(Class 2a, Level of Evidence: C-EO) Use of the EHR and patient registries is beneficial for identification of patients with undiagnosed or undertreated hypertension.55 57 (Class 1, Level of Evidence: B-NR) Treatment of hypertension with a SBP treatment goal of less than 130 mmHg is recommended for noninstitutionalized ambulatory community-dwelling adults ( 65 y of age) with an average SBP of 130 mmHg or higher.58 (Class 1, Level of Evidence: A) Adults with stage 2 hypertension should be evaluated by or referred to a primary care provider within 1 month of the initial diagnosis, have a combination of nonpharmacological and antihypertensive drug therapy (with 2 agents of different classes) initiated, and have a repeat BP evaluation in (Class 1, Level of Evidence: B-R) In adults with an untreated SBP greater than 130 mmHg but less than 160 mmHg or DBP greater than 80 mmHg but less than 100 mmHg, it is reasonable to screen for the presence of white coat hypertension by using either daytime ABPM or HBPM before diagnosis of hypertension.61 68 (Class 2a, Level of Evidence: B-NR) Resources: 1) Qualified Electronic Health Record,69 2) PCPI National Quality Registry Network (NQRN).70 3) American College of Cardiology Foundation (ACCF) American Heart Association (AHA) Physician Consortium for Performance Improvement (PCPI) Hypertension Performance Measurement Set. 4) NQF Measure 0018 Controlling High Blood Pressure (NCQA).22 Additional note: 2017 Hypertension Clinical Practice Guidelines relies on average BP readings. NCQA HEDIS relies on most recent BP reading: The member is numerator compliant if the BP is <140/90 mmHg. The member is not compliant if the BP is 140/90 mmHg, if there is no BP reading during the measurement year, or if the reading is incomplete (eg, the systolic or diastolic level is missing). 