These experts were gathered to develop and draft the clinical recommendations for an update to the 2014 VA/DoD HTN CPG. The Lewin Team presented findings from the evidence review in order to facilitate and inform the process. Under the direction of the Champions, the Work Group members were charged with interpreting the results of the evidence review and were asked to categorize and carry forward recommendations from the 2014 VA/DoD HTN CPG, modifying the recommendations as necessary. The members also developed new clinical practice recommendations not presented in the 2014 VA/DoD HTN CPG based on the evidence review conducted as part of this guideline update. The Work Group members were divided into three smaller subgroups at this meeting. As the Work Group members drafted clinical practice recommendations, they also assigned a grade for each recommendation based on a modified GRADE and USPSTF methodology. Each recommendation was graded by assessing the quality of the overall evidence base, the associated benefits and harms, the variation in values and preferences, and other implications of the recommendation. In addition to developing recommendations during the face-to-face meeting, the Work Group members also began to revise the 2014 VA/DoD HTN CPG algorithms to reflect the new and amended recommendations. They discussed the available evidence as well as changes in clinical practice since 2014, as necessary, to update the algorithms. D. Grading Recommendations This CPG uses the GRADE methodology to assess the quality of the evidence base and assign a strength for each recommendation. The GRADE system uses the following four domains to assess the strength of each Balance of desirable and undesirable outcomes Confidence in the quality of the evidence Values and preferences Other implications, as appropriate, Resource use Equity Acceptability Feasibility Subgroup considerations The following sections further describe each domain. 