Telemonitoring Helps Pharmacists Manage Patients' Hypertension - InformationWeek
02:33 PM

Telemonitoring Helps Pharmacists Manage Patients' Hypertension

Patients who monitor their blood pressure at home and enlist pharmacists to help manage their care see improved results.

9 Health IT Tools Patients Should Understand
9 Health IT Tools Patients Should Understand
(click image for larger view and for slideshow)
Patients who use a home blood-pressure monitoring device along with pharmacist case management support are more likely to lower their blood pressure (BP) than those who use only a primary care provider, according to research presented recently at the American Heart Association's Quality of Care and Outcomes Research Scientific Sessions 2012.

Investigators came to this conclusion after a six month examination of 450 patients, from 16 primary care clinics, who suffer from uncontrolled high blood pressure. The patients were divided into two groups, with about half assigned to traditional care through their primary care providers and the other half to a primary care provider plus additional management and telemonitoring support from a pharmacist.

The key findings of the study revealed:

-- After six months, 45.2% of participants in the traditional care group and 71.8% in the telemonitoring intervention group had reduced their blood pressure to healthy levels: under 140/90 mm Hg in most patients, and under 130/80 mm Hg in those with diabetes or kidney disease.

-- At the start of the study, all patients' blood pressures averaged 148/85 mm Hg. At six months, the average was 126/76 mm Hg in the telemonitoring group and 138/82 mm Hg in the traditional care group.

-- Patients in the telemonitoring group received more high blood pressure medication after six months than patients in the traditional care group.

-- Patients in the telemonitoring group reported that they were better at remembering to consistently take their medications than those in the traditional care group.

[ Which medical apps are doctors and patients turning to? Read 9 Mobile Health Apps Worth A Closer Look]

"This study showed large improvements in BP control and an 11/6 mm Hg improvement in blood pressure in the telemonitoring intervention group compared to the usual care group at the 6-month time point," Karen Margolis, the study's lead author, told InformationWeek Healthcare.

The study's authors noted that the electronic exchange of medical information between two sites at different locations is a promising tool for managing chronic conditions. Previous research shows that patients with high blood pressure visit a physician an average of 4 times or more per year in the U.S., but BP comes under control in fewer than half of these patients. Margolis and her colleagues believe telemedicine can do better.

With this in mind, the researchers designed a model that provides telemonitoring intervention in which patients received an A&D Medical blood pressure monitor that stores and transmits BP data through a touchtone or cellular phone modem to a secure website.

Pharmacists review that data to determine whether patients need to change their medication regime. The pharmacist case managers work directly with patients under a collaborative practice agreement with the clinics' primary care teams and meet with patients at the clinic and discuss all changes to treatment during telephone visits.

Part of the telephone service also includes a computer system that automatically calls and asks the patient two questions once he or she has sent his data to the website: "Have you missed more than one dose of your blood pressure medication in the past week?" and "Are you having any problems that you would like your study pharmacist to call you about before your next regularly scheduled call?"

A 'yes' answer to either question generates an automatic e-mail alert from the website to the pharmacist. Patients can request the pharmacist to contact them each time they transmit BP data. Pharmacists also receive automatic e-mail alerts if the patient has a dangerously high (≥180/110 mmHg) or low (below 80/50 mmHg) reading.

Since the study lasted only 6 months, HealthPartners Medical Group (HPMG), a multi-specialty practice in the Minneapolis-St. Paul metropolitan area where all 450 patients had their blood pressure measured at the beginning of the study, plans to analyze patient data at 12 months and 18 months to determine the long-term effects of the intervention.

"If these results at 6 months are sustained at the 12-month time-point and are maintained at 18 months after the patients return to the care of their primary physician, this would be one of the most effective methods to improve uncontrolled hypertension," Margolis added.

The 2012 InformationWeek Healthcare IT Priorities Survey finds that grabbing federal incentive dollars and meeting pay-for-performance mandates are the top issues facing IT execs. Find out more in the new, all-digital Time To Deliver issue of InformationWeek Healthcare. (Free registration required.)

Comment  | 
Print  | 
More Insights
Oldest First  |  Newest First  |  Threaded View
How Enterprises Are Attacking the IT Security Enterprise
How Enterprises Are Attacking the IT Security Enterprise
To learn more about what organizations are doing to tackle attacks and threats we surveyed a group of 300 IT and infosec professionals to find out what their biggest IT security challenges are and what they're doing to defend against today's threats. Download the report to see what they're saying.
Register for InformationWeek Newsletters
White Papers
Current Issue
2017 State of the Cloud Report
As the use of public cloud becomes a given, IT leaders must navigate the transition and advocate for management tools or architectures that allow them to realize the benefits they seek. Download this report to explore the issues and how to best leverage the cloud moving forward.
Twitter Feed
InformationWeek Radio
Archived InformationWeek Radio
Join us for a roundup of the top stories on for the week of November 6, 2016. We'll be talking with the editors and correspondents who brought you the top stories of the week to get the "story behind the story."
Sponsored Live Streaming Video
Everything You've Been Told About Mobility Is Wrong
Attend this video symposium with Sean Wisdom, Global Director of Mobility Solutions, and learn about how you can harness powerful new products to mobilize your business potential.
Flash Poll