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How Home Monitoring Devices Led to a Blood Pressure Control of 91%

When switching patients to remote patient monitoring, dramatic improvements in blood pressure control were reported in a pilot study. The pilot cohort study consisted of 116 patients who had their care managed by Nurse Practitioners, and Pharmacists. The pharmacist will review and sign new prescriptions if needed. These healthcare providers also had the help of health coaches who have been trained to use the physician-developed algorithms for timely medication adjustments. During the study, patients were supposed to measure their blood pressure weekly. 91% of these patients were able to achieve a target BP of less than 135/85 mm Hg in an average of seven weeks.

This program is designed to break through a persistent problem in hypertension management. Using the provided Bluetooth-enabled at-home BP monitoring devices, BP readings are sent from the patient’s home to the office. These readings are automatically, and seamlessly transferred to the EMR. The software program will then analyze the readings, calculate their averages, and the navigators will then move to the next step in their clinical algorithm. If there were to be a change in BP during the weekly patient report, the NP and Pharmacist will obtain an algorithm-determined prescription adjustment. This study was successful because of patient adherence, drug selections, and timely titration.

What patients thought about the program

Dr. Fisher, an endocrinologist who specializes in hypertension, reported that patients were grateful for the program and were appreciative of the constant and personal attention from patient navigators. She added that the ability to control BP without having to come to the office was a huge incentive because it eliminated the stress of travel, cost of parking. and saved the patient's hours of office visits. About seven months after completion of the study, almost 100 patients contacted maintained significant reductions in their BP.