{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T11:48:54Z","timestamp":1790855334817,"version":"4.1.0"},"reference-count":69,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Quality and Outcomes"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Uncontrolled blood pressure (BP) is a leading preventable cause of death that remains common in the US population despite the availability of effective medications. New technology and program innovation has high potential to improve BP but may be expensive and burdensome for patients, clinicians, health systems, and payers and may not produce desired results or reduce existing disparities in BP control.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results:<\/jats:title>\n                    <jats:p>The PCORnet Blood Pressure Control Laboratory is a platform designed to enable national surveillance and facilitate quality improvement and comparative effectiveness research. The platform uses PCORnet, the National Patient-Centered Clinical Research Network, for engagement of health systems and collection of electronic health record data, and the Eureka Research Platform for eConsent and collection of patient-reported outcomes and mHealth data from wearable devices and smartphones. Three demonstration projects are underway: BP track will conduct national surveillance of BP control and related clinical processes by measuring theory-derived pragmatic BP control metrics using electronic health record data, with a focus on tracking disparities over time; BP MAP will conduct a cluster-randomized trial comparing effectiveness of 2 versions of a BP control quality improvement program; BP Home will conduct an individual patient-level randomized trial comparing effectiveness of smartphone-linked versus standard home BP monitoring. Thus far, BP Track has collected electronic health record data from over 826 000 eligible patients with hypertension who completed \u22483.1 million ambulatory visits. Preliminary results demonstrate substantial room for improvement in BP control (&lt;140\/90 mm Hg), which was 58% overall, and in the clinical processes relevant for BP control. For example, only 12% of patients with hypertension with a high BP measurement during an ambulatory visit received an order for a new antihypertensive medication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The PCORnet Blood Pressure Control Laboratory is designed to be a reusable platform for efficient surveillance and comparative effectiveness research; results from demonstration projects are forthcoming.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/circoutcomes.119.006115","type":"journal-article","created":{"date-parts":[[2020,3,6]],"date-time":"2020-03-06T16:00:21Z","timestamp":1583510421000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":23,"title":["The PCORnet Blood Pressure Control Laboratory"],"prefix":"10.1161","volume":"13","author":[{"given":"Mark J.","family":"Pletcher","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics (M.J.P., M.F.), University of California, San Francisco."},{"name":"Division of General Internal Medicine, Department of Medicine (M.J.P., V.F.), University of California, San Francisco."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valy","family":"Fontil","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Department of Medicine (M.J.P., V.F.), University of California, San Francisco."},{"name":"Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital (V.F.), University of California, San Francisco."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Carton","sequence":"additional","affiliation":[{"name":"Division of Health Services Research, Louisiana Public Health Institute, Tulane University, New Orleans, LA. (T.C.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn M.","family":"Shaw","sequence":"additional","affiliation":[{"name":"Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL (K.M.S., M.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myra","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL (K.M.S., M.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujung","family":"Choi","sequence":"additional","affiliation":[{"name":"Duke Clinical Research Institute, and Department of Population Health Sciences, Duke University School of Medicine, Durham, NC (S.C., E.C.O.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Todd","sequence":"additional","affiliation":[{"name":"OCHIN, Portland, OR (J.T.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alanna M.","family":"Chamberlain","sequence":"additional","affiliation":[{"name":"Department of Health Sciences Research, Mayo Clinic, Rochester, MN (A.M.C.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily C.","family":"O\u2019Brien","sequence":"additional","affiliation":[{"name":"Duke Clinical Research Institute, and Department of Population Health Sciences, Duke University School of Medicine, Durham, NC (S.C., E.C.O.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madelaine","family":"Faulkner","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics (M.J.P., M.F.), University of California, San Francisco."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Maeztu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Wozniak","sequence":"additional","affiliation":[{"name":"Improving Health Outcomes, American Medical Association, Chicago, IL (G.W., M.R.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Rakotz","sequence":"additional","affiliation":[{"name":"Improving Health Outcomes, American Medical Association, Chicago, IL (G.W., M.R.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina M.","family":"Shay","sequence":"additional","affiliation":[{"name":"Center for Health Metrics and Evaluation, American Heart Association (C.M.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rhonda M.","family":"Cooper-DeHoff","sequence":"additional","affiliation":[{"name":"Department of Pharmacotherapy and Translational Research, University of Florida, College of Pharmacy, Gainesville, FL (R.M.C.D.)."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31679-8"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000058"},{"key":"e_1_3_4_4_2","unstructured":"Institute for Health Metrics and Evaluation. GBD Compare. https:\/\/vizhub.healthdata.org\/gbd-compare\/. Accessed July 5 2019."},{"key":"e_1_3_4_5_2","first-page":"1","article-title":"Hypertension among adults in the United States: national health and nutrition examination survey, 2011-2012.","author":"Nwankwo T","year":"2013","unstructured":"Nwankwo, T, Yoon, SS, Burt, V, Gu, Q. Hypertension among adults in the United States: national health and nutrition examination survey, 2011-2012. NCHS Data Brief. 2013:1\u20138.","journal-title":"NCHS Data Brief"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2008.09.038"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYP.0000000000000065"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.117.032582"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.115.06814"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c3995"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD005182"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.108769"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.2146\/ajhp090656"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1717250"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa062860"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajh\/hpu233"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.006650"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1038\/jhh.2016.99"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.6549"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-159-3-201308060-00008"},{"key":"e_1_3_4_21_2","unstructured":"OMRON. HeartGuide: Take your blood pressure anytime anywhere. https:\/\/omronhealthcare.com\/products\/heartguide-wearable-blood-pressure-monitor-bp8000m\/. Accessed January 24 2019."},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1109\/EMBC.2018.8513189"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11906-017-0743-0"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jash.2014.12.001"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1111\/jch.12995"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-015-3231-8"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2017.12.018"},{"key":"e_1_3_4_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhealeco.2016.01.012"},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2013.12.003"},{"key":"e_1_3_4_30_2","unstructured":"NIH. Project Information: 5R01HL127215-02. 2017. https:\/\/projectreporter.nih.gov\/project_info_description.cfm?aid=9271229&icde=36919625&ddparam=&ddvalue=&ddsub=&cr=1&csb=default&cs=ASC&pball=. Accessed November 14 2017"},{"key":"e_1_3_4_31_2","unstructured":"NIH. Project Information: 5UH3HL130688-03. 2017. https:\/\/projectreporter.nih.gov\/project_info_details.cfm?aid=9344671&icde=36919637. Accessed November 14 2017."},{"key":"e_1_3_4_32_2","unstructured":"NIH. NIH Research Portfolio Online Reporting Tools (RePORT). http:\/\/projectreporter.nih.gov\/. Accessed February 23 2019."},{"key":"e_1_3_4_33_2","unstructured":"Agency for Healthcare Research and Quality. Using Pragmatic Clinical Trials: to Test the Effectiveness of Patient-Centered Medical Home Models in Real-World Settings. 2013. https:\/\/pcmh.ahrq.gov\/sites\/default\/files\/attachments\/UsingPragmatic_032513comp.pdf. Accessed February 14 2020."},{"key":"e_1_3_4_34_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsb1610128"},{"key":"e_1_3_4_35_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1310102"},{"key":"e_1_3_4_36_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsb1609216"},{"key":"e_1_3_4_37_2","unstructured":"National Quality Forum. 0018: Controlling High Blood Pressure. 2017. http:\/\/www.qualityforum.org\/News_And_Resources\/Press_Releases\/2012\/NQF_Endorses_Cardiovascular_Measures.aspx. Accessed October 29 2017."},{"key":"e_1_3_4_38_2","unstructured":"Centers for Medicare and Medicaid Services. Accountable Care Organization (ACO) 2018 Quality Measures Narrative Specifications Document January 20 2018. In: Program CMSS ed2018."},{"key":"e_1_3_4_39_2","unstructured":"Merit-Based Incentive Payment System (MIPS) Overview. https:\/\/qpp.cms.gov\/mips\/overview. Accessed May 17 2019."},{"key":"e_1_3_4_40_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.115.002276"},{"key":"e_1_3_4_41_2","doi-asserted-by":"publisher","DOI":"10.1136\/amiajnl-2014-002747"},{"key":"e_1_3_4_42_2","doi-asserted-by":"publisher","DOI":"10.1126\/scitranslmed.3006298"},{"key":"e_1_3_4_43_2","unstructured":"Department of Health and Human Services. Mobilizing Research: A Research Resource to Enhance mHealth Research (U2C). https:\/\/grants.nih.gov\/grants\/guide\/rfa-files\/RFA-od-15-129.html. Accessed October 29 2017."},{"key":"e_1_3_4_44_2","unstructured":"Eureka Research Platform. Now everyone can contribute to research that makes the world healthier. http:\/\/info.eurekaplatform.org\/. Accessed October 29 2017."},{"key":"e_1_3_4_45_2","doi-asserted-by":"publisher","DOI":"10.1136\/amiajnl-2014-002864"},{"key":"e_1_3_4_46_2","unstructured":"PCORI. PCORnet: The National Patient-Centered Clinical Research Network. http:\/\/www.pcori.org\/content\/pcornet-national-patient-centered-clinical-research-network. Accessed October 1 2014."},{"key":"e_1_3_4_47_2","unstructured":"PCORI. PCORnet Common Data Model (CDM). https:\/\/pcornet.org\/pcornet-common-data-model\/. Accessed February 14 2020."},{"key":"e_1_3_4_48_2","doi-asserted-by":"publisher","DOI":"10.5888\/pcd15.170332"},{"key":"e_1_3_4_49_2","unstructured":"University of California San Francisco. UCSF Awarded $9.75 Million to Create Platform Accelerating Mobile Health Research. 2015. https:\/\/www.ucsf.edu\/news\/2015\/10\/131911\/ucsf-awarded-975-million-create-platform-accelerating-mobile-health-research. Accessed October 29 2017."},{"key":"e_1_3_4_50_2","doi-asserted-by":"publisher","DOI":"10.2147\/PROM.S141630"},{"key":"e_1_3_4_51_2","unstructured":"University of Florida Clinical and Translational Science Institute. OneFlorida Clinical Research Consortium. https:\/\/www.ctsi.ufl.edu\/ctsa-consortium-projects\/oneflorida\/. Accessed August 12 2019."},{"key":"e_1_3_4_52_2","unstructured":"REACHnet. https:\/\/reachnet.org\/. Accessed August 12 2019."},{"key":"e_1_3_4_53_2","unstructured":"ADVANCE Collaborative. http:\/\/advancecollaborative.org\/. Accessed August 12 2019."},{"key":"e_1_3_4_54_2","unstructured":"STAR: Stakeholders Technology and Research CRN. https:\/\/starcrn.org\/. Accessed August 12 2019."},{"key":"e_1_3_4_55_2","unstructured":"The Heart Research Alliance. https:\/\/www.heartresearchalliance.org\/. Accessed August 10 2019."},{"key":"e_1_3_4_56_2","unstructured":"PCORI. The Health eHeart Alliance: Project Summary. https:\/\/www.pcori.org\/research-results\/2013\/health-eheart-alliance. Accessed August 17 2019."},{"key":"e_1_3_4_57_2","unstructured":"PCORI. Using PCORnet to Compare Blood Pressure Control Strategies. https:\/\/www.pcori.org\/research-results\/2018\/using-pcornet-compare-blood-pressure-control. Accessed February 14 2020."},{"key":"e_1_3_4_58_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.118.11558"},{"key":"e_1_3_4_59_2","doi-asserted-by":"publisher","DOI":"10.1111\/jch.13141"},{"key":"e_1_3_4_60_2","unstructured":"American Medical Association. Quality ID #236 (NQF 0018): Controlling High Blood Pressure \u2013 National Quality Strategy Domain: Effective Clinical Care. https:\/\/www.acr.org\/-\/media\/ACR\/NOINDEX\/Measures\/2018_Measure_236_Registry.pdf. Accessed February 14 2020."},{"key":"e_1_3_4_61_2","unstructured":"US Department of Health and Human Services Health Resources and Services Administration. Hypertension Control. https:\/\/www.hrsa.gov\/sites\/default\/files\/quality\/toolbox\/508pdfs\/hypertensioncontrol.pdf. Accessed February 14 2020."},{"key":"e_1_3_4_62_2","unstructured":"eCQI. Hypertension: Improvement in Blood Pressure. 2018. https:\/\/ecqi.healthit.gov\/ecqm\/ep\/2018\/cms065v7. Accessed August 17 2019."},{"key":"e_1_3_4_63_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.118.005624"},{"key":"e_1_3_4_64_2","unstructured":"American Heart Association American Medical Association. TARGET:BP. https:\/\/targetbp.org\/. Accessed August 15 2017."},{"key":"e_1_3_4_65_2","unstructured":"ClinicalTrials.gov. Improving Blood Pressure Control in Diverse Populations by Measuring Accurately Acting Rapidly and Partnering With Patients (BP MAP). https:\/\/clinicaltrials.gov\/ct2\/show\/NCT03818659. Accessed August 17 2019."},{"key":"e_1_3_4_66_2","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2298"},{"key":"e_1_3_4_67_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-013-2466-5"},{"key":"e_1_3_4_68_2","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/8472391"},{"key":"e_1_3_4_69_2","unstructured":"TheSweetHome.com. The Best Blood Pressure Monitors for Home Use. 2017. http:\/\/thesweethome.com\/reviews\/best-blood-pressure-monitors-for-home-use\/#how-we-picked-and-tested. Accessed October 29 2017."},{"key":"e_1_3_4_70_2","unstructured":"ClinicalTrials.gov. The PCORnet Blood Pressure Home Monitoring Study (BP HOME). https:\/\/clinicaltrials.gov\/ct2\/show\/NCT03796689. Accessed February 14 2020."}],"container-title":["Circulation: Cardiovascular Quality and Outcomes"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/CIRCOUTCOMES.119.006115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T23:51:43Z","timestamp":1715557903000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/CIRCOUTCOMES.119.006115"}},"subtitle":["A Platform for Surveillance and Efficient Trials"],"short-title":[],"issued":{"date-parts":[[2020,3]]},"references-count":69,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,3]]}},"alternative-id":["10.1161\/CIRCOUTCOMES.119.006115"],"URL":"https:\/\/doi.org\/10.1161\/circoutcomes.119.006115","relation":{},"ISSN":["1941-7713","1941-7705"],"issn-type":[{"value":"1941-7713","type":"print"},{"value":"1941-7705","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3]]},"assertion":[{"value":"2020-03-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e006115"}}