These measures may include identification of and partner- ing with community resources and organizations devoted to hypertension control and cardiovascular health. Although comparative-effectiveness data documenting efficacy of various interventions are limited, multidisciplinary team based approaches and the use of community health work- ers (see Sections 12.1.1 and 12.2) have shown some utility, as has the use of out-of-office BP monitoring (or no-cost BP control visits), particularly among resource-constrained Long-acting once-daily medica- tions (eg, chlorthalidone, amlodipine) that are now avail- able generically and often on discount formularies can often be used to reduce complexity of the regimen and promote adherence by decreasing the effect of missed medication dosages. When possible, prescriptions requiring longer than 30-day refills should be considered, especially once a Table 21. Clinician s Sequential Flow Chart for the Management of Hypertension Clinician s Sequential Flow Chart for the Management of Hypertension Measure office BP accurately Section 4 Detect white coat hypertension or masked hypertension by using ABPM and HBPM Evaluate for secondary hypertension Section 5 Identify target organ damage Sections 5 and 7 Introduce lifestyle interventions Section 6 Identify and discuss treatment goals Sections 7 and 8 Use ASCVD risk estimation to guide BP threshold for drug therapy Align treatment options with comorbidities Section 9 Account for age, race, ethnicity, sex, and special circumstances in antihypertensive treatment Initiate antihypertensive pharmacological therapy Insure appropriate follow-up Section 8 Use team-based care Section 12 Connect patient to clinician via telehealth Section 12 Detect and reverse nonadherence Section 12 Detect white coat effect or masked uncontrolled hypertension Use health information technology for remote monitoring and self-monitoring of BP ABPM indicates ambulatory blood pressure monitoring; ASCVD, atherosclerotic cardiovascular disease; BP, blood pressure; and HBPM, home blood pressure monitoring. Whelton et al 2017 High Blood Pressure Clinical Practice Guideline e73 stable regimen is achieved. 