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Kaiser Permanente’s Care Management Institute Receives AHIP Innovation and Excellence in Chronic Care Award
In accepting the AHIP Innovation and Excellence in Chronic Care Award for the
Care Management Institute, Jim Dudl, MD, thanked “all the Kaiser Permanente
people who implemented the A-L-L (aspirin-lovastatin-lisinopril) Program.”
Dr. Dudl, CMI’s clinical lead for diabetes, and Michelle Wong, CMI’s
Care Management Consultant for diabetes, led the interregional A-L-L Initiative.
Kaiser Permanente’s Care Management Institute (KP CMI) is the recipient
of the AHIP Innovation and Excellence in Chronic Care Award in the large affiliated
category. The award was presented for the A-L-L (aspirin-Lisinopril-lovastatin)
Initiative.
The A-L-L Initiative demonstrates the rapid and widespread adoption of successful
strategies to prevent adverse cardiovascular events among members with coronary
artery disease and diabetes. The initiative was developed in response to rigorous
clinical studies and simulation modeling by Archimedes that demonstrated a significant
potential for reduced morbidity and mortality among individuals at risk for
myocardial infarction and stroke. The treatment strategy includes simple protocols
of three classes of fixed-dose generic medications: aspirin, cholesterol-lowering
drugs called statins, and blood pressure medication called ACE-inhibitors (Lisinopril.)
Also gaining recognition from AHIP is Kaiser Permanente HealthConnect. KP HC
was a finalist for the AHIP Foundation's Innovation and Excellence Award in
Health Information Technology.
The Innovation in Chronic Care Award recognizes member organizations for their
successful efforts to improve the management of chronic disease through innovative
models of care. A successful model ensures continuity, coordination, and monitoring
of one or more chronic conditions and provides care that contributes to superior
clinical outcomes, enhances quality of life, and reduces the risk of preventable
disability.
Karen Ignagni, President and CEO of AHIP, said the recipients of the awards
have demonstrated effective leadership in their communities and the health care
field. “The award recipients embody the spirit of our industry by pioneering
successful health care innovations and investing in unique education and community
action programs,” said Ignagni. “Their commitment to the consumers
and communities they serve make everyone involved proud to be a part of the
health plan community.”
“The award is really recognition of the current and future benefits that
have or will be delivered from implementing this program,” said William
Caplan, MD, CMI’s interim executive director. “Success to date is
due to the hard work and commitment of hundreds of people in the regions who
are dedicated to improving the health outcomes and quality of life for people
at risk for cardiovascular disease.”
Accepting the award are….
Jim Dudl, MD, and Michelle Wong, who lead the A-L-L Initiative for CMI, accepted
the award at ceremonies in Washington, DC, on March 6. Delivering his remarks
in front of a crowd of health care luminaries and Senators Bill Frist and Charles
Schumer, Dr. Dudl thanked “all of the Kaiser Permanente people who implemented
the program.”
He then asked the crowd to “envision your friends and family members
with diabetes or heart disease standing in front of the sink tomorrow morning
with a glass of water. Then envision them putting three pills in their mouth:
an aspirin, a blood pressure bill called Lisinopril, and a cholesterol-lowering
medication -- a statin, specifically lovastatin. If they do that every morning
they will have a 71% less chance of having a heart attack or stroke.”
“That’s ALL there is to it,” Dr. Dudl stated.
He added that the cost per person would be about $10 per month and would return
$300 per month to the health care system. “And do you think it would be
good for the 46 million uninsured,” Dr. Dudl asked the crowd? “We
think so, and in that regard, have just given a grant to a community clinic
to test how that may work. If you think that is a good idea, come join us in
doing this!”
After the ceremony, Dr. Dudl said he wanted to express his appreciation "to
CMI for leading this effort, to the ALL champions in the regions who made it
happen, and to the regions themselves for their quick implementati
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