Team-based Care for High Blood Pressure

Palo Alto (17 mi)

Overseen byDonna Shelley, MD

Age: 18+

Sex: Any

Travel: May be covered

Time Reimbursement: Varies

Trial Phase: N/A

Waitlist Available

Sponsor: New York University

No Placebo Group

Trial Summary

What is the purpose of this trial?The study is a stepped-wedge cluster randomized control trial to compare the effect of Practice Facilitation in 90 small-to-medium sized independent primary care practices on the adoption of team-based care.

Eligibility Criteria

This trial is for small-to-medium primary care practices with 1-5 healthcare providers and at least 2 non-physician staff. They must use an EHR system, have over 200 patients with hypertension, not be involved in other CVD initiatives, and agree to a 'physician champion' leading the intervention.

Inclusion Criteria

My care team includes at least 2 non-physician staff members available.

My practice manages hypertension for at least 200 patients.

Treatment Details

The study tests Practice Facilitation's impact on adopting team-based care for managing high blood pressure within independent primary care practices. It randomly assigns when each practice starts the intervention in a stepped-wedge design.

2Treatment groups

Active Control

Group I: Practice FacilitationActive Control1 Intervention

Practices review coaching and support from a trained practice facilitator. This includes 24 site visits in which facilitators meet with staff to work on implementing system changes to improve hypertension management.

Group II: Current PracticeActive Control1 Intervention

Practices will deliver care as usual and patients at these sites receive standard HTN care delivered.