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The kaiser permanente northwest cardiovascular risk factor management program: a model for all
The Permanente Journal
|June 11, 2011
Summary
The Cardiovascular Risk Factor Management (CVRFM) Program successfully improved care for members with atherosclerotic cardiovascular disease or hypertension. This proactive, telephone-based intervention led to outstanding clinical outcomes and high member satisfaction.
Area of Science:
- Cardiology
- Preventive Medicine
- Health Services Research
Background:
- Preventive measures for atherothrombotic disorders are effective.
- Systematic application of interventions is needed for susceptible populations.
Purpose of the Study:
- To evaluate the effectiveness of the Cardiovascular Risk Factor Management (CVRFM) Program.
- To optimize clinical management and outcomes for members with atherosclerotic cardiovascular disease (CVD) or hypertension.
Main Methods:
- A centralized, multidisciplinary, telephone-based intervention.
- Included outreach calls, individualized care plans, and protocolized medication management.
- Quarterly evaluation of clinical, utilization, and member satisfaction outcomes.
Main Results:
- >98% of participants with coronary disease or diabetes had LDL cholesterol testing.
- >90% of coronary patients received aspirin or statin treatment.
- Observed reductions in hospitalizations and emergency department visits; 99% member satisfaction.
Conclusions:
- The CVRFM Program demonstrated outstanding effectiveness.
- Mathematical models predict decreased myocardial infarctions and cardiovascular mortality.
- The program's principles can be applied to other health care organizations.
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