Abstract
Objectives: To assess the impact of an electronic medical record (EMR) with clinical decision support (CDS) and performance feedback on provider adherence to guideline-recommended care and blood pressure (BP) control compared with a standard EMR alone. Study Design: Quasi-experimental with repeated measures. Methods: The study was conducted in a 4-site, federally qualified health center, Open Door Family Medical Centers, located in New York. The research team, Open Door leadership, providers, and staff developed and implemented a tailored multicomponent CDS system, which included a BP alert, a hypertension (HTN) order set, an HTN template, and clinical reminders. We extracted patient-level data for each encounter 17 months prior to implementation of the intervention (June 2007-October 2008) and 15 months post-intervention (April 2009-June 2010), from the EMR's data tables for all adult nonobstetric patients with a diagnosis of HTN (N = 3636). Results: Rates of HTN control were significantly greater in the post-intervention period compared with the baseline period (50.9% vs 60.8%; P
| Original language | English (US) |
|---|---|
| Journal | American Journal of Managed Care |
| Volume | 17 |
| Issue number | SPEC. ISSUE |
| State | Published - Dec 2011 |
Fingerprint
ASJC Scopus subject areas
- Health Policy
Cite this
Technology-driven intervention to improve hypertension outcomes in community health centers. / Shelley, Donna; Tseng, Tuo Yen; Matthews, Abigail G.; Wu, Daren; Ferrari, Pamela; Cohen, Asaf; Millery, Mari; Ogedegbe, Olugbenga; Farrell, Lindsay; Kopal, Helene.
In: American Journal of Managed Care, Vol. 17, No. SPEC. ISSUE, 12.2011.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Technology-driven intervention to improve hypertension outcomes in community health centers
AU - Shelley, Donna
AU - Tseng, Tuo Yen
AU - Matthews, Abigail G.
AU - Wu, Daren
AU - Ferrari, Pamela
AU - Cohen, Asaf
AU - Millery, Mari
AU - Ogedegbe, Olugbenga
AU - Farrell, Lindsay
AU - Kopal, Helene
PY - 2011/12
Y1 - 2011/12
N2 - Objectives: To assess the impact of an electronic medical record (EMR) with clinical decision support (CDS) and performance feedback on provider adherence to guideline-recommended care and blood pressure (BP) control compared with a standard EMR alone. Study Design: Quasi-experimental with repeated measures. Methods: The study was conducted in a 4-site, federally qualified health center, Open Door Family Medical Centers, located in New York. The research team, Open Door leadership, providers, and staff developed and implemented a tailored multicomponent CDS system, which included a BP alert, a hypertension (HTN) order set, an HTN template, and clinical reminders. We extracted patient-level data for each encounter 17 months prior to implementation of the intervention (June 2007-October 2008) and 15 months post-intervention (April 2009-June 2010), from the EMR's data tables for all adult nonobstetric patients with a diagnosis of HTN (N = 3636). Results: Rates of HTN control were significantly greater in the post-intervention period compared with the baseline period (50.9% vs 60.8%; P
AB - Objectives: To assess the impact of an electronic medical record (EMR) with clinical decision support (CDS) and performance feedback on provider adherence to guideline-recommended care and blood pressure (BP) control compared with a standard EMR alone. Study Design: Quasi-experimental with repeated measures. Methods: The study was conducted in a 4-site, federally qualified health center, Open Door Family Medical Centers, located in New York. The research team, Open Door leadership, providers, and staff developed and implemented a tailored multicomponent CDS system, which included a BP alert, a hypertension (HTN) order set, an HTN template, and clinical reminders. We extracted patient-level data for each encounter 17 months prior to implementation of the intervention (June 2007-October 2008) and 15 months post-intervention (April 2009-June 2010), from the EMR's data tables for all adult nonobstetric patients with a diagnosis of HTN (N = 3636). Results: Rates of HTN control were significantly greater in the post-intervention period compared with the baseline period (50.9% vs 60.8%; P
UR - http://www.scopus.com/inward/record.url?scp=84555178604&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84555178604&partnerID=8YFLogxK
M3 - Article
C2 - 22216768
AN - SCOPUS:84555178604
VL - 17
JO - American Journal of Managed Care
JF - American Journal of Managed Care
SN - 1088-0224
IS - SPEC. ISSUE
ER -