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Predicting changes in hypertension control using electronic health records from a chronic disease management program

Jimeng Sun, Candace D McNaughton, Ping Zhang, Adam Perer, Aris Gkoulalas-Divanis, Joshua C Denny, Jacqueline Kirby, Thomas Lasko, Alexander Saip, Bradley A Malin
2014 JAMIA Journal of the American Medical Informatics Association  
Our ultimate goal is to use data from electronic health records to predict the risk and timing of deterioration in hypertension control.  ...  Method In a cohort of 1294 patients with hypertension enrolled in a chronic disease management program at the Vanderbilt University Medical Center, patients are modeled as an array of features derived  ...  DISCUSSION AND CONCLUSIONS In this paper, we developed a model to predict transition points of BP control for patients with hypertension in a chronic disease management program.  ... 
doi:10.1136/amiajnl-2013-002033 pmid:24045907 pmcid:PMC3932462 fatcat:ru2id27nungcfdqnw72bvl7scu

Improving Hypertension Control and Patient Engagement Using Digital Tools

Richard V. Milani, Carl J. Lavie, Robert M. Bober, Alexander R. Milani, Hector O. Ventura
2017 American Journal of Medicine  
Conclusion: A digital hypertension program is feasible and associated with significant improvement in blood pressure control rates and lifestyle change.  ...  Hypertension is present in 30% of the adult U.S. population and is a major contributor to cardiovascular disease.  ...  (12, 13) Each pharmacist received training in hypertension management as well as use of the custom tools within the electronic medical record created to facilitate optimal management.  ... 
doi:10.1016/j.amjmed.2016.07.029 pmid:27591179 fatcat:c3vv3uqivbah7bs572a273wjoq

Electronic Communications and Home Blood Pressure Monitoring (e-BP) study: Design, delivery, and evaluation framework

Beverly B. Green, James D. Ralston, Paul A. Fishman, Sheryl L. Catz, Andrea Cook, Jim Carlson, Lynda Tyll, David Carrell, Robert S. Thompson
2008 Contemporary Clinical Trials  
care management between the patient, the pharmacist, and the patient's physician via a secure patient website and the electronic medical record).  ...  Randomized controlled trials have provided unequivocal evidence that treatment of hypertension decreases mortality and major disability from cardiovascular disease; however, blood pressure remains inadequately  ...  Changes in patient self-management and self-efficacy Changes in patient self-management will be measured using the Patient Activation Measurement (PAM) [54] and the Patient Assessment of Chronic Care  ... 
doi:10.1016/j.cct.2007.09.005 pmid:17974502 pmcid:PMC2645352 fatcat:iiuvc5w2dvac3axmwam6nxai6a

Patient Stratification Using Electronic Health Records from a Chronic Disease Management Program

Robert Chen, Jimeng Sun, Robert S. Dittus, Daniel Fabbri, Jacqueline Kirby, Cheryl L. Laffer, Candace D. McNaughton, Bradley Malin
2016 IEEE journal of biomedical and health informatics  
Patients were modeled as vectors of features derived from electronic health records (EHRs) over a six-year period.  ...  Materials and Methods-This study is based on a de-identified cohort of 2,521 hypertension patients from a chronic care coordination program at the Vanderbilt University Medical Center.  ...  Acknowledgments This work was supported in part by the National Center for Advancing Translational Sciences (UL1TR000445), the National Heart, Lung, and Blood Institute (HL 1K12HL109019), and the National  ... 
doi:10.1109/jbhi.2016.2514264 pmid:26742152 pmcid:PMC4931988 fatcat:2uxuthetevavncxm3od45llisy

Effectiveness of an mHealth-Based Electronic Decision Support System for Integrated Management of Chronic Conditions in Primary Care

Dorairaj Prabhakaran, Dilip Jha, David Prieto-Merino, Ambuj Roy, Kavita Singh, Vamadevan S. Ajay, Devraj Jindal, Priti Gupta, Dimple Kondal, Shifalika Goenka, Pramod Jacob, Rekha Singh (+16 others)
2019 Circulation  
of mWellcare, an mHealth system consisting of electronic health record storage and an electronic decision support for the integrated management of 5 chronic conditions (hypertension, diabetes mellitus  ...  In a prospective, multicenter, open-label, cluster-randomized controlled trial involving 40 community health centers, using hypertension and diabetes mellitus as entry points, we evaluated the effectiveness  ...  Disclosures Drs Prabhakaran, Tandon, Roy, Vamadevan, and Jindal hold a copyright for the mPower Heart mHealth System, which has features on electronic storage of health records and electronic clinical  ... 
doi:10.1161/circulationaha.118.038192 pmid:30586732 fatcat:6qncmnexcjflrjmywgsw2edzm4

Patients' Acceptance of Smartphone Health Technology for Chronic Disease Management: A Theoretical Model and Empirical Test

Kaili Dou, Ping Yu, Ning Deng, Fang Liu, YingPing Guan, Zhenye Li, Yumeng Ji, Ningkai Du, Xudong Lu, Huilong Duan
2017 JMIR mHealth and uHealth  
Chronic disease patients often face multiple challenges from difficult comorbidities.  ...  Smartphone health technology can be used to help them manage their conditions only if they accept and use the technology.  ...  Study Site To improve population health, a chronic disease management program had been piloted to develop a model for chronic disease prevention and control in Ningxia Province in China.  ... 
doi:10.2196/mhealth.7886 pmid:29212629 pmcid:PMC5738544 fatcat:guv6kiq44nbuzihkhwumjj2ige

Adherence to anti-hypertensive treatment within a chronic disease management program: A longitudinal, retrospective study

Ana Carolina Nascimento Raymundo, Angela Maria Geraldo Pierin
2014 Revista da Escola de Enfermagem da USP  
Method A longitudinal and retrospective study examined 283 patients with hypertension (62.5% women, 73.4 [10.9] years old) who were being monitored by a chronic disease management program for 17 months  ...  Conclusions Strategies such as nurse-performed chronic disease management can increase adherence to anti-hypertensive treatment and therefore contribute to the control of blood pressure, minimizing the  ...  test, throughout the evaluation period among patients with hypertension in a chronic disease management program.  ... 
doi:10.1590/s0080-6234201400005000006 pmid:25493484 fatcat:pdennf5kpncibesidxpjd3ttnu

New Concepts in Hypertension Management: A Population-Based Perspective

Richard V. Milani, Carl J. Lavie, Jonathan K. Wilt, Robert M. Bober, Hector O. Ventura
2016 Progress in cardiovascular diseases  
Hypertension (HTN) is the most common chronic disease in the U.S., and the standard model of office-based care delivery has yielded suboptimal outcomes, with approximately 50% of affected patients not  ...  Abbreviations: BP = Blood pressure CV = Cardiovascular HTN = Hypertension IPU = Integrated practice unit PGHD = Patient-generated health data  ...  (p<0.001), who submitted BP data directly from home to the electronic medical record.  ... 
doi:10.1016/j.pcad.2016.09.005 pmid:27693860 fatcat:wsfwhdz2ifgilmfdxsxcw5joae

Community Lay Worker Guided Home-Based Monitoring Program for Hypertension Control

Sandra Schlup Woods, Cindy L. Costanzo
2016 Journal of Doctoral Nursing Practice  
This project used a community lay worker (CLW) to guide individuals in a home BP monitoring program for HTN control.  ...  in a vulnerable adult population.  ...  In 2003, the model was expanded to include more population specific prevention and health promotion of chronic disease management.  ... 
doi:10.1891/2380-9418.9.2.249 pmid:32750995 fatcat:tlglhzs7mraefbyoaabrmyjssu

An integrated approach to preventing cardiovascular disease: community-based approaches, health system initiatives, and public health policy

Janusz Kaczorowski
2010 Risk Management and Healthcare Policy  
Challenges in managing cardiovascular health more effectively include factors at the patient, provider, and system level.  ...  Policy and system changes are critical to reduce risk in populations, including legislation and public education to reduce dietary sodium and trans-fatty acids, food pricing policies, and changes to health  ...  improvements over the long term. 101 electronic medical or health records A range of electronic systems and tools have been investigated for effectiveness in improving management of chronic diseases,  ... 
doi:10.2147/rmhp.s7528 pmid:22312217 pmcid:PMC3270919 fatcat:yopc5yvamfbvxjzqqwridaarhy

Diabetes care quality indicators improve upon conversion to electronic health records

Bishnu Devkota, B Reichart, E Armbrecht, J Smith
2013 Health Renaissance  
Objectives: To find out whether electronic health record is better than the paper medical records in recording the quality metrics for management of diabetes.  ...  Electronic medical record (EMR) systems have been touted to improve quality and reduce cost of health care delivery.  ...  Conclusion Electronic medical records improve documentation of different quality metrics for the management of chronic diseases for example diabetes and hypertension.  ... 
doi:10.3126/hren.v11i1.7598 fatcat:tsg35vz47vh7nedtbaatz4cgoq

A novel management program for hypertension

Chun-Song Hu, Ya-Ling Han, Jun-Bo Ge, Qing-Hua Wu, Yan-Na Liu, Chang-Sheng Ma, Tengiz Tkebuchava, Da-Yi Hu
2015 Cardiovascular Diagnosis and Therapy  
In this article, we describe a comprehensive management program for hypertension (HTN), based on the experience of leading cardiovascular centers in China.  ...  Therapeutic management includes lifestyle changes, risk factor management and pharmacological intervention and should allow reliable lowering blood pressure (BP).  ...  Acknowledgements This paper is a part of Dr. CS Hu's doctoral thesis, and a part of this manuscript was written early in 2006.  ... 
doi:10.3978/j.issn.2223-3652.2015.05.13 pmid:26331115 pmcid:PMC4536474 fatcat:rchmehhdkfhpzmaq3bwhns2boy

It Takes a Community: The North Carolina Division of Public Health and the North Carolina Area Health Education Center Program Partner to Reduce Strokes and Heart Attacks

Samuel Cykert, Ruth Petersen, Ann Lefebvre
2012 North Carolina Medical Journal  
The North Carolina Division of Public Health is leading a statewide project using a combination of approaches to address cardiovascular risk factors including obesity, hypertension, diabetes, and cigarette  ...  , tobacco use, and weight management.  ...  In the mid 1990s, the group received funding from a national grant to establish an electronic medical record (EMR). Back in 2006, when Dr.  ... 
doi:10.18043/ncm.73.6.469 fatcat:2mlnmmw7qrex7e4x4dfwies3nq

Changing Results—Engage and Activate to Enhance Wellness: A Randomized Clinical Trial to Improve Cardiovascular Risk Management

Esti Iturralde, Stacy A. Sterling, Connie S. Uratsu, Pranita Mishra, Thekla B. Ross, Richard W. Grant
2019 Journal of the American Heart Association : Cardiovascular and Cerebrovascular Disease  
The control group (n=315) received usual care within an existing CVD population-based disease management program.  ...  Despite the success of current cardiovascular disease (CVD) management programs, many patients do not achieve optimal control of CVD-related risk factors.  ...  We also thank our patient participants, CREATE Wellness interventionists, and the care managers and clinical leaders from San Jose, Santa Clara, and Union City/Fremont KPNC facilities for their participation  ... 
doi:10.1161/jaha.119.014021 pmid:31787053 pmcid:PMC6912976 fatcat:pwmyd4chpzcddim4qdj42efv4q

Conditions potentially sensitive to a Personal Health Record (PHR) intervention, a systematic review

Morgan Price, Paule Bellwood, Nicole Kitson, Iryna Davies, Jens Weber, Francis Lau
2015 BMC Medical Informatics and Decision Making  
Personal Health Records (PHRs) are electronic health records controlled, shared or maintained by patients to support patient centered care.  ...  Conditions with evidence of benefit when using PHRs tended to be chronic conditions with a feedback loop between monitoring in the PHR and direct behaviours that could be self-managed.  ...  Funding This work is funded, in part, through the Alberta Health's Personal Health Portal program.  ... 
doi:10.1186/s12911-015-0159-1 pmid:25927384 pmcid:PMC4411701 fatcat:fd7p4dic6rh3fco7nhhgxtpudm
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