{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T11:21:27Z","timestamp":1770117687293,"version":"3.49.0"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T00:00:00Z","timestamp":1768521600000},"content-version":"vor","delay-in-days":15,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"crossref","award":["K12TR004411"],"award-info":[{"award-number":["K12TR004411"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"crossref","award":["K23 HL146982"],"award-info":[{"award-number":["K23 HL146982"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AJP Rep"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Guidelines recommend a 3-day follow-up for severe hypertensive disorders of pregnancy (HDP) and a 7- to 10-day follow-up for nonsevere HDP, but implementation varies.<\/jats:p>\n                  <jats:p>To improve adherence to guideline-recommended postpartum follow-up by targeting provider discharge recommendations. A risk stratification tool incorporating HDP severity, maternal symptoms, and discharge blood pressure guided providers to recommend telehealth follow-up at 3, 5, or 7 days. We aimed to maintain 3-day recommendations for severe HDP and reduce unnecessary 3-day recommendations for nonsevere HDP.<\/jats:p>\n                  <jats:p>This quality improvement project was conducted at a single urban academic institution. The risk stratification tool was integrated into discharge workflows, and demographic, clinical, and telehealth follow-up data for pre- and post-intervention cohorts were abstracted from the electronic medical record and compared using summary statistics and bivariate analyses.<\/jats:p>\n                  <jats:p>Cohorts were similar at baseline. After implementation, all patients with severe HDP continued to receive 3-day follow-up instructions. Among patients with nonsevere HDP patients, 3-day recommendations decreased from 100 to 31.1% (p\u2009&lt;\u20090.001), with a corresponding decrease in 3-day telehealth scheduling. Scheduling for severe HDP did not improve.<\/jats:p>\n                  <jats:p>The tool improved guideline-aligned provider recommendations for postpartum HDP. Scheduling changes were limited, suggesting future efforts should target workflow and system processes.<\/jats:p>","DOI":"10.1055\/a-2788-9872","type":"journal-article","created":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T00:06:21Z","timestamp":1768608381000},"page":"e36-e42","source":"Crossref","is-referenced-by-count":0,"title":["Risk Stratification of Postpartum Patients with Hypertensive Disorders of Pregnancy to Telehealth Follow-Up: A Quality Improvement Project"],"prefix":"10.1055","volume":"16","author":[{"given":"Ariana M.","family":"Banuelos","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Women's Health, Division of Maternal Fetal Medicine, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kalin","family":"Ellison","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine, Bronx, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weirui","family":"Xiao","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine, Bronx, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Chavez","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York, United States"},{"name":"Maternal Fetal Medicine-Cardiology Joint Program, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana S.","family":"Wolfe","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Women's Health, Division of Maternal Fetal Medicine, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York, United States"},{"name":"Department of Medicine, Division of Cardiology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York, United States"},{"name":"Maternal Fetal Medicine-Cardiology Joint Program, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna E.","family":"Bortnick","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York, United States"},{"name":"Maternal Fetal Medicine-Cardiology Joint Program, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York, United States"},{"name":"Department of Medicine, Division of Geriatrics, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kavita","family":"Vani","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Women's Health, Division of Maternal Fetal Medicine, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,2,2]]},"reference":[{"issue":"17","key":"ref1","doi-asserted-by":"crossref","first-page":"585","DOI":"10.15585\/mmwr.mm7117a1","article-title":"Hypertensive disorders in pregnancy and mortality at delivery hospitalization - 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