This project tests a model of chronic disease medication management in which the decision to
initiate or adjust medical therapy is directly linked to a sequence of subsequent clinical
actions (e.g. monitoring for adverse drug events, assessing response to therapy, changing
medication dose) performed independently of the office visit. The investigators hypothesize
that establishing a visit-independent, health information technology (IT) supported cycle of
laboratory monitoring and iterative medication dose adjustment will result in more effective
chronic disease care.