Implementing Hypertension Screening Guidelines in Primary Care
Hypertension,Essential, White Coat Hypertension
About this trial
This is an interventional health services research trial for Hypertension,Essential focused on measuring hypertension, screening, guidelines, implementation, randomized
Eligibility Criteria
Patient Inclusion Criteria (as per electronic medical records):
- Elevated blood pressure (BP) (systolic BP>=140 mmHg or diastolic BP >=90 mmHg) at a scheduled clinic visit with a primary care provider from a clinic that is participating in the study; if multiple BP readings were taken from a visit, then the average of the readings will be used
Patient Exclusion Criteria (as per electronic medical records):
- Prior diagnosis of hypertension
- Prior diagnosis of white-coat hypertension
- Prescribed antihypertensive medication
- Severely elevated BP (systolic BP>=180 mmHg or diastolic BP>=110 mmHg)
- Evidence of target-organ damage (chronic kidney disease, cardiovascular disease)
Clinic Inclusion Criteria:
- Primary care clinics that are part of the New York-Presbyterian Hospital Ambulatory Care Network and were not part of implementation development
Clinic Exclusion Criteria:
- Medical director of clinic declines to participate in cluster randomized trial
Sites / Locations
- Center for Behavioral Cardiovascular Health
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Multifaceted Implementation Strategy
Usual Care
Patients will be screened for hypertension by primary care providers, registered nurses, medical assistants, and front desk staff from clinics randomized to receive the intervention, Multifaceted Implementation Strategy.
Patients will be screened for hypertension by primary care providers, nurses, medical assistants, and front desk staff of clinics randomized to the usual care group that do not intentionally receive any parts of the multifaceted implementation strategy.