive peer comparison messages and will continue with usual care.

Intervention

EXPERIMENTAL

This group will receive peer comparison messages.

Behavioral: Peer Comparison Message

Interventions

Peer Comparison Message BEHAVIORAL

In addition to usual care, PCPs will receive a monthly report as an EPIC in basket message describing what category they are in: 1. If HTN control rate \<50th percentile, PCP is told they are below median 2. If HTN control rate is between 50-89th percentile , PCP is told they are below top performer 3. If HTN control rate is between 90-100th percentile, PCP is told they are a high performer

Intervention

Eligibility Criteria

• Age: 18 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Primary Care Providers who have at =\>30 patients hypertension as determined by the HTN quality metric
• Patients aged 18-85 with hypertension in their encounter diagnosis within the last 2 years (office visits, ED/Urgent Care, Hospital, Hospital Encounter, and Prenatal Visit)
• Patients will be counted in the denominator of the quality metric if they have both systolic and diastolic BP measures from an encounter with their PCP department within the last year (including office visits, well child, prenatal visit, consult visit, confidential, e-visit, nursing only, home/offsite visit, and telemedicine) that is \>140 for systolic BP and \>90 diastolic BP

You may not qualify if:

• Primary Care Providers includes providers with \<30 patients in the HTN quality metric
• Patients will be excluded if they are 66 and older with a frailty diagnosis and those with an advanced illness diagnosis within the past year; 81 and older with frailty diagnosis within the past year
• It also excludes patients with end stage renal disease (indicated by evaluation of the GFR, diagnosis of end stage renal disease in last year, dialysis received in last year, or renal transplant) and patients with a pregnancy diagnosis in the last 9 months
• It also excludes patients with an end of life indicator (comfort care encounter in last year, comfort care noted in problem list in last year, and comfort care/palliative care procedures in last year)

Sponsors & Collaborators

• University of Pennsylvania: lead

Study Sites (1)

Lancaster General Hospital

Lancaster, Pennsylvania, 17602, United States

Location

MeSH Terms

Conditions

Hypertension

Condition Hierarchy (Ancestors)

Vascular Diseases; Cardiovascular Diseases

Study Officials

• Shivan Mehta, MD,MBA,MSHP

  University of Pennsylvania

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 9, 2021
• First Posted: December 16, 2021
• Study Start: April 5, 2022
• Primary Completion: October 6, 2022
• Study Completion: April 1, 2026
• Last Updated: December 4, 2025

Record last verified: 2025-12

Locations

US (1)