Continued research to examine temporal trends and disparities (with respect to sex, race/ethnic- ity, and socioeconomic status) in the achievement of performance and quality measures is critical for future revisions of these measure sets. Before adoption of behavioral and motivational strategies as new performance measures, prospective stud- ies evaluating their efficacy in achieving a healthy lifestyle and a standardized process for patient- centered shared decision making for BP control are needed. Utilization of new performance measures in public accountability and payment programs is needed. The impact of inclusion of HBP per- formance measures in pay-for-performance strategies on HBP diagnosis, management, and outcomes should be prospectively evalu- ated. The impact of compliance with some or all performance measures on hospital quality of care and short- and long-term clinical outcomes should be assessed. The HBP performance measures may further evolve on the basis of additional evidence, along with future focused updates and revisions to the 2017 Hypertension Clinical Practice Guidelines. 