Implementation of a New Kiosk Technology for Blood Pressure Management in a Family Medicine Clinic: from the WWAMI Region Practice and Research Network.
Using a self-service kiosk to measure blood pressure (BP) has the potential to increase patients' awareness of their BP control and free up medical assistant (MA) time. The objective of this study was to evaluate BP kiosk acceptability and usability, as well as its effects on the workflow of patient BP self-measurement in a primary care clinic.



We used qualitative and quantitative assessments of kiosk implementation via meetings with clinic leaders, focus groups with clinic providers and staff, observations of kiosk users, and surveys of kiosk users at 2 and 8 months.



Most patients were comfortable using the kiosk (82% at 2 months, 87% at 8 months). Initial provider concerns included accuracy, but most gained confidence after comparing it with other monitors and reviewing the literature supporting its accuracy. Patients and providers saw many benefits: easier BP checks, increased patient engagement, and saved MA time for other tasks. The clinic addressed early concerns (eg, infection control, confusing instructions, perceived loss of personal touch). Most patients (86%) supported the clinic continuing to use the kiosks.



Providers, staff, and patients adapted to the use of BP kiosks, providing value by engaging patients in their own care and saving MA time. The clinic decided to keep the self-service kiosk after the pilot period.
From the Department of Human Centered Design & Engineering, University of Washington, Seattle (C-FC, SAM); Department of Family Medicine, University of Washington, Seattle (MJT, L-MB); the Memorial Physicians/Yakima Valley Memorial Hospital, Yakima, WA (JK, RC); and the Group Health Research Institute, Seattle (BBG). cfchung@uw.edu.
Chia-Fang
CF
Chung
From the Department of Human Centered Design & Engineering, University of Washington, Seattle (C-FC, SAM); Department of Family Medicine, University of Washington, Seattle (MJT, L-MB); the Memorial Physicians/Yakima Valley Memorial Hospital, Yakima, WA (JK, RC); and the Group Health Research Institute, Seattle (BBG).
Sean A
SA
Munson
From the Department of Human Centered Design & Engineering, University of Washington, Seattle (C-FC, SAM); Department of Family Medicine, University of Washington, Seattle (MJT, L-MB); the Memorial Physicians/Yakima Valley Memorial Hospital, Yakima, WA (JK, RC); and the Group Health Research Institute, Seattle (BBG).
Matthew J
MJ
Thompson
From the Department of Human Centered Design & Engineering, University of Washington, Seattle (C-FC, SAM); Department of Family Medicine, University of Washington, Seattle (MJT, L-MB); the Memorial Physicians/Yakima Valley Memorial Hospital, Yakima, WA (JK, RC); and the Group Health Research Institute, Seattle (BBG).
Laura-Mae
LM
Baldwin
From the Department of Human Centered Design & Engineering, University of Washington, Seattle (C-FC, SAM); Department of Family Medicine, University of Washington, Seattle (MJT, L-MB); the Memorial Physicians/Yakima Valley Memorial Hospital, Yakima, WA (JK, RC); and the Group Health Research Institute, Seattle (BBG).
Jeffrey
J
Kaplan
From the Department of Human Centered Design & Engineering, University of Washington, Seattle (C-FC, SAM); Department of Family Medicine, University of Washington, Seattle (MJT, L-MB); the Memorial Physicians/Yakima Valley Memorial Hospital, Yakima, WA (JK, RC); and the Group Health Research Institute, Seattle (BBG).
Randall
R
Cline
From the Department of Human Centered Design & Engineering, University of Washington, Seattle (C-FC, SAM); Department of Family Medicine, University of Washington, Seattle (MJT, L-MB); the Memorial Physicians/Yakima Valley Memorial Hospital, Yakima, WA (JK, RC); and the Group Health Research Institute, Seattle (BBG).
Beverly B
BB
Green
D001795:Blood Pressure Determination / Q000379:methods*; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008137:Longitudinal Studies; D010358:Patient Participation / Q000379:methods*; D010865:Pilot Projects; D011320:Primary Health Care; D011795:Surveys and Questionnaires; D013997:Time Factors; D014861:Washington; D057188:Workflow
Ambulatory Care Facilities; Blood Pressure; Blood Pressure Determination; Focus Groups; Hypertension; Patient Participation; Practice-Based Research; Primary Health Care; Surveys & Questionnaires; Workflow