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Improving Health Outcomes: Blood Pressure (IHO:BP)

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ClinicalTrials.gov Identifier: NCT02021981
Recruitment Status : Unknown
Verified July 2016 by Omar Hasan, MBBS, MPH, MS, FACP, American Medical Association.
Recruitment status was:  Active, not recruiting
First Posted : December 27, 2013
Last Update Posted : July 13, 2016
Sponsor:
Collaborator:
Johns Hopkins University
Information provided by (Responsible Party):
Omar Hasan, MBBS, MPH, MS, FACP, American Medical Association

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

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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

Resource links provided by the National Library of Medicine


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.



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.



Information from the National Library of Medicine

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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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02021981


Locations
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United States, Illinois
American Medical Association
Chicago, Illinois, United States, 60611-5885
Sponsors and Collaborators
American Medical Association
Johns Hopkins University
Investigators
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Principal Investigator: Omar Hasan, MBBS MPH FACP American Medical Association
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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    Key Record Dates
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:
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Hypertension
Vascular Diseases
Cardiovascular Diseases