STAMPP-HTN Program

Patient Enrollment

• All patients with hypertensive disorders of pregnancy are automatically enrolled before discharge.
• Patients receive education on blood pressure monitoring and symptom awareness.
• Patients receive a Bluetooth-enabled blood pressure cuff.

Remote Blood Pressure Monitoring

• Patients measure their blood pressure twice daily.
• Readings are immediately uploaded and reviewed in real time by dedicated nurses with established pathways of care.
• High-risk blood pressure readings or symptom alerts are reviewed and escalated by the CareConnect nursing team according to established protocols. Providers are contacted only when a patient is instructed to return to the hospital or when additional medical judgment is required.

Clinical Monitoring and Escalation

• Protocol-driven escalation may include medication adjustment, clinic follow up or higher level evaluation by leveraging telehealth visits.
• All patients are continuously monitored through standardized protocols.
• Critical escalation triggers include:
  • Severe-range blood pressure readings
  • Symptoms concerning for severe features
• Patients are contacted promptly when thresholds are met.

Patients are automatically enrolled for 42 days, which targets the highest period. After the program is completed, ongoing primary care ensues.

Patients delivering at Nebraska Medicine who meet any of the following criteria are enrolled in STAMPP-HTN:

• Blood pressure of 140/90 mmHg or higher postpartum
• Diagnosis of chronic hypertensions, preeclampsia, or gestational hypertension
• Discharge on antihypertensive medication

Eligible patients are scheduled for follow up in the Postpartum Hypertension (PPHTN) Clinic.

STAMPP-HTN may be implemented collaboratively and integrated into existing postpartum workflows. In some cases, external funding opportunities, such as the Rural Health Transformation Program, may be available to support program adoption and sustainability.