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The Kaiser Permanente Northwest Cardiovascular Risk Factor Management Program: A Model for All

By Jodi S Joyce, Martina M Fetter, Dean H Klopfenstein and Michael K Nash

Abstract

Proof of the effectiveness of preventive measures that reduce established risk traits for atherothrombotic disorders has spurred attempts to systematically apply these interventions among susceptible populations. One such attempt is the Cardiovascular Risk Factor Management (CVRFM) Program, launched in 2003 to optimize clinical management and outcomes for 75,000 Kaiser Permanente Northwest Region (KPNW) members with atherosclerotic cardiovascular disease (CVD) or hypertension. The CVRFM Program is a centralized, multidisciplinary, proactive telephone-based clinical management intervention consisting of an “outreach” call, an interview, a mailed individualized care plan and information packet, regular follow-up (including protocolized medication management) and—when “goal status” is achieved—transfer of the patient to a maintenance plan

Topics: Clinical Contributions
Publisher: The Permanente Journal
OAI identifier: oai:pubmedcentral.nih.gov:3104824
Provided by: PubMed Central
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