ArticleJournal of the American Heart Association2020
Leveraging the Electronic Health Records for Population Health: A Case Study of Patients With Markedly Elevated Blood Pressure.
Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Use of clinical care classification terminology in the nursing field: A scoping review.International journal of nursing studies advances · 2025Review
- Care coordination and patient safety outcome: a graph-based approach.npj health systems · 2025Article
- Using Electronic Health Records to Evaluate Treatment Gaps and Disparities in Severe Hypertension.JACC. Advances · 2025Article
- Use of electronic health records to characterize patients with uncontrolled hypertension in two large health system networks.BMC cardiovascular disorders · 2024Article
- Barriers to Optimal Clinician Guideline Adherence in Management of Markedly Elevated Blood Pressure: A Qualitative Study.JAMA network open · 2024Article
- Hypertension Trends and Disparities Over 12 Years in a Large Health System: Leveraging the Electronic Health Records.Journal of the American Heart Association · 2024Article
- Barriers to Optimal Clinician Guideline Adherence in the Management of Markedly Elevated Blood Pressure: A Qualitative Content Analysis of Electronic Health Records.medRxiv : the preprint server for health sciences · 2024Article
- Navigating performance measures for ambulatory antimicrobial stewardship: a review of HEDIS® and other metrics the steward should know.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2024Review
- The Science of Precision Prevention: Research Opportunities and Clinical Applications to Reduce Cardiovascular Health Disparities.JACC. Advances · 2024Article
- Leveraging Electronic Health Records to Construct a Phenotype for Hypertension Surveillance in the United States.American journal of hypertension · 2023Article
- Development of a Hypertension Electronic Phenotype for Chronic Disease Surveillance in Electronic Health Records: Key Analytic Decisions and Their Effects.Preventing chronic disease · 2023Article
- Addressing Hypertension Outcomes Using Telehealth and Population Health Managers: Adaptations and Implementation Considerations.Current hypertension reports · 2022Review
- Proceedings From a National Heart, Lung, and Blood Institute and the Centers for Disease Control and Prevention Workshop to Control Hypertension.American journal of hypertension · 2022Article
- Differences in Hypertension Prevalence and Hypertension Control by Urbanization Among Adults in the United States, 2013-2018.American journal of hypertension · 2022Article
- Inflection Point: Ideas for Accelerating Breakthroughs and Improving Cardiovascular Health.Circulation. Cardiovascular quality and outcomes · 2020Article
- Leveraging the Electronic Health Records for Population Health: A Case Study of Patients With Markedly Elevated Blood Pressure.Journal of the American Heart Association · 2020Article
- Patient Portal Frequency of Use in Patients with Hypertension and Diabetes.Journal of the American Board of Family Medicine : JABFMArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Background The digital transformation of medical data provides opportunities to perform digital population health surveillance and identify people inadequately managed in usual care. We leveraged the electronic health records of a large health system to identify patients with markedly elevated blood pressure and characterize their follow-up care pattern. Methods and Results We included 373 861 patients aged 18 to 85 years, who had at least 1 outpatient encounter in the Yale New Haven Health System between January 2013 and December 2017. We described the prevalence and follow-up pattern of patients with at least 1 systolic blood pressure (SBP) ≥160 mm Hg or diastolic blood pressure (DBP) ≥100 mm Hg and patients with at least 1 SBP ≥180 mm Hg or DBP ≥120 mm Hg. Of 373 861 patients included, 56 909 (15.2%) had at least 1 SBP ≥160 mm Hg or DBP ≥100 mm Hg, and 10 476 (2.8%) had at least 1 SBP ≥180 mm Hg or DBP ≥120 mm Hg. Among patients with SBP ≥160 mm Hg or DBP ≥100 mm Hg, only 28.3% had a follow visit within 1 month (time window of follow-up recommended by the guideline) and 19.9% subsequently achieved control targets (SBP <130 mm Hg and DBP <80 mm Hg) within 6 months. Follow-up rate at 1 month and control rate at 6 months for patients with SBP ≥180 mm Hg or DBP ≥120 mm Hg was 31.9% and 17.2%. Conclusions Digital population health surveillance with an electronic health record identified a large number of patients with markedly elevated blood pressure and inadequate follow-up. Many of these patients subsequently failed to achieve control targets.
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