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Addressing Hypertension Outcomes Using Telehealth and Population Health Managers: Adaptations and Implementation Considerations

PURPOSE OF REVIEW: There is a growing evidence base describing population health approaches to improve blood pressure control. We reviewed emerging trends in hypertension population health management and present implementation considerations from an intervention called Team-supported, Electronic hea...

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Autores principales: Drake, Connor, Lewinski, Allison A., Rader, Abigail, Schexnayder, Julie, Bosworth, Hayden B., Goldstein, Karen M., Gierisch, Jennifer, White-Clark, Courtney, McCant, Felicia, Zullig, Leah L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9087161/
https://www.ncbi.nlm.nih.gov/pubmed/35536464
http://dx.doi.org/10.1007/s11906-022-01193-6
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author Drake, Connor
Lewinski, Allison A.
Rader, Abigail
Schexnayder, Julie
Bosworth, Hayden B.
Goldstein, Karen M.
Gierisch, Jennifer
White-Clark, Courtney
McCant, Felicia
Zullig, Leah L.
author_facet Drake, Connor
Lewinski, Allison A.
Rader, Abigail
Schexnayder, Julie
Bosworth, Hayden B.
Goldstein, Karen M.
Gierisch, Jennifer
White-Clark, Courtney
McCant, Felicia
Zullig, Leah L.
author_sort Drake, Connor
collection PubMed
description PURPOSE OF REVIEW: There is a growing evidence base describing population health approaches to improve blood pressure control. We reviewed emerging trends in hypertension population health management and present implementation considerations from an intervention called Team-supported, Electronic health record-leveraged, Active Management (TEAM). By doing so, we highlight the role of population health managers, practitioners who use population level data and to proactively engage at-risk patients, in improving blood pressure control. RECENT FINDINGS: Within a population health paradigm, we discuss telehealth-delivered approaches to equitably improve hypertension care delivery. Additionally, we explore implementation considerations and complementary features of team-based, telehealth-delivered, population health management. By leveraging the unique role and expertise of a population health manager as core member of team-based telehealth, health systems can implement a cost-effective and scalable intervention that addresses multi-level barriers to hypertension care delivery. SUMMARY: We describe the literature of telehealth-based population health management for patients with hypertension. Using the TEAM intervention as a case study, we then present implementation considerations and intervention adaptations to integrate a population health manager within the health care team and effectively manage hypertension for a defined patient population. We emphasize practical considerations to inform implementation, scaling, and sustainability. We highlight future research directions to advance the field and support translational efforts in diverse clinical and community contexts.
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spelling pubmed-90871612022-05-10 Addressing Hypertension Outcomes Using Telehealth and Population Health Managers: Adaptations and Implementation Considerations Drake, Connor Lewinski, Allison A. Rader, Abigail Schexnayder, Julie Bosworth, Hayden B. Goldstein, Karen M. Gierisch, Jennifer White-Clark, Courtney McCant, Felicia Zullig, Leah L. Curr Hypertens Rep Telemedicine and Technology (HB Bosworth, Section Editor) PURPOSE OF REVIEW: There is a growing evidence base describing population health approaches to improve blood pressure control. We reviewed emerging trends in hypertension population health management and present implementation considerations from an intervention called Team-supported, Electronic health record-leveraged, Active Management (TEAM). By doing so, we highlight the role of population health managers, practitioners who use population level data and to proactively engage at-risk patients, in improving blood pressure control. RECENT FINDINGS: Within a population health paradigm, we discuss telehealth-delivered approaches to equitably improve hypertension care delivery. Additionally, we explore implementation considerations and complementary features of team-based, telehealth-delivered, population health management. By leveraging the unique role and expertise of a population health manager as core member of team-based telehealth, health systems can implement a cost-effective and scalable intervention that addresses multi-level barriers to hypertension care delivery. SUMMARY: We describe the literature of telehealth-based population health management for patients with hypertension. Using the TEAM intervention as a case study, we then present implementation considerations and intervention adaptations to integrate a population health manager within the health care team and effectively manage hypertension for a defined patient population. We emphasize practical considerations to inform implementation, scaling, and sustainability. We highlight future research directions to advance the field and support translational efforts in diverse clinical and community contexts. Springer US 2022-05-10 2022 /pmc/articles/PMC9087161/ /pubmed/35536464 http://dx.doi.org/10.1007/s11906-022-01193-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Telemedicine and Technology (HB Bosworth, Section Editor)
Drake, Connor
Lewinski, Allison A.
Rader, Abigail
Schexnayder, Julie
Bosworth, Hayden B.
Goldstein, Karen M.
Gierisch, Jennifer
White-Clark, Courtney
McCant, Felicia
Zullig, Leah L.
Addressing Hypertension Outcomes Using Telehealth and Population Health Managers: Adaptations and Implementation Considerations
title Addressing Hypertension Outcomes Using Telehealth and Population Health Managers: Adaptations and Implementation Considerations
title_full Addressing Hypertension Outcomes Using Telehealth and Population Health Managers: Adaptations and Implementation Considerations
title_fullStr Addressing Hypertension Outcomes Using Telehealth and Population Health Managers: Adaptations and Implementation Considerations
title_full_unstemmed Addressing Hypertension Outcomes Using Telehealth and Population Health Managers: Adaptations and Implementation Considerations
title_short Addressing Hypertension Outcomes Using Telehealth and Population Health Managers: Adaptations and Implementation Considerations
title_sort addressing hypertension outcomes using telehealth and population health managers: adaptations and implementation considerations
topic Telemedicine and Technology (HB Bosworth, Section Editor)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9087161/
https://www.ncbi.nlm.nih.gov/pubmed/35536464
http://dx.doi.org/10.1007/s11906-022-01193-6
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