Design and Implementation of an Electronic Health Record-Integrated Hypertension Management Application.

Area of Science:

• Cardiovascular Medicine
• Digital Health
• Health Informatics

Background:

• Hypertension affects 116 million US adults and is a leading global risk factor for mortality.
• Hypertension control rates have declined in the US over the last decade.
• Reducing clinician inertia is key to achieving target blood pressure control rates.

Purpose of the Study:

• To describe the development of a provider-facing digital health platform for hypertension management.
• To address barriers to adoption and clinical outcomes in chronic disease management.
• To provide a framework for developing cardiovascular digital health tools.

Main Methods:

• Needs finding through clinician interviews and surveys.
• Clinical workflow analysis.
• Development of treatment algorithms and platform design with EHR integration.
• Collaboration with specialists in primary care, hypertension, bioinformatics, and software development.

Main Results:

• A provider-facing hypertension management platform was developed.
• The development process involved key steps: needs finding, workflow analysis, algorithm creation, platform design, and EHR integration.
• Input was gathered from 5 Stanford clinicians and their care team members.

Conclusions:

• Digital monitoring offers significant potential for transforming chronic disease management.
• The developed platform aims to overcome barriers to adoption and improve clinical outcomes.
• The described development process can guide the creation of various digital health tools in cardiology.