Technology-driven intervention to improve hypertension outcomes in community health centers

Donna Shelley, Tuo Yen Tseng, Abigail G. Matthews, Daren Wu, Pamela Ferrari, Asaf Cohen, Mari Millery, Olugbenga Ogedegbe, Lindsay Farrell, Helene Kopal

Research output: Contribution to journalArticle

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 languageEnglish (US)
JournalAmerican Journal of Managed Care
Volume17
Issue numberSPEC. ISSUE
StatePublished - Dec 2011

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Community Health Centers
Clinical Decision Support Systems
Hypertension
Technology
Electronic Health Records
Blood Pressure
Guideline Adherence
Health
Research

ASJC Scopus subject areas

  • Health Policy

Cite this

Shelley, D., Tseng, T. Y., Matthews, A. G., Wu, D., Ferrari, P., Cohen, A., ... Kopal, H. (2011). Technology-driven intervention to improve hypertension outcomes in community health centers. American Journal of Managed Care, 17(SPEC. ISSUE).

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 journalArticle

Shelley, D, Tseng, TY, Matthews, AG, Wu, D, Ferrari, P, Cohen, A, Millery, M, Ogedegbe, O, Farrell, L & Kopal, H 2011, 'Technology-driven intervention to improve hypertension outcomes in community health centers', American Journal of Managed Care, vol. 17, no. SPEC. ISSUE.
Shelley D, Tseng TY, Matthews AG, Wu D, Ferrari P, Cohen A et al. Technology-driven intervention to improve hypertension outcomes in community health centers. American Journal of Managed Care. 2011 Dec;17(SPEC. ISSUE).
Shelley, Donna ; Tseng, Tuo Yen ; Matthews, Abigail G. ; Wu, Daren ; Ferrari, Pamela ; Cohen, Asaf ; Millery, Mari ; Ogedegbe, Olugbenga ; Farrell, Lindsay ; Kopal, Helene. / Technology-driven intervention to improve hypertension outcomes in community health centers. In: American Journal of Managed Care. 2011 ; Vol. 17, No. SPEC. ISSUE.
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