The draft was posted on a wiki website for a period of 14 business days. The peer reviewers comprised individuals working within the VA and DoD healthcare systems as well as experts from relevant outside organizations designated by the Work Group members. Organizations that were designated by the Work Group to participate in the peer review and provided feedback included the following: American Association of Nurse Practitioners Mayo Clinic Scripps Clinic Tulane University of Medicine The VA and DoD Leadership reached out to both the internal and external peer reviewers to solicit their feedback on the CPG. Reviewers were provided a hyperlink to the wiki website where the draft CPG was posted. All feedback from the peer reviewers was discussed and considered by the Work Group. Modifications made throughout the CPG development process were made in accordance with the evidence. B. Summary of Patient Focus Group Methods and Findings When forming guideline recommendations, consideration should be given to the values of those most affected by the recommendations: patients. Patients bring perspectives, values, and preferences into their healthcare experience that can vary from those of clinicians. These differences can affect decision making in various situations and should be highlighted and made explicit due to their potential to influence a recommendation s implementation.[23,24] Focus groups can be used as an efficient method to explore ideas and perspectives of a group of individuals and collect qualitative data on a thoughtfully predetermined set of questions. Therefore, as part of the effort to update this CPG, VA and DoD Leadership, along with the HTN CPG Work Group, held a patient focus group. The patient focus group was held on January 23,2019 at the Naval Medical Center in San Diego, CA. 