{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T23:21:45Z","timestamp":1787613705578,"version":"build-2736575974"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"12","license":[{"start":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T00:00:00Z","timestamp":1771372800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The objective is to present stepwise refinements to HomeSafe, an Epic-tethered, population-health-coordinated postpartum pathway for blood pressure (BP) surveillance after hypertensive disease of pregnancy (HDP).<\/jats:p>\n                  <jats:p>HomeSafe was designed for HDP people identified during their delivery hospitalization. The program incorporated prepopulated orders for home BP measurement and submission through a smartphone application linked to the electronic health record (Epic). A population health coordinator (PHC) was integrated at Year 2 to support registry tracking, expanded digital support and metric-driven reviews. Study data were managed using REDCap (Research Electronic Data Capture); a secure, web-based application hosted by the Massachusetts General Brigham Digital Research Applications team. Year-to-year analyses were performed for BP submission and route, predictors of timely BP return (\u22651 BP in 7 days), 6-week postpartum visit attendance, and clinical and demographic variables.<\/jats:p>\n                  <jats:p>Across 24 months, 640 postpartum HDP individuals were enrolled; 68.6% (439\/640) submitted BP in a timely fashion. In Year 1, 44.9% of BPs submission was by Epic (44.9%), portal (8.2%), or phone (15.5%). No BP was submitted by 31.4%. With a PHC (Year 2), Epic-routed capture increased to 56.5%, and phone\/portal-dependent routes decreased to 11.6% (p\u2009=\u20090.0006). Program enrollment increased from 245 to 485 (p\u2009&lt;\u20090.001) without changes in delivery volume. Independent negative predictors of BP return were Black non-Hispanic race, public insurance, and multiparity; HDP subtype, delivery mode, antihypertensive use, and neonatal intensive care unit admission were not predictive. HomeSafe engagement strongly predicted 6-week postpartum visit attendance (89.9 vs. 65.4%, p\u2009&lt;\u20090.0001).<\/jats:p>\n                  <jats:p>HomeSafe, an EHR-tethered, postpartum BP surveillance pathway, when partnered with a population health management approach and a coordinator provides significant improvements in BP ascertainment, enrollment scalability, and 6-week postpartum engagement. Persistent disparities by race and insurance status highlight a need for equity-focused approaches.<\/jats:p>","DOI":"10.1055\/a-2807-4609","type":"journal-article","created":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:00:26Z","timestamp":1771459226000},"page":"1648-1656","source":"Crossref","is-referenced-by-count":0,"title":["HomeSafe: Postpartum Hypertensive Care Enabled by Electronic Health Record Digital Blood Pressure Capture and Population Health Management"],"prefix":"10.1055","volume":"43","author":[{"given":"Saba","family":"Berhie","sequence":"additional","affiliation":[{"name":"Maternal Fetal Medicine Division, Department of Obstetrics, Gynecology and Reproductive Biology, Massachusetts General Brigham, Boston, Massachusetts, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Harper","sequence":"additional","affiliation":[{"name":"Maternal Fetal Medicine Division, Department of Obstetrics, Gynecology and Reproductive Biology, Massachusetts General Brigham, Boston, Massachusetts, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tooba","family":"Anwer","sequence":"additional","affiliation":[{"name":"Department of OBGYN, Maternal Fetal Medicine, Emory University School of Medicine, Atlanta, Georgia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seema","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Emory University School of Medicine, Atlanta, Augusta, Georgia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Cantonwine","sequence":"additional","affiliation":[{"name":"Maternal Fetal Medicine Division, Department of Obstetrics, Gynecology and Reproductive Biology, Massachusetts General Brigham, Boston, Massachusetts, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sahara","family":"Suliman","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Department of Medicine, Massachusetts General Brigham, Boston, Massachusetts, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann C.","family":"Celi","sequence":"additional","affiliation":[{"name":"Division of General Medicine and Primary Care, Division of Women's Health, Department of Medicine, Massachusetts General Brigham, Boston, Massachusetts, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khady","family":"Diouf","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproductive Biology, Massachusetts General Brigham, Boston, Massachusetts, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen W.","family":"Seely","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Department of Medicine, Massachusetts General Brigham, Boston, Massachusetts, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Wilkins-Haug","sequence":"additional","affiliation":[{"name":"Maternal Fetal Medicine Division, Department of Obstetrics, Gynecology and Reproductive Biology, Massachusetts General Brigham, Boston, Massachusetts, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,3,12]]},"reference":[{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"e003497","DOI":"10.1161\/CIRCOUTCOMES.116.003497","article-title":"Preeclampsia and future cardiovascular health: a systematic review and meta-analysis","volume":"10","author":"P Wu","year":"2017","journal-title":"Circ Cardiovasc Qual 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Viswanathan","year":"2024","journal-title":"BMC Pregnancy Childbirth"}],"container-title":["American Journal of 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