Why accurate blood pressure readings matter 

The Controlling High Blood Pressure (CBP) measure evaluates adults ages 18-85 with hypertension whose blood pressure is controlled during the measurement year. A controlled result is less than 140/90 mm Hg. The most recent eligible blood pressure documented during the measurement year is used to determine compliance. 

Controlling High Blood Pressure (CBP) quick facts

• These tips can help you to identify measures requirements to ensure the best and last blood pressure reading is captured.
• A blood pressure reading is considered out of range when the systolic blood pressure is ≥140 mm Hg and/or the diastolic blood pressure is ≥90 mm Hg.
• The measure is closed by the patient’s most recent eligible blood pressure reading during the measurement year.
• If multiple blood pressure readings are taken on the same day, the measure uses the lowest systolic value, and the lowest diastolic value documented that day.
• Both systolic and diastolic values must be documented. Missing or incomplete blood pressure documentation results in the patient being considered uncontrolled.
• Blood pressure readings taken during an emergency department visit or acute inpatient stay do not count toward the measure.

Tips for getting the best reading 

• Small changes in positioning and technique can improve the accuracy of the result. Before and during measurement:
  • Allow the patient to sit quietly for several minutes before taking the reading. 
  • Have the patient sit with their back supported and both feet flat on the floor. 
  • Support the arm at heart level and use the correct cuff size. 
  • Ask the patient not to talk during the measurement. 
  • Place the cuff on bare skin and follow the device manufacturer’s instructions. 

Year-end best practices 

• Review patients with hypertension who have a most recent blood pressure of 140/90 mm Hg or higher.
• Identify patients who do not have complete blood pressure documented for the measurement year.
• Repeat borderline or elevated readings during the visit when clinically appropriate.
• Arrange timely follow-up for patients with an elevated late-year reading.
• Monitor eligible readings received from specialists and other care settings.
• Document all readings accurately, including same-day retakes.

Accurate technique, same-day retakes, complete documentation, and timely follow-up can help ensure that the recorded blood pressure reflects the patient’s true clinical status while supporting high-quality hypertension management.