AWARE

AWARE

Background & History

Alliance Working for Antibiotic Resistance Education

The Alliance Working for Antibiotic Resistance Education (AWARE) began in 2001, when the California State Parent Teacher Association, together with the California Medical Association Foundation, the California Department of Health Services, representatives of health plans, the pharmaceutical industry and consumer groups initiated a five-year project to reduce the unnecessary use of antibiotics and the prevalence of antibiotic-resistant bacteria in California.

The program has been such a major success that it has continued long past its initial horizon.

AWARE has engaged numerous important partners. In 2001, the CCRRN, the state's largest and oldest childcare organization, formally approved its participation in the AWARE project. In 2008, AWARE developed a pilot program to raise antibiotic awareness in the Latino community. In 2012, at the request of the Center for Disease Control and Prevention (CDC), the CMAF developed guidelines to train community-based organizations and public-health organizations.

AWARE has won many awards. Blue Cross and Blue Shield gave AWARE the Best of Blue Award in 2002. The CDC presented AWARE an award for innovation in 2004. The CDC recognized AWARE again in 2012 for having played a significant role in reducing antibiotic use in California.

AWARE has received considerable recognition. For instance, in 2012 as part of its Bend the Curve campaign, the New England Health Institute (NEHI) published "A Health Care Leader's Guide to High Value Health Care," identifying specific actions for reducing $521 billion in spending in seven critical areas. AWARE was highlighted as one of six best practices.

AWARE Project Mission

Reduce the unnecessary use of antibiotics and reduce the prevalence of antibiotic resistant bacteria in California.

AWARE Project Goals

  • Increase appropriate prescribing of antibiotics.
  • Raise consumer awareness and understanding regarding the appropriate use of antibiotics.
  • Mobilize the community to reduce the unnecessary use of antibiotics.

Timeline and Achievements

California PTA Initiative

  • 2001—The California State PTA, together with the California Medical Association Foundation, the California Department of Health Services and representatives of health plans, the pharmaceutical industry, and consumer groups initiated a five-year project to reduce the unnecessary use of antibiotics and the prevalence of antibiotic resistant bacteria in California.
Childcare Project
  • 2001—The CCRRN, the state’s largest and oldest childcare organization, formally approved their participation in the AWARE project with the CMA Foundation.

Quality Improvement Initiative

  • 2002—Best of Blue Award; Blue Cross and Blue Shield Association, Co-Awarded to the Alliance Working for Antibiotic Resistance Education (AWARE) Project, a Project of CMA Foundation, and Blue Shield of California.
  • 2004—CDC Award for Innovation in Appropriate Antibiotic Use Programs in the Community; Get Smart: Know When Antibiotics Work Centers for Disease Control and Prevention (CDC)
  • 2004: AWARE’s CDC Award for Innovation in Appropriate Antibiotic Use Programs in the Community
  • 2007—AWARE initiated a quality improvement initiative to address appropriate antibiotic prescribing for acute respiratory tract infections - annual cold/flu toolkit.

Community-Associated Methicillin-Resistant Staphyolococcus aureus (CA-MRSA)

  • 2008—The AWARE Project convened key stakeholders in California to develop a statewide action plan to address CA-MRSA.

Promotora Project

  • 2008 – The AWARE Project developed a Promotora pilot program to raise antibiotic awareness in the Latino community.
  • Pediatric Pharyngitis and Adult Bronchitis Initiative
  • 2009—members of AWARE’s Steering Committee and QI Initiative added to Pharyngitis and Adult Bronchitis the annual AWARE cold/flu toolkit and clinical compendia
  • Chronic Obstructive Pulmonary Disease (COPD) Initiative
  • 2010—AWARE’s COPD Initiative began; to research, design, produce, and electronically disseminate an educational flyer for patients and clinicians about the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guideline.
  • Girl Scouts Community Health Patch Program
  • 2010—the AWARE Project collaborated with the Girl Scouts Heart of Central California to create a Community Health Patch on the topic of influenza prevention and management.
  • Celebrated 10 Year Anniversary in 2010
  • 2012—As part of its Bend the Curve campaign, New England Health Institute (NEHI) published A Health Care Leader’s Guide to High Value Health Care, identifying specific actions for reducing $521 billion in wasteful health care spending in seven critical areas. The CMA Foundation’s. AWARE project was highlighted as one of these six best practices in the Bend the Curve publication, as well as being highlighted in NEHI’s Sacramento Forum in September on Bend the Curve innovations.
  • 2012—The CMA Foundation was recognized by the CDC as having played a significant role in the reduction of antibiotic use in California. Also at request of CDC developed guide to train CBO’s and public health organizations how to work with health plans.

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   CMA Foundation is a 501(C)3 organization and a subsidiary of the California Medical Association.