Stephen D. Persell|Milton Eder|Elisha M. Friesema|Corinne Connor|Alfred Rademaker|Dustin D. French|Jennifer P. King|Michael S. Wolf
EHR?Based Medication Support and Nurse?Led Medication Therapy Management: Rationale and Design for a Three?Arm Clinic Randomized Trial
Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University
patients chronic conditions often use complex medical regimens nurseled strategy support medication therapy management incorporated primary care teams may lead improved use medications disease control electronic health record ehr tools may offer lowercost less intensive approach improving medication managementthe northwestern access community health network medication education study health centerlevel clusterrandomized trial conducted within network federally qualified community health centers health centers enrolled groups 3 randomized 1 usual care 2 ehrbased medication management tools alone 3 ehr tools plus nurseled medication therapy management patients uncontrolled hypertension prescribed 3 medications kind recruited centers ehr tools include printed medication list prompt review visit automated plainlanguage medication information within aftervisit summary encourage proper medication use nurseled intervention patients receive oneonone counseling medication regimens clarify medication discrepancies identify drugrelated concerns safety issues nonadherence nurses also provide followup telephone calls following new prescriptions periodically perform medication review primary study outcome systolic blood pressure 1 year secondary outcomes include measures understanding dosing instructions discrepancies patientreported medications medical record adherence intervention coststhe northwestern access community health network medication education study assess effects 2 approaches support outpatient medication management among patients uncontrolled hypertension federally qualified health center settings