Kaiser Permante has expanded its Preventing Heart Attacks and Strokes Everyday (PHASE) program , which targets adults between the ages of 45-74 who have uncontrolled diabetes or hypertension, by bestowing a 2-year, $400,000 grant to the Alameda Health System Foundation so more patients can be treated. The grant is just one of 17 PHASE grants across Northern California amounting to a total of $5.25 million designed to support the technology and work process changes that are necessary for implementing PHASE, as well as assistance in evaluating the effectiveness of the program.
Organizations receiving these grants become part of a learning community that engages in training, problem solving, and advancing best practices, according to Dr. Marc Jaffe, and endocrinologist and internist at Kaiser Permante in SanFrancisco, who went on to state, “by sharing PHASE with the broader health care system, we can save more lives. In the process we’re giving community health providers access to an evidence-based model and population health management tools. “It’s an important investment for the long-term because it will help clinicians operate more efficiently in an environment that is becoming more focused on improving measurable patient outcomes.”
PHASE combines a fixed-dose medication regiment with lifestyle changes. Successfully implementing the program requires team-based care, with coordination between pharmacies and direct care providers, along with reliable patient data management.
“Too often we are providing care for patients with a multitude of chronic conditions, which is overwhelming for them to manage without support. The PHASE program allows people to learn about healthy choices
and how to manage their chronic conditions,” emphasized Mark Maus, DO, MPH, AHS’s Eastmont Wellness Medical Director. “Our team works with each patient to create a custom, individual plan that meets their needs.”
This year the Alameda Health System Foundation plans to focus on patients served by its two largest freestanding clinics: Eastmont Wellness, located in East Oakland, and Hayward Wellness, located in Hayward, before expanding to Highland Wellness, also located in East Oakland in 2016. AHS’s patients are mostly low-income and uninsured/underinsured of varying ethnic and cultural groups who ” they face barriers to access and experience many disparities. The vast majority also suffer from chronic conditions, including diabetes and hypertension, beginning at younger ages than the> general population.”