Clinical Contributions

Pain Management and Chronic Disease Self-Management Programs Win James A Vohs Awards.
By Catherine Steadman

The Annual James A Vohs Award for Quality recognizes quality-of-care and service achievements within KP. This introduction is an overview of the award and this year's winners.
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Vohs Award Winner--Multiple-Region Category: Chronic Disease Self-Management Program: From Development to Dissemination.
By David S Sobel, MD, MPH; Kate R Lorig, RN, DrPH; Mary Hobbs, MPH

Since the Chronic Disease Self-Management Program was developed in 1990, it has been extended to multiple KP regions. Success is shown in improvement of care and reduced costs. This article describes the formation, implementation and evaluation of this first-ever multiregional winner of the Vohs Award.
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Vohs Award Winner--Single-Region Category: KPNW Integrated Pain Management Program.
By Marilee Donovan, RN, PhD; Paul O Jacobs, MD; Martha Blake, MBA

The KPNW Regional Operations Group chartered the Integrated Pain Management Project in 1995. This comprehensive and successful program is described in detail with data supporting improvements in multiple areas.
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Corridor Consult: What a Busy Primary Care Provider Wants to Know About Pain Management.
By Paul O Jacobs, MD

Recent advances in science have dramatically changed the field of pain management and our long-held beliefs in appropriate treatment options. This article offers guidelines for primary care physicians to consider and sheds some light upon these complex decisions.
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Multidisciplinary Group Intervention for Fibromyalgia: A Study of Psychiatric Symptom and Functional Disability Outcomes.
By Arne Beck, PhD; George Breth, MD; Jennifer Ellis, MBA; Rob Hays, MD, MA; Colleen Miller, RNP; Noah Reaven, PhD

A multidisciplinary group clinic model for patients with FMS that may effectively improve outcomes in both mental health and functional status is described.
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Evidence-Based Clinical Vignettes from the Care Management Institute: Alzheimer's Disease and Dementia.
By Richard D Della Penna, MD; Kate S Heumann, MPP; Glenn Gade, MD; Ingrid Venohr, PhD, RN

Based on the Care Management Institute and Interregional Guideline Steering Committee-approved Guideline for the Diagnosis and Treatment of Dementia, this article presents a case example highlighting key points in screening, diagnosis and treatment of patients with dementia.
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Strengthening Self-Care, Self-Management, and Shared Decision-Making Practices Throughout Kaiser Permanente.
By Laurie Doyle, MPH, CHES; Jodi S Joyce, BS, BSN, MBA; William Caplan, MD; Pamela Larson, MPH

This position paper was written for use at an interregional symposium in September 2001. The paper is excerpted in this article with tables summarizing key aspects from various viewpoints.
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Kaiser Permanente Medicine 50 Years Ago: The Development of Sex.
By Edgar J Schoen, MD

In 1959, Dr Schoen wrote of disorders in sex differentiation from the perspective of the scientific advances made in the previous decade. This Commentary, written by the original author, details the scientific advances since he wrote the original article.
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