Section 13 contains a comprehensive, patient-centered plan of care that should be the basis of all team-based care for hypertension. Team-based care aims to achieve effective control of hypertension by application of the strategies outlined in Online Data Supplement H.S12.2-3 Delineation of individual team member roles on the basis of knowledge, skill set, and availability, as well as the patient s needs, allows the pri- mary care provider to delegate routine matters to the team, thereby permitting more time to manage complex and criti- cal patient-care issues. Important implementation aspects, such as type of team member added, role of team members related to medication management, and number of team members, influence BP outcomes.S12.2-3,S12.2-13 Team member roles should be clear to all team members and to patients and families. Team-based care often requires organizational change and reallocation of resources.S12.2-14,S12.2-15 Systems-level sup- port, such as use of electronic health records (EHR) (see Section 12.3.1), clinical decision support (ie, treatment algo- rithms), technology-based remote monitoring (see Section 12.3.2), self-management support tools, and monitoring of performance, are likely to augment and intensify team-based care efforts to reduce high BP. Recommendation-Specific Supportive Text 1. RCTs and meta-analyses of RCTs of team-based hyper- tension care involving nurse or pharmacist intervention demonstrated reductions in SBP and DBP and/or greater achievement of BP goals when compared with usual Similarly, systematic reviews of team-based care, including a review of studies that in- cluded community health workers, for patients with pri- mary hypertension showed reductions in SBP and DBP and improvements in BP control, appointment keeping, and hypertension medication adherence as compared with usual care.S12.2-3,S12.2-12 12.3. Health Information Technology Based Strategies to Promote Hypertension Control 12.3.1. EHR and Patient Registries Recommendations for EHR and Patient Registries References that support recommendations are summarized in Online Data Supplement 63. 