Automatically Transmitted Home Blood Pressure and Automated Patient Feedback in Hypertension Care: the AUTO 2 Trial

Inclusion Criteria: * Age 18-84 years at enrollment date * Receives hypertension care primarily from a participating clinician * Blood pressure on the two most recent days when ambulatory clinic blood pressure was obtained prior to patient identification to was ≥140 mm Hg systolic and/or ≥90 diastolic or last ambulatory clinic blood pressure was ≥150 mm Hg systolic and/or ≥95 diastolic * Currently has or is willing to obtain a patient portal account from NM. Exclusion Criteria: * Dementia, * Nursing home resident, * Stage 5 chronic kidney disease or renal replacement therapy, * Pregnancy, * Receiving hospice, * Not planning to continue to receive hypertension care from NM clinician for the next year, * Planning to move from the region in the next year, * Planning to change clinician treating their hypertension in the next year, * Medical or psychological reason they cannot perform home blood pressure monitoring. * Known to have average home blood pressure or most recent home blood pressure value of \<130/80 mm Hg. CLINICIAN PARTICIPANT INCLUSION Physician, advanced practice nurse or physician assistant working at a Northwestern Medicine ambulatory primary care site that cares for adults with hypertension (family medicine, internal medicine, medicine/pediatrics, and ambulatory geriatrics sites). CLINICIAN PARTICIPANT EXCLUSION * Primary care physicians and clinicians not willing for their patients to participate in study * Planning to depart NM within the next year * Not willing to receive patients' out-of-office blood pressure data