Leveraging Electronic Health Record (EHR) Tools to Reduce Health Disparities for Patients With Uncontrolled Hypertension

Part of paid clinical trials in Chicago, Illinois.

Sponsor
Brigham and Women's Hospital
Study ID
NCT05030467
Status
Completed

Conditions

Eligibility Criteria

Sex
ALL
Age
18 Years - 85 Years
Healthy Volunteers
Not accepted

Interventions

  • REDUCE-BP Intervention — BEHAVIORAL
    Pre-visit: Providers in the intervention arm will receive dashboards which will highlight racial/ethnic differences in rates of achieving blood pressure control within their patient panel. The dashboard will also provide individual-level information for patients with poorly controlled blood pressure. During visit: Providers will receive clinical decision support within relevant patients' charts that highlight the patient's under-treated blood pressure and potential impacts of social needs. Providers will have the opportunity to provide enhanced patient education materials, which can be automatically ordered within the clinical decision support. Post-visit: Patient-subjects' access to the online patient portal will be streamlined by the inclusion of information about the patient portal in the patients' after-visit summary. Providers will also be able to referral patients automatically to nurse BP visits.

Study Details

A two-arm cluster randomized controlled trial targeting primary care providers will be conducted to evaluate the impact of a multicomponent electronic health record (EHR) intervention on hypertension management. Given the cluster trial design, randomization will be conducted at the site level, and in the intervention sites, all eligible providers will receive the intervention. The intervention consists of enhancing tools already available to primary care providers in the EHR system, including developing and implementing provider disparities dashboards, enhancing electronic decision support, and simplifying self-monitoring orders and communication materials. The intervention aims to improve blood pressure control and reduce health disparities in racial and ethnic minorities. Findings from this trial will provide important insight into whether a multicomponent intervention targeting providers and leveraging health information technology can reduce health disparities.

Key Dates

Start date
May 3, 2022
Status verified
May 2025
Primary completion
May 3, 2024
Completion
Jun 1, 2024

Study Design

Enrollment
49,210 participants (actual)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: Intervention Arm
    Providers within the clinics randomized to the intervention arm will receive a variety of EHR-based tools for eligible patients with uncontrolled hypertension.
  • No Intervention: Control Arm
    Providers within the clinics randomized to usual care will receive no EHR tools, except those currently available in clinical practice.

Primary Outcome Measure

Change in Systolic Blood Pressure [ Time Frame: 12 months ]

Locations (1)

FacilityCityStateZIP
Advocate Health CareChicagoIllinois60515

Find similar trials in Chicago, IL

By condition
Hypertension (high blood pressure)
By specialty
CardiologyHeart disease
By research site
Advocate Health Care· Chicago, IL

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