Selby K Michel M Gildengorin G Karliner L Pramanik R Fontil V Potter MB 2018 INTRODUCTION We aimed to standardize data collection from 3 health systems (HS1, HS2, HS3) participating in the San Francisco Bay Collaborative Research Network, and compare rates and predictors of uncontrolled blood pressure among hypertensive adults to identify opportunities for regional collaboration in quality improvement. METHODS Retrospective cohort study using deidentified electronic health record data from all primary care patients with at least 1 visit in a 2-year period, using standard data definitions in a common data repository. Primary outcome was uncontrolled blood pressure at the most recent primary care visit. RESULTS Of 169,793 adults aged 18 to 85 years, 53,133 (31.3%) had a diagnosis of hypertension. Of these, 18,751 (35%) had uncontrolled blood pressure at their last visit, with the proportion varying by system (29%, HS1; 31%, HS2; and 44%, HS3) and by clinical site within each system. In multivariate analyses, differences between health systems persisted, with HS2 and HS3 patients having a 1.15 times (95% CI, 1.11 to 1.19) and 1.46 times (95% CI, 1.42 to 1.50) greater relative risk of uncontrolled blood pressure compared with HS1. Across health systems, hypertensive patients were more likely to have uncontrolled blood pressure if they were uninsured, African Americans, current smokers, obese, or had fewer than 2 primary care visits during the 2-year measurement period. CONCLUSIONS After controlling for standard individual predictors of hypertension control, significant and substantial differences in hypertension control persisted between health systems, possibly due to local quality improvement programs among other factors. There may be opportunities to share best practices and address common disparities across health systems. application/pdf https://sonar.ch/global/documents/186127 eng info:eu-repo/semantics/altIdentifier/doi/10.3122/jabfm.2018.06.180166 info:eu-repo/semantics/altIdentifier/pmid/30413545 info:eu-repo/semantics/openAccess Journal of the American Board of Family Medicine : JABFM. - 2018 Blood Pressure Hypertension Multivariate Analysis Primary Health Care Retrospective Studies Quality Improvement Adult Aged Aged, 80 and over Antihypertensive Agents Blood Pressure Blood Pressure Determination Female Healthcare Disparities Humans Hypertension Male Medically Uninsured Middle Aged Practice Guidelines as Topic Practice Patterns, Physicians' Primary Health Care Quality Improvement Retrospective Studies San Francisco Treatment Outcome Young Adult Disparities in Hypertension Control Across and Within Three Health Systems Participating in a Data-Sharing Collaborative. http://purl.org/coar/resource_type/c_6501