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Hypertension is the most common modifiable risk factor for cardiovascular disease among U. S. adults. Despite the long history of established guidelines to promote clinical care, only half of HTN patients in the United States have poorly controlled blood pressure and medication compliance that remains suboptimal. Clinical decision support can help overcome barriers to providing guideline-recommended care and improve HTN management. Despite claims that CDS alerts are likely to have a negative effect on patient care, CDS is only used in a small portion of the medication administration process. The investigators will first convert and integrate an evidence-based hypertension-focused CDS that has been found to be safe in Federally Qualified Health Centers into an existing commercial electronic health record platform used by a large network of independent primary care clinics. The investigators will then randomly select 40 small independent primary care practices in New York City to receive either practice facilitation or solely for the CDS. The investigators will examine the differences in blood pressure control between the CDS+ practice facilitation group's activities and those that received the CDS alone after a twelve-month intervention period. Using the RE-AIM framework, the investigators will also look at the implementation process for scaling the CDS. The results of this report will inform future attempts to implement and scale CDS into small primary care settings, where a significant portion of care delivery occurs in the United States.
Source link: https://clinicaltrials.gov/ct2/show/NCT05588466
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