intermountain care process model

0000072122 00000 n Continue below to learn more about the implementing the Child Traumatic Stress Care Process Model in a pediatric primary care setting. 0000004401 00000 n 0000226180 00000 n 0000066307 00000 n 0000050145 00000 n 0000021074 00000 n View wait times and save your place in line at an Intermountain InstaCare location near you. %PDF-1.7 % Dr Streather noted that seeking out partnerships to improve is an essential part of growth, but that it is not always easy. 0000005788 00000 n 0000006950 00000 n 0000014978 00000 n 0000005534 00000 n 0000052164 00000 n Published February 21, 2008, Harming Through Protection. Intermountain has created care process models (CPMs) within each clinical programme that use a combination of existing evidence-based practice guidelines and historical EHR data. 0000079428 00000 n 0000063087 00000 n How can we help families with children who are 0-5? Mild range scores (0 10) protective approach, Moderate range (11 20) resilient approach, Severe range (21 or higher) restorative approach. 0000110760 00000 n 0000168976 00000 n 0000041187 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. This CPM includes two processes to address child traumatic stress across the pediatric lifespan. \H6Hl7% K{X0(%p* *\y~b!o^%CIe%'jR$b $zoE)fPBgf+"jf6yy/i>>XmHm!$ 0000009576 00000 n 0000085699 00000 n 0000019314 00000 n 0000170561 00000 n 9-FCr-+| E+dJgx!Ck 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. %%EOF 0000057752 00000 n %%EOF 0000022254 00000 n It is based on expert opinion and clinical practice guidelines from the Infectious Disease Society of America (IDSA), the American Academy of Pediatrics (AAP), and the American Academy of Otolaryngology (AAO). The Royal Free Hospital provides the only high-level isolation unit of its kind for the care of patients with the Ebola virus and other infectious diseases. 0000017200 00000 n 0000170251 00000 n 0000076158 00000 n Provides patient education as directed (content reflects specific MA training, guidelines, care process models, protocols). 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. During development of the care process model, the authors found many aspects of ICU care that required substantial change. We already have resource guides developed for many counties in Utah. 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. 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. 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. 0000066035 00000 n 0000022000 00000 n 0000081400 00000 n 0000129774 00000 n 0000008676 00000 n 0 CARE PROCESS MODEL JANUARY 2021 Chronic Obstructive Pulmonary Disease (COPD) Diagnosis, Treatment, and Resources ALGORITHM NOTES ALGORITHM: DIAGNOSIS OF COPD . | Dr Chris Wood 0000066203 00000 n 0000004208 00000 n 0000045274 00000 n 0000132863 00000 n 0000008837 00000 n Ping Identity Corporation. 0000054116 00000 n 0000006531 00000 n Choose a skill that you are comfortable teaching and share your knowledge with the families you see in clinic. 0000019018 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. intervention with those in the low symptom range. *(N}L{{./ +A C C9p:nY)-({ ~U 4|VfI)3%N>K, L7 %PDF-1.7 % 0000086355 00000 n xref Amy Bowen and Kaye Coholan share their thoughts on how North Central London (NCL) has taken a different approach to managing NHS waiting lists for their Integrated Care System (ICS). Fortunately Intermountain Healthcare (among others) publishes their Care. 0000033986 00000 n Modified Medical Research Council Breathleness Scale (mMRC) 0000001979 00000 n 0000060731 00000 n As a founding member of the Together 2 Goal program, Intermountain's Medical Group Diabetes Care Process Model serves as the primary source material for much of the initiative. 0000006208 00000 n <<7D7E07AF05D25B429403B179B549C510>]/Prev 735917/XRefStm 3093>> 0000003400 00000 n 0000178370 00000 n 0000014285 00000 n 0000066391 00000 n xref In primary care settings, you can evaluate the response to services using the Pediatric Traumatic Stress Screening Tool at follow up visits. "I`IvWdZ>B.nJ.o}LVL:}T{&!Qd4l;( q& Q/b2N$5%/wTg?8YSneUE+ This care process model (CPM), produced by Intermountain Healthcare's Antibiotic Stewardship team, Community-Based Care, and Intermountain Pediatrics, is based on the American Academy of Pediatrics (AAP) Clinical Practice Guidelines. 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. 0000016606 00000 n With the help and facilitation of Cerner, the two organisations entered into a formal partnership in 2016 to bring the philosophies and practices behind Intermountains clinical programmes and CPMs to RFL in a transatlantic knowledge sharing endeavour. 0 0000005227 00000 n 0000063228 00000 n under the leadership of Intermountain Healthcare's Behavioral Health Clinical Program. 0000018097 00000 n If different clinicians in the same health system are using widely varying protocols to treat the same conditions, the result will be poorer patient outcomes and a less-than-clear picture of what it truly costs to treat the condition. 0000006375 00000 n We didnt want to take a standardised cookbook approach to medicine, but we wanted to ensure that care was more predictable and evidence-based so that we could deliver it in a more cost-effective way.. hWkTSsH LB%A h oIBxH P,ZA This care process model (CPM) and accompanying patient education were developed by a multidisciplinary team including primary . 0000054276 00000 n If this is an emergency please go to the nearest emergency room or call 911. 0000015431 00000 n Its important for them to see what were doing in action somewhere else.. 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. 0000058433 00000 n 0000038525 00000 n 0000005596 00000 n 0000013288 00000 n Biometrics. (2) removing Intermountain data from any Intermountain information system; or 0000000016 00000 n 0000084783 00000 n 0000179484 00000 n 0000054196 00000 n When should the child or caregiver complete the traumatic stress screener? 0000226638 00000 n . 0000010991 00000 n If symptom severity remains unchanged or worsens, consider alternatives such as providing a new brief in-office intervention, reinforcing the need to follow through with treatment for those who have not, or changing the treatment stratification and therapy referral to a more intensive approach. 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. 0000018713 00000 n 0000081734 00000 n 0000177088 00000 n 0 It was created by general pediatricians at the University of Utah in collaboration with Intermountain Health pediatric . 0000000016 00000 n 0000016002 00000 n 0000132101 00000 n 0000017276 00000 n Groundbreaking population health and value model will improve affordability and access to care. trailer 0000165722 00000 n 1846 0 obj <>stream 0000048275 00000 n 0000014673 00000 n CPMs also include education, communication and data standards so process and outcome measures are truly meaningful and comparable across institutions. 0000070461 00000 n Additionally, the PIPS team has clinicians available for consultation when needed. 26 April 2022 0000023933 00000 n 0000066218 00000 n 113021080>ca`labefpe|$X)Cc+G>[.3A/20 0000025653 00000 n What if the child or parent asks me a question about the screener while they are filling it out? We are already on our way to digitising 20 of those 44 pathways and will eventually have all 44 in the EHR.. 0000012798 00000 n Screen for child traumatic stress. 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. 0000052968 00000 n The back page summarizes antibiotic recommendations and notes . 0000039661 00000 n 0000026552 00000 n 0000071068 00000 n 0000065908 00000 n 206 0 obj <> endobj 0000011817 00000 n 0000071811 00000 n 0000076190 00000 n 0000005911 00000 n %%EOF 0000004046 00000 n 0000035552 00000 n 0000079537 00000 n 0000084446 00000 n [EV~P\>Qr78vJ|;w,qdP7Q)N/(5kJ[;zXG$Ai?"s nBg5S9"{Y(^rS4w7,!l2"O+^y'UvvBbS=&r65[8gx&DnyegC_oWvem$,kN 0000028737 00000 n 0000063001 00000 n 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. Care Process Models Care Process Model MONTH 2015 2015 Update DIAGNOSIS AND MANAGEMENT OF Urinary Tract Infection in Adults APRIL 2019 2019 INTERMOUNTAIN HEALTHCARE. 0000008748 00000 n Attempts to publish pathway development in the peer-reviewed literature are limited by lack of scientific rigor. %PDF-1.7 % Additional assistance with risk assessment: iCentra order algorithm, Score Line 801-50-SCORE ( providers only ), and Connect Care 801-442-4457. 0000004712 00000 n startxref 0000072671 00000 n 0000060023 00000 n 0000179100 00000 n CPM020 - 01/21 3 COPD CPM JANUARY 2021 TABLES TABLE 1. 0000006373 00000 n Franklin G. Miller, Ph.D., and Ezekiel J. Emanuel, M.D., Ph.D. 0000058232 00000 n 0000088156 00000 n We looked at a number of places known for their international best practice, and the most advanced version of what we were trying to do was happening at Intermountain.. Care Process Model JUNE 2013 This care process model (CPM) was created by a multidisciplinary team of physicians and other healthcare providers at Intermountain Healthcare. 0000006077 00000 n 0000069209 00000 n 0000011770 00000 n 0000025573 00000 n hb``0f``d`e` l,x70y7Yc[%Lq|cO 'rX)!2[HQ(WVE 0khhDGG; J@(}=bw&5_R Published on 8 March 2019. 0000017260 00000 n Click for details. 0000011492 00000 n Intermountain Healthcare and Royal Free London are working toward a common goal of reduced clinical variance. 0000005756 00000 n 3175 0 obj <> endobj H\@. H\j0EY& CpijY_'P#suGC 'b~. 0000023018 00000 n 0000065716 00000 n 0000065867 00000 n 0000004465 00000 n It turns out that clinical process management and improvement is our core business strategy.. 0000007942 00000 n There can be reticence to learn from others and there can sometimes be the resistance to adopting something that was someone elses idea. 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. 0000179788 00000 n 0000015820 00000 n 0000007263 00000 n 0000033890 00000 n 0000029608 00000 n 0000004039 00000 n 0000031441 00000 n 0000009925 00000 n 0000118904 00000 n 0000008093 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 At two of our sites, we were immediately able to capture data-driven outcomes from the newly digitised pathways, said Dr Streather. All rights reserved. 0000004300 00000 n 1 Resources for Parents and Caregivers 0000002048 00000 n 0000006822 00000 n 0000009452 00000 n Intermountain has also noted value in the partnership. 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. 0000053140 00000 n They then work to continually refine and improve each care process. 0000017688 00000 n The FSI Academy is focused on the onboarding of new hires who will be trained as interface engineers; responsible for implementing the technical mechanisms that allow the exchange of information between solutions and external systems. 3175 102 Pierre-Henri Brchat, Pascal Briot, Lucy Savitz, Ross Fulton. Do I need to be a therapist to administer the screener or provide in-office interventions? This care process model was developed to help guide the general practitioner on outpatient screening for diabetes and management of type 2 diabetes in patients within the University of Utah and Intermountain Healthcare systems. 0000069327 00000 n trailer What resources are available to get children into therapy? 0 * This CPM presents a model of best care based on the best available scientific evidence at the time of publication. 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. 0000086396 00000 n 0000043331 00000 n 0000042757 00000 n 0000059783 00000 n 0000010300 00000 n A child who is about 10 or older can complete the screener. I think one of the problems in health systems is that good practice happens in a lot of places, but were not very good at learning from excellence in other places, said Dr Streather. 0000007562 00000 n 0000018484 00000 n 0000032034 00000 n xref Intermountain Healthcare convened a team consisting of executive leadership, the enterprise initiative office and internal medicine leaders to design the RPC. Mary Ann Baily, Ph.D. 0000015259 00000 n 0000179023 00000 n %%EOF At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. Dr James was hired by Intermountain in 1986 as the director of medical research and continuing medical education. 0000019646 00000 n Although realigning care at RFL is still a work in progress, the introduction of the CPG concept and its adaptation to the Trusts culture and needs is having an impact. 0000045214 00000 n Published February 21, 2008. 0000063196 00000 n 0000078906 00000 n 0000178724 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 management and revenue cycle system, at two Intermountain hospitals and 24 clinics across northern Utah. 0000013806 00000 n 0000005140 00000 n SEEK is an effective model for prevention of abuse / neglect in early childhood. The way Royal Free reaches out to the community, thats a big push for Intermountain right now. height, weight, OFC, care process model data, etc.). 0000007790 00000 n Prnom. 0000226561 00000 n The EHR data from every patient treated by CPMs offer further points to improve the next application of the CPM through a nearly real-time feedback loop. 0000005644 00000 n 0000028071 00000 n 0000018335 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. 0000008395 00000 n 0000020129 00000 n 0000073354 00000 n 0000056204 00000 n Sign In Options. Learning some of these differences has provided insight for Intermountain into what may be possible in the future. 0000052882 00000 n 0000007949 00000 n 0000065975 00000 n 0000009340 00000 n The clinical practice groups are changing the way we provide care in a profound way, said Streather. 0000000016 00000 n %%EOF 0000006881 00000 n 0000225797 00000 n 0000225874 00000 n Its purpose is to summarize and promote evidencebased approaches to lifestyle and weight management, and to facilitate implementation in routine . hUiPG~=";.^qv12%&e-Kg.^OPxx7(w~X]"`~g 0000023004 00000 n 0000044721 00000 n 0000066508 00000 n 2:1b``AY0 tbg(8/C3n0=~ 0000014981 00000 n Through our advanced training programme in clinical process improvement, we train senior leaders, middle management and front-line health professionals in the theory and application of cost and quality control. 0000081921 00000 n 0000087726 00000 n 0000006220 00000 n 0000066109 00000 n 1719 0 obj <>stream 0000009984 00000 n 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. Partnering with and adapting the methodology of an internationally recognised leader like Intermountain signalled to staff that RFL was serious about improving care and has helped create buy in, Dr Streather believes. 7 September 2022 Seeing their institutional processes adapted by other health systems is a validation of the approach. 0000170459 00000 n 0000007424 00000 n 0000018590 00000 n 0000089548 00000 n 0000002325 00000 n 0000009463 00000 n startxref This care process model (CPM) is maintained by Intermountain Healthcare's Lower Respiratory Tract Infection Team, . 0000176762 00000 n 0000002797 00000 n 0000021559 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.

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