Date of Award

Fall 10-18-2021

Degree Type

Dissertation

Degree Name

DNP Doctor of Nursing Practice

Department

Nursing

Advisor

Mary Ellen Roberts, DNP

Committee Member

Josephine Devito, Ph.D.

Committee Member

Diana Contreras, MD

Keywords

blood pressure, preeclampsia, remote patient monitoring, high-risk patient, health equity

Abstract

An existing virtual care platform provides an innovative means of early recognition, identification, and intervention for women with elevated blood pressures during pregnancy, known as preeclampsia. A pilot program took place at a Northeastern prenatal care clinic where patients were identified as high-risk for preeclampsia, enrolled, educated by their providers, and equipped with Bluetooth-enabled blood pressure cuffs.

Through remote patient monitoring (RPM) technology, blood pressure readings could transmit from a patient’s residence to a portal accessible by their clinic provider at any time. This doctoral-level quality improvement project focuses on the identification of patients at high-risk for preeclampsia, their enrollment into the remote patient monitoring program, and engagement of both providers and patients. A series of improvements were made to the structures and processes in the duration of the three-month pilot phase leading to broad-scale launch to prenatal care clinics systemwide.

Through increased awareness of high-risk patients through appropriate flagging and participation in remote blood pressure monitoring there is finer awareness of each patient’s condition, prompting personalized and immediate care by their provider. Further research will be needed to evaluate the outcomes of those who participated in the RPM program at the end of their pregnancy.

Keywords – blood pressure, preeclampsia, remote patient monitoring, high-risk patient, health equity

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