Altarum, along with our partners Michigan Center for Rural Health and Upper Peninsula Health Care Solutions, is facilitating the HH4M program (a 12-month research study in partnership with Northwestern University) with 51 clinics throughout the State of Michigan. We have developed this website to provide our tools and resources in a self-guided form so that we can reach far beyond the clinics involved in our research study to help others adopt and sustain quality improvement strategies for the treatment of hypertension and smoking, the leading risk factors of cardiovascular disease.