Table 5.

Keys to Effective Blood Pressure Control in Adults with Hypertension

1. Agree (patient and provider) on blood pressure target

2. Use fixed dose combinations

3. Substitute long-acting chlorthalidone for hydrochlorothiazide (alternatively indapamide)

4. Use long acting amlodipine as first line calcium channel blocker

5. Monthly visits until blood pressure target achieved

6. Replace prescription of 30 day with 90 day refills, if allowed

7. Use telehealth strategies to augment office-based management

8. Enhance connectivity between patient, provider and electronic health record for better feedback and communication

9. Screen for social determinants of health and consideration of obstacles to care

10. Use multidisciplinary team-based care to enhance lifestyle and medication adherence and to solve social issues