Clinical Research Directory

Inclusion Criteria for Primary Care Clinics * Predominantly managing underserved populations with health disparities (ethnic minorities, low-income groups, and residents of rural areas and inner cities). * Having electronic medical record systems. * Serving \>200 hypertension patients (ICD-10-CM I10-I15) during the previous year. * Not participating in other hypertension control programs * Not sharing providers or nurses/pharmacists with other participating clinics. Inclusion Criteria for Study Participants * Men or women aged ≥40 years (2/3 of participants ≥60 years) who receive primary care from participating clinics. * Systolic BP ≥ 140 mmHg at two screening visits for those not taking antihypertensive medication or systolic BP ≥ 130 mmHg at two screening visits for those taking antihypertensive medications * Pregnant women, women planning to become pregnant in the near future, women of childbearing potential and not practicing birth control, and persons who cannot give informed consent will be excluded. * No diagnosis of dementia at baseline * Baseline MoCA score ≥ 10. * No diagnosis of end-stage renal disease, defined as dialysis or transplantation * Speak English as first language * No plans to change to a primary healthcare provider outside of their clinic in the near future * No individuals unlikely to complete the study, such as those who plan to move out of the study area in the near future and temporary migrant and homeless people * No immediate family members are staff at their clinic