{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T22:02:31Z","timestamp":1771279351593,"version":"3.50.1"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T00:00:00Z","timestamp":1760486400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Kaiser Permanente Washington Health Research Institute Small"},{"name":"National Institute of Health"},{"DOI":"10.13039\/100006093","name":"Patient Centered Outcomes Research Institute","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100006093","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Agency for Health Quality and Research"},{"name":"Kaiser Research Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>People with hypertension and uncontrolled blood pressure (BP) at their last clinic visit often do not receive follow-up care. We performed a mixed methods evaluation of a healthcare system email and secure message outreach program to improve BP follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In July of 2022, patients with hypertension and high BP at their last clinical encounter were sent secure messages asking them to reply with a home BP measurement (HBPM) or have an in-clinic BP check. We assessed the \u201creach of the program\u201d defined as the proportion and characteristics of patients with versus without a BP in the electronic health record (EHR) within 3 months; and the proportion and characteristics of patients with HBPM versus clinic BPs. Qualitative assessments included 22 patient interviews and Rapid Group Analysis to understand patient experiences with the BP outreach program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 6489 patients contacted by email, 3489 (53.8%) patients had a BP recorded in the EHR within 3 months. Follow up rates were lower rates among younger, male, Asian, Black, and Hispanic patients. Most measurements were clinic-based (81.1%) versus home (18.9%), with Black patients having the lowest HBPM use (9.9%). Home BP measurements were more likely to be &amp;lt;140\/90 mm Hg than clinic BPs (adjusted relative risk 1.39, 95% confidence interval, 1.29-1.49). Interview themes highlighted patients wanting more information on BP measurement, targets, and feedback after sending HBPM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Outreach was associated with over half of patients having follow-up BPs, with disparities in HBPM use. Patient interviews revealed opportunities to enhance patient engagement in HBPM.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ajh\/hpaf206","type":"journal-article","created":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T13:08:32Z","timestamp":1760447312000},"page":"400-406","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of an Email Blood Pressure Measurement Outreach Program"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3040-3436","authenticated-orcid":false,"given":"Beverly B","family":"Green","sequence":"first","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute, Seattle, WA,","place":["United States"]},{"name":"Department of Health Systems Science, Kaiser Permanente Washington Health Research Institute; Kaiser Permanente Bernard J Tyson School of Medicine Pasadena, CA,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurel D","family":"Hansell","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute, Seattle, WA,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clarissa W","family":"Hsu","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute, Seattle, WA,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tae","family":"Jones","sequence":"additional","affiliation":[{"name":"Human Centered Design & Engineering, University of Washington , Seattle, WA,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Casey","family":"Luce","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute, Seattle, WA,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James D","family":"Ralston","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute, Seattle, WA,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean A","family":"Munson","sequence":"additional","affiliation":[{"name":"Human Centered Design & Engineering, University of Washington , Seattle, WA,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bryan","family":"Davis","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Healthplan of Washington , Seattle, WA,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiana","family":"Wright","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Healthplan of Washington , Seattle, WA,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa L","family":"Anderson","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute, Seattle, WA,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,10,15]]},"reference":[{"key":"2026021616020854900_hpaf206-B1","doi-asserted-by":"crossref","first-page":"e347","DOI":"10.1161\/CIR.0000000000001209","article-title":"2024 Heart disease and stroke statistics: a report of US and global data from the American heart association","volume":"149","author":"Martin","year":"2024","journal-title":"Circulation"},{"key":"2026021616020854900_hpaf206-B2","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1097\/HJH.0b013e3283163caf","article-title":"Home blood pressure telemonitoring improves hypertension control in general practice. 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