Date of Conferral

8-26-2026

Date of Award

August 2026

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Susan Huehn

Abstract

Within this executive summary, the type of project discussed is an organization change project to address a health issue in chronic disease management, which is hypertension. Nearly 116 million American adults are affected by hypertension, which remains a leading force for preventable hospitalizations, emergency department visits, and cardiovascular-related mortality in the United States. Unexpected readmissions due to hypertension create system-wide strains, increased financial burden and decreased patient satisfaction. Hence, the question: In adults with hypertension, does remote home blood pressure monitoring, compared with standard office-based follow-up, reduce the rate of urgent care visits and hospital admissions over a 30-day period? Evidence was obtained from the doctoral project’s patient-level clinical and administrative records, including hospitalization and discharge data, follow-up documentation, HBPM participation or monitoring records, and 30-day readmission records. The project’s evidence supports evaluating HBPM as a transitional-care strategy because it creates a mechanism for earlier recognition of persistent or worsening hypertension after discharge. The HBPM group had fewer 30-day readmissions than the standard office-based follow-up group, indicating a favorable short-term outcome for HBPM-supported follow-up. Remotely monitoring blood pressure is a low-cost, collaborative-care strategy that extends surveillance beyond the in-person practice. Evidence supports that high blood pressure monitoring, when incorporated with telemonitoring and follow-up, reduces the possibility of preventing increased urgent care and emergency room visits by establishing timely detection of blood pressure decline before it becomes severe, requiring hospitalization.

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