{"id":605,"date":"2020-06-10T15:52:03","date_gmt":"2020-06-10T15:52:03","guid":{"rendered":"https:\/\/inthecommunity-ncal.kaiserpermanente.org\/2019\/?page_id=605"},"modified":"2020-08-12T23:02:05","modified_gmt":"2020-08-12T23:02:05","slug":"improving-heart-health-in-the-community","status":"publish","type":"page","link":"https:\/\/inthecommunity-ncal.kaiserpermanente.org\/2019\/improving-heart-health-in-the-community\/","title":{"rendered":"Improving Heart Health in the Community"},"content":{"rendered":"
[vc_row full_width=”stretch_row” content_placement=”bottom” full_height=”yes” columns_placement=”bottom” wpex_bg_overlay=”dark” wpex_post_thumbnail_bg=”true” el_class=”block-page-hero heart-health” wpex_bg_overlay_opacity=”0.6″][vc_column offset=”vc_col-lg-6 vc_col-md-8″][vc_column_text css_animation=”fadeInUp” el_class=”white”]\n

Improving
\nHeart Health
\nin the Community<\/h1>\n[\/vc_column_text][vc_row_inner remove_bottom_col_margin=”true” el_class=”numbers tablet-up”][vc_column_inner width=”1\/2″]
[vc_column_text el_class=”number lte-blue”]209[\/vc_column_text][vc_column_text el_class=”stat white”]clinics and hospitals
\nin the PHASE program[\/vc_column_text]<\/div>[\/vc_column_inner][vc_column_inner width=”1\/2″]
[vc_column_text el_class=”number lte-teal”]71%[\/vc_column_text][vc_column_text el_class=”stat white”]of hypertension patients
\nwith blood pressure in control[\/vc_column_text]<\/div>[\/vc_column_inner][\/vc_row_inner][\/vc_column][vc_column el_class=”block-scroll-arrow”][vc_column_text css_animation=”none”]\"\"<\/a>[\/vc_column_text][\/vc_column][\/vc_row][vc_row local_scroll_id=”content” el_class=”block-section”][vc_column offset=”vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10″][vc_column_text el_class=”block-intro”]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.[\/vc_column_text][vc_column_text]With grant funding, training, and technical assistance from Kaiser Permanente\u2019s PHASE<\/a> 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.<\/p>\n

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.[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=”stretch_row_content_no_spaces” content_placement=”middle” equal_height=”yes” tablet_fullwidth_cols=”yes” el_class=”block-quote-photo-wrap”][vc_column el_class=”block-quote” offset=”vc_col-md-6″][vc_column_text css_animation=”slideInLeft”]When we saw how PHASE benefited Kaiser Permanente members, we said, \u2018Bring it on. We can do this for our patients.’ \u201d – Meagan Mulligan, FNP, Chapa-De Indian Health<\/span>[\/vc_column_text][\/vc_column][vc_column offset=”vc_col-md-6″]

\"\"<\/div><\/figure>[\/vc_column][\/vc_row][vc_row remove_bottom_col_margin=”true”][vc_column offset=”vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10″][vc_column_text]\u201cThe majority of our patient population is underserved, and they\u2019re disproportionately affected by hypertension and diabetes, which greatly increases their risk for heart attack and stroke,\u201d said Meagan Mulligan, a family nurse practitioner who serves on Chapa-De\u2019s PHASE team. \u201cThere\u2019s a real sense of pride in our blood pressure control numbers and our ability to provide quality care for our patients.\u201d<\/p>\n

Improving Quality and Advancing Equity<\/h2>\n

The PHASE program combines medication and lifestyle changes to provide an evidence-based, cost-effective treatment for people with existing heart disease and those at greatest risk for developing it. Heart disease and stroke are 2 of the nation\u2019s leading causes of death, but because of PHASE, Kaiser Permanente members are significantly less likely to die of these conditions than other U.S. residents.<\/p>\n

In 2006, Kaiser Permanente began sharing its life-saving PHASE program with community health centers, public hospitals, and community clinic consortia. By 2019, more than 200 Northern California clinic and hospital sites were participating in PHASE using the program to improve care for 174,000 patients.<\/p>\n

Through in-person convenings, trainings, site visits, a PHASE playbook, and coaching \u2014 the PHASE program helped participating clinics and hospital sites to greatly improve blood pressure control in their patients.[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=”stretch_row_content_no_spaces” content_placement=”middle” equal_height=”yes” remove_bottom_col_margin=”true” tablet_fullwidth_cols=”yes” el_class=”block-quote-photo-wrap option”][vc_column el_class=”block-offset-content” offset=”vc_col-md-6″][vc_column_text css_animation=”fadeInLeft” el_class=”block-intro white”]\n

Between January 2017 and December 2019 blood pressure control went from:<\/strong><\/h2>\n[\/vc_column_text][\/vc_column][vc_column css_animation=”fadeInUp” offset=”vc_col-md-6″ el_class=”numbers-overlay bg-drk-blue”]
[vc_column_text el_class=”number lte-blue”]68% to 71%[\/vc_column_text][vc_column_text el_class=”stat white”]in patients with hypertension[\/vc_column_text]<\/div>
[vc_column_text el_class=”number lte-blue”]73% to 76%[\/vc_column_text][vc_column_text el_class=”stat white”]in patients with diabetes[\/vc_column_text]<\/div>[\/vc_column][\/vc_row][vc_row][vc_column offset=”vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10″][vc_column_text]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 \u2014 changes that will help them improve quality in other areas of patient care.<\/p>\n

The PHASE program is just one example of Kaiser Permanente\u2019s 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.
\n[\/vc_column_text][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"

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