practicing physician at 1 of 2 medical groups.

be a general internist of family physician.

provide ongoing clinical care to at least 25 adult patients with uncontrolled hypertension. additional patient criteria include;

22 years or more on date of physician randomization.

charlson score less than 4.

be linked to a primary care physician who has consented to the study.

have 2 consecutive office blood pressure readings above the 7th report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure (jnc7) goal, within a 12 month time period.

physicians practicing at a second clinic for more than 1 day per week. additional patient criteria;

less than 22 years of age.

charlson score of >= 4