Collaboration Oriented Approach to Controlling High Blood Pressure

Inclusion Criteria: * Adult patients aged 18-100 years old * Patient receives care at a participating primary care clinic and has been seen in the last year * Patient has high BP, defined as an average of 4 BPs \> 140 systolic or \> 90 diastolic (clinic) or \> 135 OR \> 85 (home) * Patient is enrolled in online health portal * Patient can communicate in English * Patient has been recommended by their physician who thinks the patient would benefit from a home blood pressure monitoring program. Exclusion Criteria: * Patient is pregnant at the time of consent * Patient who, in the opinion of the primary care clinician, has severe cognitive impairment * Patient is on hospice care and/or has a life expectancy of less than 2 years * Patient has end stage renal disease * Patient for whom tight blood pressure control presents a greater risk, such as those with a history of adverse events from hypertension treatment (falls, dizziness, electrolyte disturbances, hypotension, active heart failure) * Patient has any other disease or disorder that in the opinion of the investigator or the patient's primary care clinician, could put participants at risk and affect trial results, or hinder participation will exclude them from participating