Box 17 connects to Box 18, in the shape of a rectangle, asks the question: Implement SDM to assess patient values and preferences; assess the need for and implement lifestyle modification. Is the patient willing to engage in pharmacotherapy? a. If the answer is Yes to Box 18, then Box 19, in the shape of an rectangle: Initiate treatment if drug na ve or optimize existing therapy (see Sidebar 5) b. If the answer is No to Box 18, then Box 20, in the shape of a rounded rectangle: Patient refuses pharmacotherapy; consider nurse-led and dietitian-led interventions to improve blood pressure control 4. Box 20 connects to Box 21, in the shape of a rounded rectangle: Follow up periodically; reassess preferences 5. Box 21 connects to Box 17, in the shape of a rectangle: Determine blood pressure goal (see Sidebar 4) 6. Box 19 connects to Box 22, in the shape of a rectangle: Consider offering and/or adjusting HBPM with co-interventions (tailored medication titration, education, and/or lifestyle counseling 7. Box 22 connects to Box 23, in the shape of a rectangle: Follow up regularly (e.g., monthly) until: blood pressure is at goal, treatment regimen is optimized (see Sidebar 6), comorbid conditions and/or other patient preferences direct otherwise 8. Box 23 connects to Box 24, in the shape of a hexagon, asks the question: Is the patient s blood pressure at or below goal? a. If the answer is Yes to Box 24, then Box 25, in the shape of a rectangle: Follow up annually or more frequently as dictated by comorbid conditions (to include lab monitoring, if indicated) b. 