. Author manuscript; available in PMC: 2020 Dec 4.

Published in final edited form as: Circ Cardiovasc Qual Outcomes. 2019 Nov 12;12(11):e000057. doi: 10.1161/HCQ.0000000000000057

Table 5.

Summary of 2019 ACC/AHA Structural Measures for the Diagnosis and Management of HBP

Measure No.	Measure Title/Description	ACC/AHA Stage 2 HBP	ACC/AHA Stage 1 HBP	ACC/AHA Elevated BP	COR/LOE
Diagnosis, Assessment, and Accurate Measurement
SM-1	Use of a standard protocol to consistently and correctly measure BP in the ambulatory setting	+	+	+	COR: 1, LOE: C-EO
SM-2	Use of a standard process for assessing ASCVD risk (2019 Prevention Guideline¹⁴)	+	+	+	COR: 1, LOE: B-NR
SM-3	Use of a standard process for properly screening all adults ≥18 years of age for HBP (USPSTF¹⁵)	+	+	+	Grade A (USPSTF)
SM-4	Use of an EHR to accurately diagnose and assess HBP control	+	+	+	COR: 1, LOE: B-NR
Patient-Centered Approach for Controlling HBP
SM-5	Use of a standard process to engage patients in shared decision-making, tailored to their personal benefits, goals, and values for evidence-based interventions to improve control of HBP (2019 Prevention Guideline¹⁴)	+	+	+	COR: 1, LOE: B-R
SM-6	Demonstration of infrastructure and personnel that assess and address social determinants of health of patients with HBP (2019 Prevention Guideline¹⁴)	+	+	+	COR: 1, LOE: B-NR
Implementation of a System of Care for Patients With HBP
SM-7	Use of team-based care to better manage HBP	+	+	+	COR: 1, LOE: A
SM-8	Use of telehealth, m-health, e-health, and other digital technologies to better diagnose and manage HBP	+	+	+	COR: 2a, LOE: A / COR: 1, LOE: A
SM-9	Use of a single, standardized plan of care for all patients with HBP	+	+	+	COR: 1, LOE: C-EO
Use of Performance Measures to Improve Care for HBP
SM-10	Use of performance and quality measures to improve quality of care for patients with HBP	+	+	-	COR: 2a, LOE: B-NR

+Indicates the corresponding ACC/AHA stage for the measure.

-Indicates that the ACC/AHA stage does not correspond to the measure.

ACC indicates American College of Cardiology; AHA, American Heart Association; ASCVD, atherosclerotic cardiovascular disease; BP, blood pressure; COR, Class of Recommendation; e-health, healthcare services provided electronically via the Internet; EHR, electronic health record; HBP, high blood pressure; LOE, Level of Evidence; m-health, practice of medicine and public health supported by mobile devices; SM, structural measure; and USPSTF, US Preventive Services Task Force.