In the Sierra foothills of Northern California, Chapa-De Indian Health operates 2 nonprofit community health centers that have seen a remarkable improvement in their ability to help American Indian and low-income patients with hypertension get their blood pressure under control.
With grant funding, training, and technical assistance from Kaiser Permanente’s PHASE program in partnership with the Center for Care Innovations, between January 2017 and December 2019 Chapa-De went from having 70% of its hypertension patients with blood pressure under control to 77%. High blood pressure is a major risk factor for heart disease and stroke. PHASE, stands for Preventing Heart Attacks and Strokes Every Day.
Chapa-De implemented a number of PHASE initiatives, including using medical assistants and Licensed Vocational Nurses to check patient blood pressure more often; launching a clinical-pharmacist led hypertension program that made it easier for patients to get needed labs and medication adjustments; and starting a blood pressure cuff loaner program to encourage patients to take their own blood pressure at home.
When we saw how PHASE benefited Kaiser Permanente members, we said, ‘Bring it on. We can do this for our patients.’ ” – Meagan Mulligan, FNP, Chapa-De Indian Health
PHASE is also helping community health centers and public hospitals to advance their data reporting systems, culture of quality improvement, team-based care, and population health management systems — changes that will help them improve quality in other areas of patient care.
The PHASE program is just one example of Kaiser Permanente’s commitment to building partnerships with safety net clinics and institutions that serve on the front lines of health care for the uninsured and underserved. This work furthers our goal of ensuring access to care for those most in need and advancing health equity for all.