intermountain care process model

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At Intermountain Healthcare, we are looking for Medical Assistants who are patient-focused and engaged. 0000179407 00000 n 0000038376 00000 n 0000002797 00000 n 0000022000 00000 n 0000005681 00000 n The Child Traumatic Stress Care Process Model (CPM) offers an approach to be used in children's advocacy centers and pediatric primary care to identify children and families at risk of traumatic stress. 0000228696 00000 n Only authorized users with an appropriate business need and legal right may use these resources. 0000000016 00000 n startxref 206 0 obj <> endobj 0000088156 00000 n Utah PIPS 0000005751 00000 n 5-Step Model for Creating a Virtuous Medical and Financing System to Enhance the Health and Well being of Future Generations. 0000011885 00000 n 0000003302 00000 n 0000070354 00000 n %%EOF 0000054196 00000 n 0000003556 00000 n 0000059623 00000 n 0000007263 00000 n Box 581289 Salt Lake City, Utah 84158, A Short History of the Medical Home Portal, Pediatric Patient Summary-Medical Home Portal Project, Nevada Pediatric Mental Health Care Access Program (PMHCAP), Rhode Island Pediatric Psychiatry Resource Network (PediPRN), University of Utah Pediatric Resident Writing Elective, University of Utah Writing & Career Development Group, Utah Children's Care Coordination Network, Anxiety Disorders & Attention Deficit Hyperactivity Disorder (ADHD), Attention-Deficit/Hyperactivity Disorder (ADHD) & Disruptive Key Points All pregnant patients at 20 weeks of gestation require a Labor and . Each pathway is redesigned in a series of at least two workshops and then iterated upon using Plan, Do, Study, Act (PDSA) cycles and Institute for Healthcare Improvement (IHI)-based Quality Improvement methodology. 0000060023 00000 n xref 0000001530 00000 n 0000016612 00000 n 0000066540 00000 n Published February 21, 2008. Modified Medical Research Council Breathleness Scale (mMRC) 0000165371 00000 n | Dr Chris Wood 0000081921 00000 n 0000071068 00000 n The Services Directory has information about Nationwide providers. <<099953D8ECDC4449BF4B89817F7FC266>]/Prev 820759/XRefStm 5250>> 0000007186 00000 n 1 Resources for Parents and Caregivers 0000043331 00000 n Although physicians are encouraged to follow the CPM to help focus on and measure quality, deviations are a means for discovering improvements in patient care and expanding the knowledge base. 0000170251 00000 n 0000005907 00000 n 0000007050 00000 n 0000039661 00000 n 0000084783 00000 n 0000072478 00000 n Part of the partnership has been learning that it is not a one-to-one process of dropping in methodology from Intermountain to RFL, and that the Trust has adapted the ideas to their own circumstances. 0000168976 00000 n 0000014009 00000 n A child who is about 10 or older can complete the screener. There can be reticence to learn from others and there can sometimes be the resistance to adopting something that was someone elses idea. 0000005048 00000 n 0000023018 00000 n 0000044299 00000 n 0000029472 00000 n 1846 0 obj <>stream 0000010273 00000 n 0000009463 00000 n Proven Imaging Appropriate Use Criteria from Intermountain - PRWeb trailer 0000011998 00000 n There are aspects of Royal Free care that Intermountain can learn from, said Dr Chris Wood, vice president, Cerner and medical executive for iCentra development at Intermountain Healthcare. 0000180800 00000 n Additionally, the PIPS team has clinicians available for consultation when needed. startxref 0000013048 00000 n 0000013631 00000 n 0000007525 00000 n 0000021559 00000 n The Intermountain Care Process Model recently developed the Pediatric Traumatic Stress Screening Tool to assess traumatic stress in children in the primary care setting and to help identify diagnostic criteria for PTSD. 0000002990 00000 n 0000059783 00000 n Special Instructions. 0000072266 00000 n SALT LAKE CITY, March 19, 2015 (GLOBE NEWSWIRE) -- Cerner Corp. and Intermountain Healthcare announced today the implementation of iCentra, a model electronic health record (EHR), practice. Care Process Model for Pediatric Traumatic Stress 0000054036 00000 n 0000025382 00000 n 0000054276 00000 n Prnom. 0000177977 00000 n 0000009425 00000 n Groundbreaking population health and value model will improve affordability and access to care. Care Process Models Acute Sinusitis in Adults and Children 0000006220 00000 n 0000015005 00000 n 0000009981 00000 n 0000003519 00000 n trailer 0000076158 00000 n However, EHR-based processes will typically need to be matched with a system strategy that unlocks the potential of front-line clinical teams who are informed by good clinical data and a culture of improvement, quality and safety. 0000042757 00000 n It was created by general pediatricians at the University of Utah in collaboration with Intermountain Health pediatric . Deming, who trained as an electrical engineer, believed that quality and cost are inextricably linked, and creating efficiencies in any process would lead to reduced costs and increased quality. 0000000016 00000 n 0000044620 00000 n 0000170355 00000 n 0000066035 00000 n 3175 0 obj <> endobj 0000009724 00000 n 0000001556 00000 n 0000028071 00000 n Based on national guidelines and emerging evidence and shaped by local expert opinion, this CPM provides practical strategies . Because of its unique size and scope, Royal Free London was concerned with reducing variation across its venues of care while increasing quality and decreasing costs. 0000079777 00000 n 0000009527 00000 n 0000076040 00000 n 0000052164 00000 n 0000019314 00000 n 0000050398 00000 n intervention with those in the low symptom range. by Cerner UK 0000165722 00000 n The power of building relationships is not just what can be done today, but what we can work on tomorrow, he added. 0000005003 00000 n We want to make it easy to do the right thing and take new measurements from doing the right thing so that its even better the next time.. Intermountain Health Care - Case - Harvard Business School Deming was also an advocate of considering systems as a whole, not as disparate smaller component parts that could be changed without influencing an entire operation. 0000015893 00000 n 0000008093 00000 n Special attention is also paid to who attends each visit to ensure all stakeholders are involved. 0000014981 00000 n 0000007843 00000 n * Care Process Model AUGUST 2013 !is care process model (CPM) and accompanying patient education were developed by a multidisciplinary team including primary care physicians (PCPs), mental health specialists, registered dietitians, and eating disorder specialists, under the leadership of Intermountain Healthcares Behavioral Health Clinical Program. 0000076267 00000 n 0 The report also estimated that approximately 75,000 deaths might have been prevented in 2005 if every U.S. state had provided care at a quality level on par with the best performing state. Intermountain Laboratory Services | Tests 0000017396 00000 n 0000010514 00000 n 113021080>ca`labefpe|$X)Cc+G>[.3A/20 0000032034 00000 n 0000225874 00000 n 0000021255 00000 n Nope. by Dr Todd Allen 0000006999 00000 n %PDF-1.7 % Treesa Carter and James Hitter share their experiences of working on the transformation of health and social care integration at Suffolk County Council. Pediatric Diabetes Screening & Management Care Process Model 0000176359 00000 n 0000066617 00000 n 0000128388 00000 n 0000006937 00000 n 0000015259 00000 n Intermountain Health recrute pour des postes de Medical Assistant 0000015820 00000 n Treesa Carter and James Hitter share their experiences of working on the transformation of health and social care integration at Suffolk County Council. 0000079895 00000 n 0000087852 00000 n 0000027605 00000 n 0000073570 00000 n Failing to address variations can negatively impact the ability to provide quality, consistent, safe and cost-effective care. 0000029608 00000 n 0000004039 00000 n 0000176762 00000 n Intermountain Stroke Care Process Model In Action - YouTube 0000005227 00000 n The Royal Free London NHS Foundation Trust (RFL) is one of the largest hospital Trusts in the NHS, employing more than 10,000 staff and serving 1.6 million patients across 20 sites in north London and Hertfordshire. f-5Y)RqQ],Z*69=nwe.Io(MF ),m((KVorl= 4Yk/T=%AG> "}nrauFS 0000008976 00000 n Its good to see that even after 18 months of introducing a complex programme, we see the general enthusiasm growing daily.. PingID. Andrew D. Auerbach, M.D., M.P.H., C. Seth Landefeld, M.D., and Kaveh G. Shojanie, M.D. 0000009452 00000 n 0000258879 00000 n Ping Identity Corporation. 0000066203 00000 n 0000007790 00000 n 0000065975 00000 n 0000002361 00000 n 0000062870 00000 n by Amy Bowen | Kaye Coholan Clinical Management - Intermountain Healthcare 0000007488 00000 n 0000086396 00000 n 0000004263 00000 n 1425 82 0000005596 00000 n 0000048275 00000 n C-suite leadership has been overwhelmingly supportive of the project, furthering the message that the Trust is serious about reducing variance and improving care. 0000053140 00000 n Do I need to be a therapist to administer the screener or provide in-office interventions? 0000008709 00000 n Each of the eight stages of change has a corresponding pitfall. 0000069327 00000 n endstream endobj 1718 0 obj <>/Filter/FlateDecode/Index[179 1481]/Length 57/Size 1660/Type/XRef/W[1 1 1]>>stream Intermountain Healthcare Delivery Institute, Skip to Intermountain Healthcare company wide navigation, Skip to Intermountain Healthcare company wide footer navigation, Sustaining and Extending Clinical Improvements: A Health 95 Systems Use of Clinical Programs to Build Quality Infrastructure, by Brent C. James, Joel S. Lazar, Clinical Programs, Development Teams, and CPMs, Guidebook for Implementation of a Clinical Work Process-Based Organizational Structure, Managing for Ethical Health Care Delivery, The Hastings Center - Health Care Quality Improvement: Ethical and Regulatory Issues, Quality Improvement and Ethical Oversight, The Tension Between Needing to Improve Care and Knowing How to Do It. 0000050331 00000 n Intermountain Healthcare is a Utah-based, not-for-profit system of 33 hospitals (includes "virtual" hospital), a Medical Group with more than 3,800 physicians and advanced practice clinicians at about 385 clinics, a health plans division called SelectHealth, and other health services. 26 April 2022 Reducing costs for patients with diabetes: What you need to know 0000169759 00000 n 0000075971 00000 n 0000004246 00000 n It is extremely important to screen patients until there are no further limitations on testing capacity. 0000045671 00000 n @G What if the child or parent asks me a question about the screener while they are filling it out? 0000010857 00000 n Cerner, Intermountain Healthcare Implement iCentra EHR <<5BE851667CC40543996F5A9ED21E16D8>]/Prev 646447/XRefStm 3820>> 0000004089 00000 n 0000011492 00000 n Behaviors, Attention-Deficit/Hyperactivity Disorder (ADHD) & Mood Disorders, Fetal Alcohol Spectrum Disorder Distinguished from Autism, Mucopolysaccharidosis Type I & Motor Development, Mucopolysaccharidosis Type I (MPS 1) Genetics, Mucopolysaccharidosis Type I (MPS 1) Hematopoietic Stem Cell Transplantation & 0000043417 00000 n 0000079310 00000 n 0000176282 00000 n 0000014338 00000 n 0000051498 00000 n 0000028737 00000 n Organising care in this way facilitates a broader, more longitudinal view of whats necessary to treat a condition. Intermountain Healthcare: Towards an integrated, value-based model Intermountain (US) UH Bristol (UK) TTSH (Singapore) VCHI (US) Show sources Briefing paper Tackling waste is a difficult but. The really great benefits of the relationship between Intermountain and Royal Free are in the future of working together to apply what we already know in newer and better ways., Senior executive medical director for the Healthcare Delivery Institute, Vice president at Cerner and medical executive for iCentra development at Intermountain Healthcare. We recommend that child or caregiver complete the child traumatic stress screener while in the waiting room, prior to their appointment. 0000050364 00000 n 0000075636 00000 n 0000011770 00000 n What resources are available to get children into therapy? 0000177340 00000 n D dL :G=%C>[wgG5wvorb$j9u>~U'/795}[ucCwOxEQ\hzAR>9d)oHH,YIPxM. 0000034112 00000 n 0000071218 00000 n This article originally appeared inPerspectives, a thought leadership publication dedicated to rising trends and issues in the healthcare and IT industry. 0000017996 00000 n How can we help families with children who are 0-5? 0000002325 00000 n 0000073354 00000 n How to address things like education, food and transportation, these are things the British government has been doing aggressively since WWII.. 0000063001 00000 n *kxVQQ6]9@{B%+/Q9a6Q_~Kx1 RX@QF p+h=52hf4f3#`33e{f|@gHXS'U`*}lts}=>;tPJfi5C&L^cI_2I7l8-G-mLvp +y" oE$qy(b9yz|~{kt;a| ~%1e8PKo*>7%T[.4jp+Gq}. 0000000016 00000 n 0000006208 00000 n We found that there was a great deal of unwarranted variation in the way we delivered care that created less than ideal quality care for patients, and there were operational inefficiencies baked into that, said Dr Chris Streather, chief medical officer at RFL. Enzyme Replacement Therapy, Mucopolysaccharidosis Type I (MPS 1) Orthopedic Manifestations & Value-Based Care: Paving the Way to Health Transformation (2) removing Intermountain data from any Intermountain information system; or During development of the care process model, the authors found many aspects of ICU care that required substantial change. 0000041107 00000 n 0000013362 00000 n Using a theoretical framework of eight stages of change[18], the authors described the imple-mentation of the care process model in the RICU. 0000004619 00000 n 1719 0 obj <>stream 0000045545 00000 n Intermountain Healthcare is a Utah-based, not-for-profit system of 22 hospitals, a Medical Group with more than 1,600 physicians and advanced practice clinicians at about 180 clinics, a health plans division called SelectHealth, and other health services. hSiPSW>#BBX-"m6 EM;b;N:N+D(n." Cerner Corp. and Intermountain Healthcare announced recently the implementation of iCentra, a model electronic health record (EHR), practice management and revenue cycle system, at two Intermountain hospitals and 24 clinics across northern Utah. The way Royal Free reaches out to the community, thats a big push for Intermountain right now. 0000038439 00000 n It turns out that clinical process management and improvement is our core business strategy.. CARE PROCESS MODEL JANUARY 2021 Chronic Obstructive Pulmonary Disease (COPD) Diagnosis, Treatment, and Resources ALGORITHM NOTES ALGORITHM: DIAGNOSIS OF COPD . Published February 21, 2008, Harming Through Protection. *(N}L{{./ +A C C9p:nY)-({ ~U 4|VfI)3%N>K, L7 Copyright 2023, Intermountain Healthcare, All rights reserved. 0000065867 00000 n 0000072122 00000 n 6346 95 0000002580 00000 n 0000012852 00000 n Care pathways and the quest for better outcomes - Becker's Hospital Review 0000005441 00000 n The Child Traumatic Stress Care Process Model (CPM) was developed through a collaboration of the Department of Pediatrics at the University of Utah and the Center for Safe and Healthy Families at Intermountain Healthcare's Primary Children's Hospital. 0000005907 00000 n Learning some of these differences has provided insight for Intermountain into what may be possible in the future. 0000021043 00000 n Dr Streather noted that seeking out partnerships to improve is an essential part of growth, but that it is not always easy. 0000220433 00000 n Users are prohibited from doing any of the 0000179788 00000 n %%EOF 0000007942 00000 n 0000005541 00000 n By integrating our care process models into the EHR, we make sure that not only is the information where clinicians need it, when they need it, but its also baked into the soul of the organisation, Dr Allen said. 0000079428 00000 n CPMs are meant to provide an evidence-based and standardised way to address the core clinical processes that matter most to their patients and clinicians. 0000009347 00000 n 0000110760 00000 n 0000007562 00000 n 1425 0 obj <> endobj Cerner Intermountain Healthcare Implement iCentra EHR - Health IT Outcomes 0000056444 00000 n 0000060865 00000 n Then make 3 key decisions. Franklin G. Miller, Ph.D., and Ezekiel J. Emanuel, M.D., Ph.D. Attempts to publish pathway development in the peer-reviewed literature are limited by lack of scientific rigor. 0000011615 00000 n 0000017626 00000 n 0000007723 00000 n Each visit is centred around a single theme to allow for a focused deep dive into that specialty. We already have resource guides developed for many counties in Utah. 0000005911 00000 n 0000011106 00000 n Involving patients and clinicians in the design of care pathways has also given them a stake in the success of the project. 0000008067 00000 n 0000014673 00000 n If you will still be using Intermountain's network, systems or data, information about your use may be reviewed, 0000022254 00000 n 0000004046 00000 n h1 01!\Ax'MF[!!z 1- bPatients who had at least 1 outpatient visit with a primary care physician (family medicine, internal medicine, geriatric, or pediatric specialty) during the period of 2003-2005 and a continuous service encounter from an Intermountain delivery location (either acute, ambulatory, radiologic, or laboratory services) at least once a year for each Intermountain Healthcare in Salt Lake City, Utah, recognised the link between variance, quality and cost early on thanks in part to Dr Brent James. 0000006783 00000 n One of the best features of the child traumatic stress care process model is that it can be administered by people who don't have a clinical background. PDF (Spuhler) by Intermountain HANYS Granted to Use Permission for 0000110685 00000 n (3) duplicating any Intermountain data or placing a copy of any Intermountain data on any non-Intermountain asset. 0000023933 00000 n This work was funded through federal grant monies allocated by the National Child Traumatic Stress Initiative (NCTSI), which is part of the Substance Abuse and Mental Health Services Administration (SAMHSA). 2:1b``AY0 tbg(8/C3n0=~ CPMs also include education, communication and data standards so process and outcome measures are truly meaningful and comparable across institutions. 0000070999 00000 n 0000226257 00000 n The partnership with Intermountain has allowed us to learn the positive things, and the things theyve found difficult, the pitfalls and bear traps theyve discovered, and thats made it easier to be open to the perspective of people that have walked the journey before us.. 0000011817 00000 n 0000064758 00000 n 0000023429 00000 n Care Process Models Urinary Tract Infection in Adults 0000052968 00000 n 0000009984 00000 n 0000005644 00000 n 0000065800 00000 n 0000045385 00000 n 0000015431 00000 n 30 June 2022 0000176611 00000 n Intermountain will use a regional deployment strategy to bring all acute care facilities, ambulatory . 0000008863 00000 n 0000110646 00000 n If this is an emergency please go to the nearest emergency room or call 911. We have 44 pathways in operation, which represents about 60 to 70 percent of our clinical patient-facing activity. 0000226944 00000 n 3175 102 0000016722 00000 n Of all the approaches leaders can leverage to address these issues, reducing unwarranted clinical variance is receiving increased attention. 0000063119 00000 n At Salt Lake City-based Intermountain Healthcare, ensuring the alignment of all these things to provide extraordinary care requires a constant regimented focus across our 23 hospitals, 170. 0000033569 00000 n This is not like an IQ test or psychological testing where the results could be skewed. 0000005131 00000 n 0000033890 00000 n 0000179289 00000 n 0000004401 00000 n 0000066508 00000 n P , s &v. Providers and caregivers around the country are using the model to measure and improve key diabetic metrics, including A1C results, blood pressure control, and kidney . Six Steps to Mass Customization in Healthcare Rather than rely solely on guidelines, healthcare systems should use a clinical management method to develop shared baseline protocols. 0000086355 00000 n 0000081734 00000 n 0000066119 00000 n Alongside clinical perspective and evidence-based literature, incorporating the viewpoints and experiences of patients who are living with conditions into the care pathway design process is resulting in what Dr Streather calls idealised pathways that will help improve both quality and operational efficiency. 0000013288 00000 n Community-Acquired Pneumonia (CAP) - Intermountain Healthcare hb``0f``d`e` l,x70y7Yc[%Lq|cO 'rX)!2[HQ(WVE 0khhDGG; J@(}=bw&5_R 0000005742 00000 n 0000072671 00000 n 0000007939 00000 n 0000029880 00000 n 0000003129 00000 n For children 6 18 years who report a potentially traumatic experience on the Pediatric Traumatic Stress Screening Tool (more information on this screening tool available in full CPM), the process of responding effectively to child traumatic stress involves three steps: Based on screening tool results, a brief in-office intervention targeting their most prominent symptom(s) has been shown to make a big difference for many children. 0000009151 00000 n 0000059863 00000 n hb```b``_` B,7v`P*u@O@PW]DATCSJVNR.1FZ;@'D0_EVSE:UH]d(GgP{/a{zI)yi=rzfL<5)C^AF^B,fV]yU\/_]*E@'2YS,]C0= xEP+h@E9PH[ B*U^F5k|}j2X6@i+, j-1,(>p*rbPr ']4Odg By incorporating these pathways into its EHR, RFL will ensure that the methodology behind its care pathways is baked into the systems digital infrastructure, making it easier for anyone, at any site, to follow the recommended method of care. 0000009144 00000 n 268 0 obj <>stream 0000132863 00000 n 0000048319 00000 n Incorporating the newly redesigned pathways into the EHR has had an immediate impact for RFL. 0000007762 00000 n 0000023458 00000 n 0000008686 00000 n 0000025573 00000 n 0000012722 00000 n 0000226638 00000 n 0000129774 00000 n 0000003817 00000 n 1 KEY POINTS The focal points discussed in this CPM include: Treating asymptomatic bacteriuria with antibiotics offers no benefit >iDTPTTqbZ]w;$zm3{! 0000015124 00000 n 0000050231 00000 n Intermountain Healthcare and SCL Health Complete Merger %PDF-1.7 % Addressing unwarranted variance in care protocols and embedding those processes in the electronic health record (EHR) can be an effective way for healthcare leaders to impact both quality outcomes and their bottom lines. Lean Healthcare: 6 Methodologies for Improvement 0000001979 00000 n Care Process Model JUNE 2019 2019 Update GOALS & MEASUREMENTS The goal of this CPM is to improve the . In-office interventions (such as teaching guiding imagery, belly breathing, or progressive muscle relaxation) can be taught by any individual who is comfortable teaching these skills, clinical background not necessary. 0000007513 00000 n 0 Care Process Model AUGUST 2016 The inside pages of this tool provide an algorithm and associated notes and can be folded open and posted in your office or clinic. 0000034579 00000 n | Dr Chris Streather 0000165412 00000 n RFL provides specialist services in liver and kidney transplantation, rare cancers, haemophilia, HIV, infectious diseases, plastic surgery, immunology, neurology, Parkinsons disease, vascular surgery, cardiology, amyloidosis and scleroderma. Go to my One Account. Contribute to Intermountain by participating in one of our charitable events, Find fresh ideas to manage your health, enjoy better quality of life, and LiVe Well, Learn more about Intermountain's mission: Helping people live the healthiest lives possible, Search and apply for volunteer opportunities at Intermountain.

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