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Review
. 2022 Aug;24(8):267-284.
doi: 10.1007/s11906-022-01193-6. Epub 2022 May 10.

Addressing Hypertension Outcomes Using Telehealth and Population Health Managers: Adaptations and Implementation Considerations

Connor Drake  1 , Allison A Lewinski  2   3 , Abigail Rader  4 , Julie Schexnayder  2 , Hayden B Bosworth  4   2   5   6   3 , Karen M Goldstein  2   5 , Jennifer Gierisch  4   2   5 , Courtney White-Clark  2 , Felicia McCant  2 , Leah L Zullig  4   2
Affiliations
Review

Addressing Hypertension Outcomes Using Telehealth and Population Health Managers: Adaptations and Implementation Considerations

Connor Drake et al. Curr Hypertens Rep. 2022 Aug.

Abstract

Purpose of review: There is a growing evidence base describing population health approaches to improve blood pressure control. We reviewed emerging trends in hypertension population health management and present implementation considerations from an intervention called Team-supported, Electronic health record-leveraged, Active Management (TEAM). By doing so, we highlight the role of population health managers, practitioners who use population level data and to proactively engage at-risk patients, in improving blood pressure control.

Recent findings: Within a population health paradigm, we discuss telehealth-delivered approaches to equitably improve hypertension care delivery. Additionally, we explore implementation considerations and complementary features of team-based, telehealth-delivered, population health management. By leveraging the unique role and expertise of a population health manager as core member of team-based telehealth, health systems can implement a cost-effective and scalable intervention that addresses multi-level barriers to hypertension care delivery. We describe the literature of telehealth-based population health management for patients with hypertension. Using the TEAM intervention as a case study, we then present implementation considerations and intervention adaptations to integrate a population health manager within the health care team and effectively manage hypertension for a defined patient population. We emphasize practical considerations to inform implementation, scaling, and sustainability. We highlight future research directions to advance the field and support translational efforts in diverse clinical and community contexts.

Keywords: Electronic health record; Hypertension; Implementation science; Multidisciplinary care team; Population health management; Telemedicine.

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Conflict of interest statement

Dr. Drake reports receiving funds from ZealCare. Dr. Lewinski reports receiving funding from the PhRMA Foundation and Otsuka. Dr. Bosworth reports receiving research funds from Sanofi, Otsuka, Johnson and Johnson, Improved Patient Outcomes, Novo Nordisk, PhRMA Foundation as well as consulting funds from Walmart, Webmed, Sanofi, Otsuka, Abbott, and Novartis. Dr. Zullig reports receiving funding from the PhRMA Foundation and Proteus Digital Health as well as consulting funds from Novartis and Pfizer. The remaining authors have no competing interests to declare. The findings and conclusions in this document are those of the author(s) who are responsible for its contents and do not represent the views of the Department of Veterans Affairs, the US Government, or Duke University. Therefore, no statement in this article should be construed as an official position of the Department of Veterans Affairs or Duke University.

Figures

Fig. 1
Fig. 1
TEAM intervention core components, including team-based care planning, population health manager, EHR support, telehealth outreach, and patient self-management and shared decision-making, represented as an interconnected cycle
See this image and copyright information in PMC

References

    1. Centers for Disease Control and Prevention (CDC). Facts about hypertension. US Department of Health and Human Services. 2020. https://www.cdc.gov/bloodpressure/facts.htm. Accessed 7 April 2021.
    1. Kannel WB. Blood pressure as a cardiovascular risk factor. JAMA. 1996;275(20):1571. doi: 10.1001/jama.1996.03530440051036. - DOI - PubMed
    1. Virani SS, Alonso A, Aparicio HJ, Benjamin EJ, Bittencourt MS, Callaway CW, et al. Heart disease and stroke statistics—2021 update: a report from the American Heart Association. Circulation. 2021;143:e254–e743. doi: 10.1161/CIR.0000000000000950. - DOI - PubMed
    1. Buttorff C, Ruder T, Bauman M. Multiple chronic conditions in the United States. Santa Monica, CA: Rand. 2017;10.
    1. Bozkurt B, Aguilar D, Deswal A, Dunbar SB, Francis GS, Horwich T, Jessup M, Kosiborod M, Pritchett A, Ramasubbu K, Rosendorff C, Yancy C. Contributory risk and management of comorbidities of hypertension, obesity, diabetes mellitus, hyperlipidemia, and metabolic syndrome in chronic heart failure: a scientific statement from the American Heart Association. Circulation. 2016;134(23):535–578. doi: 10.1161/CIR.0000000000000450. - DOI - PubMed

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