Table 3.

Recommendations for healthcare systems to increase equity in blood pressure

Track racial differences in blood pressure control and process metrics*

Broaden and streamline access to frequent encounters forhypertension management  • Nurse or pharmacist-led visits  •Weekend and after-hours visits  • Telemedicine (video >telephone)

SMBP program with seamless workflowintegration  • Easy-to-use devices and easy data communication –e.g.cellular-enabled devices  • Use of clinic personnel† for health coaching (digital literacy and lifestyle)and facilitated workflow (e.g.pre-appointment phone calls)

Partner and integrate with community-based programs.  • Referral system to resources

^*Process metrics: % missed visits, %treatment intensification per visit with elevated BP, medication adherence

^†Nurse, nurse practitioner, pharmacist or community health worker hired by the clinic SMBP: self-measured blood pressure