Category: Federal Forum Posters
Purpose: Due to the direct link between blood pressure and cardiovascular morbidity and mortality, it is critical to appropriately treat patients with hypertension. At the Jefferson County Department of Health, pharmacists work alongside providers to deliver care by completing medication histories and making recommendations. Pharmacists also provide a cardiovascular referral service in which they assist with the management of hypertension and titration of anti-hypertensive medications. This study will investigate which of the two models is most effective in lowering blood pressure: the provider-led primary care service with pharmacist consultation, or the pharmacist-led referral service in conjunction with the Adult Health model.
Methods: This will be a prospective cohort study comparing two groups of patients with uncontrolled hypertension: one group monitored through a pharmacist-led cardiovascular referral service, and a second group monitored by their primary care provider with pharmacist assistance during provider appointments. The primary endpoint is the absolute reduction in systolic and diastolic blood pressure. Any patient who is a previously established patient of the Jefferson County Department of Health Adult Health Clinic, at least 18 years old, is English speaking, and has a blood pressure reading above goal will be eligible. Any patient referred to the Cardiovascular service but was not seen by a pharmacist during the referring Adult Health appointment will be excluded. Patients will be matched between groups, with a target number of 50 patients in each group. Relevant data points include patient demographic information, initial blood pressure readings, medication changes, and blood pressure readings from each follow up appointment during the study period. All participants will continue their routine visits with the Adult Health clinic based on the provider's preferences. Participants who are enrolled in the cardiovascular service will also have regular follow-up scheduled based on the pharmacist's preference.
Results: Not applicable.
Conclusion: Not applicable.
Kathleen Gillen– PGY2 Ambulatory Care Pharmacy Resident, Samford University McWhorter School of Pharmacy, Birmingham, AL