- Hypertension affects 115 million adults in America.
- 85% of Black Americans will develop hypertension in their lifetime.
- There is a lack of adherence to clinical guidelines to diagnose, treat, and manage hypertension.
- Over 30% of people do not know that they have hypertension.
- Only 25% of patients with a diagnosis of hypertension achieve blood pressure control.
- Home blood pressure monitoring is the standard for hypertension monitoring, however there are no standards to capture in the EHR.
- There is a lack of open communication between patient-facing and clinician EHR systems
- There is a lack of consistent vocabulary and associated data standards for data exchange
- There is a lack of technical standards for interoperability between home blood pressure monitoring devices, EHR, and Personal Health Intermediaries.
- Patients are recommended to use a home blood pressure monitoring system by clinicians and are instructed on how to correctly measure blood pressure at home
- From a device vendor gateway, home measured blood pressure data and metadata will be exchanged with a Personal Health Intermediary using a standard FHIR-based API
- Separate FHIR-based exchanges will connect the the Personal Health Intermediary with the EHR
- The Personal Health Intermediary will exchange data collected by the patient with the EHR that is relevant to clinicians
- The EHR will provide relevant information gathered in the clinic to the Patient Health Intermediary to create a guidelines-based care plan
- Create integrated, automated, vendor-agnostic hypertension standards by developing FHIR resources and open APIs that enable interoperable, scalable, and accessible hypertension management both at home and in the clinic
- To improve the awareness of guidelines, identification of disease, and management of individuals with hypertension.
- Increase the proportion of individuals with hypertension who are treated to goal.
- Define the methodology to enable data liquidity between home blood pressure measurement devices, Personal Health Intermediaries, and EHR devices.
- Harmonize HTN vocabulary (demographics, VS, diagnoses, assessments, labs, meds, care plan)
- Develop device data exchange standards (“plug and play”) for:
- Home BP device data
- Communication between patient-facing and clinician EHR systems
- Provide patients, physicians, APPs, nurses, medical assistants, pharmacists, and dietitians with the tools needed to adhere to hypertension guidelines.
- Increase data liquidity between blood pressure measurements captured at home with those captured in the clinic.
- Personal Health Intermediaries will be able to easily send and receive data to enhance a patient's ability to be part of their own care team.
- EHR vendors will enable a service that will help clinicians treat patients.
HTN Use Case Updates:
View a recording and meeting notes of our August CardX Public Meeting Here
Register for our November CardX Public Meeting on 11/6: Here
HTN Use Case Resources:
CardX - Hypertension (HTN) Management (Member page)
|CardX Public Meetings||Sharing quarterly updates on the CardX Domain and Hypertension Management Use Case and open discussions to ask questions, provide insight into the progression of the use case.||Quarterly, typically on a Monday from 1pm-2pm ET|
|CardX HTN Use Case Leadership Meeting||Convening of the decision-making body for the Use Case to align on priorities and finalize next steps for the Use Case.||Bi-weekly, Mondays from 1pm -2pm ET|
|CardX HTN Use Case Team Planning Meeting||Discuss challenges, opportunities, next steps, and develop critical mass on subtopics for the HTN management use case||Thursdays 11am-12pm ET (weekly, alternating with Technical meetings)|
|CardX HTN Use Case Team Technical Meeting|
Review and discuss details of the technical specification. Develop critical mass on technical requirements for the specification and related artifacts.
|Thursdays 11am-12pm ET (weekly, alternating with Planning meetings)|
COMPLETE IN PROGRESS DELAYED
Use case identification
Convening of use case members
July 2022 - March 2023
Plan out high-level project plan, deliverables, success measures, high level timeline, key stakeholders with consensus from the CardX community
Growing the CardX Community
March 2023 -
September 2023 - January 2024
Pilot with CHC
|February 2024 - May 2024|
Use Case Leadership Team
|Champion||James Tcheng, MD||University of Nebraska Medical Center - Center for Intelligent Health Care|
|Champion||Hilary Wall||CDC Million Hearts|
|Champion||John Windle, MD||University of Nebraska Medical Center - Center for Intelligent Health Care|
|Use Case Lead||Melissa Christian, RN||University of Nebraska Medical Center - Center for Intelligent Health Care|
|Use Case Support||Karen Bates||MITRE|
|Terminologist||Tom Windle and Monique van Berkum||University of Nebraska Medical Center - Center for Intelligent Health Care and AMA|
|Government Agency||Maria Michaels||CDC|
|Payer||David Brick, Ellen Anderson, Paula Minnesota||Evicore|
|Device Manufacturer||Andy Iverson||Medtronic|
|EHR Vendor||Will Dark, Daniel Rutz||Epic|
|Medical Society||Maria Isler, Sara O'Kane||AHA|
|Medical Society||Corey Smith, Monique van Berkum||AMA|
|Medical Society||Richard Kovacs, MD||ACC|
|EHR Vender||Heather Dewhirst||Oracle/Cerner|
- No labels