{"doi":"10.1093/ajh/hpaf219","title":"Implementation of a Self-Measured Blood Pressure Pilot Program in an Academic Internal Medicine Practice","abstract":"BACKGROUND: Self-measured blood pressure (SMBP) monitoring is a proposed strategy to improve hypertension control, but few studies compare SMBP with automated office blood pressure (AOBP) measurements over time. Moreover, little is known about reimbursement for these services. METHODS: We describe a quality improvement initiative in our academic internal medicine practice. Patients received validated home blood pressure (BP) devices and were instructed to check their BP twice daily for 7 days each month. Devices transmitted readings seamlessly via a smartphone application that averaged weekly readings. Clinicians reviewed the data and adjusted therapy if indicated. We tracked changes in SMBP, AOBP, antihypertensive medications, and reimbursement. RESULTS: Among 140 patients referred (mean age 57.6 years, 57.1% women, 25.7% Black), 59 completed the program. Over 6 months, the mean self-measured systolic BP decreased by 5.8 mm Hg (95% CI: -8.2 to -3.5) and the mean diastolic BP decreased by 2.8 mm Hg (95% CI: -4.2 to -1.4) and the number with BP <130/<80 mm Hg increased by 22 percentage points (P = 0.007). However, unattended AOBP showed no change in either systolic (change: 0.1 mm Hg; P = 0.98) or diastolic (change: -0.6 mm Hg; P = 0.64) readings. Reimbursement was variable and ranged from no payment to a maximum payment of $51; when paid, the average payment was $13.81. CONCLUSIONS: In this program, SMBP decreased over time while AOBP remained similar. Reimbursement, when received, was modest. Future work should evaluate whether using SMBP as a therapeutic target reduces cardiovascular events.","journal":"American Journal of Hypertension","year":2025,"id":581714,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9311,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1493609,"name":"Rosemary Farahmand","orcid":null,"position":1,"is_corresponding":false},{"id":1493610,"name":"Laken Barkowski","orcid":null,"position":2,"is_corresponding":false},{"id":168861,"name":"Marc Cohen","orcid":null,"position":3,"is_corresponding":false},{"id":549956,"name":"Jonathan Li","orcid":"0000-0001-7172-7272","position":4,"is_corresponding":false},{"id":1493611,"name":"Ruthie Olowoyeye","orcid":null,"position":5,"is_corresponding":false},{"id":804037,"name":"Michael Rakotz","orcid":"0000-0003-4386-4864","position":6,"is_corresponding":false},{"id":932933,"name":"Neha Sachdev","orcid":"0000-0002-4899-7570","position":7,"is_corresponding":false},{"id":1493612,"name":"K.L. Sullivan","orcid":null,"position":8,"is_corresponding":false},{"id":1493613,"name":"Katherine Tighe Miller","orcid":null,"position":9,"is_corresponding":false},{"id":899154,"name":"Stavros Tsipas","orcid":null,"position":10,"is_corresponding":false},{"id":741212,"name":"Gregory Wozniak","orcid":"0000-0003-4245-8207","position":11,"is_corresponding":false},{"id":291339,"name":"Stephen P. Juraschek","orcid":"0000-0003-4168-2696","position":12,"is_corresponding":false},{"id":291341,"name":"Jennifer Cluett","orcid":"0000-0002-5744-1099","position":0,"is_corresponding":true}],"reference_count":23,"raw_metadata":null,"created_at":"2026-07-19T02:58:51.328454Z","pmid":"41259005","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}