An Economic Comparison of Hypertension Management Across Ambulatory Care Clinics
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Publication Date
2025
Keywords
oregon, oaa 2025
Disciplines
Cardiology | Medical Education | Pharmacy and Pharmaceutical Sciences
Abstract
Abstract: Heart disease and stroke are two of the leading causes of death in the United States. Hypertension is a modifiable risk factor and a strong predictor of cardiac outcomes. Pharmacists can play a critical role in helping patients achieve their blood pressure goals. A recent study conducted within Providence Medical Group examined the effects of different hypertension management models. Both models – a team-based model involving medical assistants, nurses, and pharmacists, and a pharmacist-only model – significantly reduced blood pressure in just a few visits. On average, the team-based needed one less patient visit to achieve the blood pressure goal (1-2 visits with the team-based model vs 1-3 visits with the pharmacist only model, p-value< 0.001). This project plans to expand on these results by quantifying the time, cost, and caregiver experience associated with each model. Four clinics were selected for observation, two employing team-based visits and two employing pharmacist-only visits. The average time for each visit was assessed through direct observation. Total average cost will be calculated based on the average hourly rate of each member of the team and the amount of time each team member spent on the visit. Cost-efficiency will be compared with an unpaired T-test to assess if one model is more cost-efficient than the other. The average time for different components of each visit will be compared between models with an unpaired T-test to assess if there are any differences in how time is used during the visits. To assess caregiver experience, a survey was conducted with the clinical pharmacist, two providers, and two medical assistants/nurses if the clinic employed the team-based model. These answers will be aggregated to identify common trends and differences between each model. Results and conclusions are currently pending and will be shared upon project completion. (IRB exempt) Learning objectives: Examine the differences in time and cost for different hypertension management team models. Presentation category: Education/academia/staff development; medication safety/quality improvement
Area of Special Interest
Cardiovascular (Heart)
Specialty/Research Institute
Graduate Medical Education
Specialty/Research Institute
Cardiology
Specialty/Research Institute
Pharmacy
