Clinical Decision Support Tool for the Treatment of Uncontrolled Hypertension

A Stepped Wedged, Cluster Randomized Clinical Trial to Evaluate the Efficacy of a Clinical Decision Support Tool in the Treatment of Uncontrolled Hypertension

The goal of this clinical trial is to study whether having a clinical decision support (CDS) tool available to clinician use will more effectively lower BP 4 weeks after an outpatient visit compared with usual care. The main objective is to assess the impact of the CDS tool, that is embedded with the electronic medical record (EMR), that is available during outpatient clinical encounters, on blood pressure (BP) changes among participants with uncontrolled hypertension.

Participants will:

Visit the clinic 4 weeks, after their initial clinician visit, for a BP check.

Inclusion Criteria:

1. Men and women 18 years of age or older
2. Electronic Health Record (EHR) of hypertension AND prescribed at least one BP lowering medication
3. Office systolic BP of 130 mmHg or higher
4. Willing and able to comply with the study instructions AND attend a scheduled study visit

Exclusion Criteria:

1. Women who are pregnant, plan to become pregnant, or are breast-feeding
2. Know heart failure with reduced ejection fraction and a left ventricular ejection fraction of less than 40%
3. End-stage kidney disease currently undergoing renal replacement therapy, or an eGFR < 15ml/min/1.73m2
4. In the opinion of the investigator, any other condition that will preclude participation in the study