Remote Monitoring and Virtual Collaborative Care For Hypertension Control To Prevent Cognitive Decline

Remote Monitoring and Virtual Collaborative Care For Hypertension Control To Prevent Cognitive Decline: Phase I

This purpose of this study is to examine an aggressive method of blood pressure control that involves home blood pressure monitoring and management of medications by a team of clinical pharmacists in coordination with a primary care physician.

Inclusion Criteria:

• Age 65 and older
• Active patient in participating primary care clinic
• Access to compatible "smartphone" or device (i.e., Android, Kindle or Apple with internet connectivity)
• Elevated blood pressure as defined by:

Systolic Blood Pressure >140 at current visit AND documented history of hypertension OR Systolic Blood Pressure > 140 at current visit and at another visit in last 18 months OR Systolic Blood Pressure >160 at current visit

• Sufficiently fluent in English to participate in study procedures
• Adequate vision and hearing to complete study procedures

Exclusion Criteria:

• Clinically significant illness that may affect safety or completion per their treating Primary Care Physician or study physician
• End stage renal disease on dialysis
• Chronic active disease with expected life expectancy < 2 years as determined by the study team