Sit with feet flat on the floor and legs uncrossed. Keep arm supported on a flat surface (such as a table), with the upper arm at heart level. Bottom of the cuff should be placed directly above the antecubital fossa (bend of the elbow). Take multiple readings: Take at least 2 readings 1 min apart in morning before taking medications and in evening before supper. Optimally, measure and record BP daily. Ideally, obtain weekly BP readings beginning 2 wk after a change in the treatment regimen and during the week before a clinic visit. Record all readings accurately: Monitors with built-in memory should be brought to all clinic appointments. BP should be based on an average of readings on 2 occasions for clinical decision making. The information above may be reinforced with the following: AHA webpage Monitoring Your Pressure at Home 217 and AHA video At home blood pressure monitoring 218 Reproduced with permission from Whelton et al.4 Copyright 2018, American Heart Association, Inc., and American College of Cardiology Foundation. BP indicates blood pressure; and HBPM, home blood pressure monitoring. Appendix A. Continued 44 SM-9: Use of a Single, Standardized Plan of Care for All Patients With HBP Measure Components The CDU has developed and implemented a single, standardized plan of care for HBP that addresses health behaviors, comorbid conditions, follow-up, and treatment goals through shared decision making, in accordance with Table D. Rationale A specific plan of care for hypertension is essential and should reflect understanding of the modifiable and nonmodifiable determinants of health behaviors, including the social determinants of risk and outcomes. A clinician s sequential flow chart for management of hypertension is presented (Table D). The determinants will vary among demographic subgroups. 