Improving Hypertension Management Through Preference List Defaults

Part of paid clinical trials in Danville, Pennsylvania.

Sponsor
Geisinger Clinic
Study ID
NCT07298694
Status
Enrolling By Invitation

Conditions

  • Choice Behavior
  • Clinical Decision Support
  • Hypertension
  • Quality Improvement

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Revising preference list by adding "(PREFERRED)" to combination medication names — BEHAVIORAL
    Providers in the intervention group will see "(PREFERRED)" listed before combination blood pressure medication names, which will frequently cause the combination medications to appear at the top of the EHR preference list.

Study Details

This study aims to evaluate whether modifying the EPIC preference list to display combination blood pressure (BP) medications at the top and/or adding "(PREFERRED)" to the beginning of the medication listing increases prescribing of these medications. Combination BP medications are aligned with value-based care guidelines and may improve patient adherence and reduce pill burden. Currently, these medications may be under-prescribed in part due to their low visibility in the EPIC prescribing interface.

Key Dates

Start date
Apr 13, 2026
Status verified
Apr 2026
Primary completion
Oct 31, 2026
Completion
Oct 31, 2026

Study Design

Enrollment
12,150 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Experimental: Revised Preference List
    "(PREFERRED)" will be added to the beginning of the preference list for selected BP medications, which will frequently cause these medications to be listed first.
  • No Intervention: No Change to the Preference List
    Clinics will retain the usual EHR preference list order, with no changes to the default medication display.

Primary Outcome Measure

Prescribing of Combination Antihypertensive Medication (y/n) [ Time Frame: Day of the appointment (1 day) ]

Locations (1)

FacilityCityStateZIPSite coordinators
GeisingerDanvillePennsylvania17822-

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