Problem: A performance review conducted in 2023 in a primary care office revealed the need to improve hypertension (HTN) management in adult patients. Approximately 57% of the patients with a diagnosis of HTN seen in the office have controlled blood pressure (BP), falling short of the national benchmark of 70%. The lack of a standard follow-up process at the practice for home BP monitoring was shown to have contributed to this. Evidence supports using a structured self- measured blood pressure program (SMBP) as an effective way to manage HTN among adult patients. Implementing such a program will benefit over 500 adult patients in this practice. Purpose: The purpose of this quality improvement project is to implement a structured SMBP program to increase HTN surveillance, enhance management, and improve BP control among adults seen in the office. Methods: The project was conducted over 15 weeks. Before the project's launch, a team was formed to implement changes in structure and workflow. Patients with two readings over 140/90 at an office visit were referred to the program. These patients received education on HTN management, SMBP techniques, and prescriptions for home BP devices if necessary. Follow-up appointments were scheduled within two weeks of the visit to collect data on adherence to the program, including BP logs, and determine treatment adjustments based on the logs. Weekly chart audits were put into REDCap to track referral completion, BP log submission, and trends throughout the project. Results: Results showed eligible patients were identified and referred to the SMBP program, achieving the goal of enrolling at least three patients weekly. All patients (n = 62) integrated SMBP into their routines, showing engagement. 61% reached the target SBP goal of less than 140. Conclusions: Findings suggest that integrating a structured SMBP program increased HTN surveillance, patient engagement, and improved clinical management of HTN in the office during the implementation.