Table 4.

Themes and illustrative examples mapped to implementation outcomes.

Implementation outcome and emergent theme		Illustrative examples
Acceptability
	Increased patient motivation	“I figure if I am measuring my blood pressure on a regular basis and I am noticing that it is high, it should be a mental kick in the head that says ‘Oh hey, I am going to do something about this.’” [Patient 8]
	Increased patient-clinician engagement	“I think the key thing that it does is it builds that relationship. If I have to see you in three months, you’re not going to think about doing your blood pressure. Maintaining, pushing a little more of, ‘How are you doing? What’s going on?’ Just trying to understand that. I think our goal was to try to be more engaged in their lives outside of clinic.” [Health professional 4, PCPa]
Appropriateness
	Remote blood pressure monitoring perceivably improves patient hypertensive management	“And also some days I feel like really dizzy and like I am about to faint so then I immediately check my blood pressure to see if it is normal because sometimes I feel like my heart is pounding very fast, so anything that I feel that is not right or something is different, I immediately check to see my blood pressure.” [Patient 5]
	Efficiency with remote blood pressure monitoring	“Just because we were able to access how things are at home. We could see what their blood pressure looks like at home versus in the clinic. It saves a lot of time when you’re meeting with patients cause you have all that information ahead of time.” [Health professional 11, specialist MDb]
Feasibility
	Efficiency with remote blood pressure monitoring	“Then I can show them the data, hey, look my blood pressure monitor taken this day is this, taken this day is this. Yeah I like the application itself. The application piece is good. It keeps my historical data.” [Patient 7]
	Technical difficulties with blood pressure cuff	“You have to make sure your bluetooth is on and then you have to make sure everything pairs and sometimes with the blood pressure cuff it will like go through the whole thing where it is squeezing and whatever and then it will be like, oh, error, it did not read.” [Patient 6]
	Time lost	“But it does put that added burden back on me to look through it [BPc readings]. I’m getting five to ten trackers, tracking notices, now every single day. The patients have those tracking information back for me. But if I’m trying to look at everything, which...that’s my goal, then it’s too much.” [Health professional 1, PCP]
Sustainability
	Managing data through EMRd settings	“EPIC has some tools to visualize data in general and it is incorporated in those same views. Just as a normal PC doc would visualize BP data um same basic kind of mechanisms and dashboards. But I think it is an area of active discussion and debate. Like are the tools for health professionals and patients to interact with their data are they as good as they could be and how can we make them more useful.” [Health professional 13, specialist MD]
	Sustaining patient motivation	“I think we’re trying with the digital health, and I think we’ll continue to try. I think, again, it has huge benefit for the people that will do it. I think we need to figure out how to get people to do it, but I think it still has great potential.” [Health professional 5, PCP]
	Need for team-based care	“I think our goal was to try to be more engaged in their lives outside of clinic. That was one of the purposes of these things. How do we do that? Do we need more support doing that? Could an MAe do that?” [Health professional 2, PCP]

^aPCP: primary care physician.

^bMD: medical doctor.

^cBP: blood pressure.

^dEMR: electronic medical record.

^eMA: medical assistant.