Improving Care for Patients With High Blood Pressure

Inclusion Criteria: * Men and women who meet the following inclusion criteria will be eligible for study participation: * 18 years or older, * Able and willing to give informed consent, * A current patient of 1 of the 5 participating practices, * Have a current diagnosis of hypertension by their primary care physician or have 3 documented blood pressures above 150/90, * Their most recent systolic blood pressure was greater than or equal to 150 at their most recent clinic visit, * Receive physician approval to participate in the study. * Anyone enrolled in the High Blood Pressure study is eligible to participate in the genomics component of the project. Exclusion Criteria: * non-English speaking, * current treatment of psychosis, * diagnosed with advanced dementia as determined by the clinician, * current substance abuse, * lack of phone access, * history of malignancy, other than non-melanoma skin cancer, that has not been in remission or cured surgically for \> 5 years, * estimated creatinine clearance less than 30 ml/min (because hypertension management becomes more complicated at this point), * are pregnant.