Criterion	Description
Insufficient opportunity to manage hypertension	<2 non-acute visits to medically-focused outpatient clinics in the past year, or <1 non-acute visit to these clinics 1–2 years prior. Acute visits defined as visits for acute pain or acute infection or visits within 1 week before or 2 weeks after hospitalization.
Adverse effects of treatment	Adverse events attributed to antihypertensive treatment for ≥3 antihypertensive drugs classes (for lower-risk patients) or all major antihypertensive drug classes (for higher-risk patients) *; or Symptomatic orthostatic hypotension with the use of 2 separate antihypertensive medication classes; or Diastolic blood pressure < 65 and systolic blood pressure > 140.
Pre-existing antihypertensive medication use	Patient is already prescribed ≥4 antihypertensive medications at effective doses from ≥4 different drug classes.
Competing or clinically dominant comorbidities	Terminal or end-stage non-cardiovascular disease with limited life expectancy; or Dementia; or Enrollment in hospice; or Uncontrolled severe mental illness or substance abuse
Other patient factors	Patient desires a palliative approach and an emphasis on comfort over life prolongation; or Patient is reluctant to take medications to treat hypertension, and education and/or discussion with the patient about the benefits of treating hypertension is documented in the medical record; or Patient has poor adherence to medications and education and/or discussion with the patient about adherence strategies and/or preferences is documented