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Leveraging the Electronic Health Record to Improve Primary Care Clinicians' Prescribing of Remote Patient Monitoring for Hypertension

Award Number: K23HL183763
ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 08/20/2026
PERIOD OF PERFORMANCE END DATE: 05/31/2031

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Leveraging the Electronic Health Record to Improve Primary Care Clinicians' Prescribing of Remote Patient Monitoring for Hypertension - PROJECT SUMMARY: Remote patient monitoring (RPM) is an evidence-based strategy to improve blood pressure control and is recommended as standard care for hypertension management for as many as 130 million Americans. Despite its effectiveness, real-world adoption remains low due to barriers at individual, practice, and systems levels. A key bottleneck to widespread RPM use is clinician non-adoption; RPM prescribing is concentrated among small subsets of clinicians, and current strategies to engage clinicians in practice change promoting broader RPM prescribing are insufficient. The electronic health record (EHR) serves as the central hub for remote patient monitoring (RPM)-enabled connected care, and offers a key opportunity area to promote RPM prescribing and drive clinician practice change. This application aims to (1) evaluate the multi-level contexts and challenges impacting clinician prescribing of RPM for hypertension management and (2) optimize and preliminarily evaluate an EHR-based prescribing workflow (EHR-RPM) to support RPM prescribing among primary care clinicians. The hypothesis is that targeted, well-designed EHR- based tools will increase RPM prescribing rates and improve overall adoption of RPM for hypertension management. Dr. Lawrence will conduct a mixed-methods, implementation science-guided study to assess practice- and system-level barriers to clinician prescribing of RPM. She will then lead a human-centered co- design process to develop optimized EHR-RPM workflows tailored to clinician needs, which will be evaluated in a 20-clinician pilot study for preliminary effectiveness on prescribing behavior (primary outcome), patient blood pressure control (secondary outcome), as well as feasibility, acceptability, and sustainability (implementation outcomes). The training objective is to support Dr. Lawrence’s career development into an independent clinician-investigator focused on the effective implementation and evaluation of health technology for cardiovascular disease. Her primary mentor, Dr. Mann, is an accomplished digital health research scientist, Strategic Director of Digital Health Innovation at NYU Langone Health (NYULH), and Director of the NYULH RPM for Hypertension Program. Her co-mentors, Drs. Schoenthaler and Shelley, are nationally recognized leaders in cardiovascular health research and implementation science. Her advisors include: Dr. Ogedegbe, an expert in hypertension clinical management and clinical trial design; Dr. Testa, Chief Medical Information Officer for NYULH; and Dr. Jones, a leading biostatistician. This research plan leverages existing resources within the NYULH RPM for Hypertension Program, the Departments of Medicine and Population Health, and the Medical Center Information Technology (IT) Department. Outcomes will culminate in an R01 grant submission to systematically evaluate the effectiveness and implementation of the EHR-RPM intervention in a randomized controlled trial aimed at increasing clinician prescribing of RPM to reduce patient blood pressure and improve cardiovascular health outcomes.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $186,706 )
2026	2026	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders	000	1	8/24/2026	NEW	$186,706
														Subtotal = $186,706

Grand Total All Awards = $186,706

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Leveraging the Electronic Health Record to Improve Primary Care Clinicians' Prescribing of Remote Patient Monitoring for Hypertension

Award Number: K23HL183763

ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 08/20/2026

PERIOD OF PERFORMANCE END DATE: 05/31/2031

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