Key result
New provider-facing hypertension management platform integrates digital health interventions into clinical workflows.
Why the study?
Hypertension control rates have decreased across the US, and digital health tools that reduce clinician inertia require careful design to integrate into clinical workflows.
This paper outlines a framework for developing EHR-integrated digital health tools to improve hypertension management by reducing clinician inertia.
Hypothesis-generating for EHR-integrated hypertension tools; requires prospective validation before clinical adoption.
BACKGROUND: High blood pressure affects approximately 116 million adults in the United States. It is the leading risk factor for death and disability across the world. Unfortunately, over the past decade, hypertension control rates have decreased across the United States. Prediction models and clinical studies have shown that reducing clinician inertia alone is sufficient to reach the target of ≥80% blood pressure control. Digital health tools containing evidence-based algorithms that are able to reduce clinician inertia are a good fit for turning the tide in blood pressure control, but careful consideration should be taken in the design process to integrate digital health interventions into the clinical workflow. METHODS: We describe the development of a provider-facing hypertension management platform. We enumerate key steps of the development process, including needs finding, clinical workflow analysis, treatment algorithm creation, platform design and electronic health record integration. We interviewed and surveyed 5 Stanford clinicians from primary care, cardiology, and their clinical care team members (including nurses, advanced practice providers, medical assistants) to identify needs and break down the steps of clinician workflow analysis. The application design and development stage were aided by a team of approximately 15 specialists in the fields of primary care, hypertension, bioinformatics, and software development. CONCLUSIONS: Digital monitoring holds immense potential for revolutionizing chronic disease management. Our team developed a hypertension management platform at an academic medical center to address some of the top barriers to adoption and achieving clinical outcomes. The frameworks and processes described in this article may be used for the development of a diverse range of digital health tools in the cardiovascular space.
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Hernandez et al. (2024) studied Hypertension (n=5). Electronic Health Record-Integrated Hypertension Management Application was evaluated. A provider-facing hypertension management platform was developed by interviewing 5 clinicians and collaborating with 15 specialists to integrate digital health interventions into clinical workflows.
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