Table 1.

Key elements of the Kaiser Permanente Northern California (KPNC) hypertension program adopted in Bring it Down San Francisco

Program components	KPNC Hypertension Program	Bring it Down San Francisco
Evidence-based treatment protocol	Designed to accomplish simple and fast titration of BP treatment to goal emphasis on increased use of fixed-dose combination pharmacotherapy, and guidance for management of resistant HTN	Protocol modified to account for: drug coverage and affordability, patient complexity, and provider preferences that are pertinent to safety-net patient populations New evidence and clinical guidelines
BP check visits led by non-physician professional staff	Led by medical assistants	Led by nurses and pharmacists The type of allied health professional or entry-level staff used varied by clinic site based on capacity.
Standard BP measurement protocol	Kaiser Permanente already had standardized methods for BP measurement	Partnered with nurse leaders to design a standardized BP measurement protocol
Hypertension patient registry	Used to generate performance reports and highlight high-performing sites	Used to generate performance reports
Performance reports	Initially distributed every 3 months and then available by query at any time to authorized individuals.	Clinic-level reports, stratified by race, shared with clinic leaders monthly Hypertension registry available to clinic leaders to generate their own reports and monitor progress