(Class 1, Level of Evidence: C-EO) ACC indicates American College of Cardiology; AHA, American Heart Association; BP, blood pressure; CDU, care delivery unit; CVD, cardiovascular disease; GDMT, guideline-directed medical therapy/treatment; HBP, high blood pressure; and RCTs, randomized controlled trials. Appendix A. Continued Table D. Clinician s Steps for the Management of Hypertension Clinician s Sequential Flowchart for the Management of Hypertension Measure office BP accurately Detect white-coat hypertension or masked hypertension by using ABPM and HBPM Evaluate for secondary hypertension Identify target-organ damage Introduce lifestyle interventions Identify and discuss treatment goals Use ASCVD risk estimation to guide BP threshold for pharmacological therapy Align treatment options with comorbidities Account for age, race, ethnicity, sex, and special circumstances in antihypertensive treatment Initiate antihypertensive pharmacological therapy Insure appropriate follow-up Use team-based care Connect patient to clinician via telehealth Detect and reverse nonadherence Use health information technology for remote monitoring and self- monitoring of BP Reproduced with permission from Whelton et al.4 Copyright 2018, American Heart Association, Inc., and American College of Cardiology Foundation. ABPM indicates ambulatory blood pressure monitoring; ASCVD, atherosclerotic cardiovascular disease; BP, blood pressure; and HBPM, home blood pressure monitoring. Appendix A. Continued 45 Use of Performance Measures to Improve Care for HBP SM-10: Use of Performance and Quality Measures to Improve Quality of Care for Patients With HBP Measure Components The CDU uses performance and quality measures for evaluation and improvement in clinical settings for the diagnosis and management of patients with HBP, which include: Performance measures that are developed according to established ACC/AHA standards. Performance measures that identify key structural components, care processes, and/or outcomes that are highly correlated with important, high-priority patient care goals. Methods to accurately and feasibly collect data in order to assess performance measures. 