The National Association of Chronic Disease Directors improves the health of the public by strengthening state-based leadership and expertise for chronic disease prevention and control in states and at the national level.

More than a third of people with uncontrolled hypertension don’t know their blood pressure is too high and are not receiving treatment to control it, placing them at increased risk for heart attack or stroke. Blood pressure medicine can protect the heart, brain, and kidneys but only if patients take it and keep their blood pressure controlled. Self-measured blood pressure monitoring (SMBP) is an important clinical tool to help clinicians make the diagnosis of hypertension and use of SMBP for those with high blood pressure can improve blood pressure control.

2017 Guideline for the Prevention, Detection, Evaluation, Management of High Blood Pressure in
Adults (AHA, 2017) - View a video interview with Paul Whelton, MD, writing group chair for the 2017 Hypertension Clinical Practice Guidelines and find related resources.
Identifying Undiagnosed Hypertension - NACDD/CDC Fireside Chat recording (Feb. 2016) Speakers include Hilary Wall, Senior Health Scientist and Million Hearts Science Lead at CDC’s Division for Heart Disease and Stroke Prevention; Dr. Ian Brissette from the New York State Department of Health; and Dr. James Schultz from Neighborhood Healthcare in San Diego. Presentation slides
Undiagnosed Hypertension in the Safety Net - Improving Identification and Diagnosis of Patients Hiding in Plain Sight - webinar recording (June 2016, National Association of Community Health Centers) Presentation slides
Community-Clinical Linkages for the Prevention and Control of Chronic Diseases: A Practitioner's Guide (CDC, 2016)
Patients with Undiagnosed Hypertension Hiding in Plain Sight , H. Wall MPH (JAMA 2014)
Issue Brief on Identifying Undiagnosed Hypertension (NACDD & CDC)
Approaches to Identifying Individuals with Undiagnosed Hypertension - Evaluation Peer Learning Community slide presentation (April 2017)
Million Hearts® Hypertension Prevalence Estimator Tool
Hypertension: Detect, Connect, Control - May 2013 (CDC Public Health Grand Rounds).

Calculating Medication Adherence for Antihypertensive and Antidiabetic Medications: A Guide for State Evaluators
Medication Adherence Fact Sheet (Colorado Department of Public Health & Environment)
CDC Vital Signs. Blood Pressure Control. Helping Patients Take Their Medicine (Sept. 2016)
Vital Signs: Disparities in Antihypertensive Medication Nonadherence Among Medicare Part D Benefic iaries - United States, 2014 (Sept. 2016 CDC, MMWR)
Medication Adherence Call Summary (NACDD & ASTHO) - Summary of a series of calls with states on supporting clinical providers to improve the percentage of their patients who take hypertension medications as prescribed as well as related system issues.

Self-measured Blood Pressure Monitoring Action Steps for Clinicians
Self-measured Blood Pressure Monitoring-Action Steps for Public Health Practitioners
Self-measured Blood Pressure Monitoring Program: Engaging Patients in Self-measurement (American Medical Association and Johns Hopkins School of Medicine)
Community Guide Recommendations for Self-Measured Blood Pressure Monitoring:
- When Used Alone
- When Combined with Additional Support
- Cost Effectiveness
NY State Department of Health Diabetes Prevention and Management Toolkit
Million Hearts - Self-Measured Blood Pressure Monitoring
Standardized Hypertension Treatment Protocols (and protocol template, Million Hearts® Blood Pressure Tool Kit)