Edward W. Aberger|Daniel R. Migliozzi|Michael J. Follick|Tom Malick|David K. Ahern
Enhancing Patient Engagement and Blood Pressure Management for Renal Transplant Recipients via Home Electronic Monitoring and Web-Enabled Collaborative Care
Abacus Health Solutions|Brown University|Providence College|Rhode Island Hospital|Abacus Health Solutions|Brown University|Providence College|Abacus Health Solutions|Abacus Health Solutions|Brigham and Women's Hospital
backgroundeffective management hypertension chronic kidney disease renal transplantation clinical priority societal implications terms preserving optimizing value scarce organs however hypertension optimally managed 37 people chronic kidney disease poor control contribute premature graft loss renal transplant recipients article describes telehealth system incorporates home electronic blood pressure bp monitoring uploading patient portal coupled webbased dashboard enables clinical pharmacist collaborative care renal transplant clinicmaterials methodsthe telehealth system developed implemented quality improvement initiative renal transplant clinic large 700bed urban hospital aim improving bp posttransplant patients convenience sample 66 posttransplant patients recruited clinical pharmacist consecutive referrals transplant clinicresultspreliminary results show statistically significant reductions average systolic diastolic bp 60 mm hg 30 mm hg respectively 30 days enrollment two case reports describe instrumental role home bp monitoring context medication therapy managementconclusionsoptimizing bp control pre postrenal transplant patients likely benefit society terms preserving scarce resources reducing healthcare costs due premature graft failure connected health systems hold great promise supporting teambased care improved health outcomes