Exemplary Practice-Asthma
Blue Care Network of
Michigan
Asthma Management Program, Southfield,
MI
The 2000 National Exemplary Practice Award
Program winner for Asthma is Blue Care Network of Michigan
(BCN) for their Asthma Management Program. This program is
designed to address the needs of BCN’s more than 24,000
members with asthma through collaborative partnership between
the plan, member and primary care physician. BCN empowers
members through education to promote effective
self-management. BCN’s disease management and case management
programs are strongly linked to ensure members receive
consistently high-quality, individualized service. Data on the
population is continuously monitored and updated and
performance feedback to physicians is an essential aspect to
the care process.
Exemplary Practice-Cardiovascular Disease
Blue Cross
Blue Shield of Georgia
Congestive Heart Failure (CHF)
Proactive Care Management, Atlanta, GA
The 2000 National Exemplary Practice Award
Program winner for Cardiovascular Disease is Blue Cross Blue
Shield of Georgia for their Congestive Heart Failure (CHF)
Proactive Care Management program. This program acts as an
extension of the physician’s plan of treatment to increase
member awareness and understanding of CHF, improve their
quality of life, increase appropriate medication use and
compliance, and decrease emergency room visits as well as
CHF-related hospital admissions. Through a comprehensive
approach to member education, physician notification,
coordination of services and telemonitoring when appropriate,
the CHF program has improved members’ understanding of CHF,
affected the number and duration of hospitalizations, and
increased their perceived quality of life.
Exemplary Practice-Diabetes
Kaiser Permanente’s Care
Management Institute
Integrated Diabetes Care Program,
Oakland, CA
The 2000 National Exemplary Practice Award
Program winner for Diabetes is Kaiser Permanente’s Care
Management Institute (CMI) for their Integrated Diabetes Care
Program (IDC). The overriding objective of the Integrated
Diabetes Care Program is to enhance the health of its members
with diabetes, control diabetes disease progression, and
prevent disability. Five key strategies are employed to effect
successful implementation: feedback reports, in-reach
reminders, patient-driven reminders, clinician educational
methodologies, and patient educational methodologies. The
evaluation of the IDC is conducted through CMI’s annual
National Outcomes Reports. These studies, beginning in 1996,
identify more than 330,000 Kaiser Permanente members with
diabetes and report on numerous clinical and process outcomes
for these members, including case identification, glycemic
screening and control, lipid screening and control, eye
examination, renal screening and treatment, and hospital
utilization. This intervention will be sustained over time
through the continuing collaboration of Kaiser Permanente’s
multiple Regions, facilitated by the Care Management
Institute, backed by national program
leadership.
