This may require several methods including: Telephonic communication of BP readings Written communication of BP readings Direct integration and delivery of BP readings via the EHR Designating 1 individuals to implement changes in nonpharmacological or pharmacological treatment based on self-monitoring or behavioral/coaching strategies. This may include development of algorithms and involve several members of the care team, including but not limited to: Medical practice coordinators Pharmacists Physician assistants Nurse practitioners Nutritionists Nurses Physicians Developing a framework to iteratively and routinely assess ongoing efficacy of different telehealth strategies for the CDU Maintaining flexibility to modify strategies as new telehealth technologies emerge (eg, novel BP measurement devices, data integration software) Rationale Meta-analyses of RCTs of different telehealth interventions have demonstrated greater SBP and DBP reductions208 210 and a larger proportion of patients achieving BP control210 than those achieved with usual care without telehealth. The effect of various telehealth interventions on BP lowering was significantly greater than that of BP self-monitoring without transmission of BP data, which suggests a possible added value of the teletransmission approach.209,211 Although m-health interventions in general showed promise in reducing SBP in patients with hypertension, results were inconsistent.212 It is unclear which combination of telehealth intervention features is most effective, and telehealth has not been demonstrated to be effective as a standalone strategy for improving hypertension control. Telehealth, m-health, and e-health technologies refer to means of transmission with wired or wireless devices to communicate with a healthcare provider.212 E- health, or digital health, is the use of emerging communication and information technologies to improve health and health care. M-health, a subsegment of e- health, is the use of mobile computing and communication technologies (eg, mobile phones, wearable sensors) for health services and information.212 Table B provides a list of examples of telehealth strategies and telehealth technologies. 