IHO:BP: Improving Health Outcomes: Blood Pressure

Sponsor

American Medical Association (Other)

Overall Status

Unknown status

CT.gov ID

NCT02021981

Collaborator

Johns Hopkins University (Other)

Enrollment

Location

Duration (Months)

0.2

Patients Per Site Per Month

Study Details

Study Description

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.

Condition or Disease	Intervention/Treatment	Phase
Hypertension

Study Design

Study Type:

Observational

Anticipated Enrollment :

10 participants

Time Perspective:

Retrospective

Official Title:

Improving Health Outcomes: Blood Pressure Program in Practice Sites Located in the Chicago Metropolitan Area and in Maryland

Study Start Date :

Oct 1, 2013

Anticipated Primary Completion Date :

Jan 1, 2017

Anticipated Study Completion Date :

Jul 1, 2017

Arms and Interventions

Arm	Intervention/Treatment
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.

Outcome Measures

Primary Outcome Measures

Improve blood pressure control [One year]
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.

Secondary Outcome Measures

The best way to help clinical practices improve blood pressure control [One year]
A secondary aim is for AMA and JHM quality improvement staff to figure out the best way to help clinical practices in achieving improved blood pressure control. Specifically, we will measure success in implementing changes in hypertension care delivery processes by surveying clinical practice staff.

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

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