Improving Health Outcomes: Blood Pressure (IHO:BP)

• ClinicalTrials.gov Identifier: NCT02021981
• Recruitment Status: Unknown
• First Posted: December 27, 2013
• Last Update Posted: July 13, 2016
• Sponsor: American Medical Association
• Collaborator: Johns Hopkins University
• Information provided by (Responsible Party): Omar Hasan, MBBS, MPH, MS, FACP, American Medical Association

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
Hypertension

Study Design

• Study Type: Observational
• Estimated 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: October 2013
• Estimated Primary Completion Date: January 2017
• Estimated Study Completion Date: July 2017

Groups and Cohorts

Group/Cohort
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 :

1. Improve blood pressure control [ Time Frame: 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 :

1. The best way to help clinical practices improve blood pressure control [ Time Frame: 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

• Ages Eligible for Study: 18 Years and older (Adult, Older Adult)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: Yes
• 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.

Criteria

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

Contacts and Locations

Locations

United States, Illinois

American Medical Association

Chicago, Illinois, United States, 60611-5885

Sponsors and Collaborators

American Medical Association

Johns Hopkins University

Investigators

• Principal Investigator: Omar Hasan, MBBS MPH FACP; American Medical Association

More Information

• Responsible Party: Omar Hasan, MBBS, MPH, MS, FACP, Vice President, Improving Health Outcomes, American Medical Association
• ClinicalTrials.gov Identifier: NCT02021981
• Other Study ID Numbers: #2013-1094
• First Posted: December 27, 2013
• Last Update Posted: July 13, 2016
• Last Verified: July 2016

Keywords provided by Omar Hasan, MBBS, MPH, MS, FACP, American Medical Association:

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

Additional relevant MeSH terms:

Hypertension; Vascular Diseases; Cardiovascular Diseases