Preventing Heart Attacks and Strokes Everyday (PHASE)

PHASE is a population health management program designed to reduce the risk of heart attacks and strokes in patients at high risk. PHASE follows Kaiser Permanente’s evidence-based protocol that has been shown to prevent one heart attack or stroke for every ten patients successfully enrolled in the program for five years. PHASE targets patients with diabetes mellitus, hypertension, and known vascular disease for a handful of interventions designed to control blood sugar, blood pressure, and weight, to prescribe cardio-protective medications, to assist in cessation of smoking, and to identify and manage patients at risk for depression.

To learn more about PHASE, check out this brief video from Kaiser Permanente!

Goal

By January 1, 2020, we will: (1) improve health outcomes, care coordination, and lifestyle indicators of PHASE patients. (2) expand the ability of care teams to make data-driven decisions; and (3) build the capacities to address health disparities by identifying and mitigating social determinants of health.

Population served

Adults 18 and over with a current or previous diagnosis of diabetes mellitus, hypertension, coronary artery disease (Heart Disease), TIA (transient ischemic attack) or Cerebrovascular Accident (Stroke).

Timeline

January 1, 2017 - January 1, 2020

Funders

Kaiser Permanente Northern California Community Benefit Programs

Partners

Results

2017 Q1 Consortium Baseline Results 2017 Q1 Consortium Baseline Results (32 KB)

2018 Q4 Consortium Recent Performance 2018 Q4 Consortium Recent Performance (108 KB)


Resources

Adult Diabetes Clinician Guide Adult Diabetes Clinician Guide (4962 KB)

Management-of-Adult-Hypertension-Blood-Pressure-Goals Management-of-Adult-Hypertension-Blood-Pressure-Goals (304 KB)

PHASE_on_a_Page_03-27-2018 PHASE_on_a_Page_03-27-2018 (240 KB)


Screening Tools

CHP PHASE Toolkit 2017 CHP PHASE Toolkit 2017 (14295 KB)

HTN_Change_Package HTN_Change_Package (625 KB)

CCI PHASE Onboarding Playbook