The patient records their peak diurnal home blood pressure readings on a Tuesday, Thursday, Saturday, Tuesday, Thursday schedule. The computer calculates the percent control for each patient in your panel. You get a list every 10 days of uncontrolled patients that need medication adjustment. If they are controlled, they come off the list and are sent an email congratulating them reenforcing lifestyle changes and continuing their medications. Every 10-day monitoring improves both patient and provider compliance. If the patient stops their medication, the blood pressure will acutely rise alerting you to intervene. If they come off their meds and they are controlled, they do not need anti-hypertensives. Frequent adjustment has been shown to improve the rate of control.