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!
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.
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).
January 1, 2017 - January 1, 2020
Kaiser Permanente Northern California Community Benefit Programs
- Asian Americans for Community Involvement
- Gardner Family Health Network
- Indian Health Center of Santa Clara Valley
- MayView Community Health Center
- North East Medical Services
- Planned Parenthood Mar Monte
- Ravenswood Family Health Center
- School Health Center of Santa Clara County
Adult Diabetes Clinician Guide (4962 KB)
PHASE on a Page 03.20.2019 (339 KB)
Chapter 1 - Understand the Project (3138 KB)
Chapter 2 - Engage Key Stakeholders (2847 KB)
Chapter 3 - Strategize Implementation Plan (10407 KB)
Chapter 5 - Workflow Implementation (5258 KB)
Chapter 6 - Develop Data Strategy (9031 KB)
Chapter 7 - Understand Evaluate Data (8658 KB)
Chapter 8 - Build Capacity Act on Data (5865 KB)
Chapter 9 - Act on Your Data (5839 KB)
Chapter 10 - Track Enabling Services (13609 KB)
Appendix-of-Resources-7-15-16 (228 KB)
PRAPARE_Paper_Form_Sept_2016 (790 KB)
PRAPARE-FAQ-7-26-16 (671 KB)