ICSI has made a significant format enhancement in our scientific documents. All scientific documents (excluding Order Sets) now have “interactive” capability that allows a user to click on various links in the document and easily navigate from one area to another. For example, you can click on an algorithm box (those denoted with an “A” and those that refer to other algorithm boxes) and link directly to supporting annotation.

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Note: The interactive links within ICSI PDF guidelines may not work on some mobile devices. However, the GoodReader App (and possibly some other "reader" applications) will allow anyone to open ICSI interactive PDF Guidelines on their mobile device and utilize most of the interactive capabilities.

1. Increase the percentage of hypertensive patients, age 18 and older, whose blood pressure is in control.
   
2. Improve the assessment of hypertensive patients, age 18 and older.
   
3. Increase the percentage of hypertensive patients, age 18 and older, who receive patient education, with a focus on the use of non-pharmacological treatments.
   
4. Increase the percentage of patients, age 18 and older, with uncontrolled hypertension who have a care plan.
   
5. Increase the percentage of hypertensive patients, age 18 and older, not at a blood pressure goal, who have a change in subsequent pharmacological therapy.

• Confirmation of hypertension is based on the initial visit, plus one or more follow-up visits with at least two blood pressure measures at each visit.
  
• Standardized blood pressure measurement techniques (including out-of-office or home blood pressure measurements) should be employed when confirming an initially elevated blood pressure and for all subsequent measures during follow-up and treatment for hypertension.
  
• A thiazide-type diuretic should be considered as initial therapy in most patients with uncomplicated hypertension.
  
• Physician reluctance to initiate and intensify treatment is a major obstacle to achieving treatment goals.
  
• Systolic blood pressure level should be the major factor for the detection, evaluation and treatment of hypertension, especially in adults 50 years and older.
  
• Fewer than 50% of patients with hypertension will be controlled with a single drug.