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Pharmacist hypertension management using an electronic health record-based approach
Kristin K Soreide1, Octavia Solomon, Nada M Farhat
1Henry Ford Health System, 2799 W Grand Blvd, Detroit, MI 48202.
The American Journal of Managed Care
|April 14, 2022
Summary
The chronic medication optimization pharmacist (CMOP) program significantly improved blood pressure control in ambulatory care patients compared to usual care. This pharmacist-led intervention led to better hypertension management and faster achievement of blood pressure goals.
Area of Science:
- Cardiovascular Medicine
- Pharmacotherapy
- Ambulatory Care
Background:
- Hypertension management in ambulatory care requires effective strategies to achieve blood pressure goals.
- The role of specialized pharmacist programs in optimizing chronic disease management is increasingly recognized.
Purpose of the Study:
- To evaluate the impact of a chronic medication optimization pharmacist (CMOP) program on blood pressure (BP) control.
- To compare the time to reach BP goal between the CMOP program and usual care in an ambulatory setting.
Main Methods:
- A retrospective cohort study compared patients managed by CMOP versus usual care from June 2018 to June 2020.
- Primary outcome: proportion of patients at BP goal (<140/90 mm Hg) at 3 months.
- Secondary outcomes: BP goal at 6 months, time to goal, number of visits, and adherence.
Main Results:
- The CMOP cohort showed a significantly greater proportion of patients at BP goal compared to usual care (69.4% vs 42.3%, P < .001).
- CMOP patients achieved goal faster (42.99 vs 63.12 days, P = .002) and had improved adherence (50.4% to 72.1%, P = .03).
- While more visits were required in the CMOP group (1.67 vs 1.18, P = .001), overall outcomes were superior.
Conclusions:
- The CMOP program effectively improved blood pressure control in a predominantly African American patient population.
- Pharmacist-led interventions demonstrate significant benefits in hypertension management within ambulatory care.
- Further research is recommended to assess the long-term sustainability of this intervention.
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