TEC4Home Blood Pressure Randomized Controlled Trial

Systolic blood pressure controlled

The goal of this clinical trial is to evaluate the effect of home blood pressure
 telemonitoring (HBPT) and case management (CM), relative to usual care, for improving blood
 pressure (BP) control among patients with high blood pressure discharged from the emergency
 department (ED).
 
 The main question it aims to answer is: Does telemonitoring with case management improve BP
 control, relative to usual care, for people with high blood pressure discharged from the ED?
 
 Secondary research questions will address:
 
 1. How do these interventions (telemonitoring and case management) improve medication
 adherence?
 
 2. Do these interventions reduce physician and ED visits?
 
 3. Are these interventions safe?
 
 4. How do these interventions influence patient experience?
 
 Participants in the intervention group will receive training and use of a home BP telemonitor
 with tele-transmission function for 12-months plus pharmacist case management to provide
 behavioral counseling, facilitate medication adherence, review telemonitored BP data, and
 adjust medications. The control group will receive usual care from their primary care
 physician and will receive the same home BP monitor and hypertension education.