title: Investing in Obesity Treatment: Kaiser Permanente's Approach to Chronic Disease Management.
abstract: Kaiser Permanente, an integrated health care delivery system in the USA, takes a "whole systems" approach to the chronic disease of obesity that begins with efforts to prevent it by modifying the environment in communities and schools. Aggressive case-finding and substantial investment in intensive lifestyle modification programs target individuals at high risk of diabetes and other weight-related conditions. Kaiser Permanente regions are increasingly standardizing their approach when patients with obesity require treatment intensification using medically supervised diets, prescription medication to treat obesity, or weight loss surgery.
authors.affiliation: Kaiser Permanente Colorado, 1375 E. 20th Ave, 3rd Floor, Denver, CO, 80205, USA. adam.g.tsai@kp.org.|Kaiser Permanente, Care Management Institute, Oakland, CA, USA. adam.g.tsai@kp.org.
authors.forename: Adam G
authors.initials: AG
authors.lastname: Tsai
authors.affiliation: Kaiser Permanente, Care Management Institute, Oakland, CA, USA.
authors.forename: Trina
authors.initials: T
authors.lastname: Histon
authors.affiliation: Kaiser Permanente Colorado, 1375 E. 20th Ave, 3rd Floor, Denver, CO, 80205, USA.
authors.forename: W Troy
authors.initials: WT
authors.lastname: Donahoo
authors.affiliation: Kaiser Permanente Southern California, Los Angeles, CA, USA.
authors.forename: Shahid
authors.initials: S
authors.lastname: Hashmi
authors.affiliation: Kaiser Permanente Southern California, Los Angeles, CA, USA.
authors.forename: Sameer
authors.initials: S
authors.lastname: Murali
authors.affiliation: Kaiser Permanente Hawaii, Honolulu, HI, USA.
authors.forename: Peggy
authors.initials: P
authors.lastname: Latare
authors.affiliation: Kaiser Permanente Georgia, Atlanta, GA, USA.
authors.forename: Lajune
authors.initials: L
authors.lastname: Oliver
authors.affiliation: Kaiser Permanente Northern California, Oakland, CA, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Slovis
authors.affiliation: Kaiser Permanente Northwest, Portland, OR, USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Grall
authors.affiliation: The Permanente Medical Group Regional Offices, Oakland, CA, USA.
authors.forename: David
authors.initials: D
authors.lastname: Fisher
authors.affiliation: Kaiser Permanente, Community Health, Oakland, CA, USA.
authors.forename: Loel
authors.initials: L
authors.lastname: Solomon
mesh_terms: D002908:Chronic Disease / Q000517:prevention & control* / Q000628:therapy; D003153:Community Health Services; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D006279:Health Maintenance Organizations / Q000458:organization & administration*; D006293:Health Promotion / Q000379:methods; D006801:Humans; D007449:Investments; D009765:Obesity / Q000517:prevention & control* / Q000628:therapy; D011050:Policy Making; D014481:United States
keywords: Bariatric surgery; Community health services, diabetes mellitus, type 2/prevention and control; Obesity/drug therapy; Obesity/prevention and control; Obesity/therapy