Automatically Transmitted Home Blood Pressure and Automated Patient Feedback in Hypertension Care: the AUTO 2 Trial

Inclusion criteria

• Age 18-84 years at enrollment date
• Receives hypertension care primarily from a participating clinician
• Blood pressure on the two most recent days when ambulatory clinic blood pressure was obtained prior to patient identification to was ≥140 mm Hg systolic and/or ≥90 diastolic or last ambulatory clinic blood pressure was ≥150 mm Hg systolic and/or ≥95 diastolic
• Currently has or is willing to obtain a patient portal account from NM.

Exclusion criteria

• Dementia,
• Nursing home resident,
• Stage 5 chronic kidney disease or renal replacement therapy,
• Pregnancy,
• Receiving hospice,
• Not planning to continue to receive hypertension care from NM clinician for the next year,
• Planning to move from the region in the next year,
• Planning to change clinician treating their hypertension in the next year,
• Medical or psychological reason they cannot perform home blood pressure monitoring.
• Known to have average home blood pressure or most recent home blood pressure value of <130/80 mm Hg.

CLINICIAN PARTICIPANT INCLUSION Physician, advanced practice nurse or physician assistant working at a Northwestern Medicine ambulatory primary care site that cares for adults with hypertension (family medicine, internal medicine, medicine/pediatrics, and ambulatory geriatrics sites).

CLINICIAN PARTICIPANT EXCLUSION

• Primary care physicians and clinicians not willing for their patients to participate in study
• Planning to depart NM within the next year
• Not willing to receive patients' out-of-office blood pressure data