Bhagyam C, Taylor-Coleman K, Harvey E, Moore L, Schoen K, De Grandville C, Graft P, Lehmann W, Bobot B, Simpson D. Improving HTN in Young Adults Within Two FM Clinics. Alliance of Independent Academic Medical Center – National Initiative VII Meeting #2 Storyboard. March 27-28, 2020. Austin, TX.
Bhagyam C, Taylor-Coleman K, Harvey E, Moore L, Schoen K, de Grandville C, Graf P, Lehmann W, Bobot B, Simpson S. Younger hypertensive patients are more likely to have activated MyChart accounts. Poster presented at: Aurora Scientific Day; May 20, 2020; virtual webinar hosted in Milwaukee, WI.
Poster Storyboard - AIAMC NI-7 Meeting Canceled COVID-19 Poster presented at: Aurora Scientific Day; May 20, 2020; virtual webinar hosted in Milwaukee, WI.
Background: National epidemiological studies note that young adults, those under 39 years old, tend to have less awareness of their hypertension (HTN) diagnosis and are less likely than older adults to have their blood pressure under control. Proposed barriers to hypertension control in young adults include provider reluctance to diagnose hypertension, hesitancy to prescribe antihypertensives, less access to primary medical care, and patient perceptions of their health status. HTN, as a silent disease, has major long-term consequences on cardiovascular health. Identifying HTN patients by age and seeking to control it is an important role for primary care.
Purpose: To determine if the percentage of patients with diagnosed uncontrolled HTN who have signed up for MyAurora differs by age (18–49 years, ≥50 years) and if patients on MyAurora were more likely to have controlled their HTN.
Methods: Data were abstracted from electronic health records, using the BI Launch Pad (the data warehouse for Aurora Quality Improvement), for HTN by age, blood pressure control status, and MyAurora account activation. Data were reviewed by each of two family medicine residency clinic and then aggregated across the two clinics using descriptive statistics.
Results: At one residency clinic, 29% (46 of 156) of 18–49-yearold adults had uncontrolled HTN; at the second clinic, 31% (43 of 139) of the same-aged patients had uncontrolled HTN. Rate of adults ≥50 years old who had uncontrolled HTN was 18% (144 of 816) and 23% (85 of 364), by respective clinic. When comparing account activation for MyAurora across our two clinics, we found 49% of patients 18–49 years old with diagnosed HTN had signed up while only 27% of patients ≥50 years old with diagnosed HTN had activated their accounts. Across our two clinics, across all ages, Supplement www.aah.org/jpcrr 367 hypertensive patients who had signed up for MyAurora were 2.3% more likely to have blood pressure control; however, in the younger adult hypertensive population, patients signed up for MyAurora were 8.1% more likely to have controlled blood pressure compared to their unenrolled peers.
Conclusion: Consistent with the literature, the percentage of patients with uncontrolled hypertension decreases with age in our primary care clinics. Younger hypertensive patients (18–49 years of age) were more likely to sign up for MyAurora. Higher MyAurora utilization rates for this age group points to its potential use as an intervention for improving blood pressure control in these hypertensive adults.