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Using Machine Learning to advance primary care: an example of predictive modeling of hypertension risk to impact outcomes [Hypertension]

Annals of Family Medicine

Context: While hypertension is the most common chronic disease cared for during adult primary care visits, it is challenging to know which hypertensive patients have the highest risk of cardiovascular complications in the future. Population Studied: LVHN has 107,851 adult out-patients with hypertension, and 66.4%

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The T-Connector Approach: a simultaneous method for in-office assessment of home blood pressure monitor accuracy [Hypertension]

Annals of Family Medicine

Context Hypertension Canada recommends home blood pressure monitors (HBPM) for diagnosing and managing hypertension. This makes determining HBPM accuracy of great clinical importance, but there is no established method of doing so in the office. Setting Kaye Edmonton Clinic Family Medicine Clinic and a hypertension research lab.

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Advancing Primary Care through a Model Unit for Innovative Practice Enhancement [Practice management and organization]

Annals of Family Medicine

Intervention/Instrument: In its first phase, the MU incorporated three interventions tailored specifically to its context: nurse-led hypertension management, integration of blocks of telehealth consultations into routine clinician schedules, and a pilot of an ambient documentation system to supplant clinician-generated visit notes.

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Implementation Evaluation of a Community Health Worker Program for Patients with Type 2 Diabetes or Hypertension [Dissemination and implementation research]

Annals of Family Medicine

Context Disparities in type 2 diabetes mellitus (T2D) and hypertension (HTN) control are well-described. However, studies on the generalizability and implementation of CHW interventions in clinical and community settings are limited. Setting 3 primary care clinics in SW Virginia.

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Intensity of medication review activities in private and public clinics [Prescribing and pharmacotherapeutics]

Annals of Family Medicine

Objective: We aimed to compare medication review activities between private and public clinics. Study Design: Survey of medication review activities after primary care visits. Results: Medication review forms were collected for 103 and 302 visits in private and public clinics, respectively. vs 41.1%) background.

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A Multisite CFIR Study of Readiness to Implement Collaboration Oriented Approach to Controlling High Blood Pressure (COACH) [Dissemination and implementation research]

Annals of Family Medicine

Population Studied: Primary care team members involved in high blood pressure management. Results: 72 care team members at 9 clinics participated. Context: Evaluating organizational readiness for implementing digital health solutions can identify potential barriers and increase the likelihood of sustained adoption.

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Racial and Disaggregated Ethnic Disparities of Blood Pressure Control in Community Health Centers [Hypertension]

Annals of Family Medicine

Context: Hypertension is the most prevalent reversible risk for cardiovascular morbidity and mortality. Setting: 953 community-based primary care clinics in a national network from 25 states across the United States. Design: Retrospective cohort study. Comparisons between groups are presented as odds ratios (OR).