Published June 2026

Best Practices for the HEDIS CBP Measure

The CBP measure emphasizes keeping blood pressure below 140/90 mm Hg in patients with hypertension. Using proper measurement techniques is essential for accurate results and meeting HEDIS standards.

Why Measurement Technique Matters

Even a small error—like misreading blood pressure by 5 mm Hg—can wrongly diagnose or overlook hypertension. Mistakes in preparing and positioning patients often result in unreliable readings. The Million Hearts® campaign, led by the AMA and Johns Hopkins, recommends protocols to address seven frequent measurement mistakes.

7 Tips for Accurate Blood Pressure Measurement

1. Ensure the patient has emptied their bladder before you begin.
2. Use a correctly sized cuff on the bare arm; it should be snug but not tight, positioned one inch above the fold of the elbow.
3. Have the patient sit with their feet flat on the floor, back supported, and their arm at heart level..
4. Let the patient rest for at least five minutes before taking their blood pressure.
5. Do not talk during the measurement. Record both the reading and which arm was used.
6. After one minute, repeat the measurement on the other arm. For future readings, use the arm that produced the higher value.
7. If systolic is 140 or higher, or diastolic is 90 or higher, retake after a one-minute rest. If it is still elevated, arrange a follow-up within two weeks.