Inclusion Criteria:  18 years of age as of the date of data extraction Self-identify as non-Hispanic white, non-Hispanic African-American or Hispanic Have elevated BP (120-129/<80 mm Hg) or untreated stage 1 hypertension (130-139/80-89 mm Hg) (defined by AHA's 2017 hypertension clinical guidelines) Receives primary medical care at one of the participating community health centers and primary care practices  Exclusion Criteria:  Age <18 years Prescribed antihypertensive medication Diagnosis of end-stage renal disease (ESRD) Condition which interferes with outcome measurement (e.g., dialysis) Serious medical condition which either limits life expectancy or requires active management (e.g., cancer) Patients with serious cognitive impairment or other conditions preventing their participation in the intervention Upper arm circumference >50 cm (maximum limit of the extra-large BP cuff) Those planning to leave the practice or move out of the geographic area in 24 months Those who no longer consider the practice site the location where they receive primary care Unwillingness to provide informed consent