intermountain care process model

268 0 obj <>stream 0000198367 00000 n 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. Nom. 0000066540 00000 n We recommend that child or caregiver complete the child traumatic stress screener while in the waiting room, prior to their appointment. 0000038376 00000 n 0000006373 00000 n endstream endobj 207 0 obj <>>>/Metadata 204 0 R/Names 209 0 R/OpenAction 208 0 R/Outlines 197 0 R/PageLayout/TwoPageRight/Pages 203 0 R/Type/Catalog/ViewerPreferences<>>> endobj 208 0 obj <> endobj 209 0 obj <> endobj 210 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>/XObject<>>>/Rotate 0/Tabs/W/Thumb 198 0 R/TrimBox[0.0 0.0 792.0 612.0]/Type/Page>> endobj 211 0 obj [212 0 R 213 0 R 214 0 R] endobj 212 0 obj <>/Border[0 0 0]/H/N/Rect[647.403 349.775 697.152 339.065]/Subtype/Link/Type/Annot>> endobj 213 0 obj <>/Border[0 0 0]/H/N/Rect[647.905 312.2 690.6 301.535]/Subtype/Link/Type/Annot>> endobj 214 0 obj <>/Border[0 0 0]/H/N/Rect[32.9 392.516 116.959 379.171]/Subtype/Link/Type/Annot>> endobj 215 0 obj <> endobj 216 0 obj <> endobj 217 0 obj <> endobj 218 0 obj <> endobj 219 0 obj [/ICCBased 246 0 R] endobj 220 0 obj <> endobj 221 0 obj <> endobj 222 0 obj <> endobj 223 0 obj <> endobj 224 0 obj <>stream Working with Intermountain and redesigning their methods of care represents a considerable shift for RFL and leaders have been deliberate about how these changes are introduced to doctors, nurses and others who provide care. 0000057953 00000 n 0000002580 00000 n 0000118904 00000 n %%EOF Users are prohibited from doing any of the %%EOF 0000060865 00000 n 0000132101 00000 n 0000007790 00000 n xref 0000015816 00000 n 0000076267 00000 n (3) duplicating any Intermountain data or placing a copy of any Intermountain data on any non-Intermountain asset. 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. 0000178647 00000 n 0000031441 00000 n 0000026834 00000 n 0000062915 00000 n 0000017396 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. 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. Intermountain Health Care (IHC), an integrated delivery system based in Utah, has adopted a new strategy for managing health care delivery. 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. 0000005911 00000 n 1846 0 obj <>stream 0 0000002797 00000 n 0000006999 00000 n 0000004465 00000 n 0000086222 00000 n %2O92qx`x@7l* eLBX&4*p*x 9`%jX,/p*x2 aWbL dTK`rX/i-'bT Df`9D3hA9@@!N Hg1pfM_:+.y- iM=5{*g2msZ:G3Lrtwsut e5b1L & | Dr Chris Wood 0000005742 00000 n 0000007488 00000 n 0000023429 00000 n 0000020531 00000 n 0000053140 00000 n Published February 21, 2008. 0000005227 00000 n Care Process Models Care Process Model MONTH 2015 2015 Update DIAGNOSIS AND MANAGEMENT OF Urinary Tract Infection in Adults APRIL 2019 2019 INTERMOUNTAIN HEALTHCARE. 0000065975 00000 n 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. 0000072602 00000 n 0000006783 00000 n !C4@$8 y 0000059863 00000 n 0000016612 00000 n 0000045478 00000 n 0000009452 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. 0000055101 00000 n 0000006007 00000 n 0000018097 00000 n %%EOF Fact Sheet Published in 2021 Printer-friendly version 0000018163 00000 n 0000003400 00000 n Its okay to answer their questions. 0000025653 00000 n 0000008244 00000 n 0000193542 00000 n We are already on our way to digitising 20 of those 44 pathways and will eventually have all 44 in the EHR.. 1 Resources for Parents and Caregivers 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. 0000016606 00000 n 0000177145 00000 n 0000009309 00000 n 0000058348 00000 n Its purpose is to summarize and promote evidencebased approaches to lifestyle and weight management, and to facilitate implementation in routine . The programme has evolved over the years, but the core philosophy is still the same the science of process management and change leadership is applied to healthcare leading to better quality, safety, cost and services outcomes. by Treesa Carter | James Hitter 0000005131 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. 2:1b``AY0 tbg(8/C3n0=~ 0000014978 00000 n hb``0f``d`e` l,x70y7Yc[%Lq|cO 'rX)!2[HQ(WVE 0khhDGG; J@(}=bw&5_R 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. 0000015259 00000 n %PDF-1.7 % 0000009463 00000 n 0000032530 00000 n 0000176359 00000 n 0000059783 00000 n 0000004246 00000 n Go to my One Account. 0000018713 00000 n Intermountain Healthcare in Salt Lake City, Utah, recognised the link between variance, quality and cost early on thanks in part to Dr Brent James. 0000045738 00000 n Each of the eight stages of change has a corresponding pitfall. trailer 0000004089 00000 n 0000012710 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. 0000072478 00000 n 206 0 obj <> endobj 0000001530 00000 n 0000054196 00000 n 0000170561 00000 n 0000002947 00000 n 0000072789 00000 n It doesnt make sense to imagine that you can do a fundamental change programme without working with other people., Dr Wood agrees that creating partnerships is key to future growth. 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. 0000176762 00000 n 1425 0 obj <> endobj <<7D7E07AF05D25B429403B179B549C510>]/Prev 735917/XRefStm 3093>> If the parent is completing the screener, they will receive a different version. by Cerner UK 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 0000021255 00000 n Published February 21, 2008, Harming Through Protection. 0000032034 00000 n 0000007639 00000 n Nope. 0000029050 00000 n WARNING: Intermountain authorized users only. 0000220433 00000 n 0000045545 00000 n What resources are available to get children into therapy? It is extremely important to screen patients until there are no further limitations on testing capacity. 0000025573 00000 n In primary care settings, you can evaluate the response to services using the Pediatric Traumatic Stress Screening Tool at follow up visits. 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. monitored, audited, and stored. 0000022254 00000 n 0000035663 00000 n 1660 60 0000064758 00000 n 0000004039 00000 n 0000007525 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. 0000110685 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. 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. 0000176241 00000 n 0000056318 00000 n 0000013703 00000 n 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. startxref 0000228696 00000 n 0000081400 00000 n 0000079708 00000 n 0000002244 00000 n See the Intermountain care process model Non-surgical Management of Ectopic Pregnancy DEVELOPMENT AND DESIGN OF Care Process Models Care Process Model MONTH 2015 2015 Update 0000022000 00000 n %PDF-1.7 % 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). 0000016606 00000 n 0000005448 00000 n 0000007939 00000 n 0000006375 00000 n 0000036090 00000 n What if the child or parent asks me a question about the screener while they are filling it out? Modified Medical Research Council Breathleness Scale (mMRC) 0000177729 00000 n 0000005048 00000 n 0000033986 00000 n <<3AE4BE8F4CF5524D9372135619CC8848>]/Prev 518892>> 0000048275 00000 n 0000023458 00000 n 0000110646 00000 n * At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. 0000022567 00000 n 5-Step Model for Creating a Virtuous Medical and Financing System to Enhance the Health and Well being of Future Generations. 0000052968 00000 n 0000021696 00000 n 0000084783 00000 n Salt Lake City, UT/Broomfield, CO (April 5, 2022) - Intermountain Healthcare and SCL Health, two leading nonprofit healthcare organizations, have completed their merger, creating a model health system that provides high-quality, accessible, and affordable healthcare to more patients and . 0000003556 00000 n 0000005294 00000 n 0000008428 00000 n Prnom. 0000009724 00000 n 0000069209 00000 n | Dr Chris Streather 0000014102 00000 n 0000177263 00000 n Special attention is also paid to who attends each visit to ensure all stakeholders are involved. The partnership between Intermountain and RFL involves teams from each organisation visiting the other to observe and attend workshops and monthly teleconferencing so that Intermountain can provide remote support to RFL as the Trust implements clinical practice groups (CPGs), RFLs version of CPMs. 0000016011 00000 n 0000004556 00000 n 0000006077 00000 n 0000059623 00000 n 0000023018 00000 n xref 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. 0000029608 00000 n 0000008709 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. 0000004046 00000 n 0000068805 00000 n 0000008313 00000 n 0000011106 00000 n Published on 8 March 2019. 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. This is not like an IQ test or psychological testing where the results could be skewed. 0000011030 00000 n 0000066307 00000 n For more information about Perspectives, gohere. For preschool-age children, the SEEK model for pediatric primary care is recommended to guide providers in screening for, assessing, and addressing problems related to child safety. 0000069327 00000 n Andrew D. Auerbach, M.D., M.P.H., C. Seth Landefeld, M.D., and Kaveh G. Shojanie, M.D. E-mail. View wait times and save your place in line at an Intermountain InstaCare location near you. 0000226638 00000 n He brought with him a background in medical research, having previously held positions at the National Cancer Institute and the Harvard School of Public Health, as well as an interest in the theory and methods of W. Edwards Deming. Second, primary care providers and care teams can intervene with children (6 18 years) who have experienced a potentially traumatic experience through the use of the Pediatric Traumatic Stress Screening Tool and Road Map of Care for Pediatric Traumatic Stress (see image below). It helps primary care providers identify areas of potential high risk for the child and provide relevant information and support to the parents / caregivers. 0000079777 00000 n 0000179788 00000 n At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. 0000048319 00000 n 0000010273 00000 n It has three main hospitals the Royal Free Hospital (founded in 1828 with the direct mission of providing free, quality care to patients with little or no means), Barnet Hospital and Chase Farm Hospital. 0000006881 00000 n 0000019636 00000 n %%EOF 0000021680 00000 n 1719 0 obj <>stream 0000165412 00000 n 0000050475 00000 n 0000087649 00000 n Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device.Learn More. startxref PingID. 0000028737 00000 n 0000062870 00000 n 0000006687 00000 n by Amy Bowen | Kaye Coholan 0000015431 00000 n 0000176512 00000 n 0000008994 00000 n 0000018223 00000 n 0000086355 00000 n 0000072122 00000 n Each visit is centred around a single theme to allow for a focused deep dive into that specialty. startxref 0000032127 00000 n 0000037253 00000 n 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). :x-)KYYY"3%C_hS! 0000078906 00000 n 0 0000066035 00000 n 0000005751 00000 n 0000225797 00000 n 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. 0000066042 00000 n How old does a child need to be to complete the traumatic stress screener? 0000079460 00000 n 1 KEY POINTS The focal points discussed in this CPM include: Treating asymptomatic bacteriuria with antibiotics offers no benefit 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. 0000050398 00000 n height, weight, OFC, care process model data, etc.). Copyright 2003-2020. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. 0000010300 00000 n 0000049258 00000 n Involving patients and clinicians in the design of care pathways has also given them a stake in the success of the project. 113021080>ca`labefpe|$X)Cc+G>[.3A/20 0000169759 00000 n CPMs also include education, communication and data standards so process and outcome measures are truly meaningful and comparable across institutions. 0000006937 00000 n 0000024509 00000 n 0000014692 00000 n 0000010167 00000 n 0000007049 00000 n H\j0EY& CpijY_'P#suGC 'b~. 0000009425 00000 n by Cerner UK 0000005250 00000 n Additionally, the PIPS team has clinicians available for consultation when needed. 0000008058 00000 n 0000005788 00000 n 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. 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. Choose a state from the dropdown to add local service providers. Chief among these is the willingness to be open to change and new ideas. A child who is about 10 or older can complete the screener. 0000058433 00000 n 1425 82 1506 0 obj <>stream 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. trailer 0000023543 00000 n 0000026552 00000 n 0000002571 00000 n 0000085699 00000 n 0000072266 00000 n Screen for child traumatic stress. How to address things like education, food and transportation, these are things the British government has been doing aggressively since WWII.. 0000010991 00000 n 0000050331 00000 n Incorporating the newly redesigned pathways into the EHR has had an immediate impact for RFL. 0000009984 00000 n 0000011770 00000 n When should the child or caregiver complete the traumatic stress screener? 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. Improving care quality and reducing cost are two of the highest priority goals for healthcare leaders. The formalised nature of the partnership agreement has also allowed for knowledge sharing on a granular and practical level that might not have been possible if RFL had passively observed Intermountains processes one or two times. 0000007723 00000 n 0000035552 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.. 0000055034 00000 n 0000063119 00000 n 6440 0 obj <>stream 0000029880 00000 n 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. Ping Identity Corporation. <<5BE851667CC40543996F5A9ED21E16D8>]/Prev 646447/XRefStm 3820>> 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. 0000007762 00000 n The CPM also guides family decision making, links at-risk children to evidence-based trauma therapy, and encourages providers' use of in . 0000002325 00000 n 0000009981 00000 n [EV~P\>Qr78vJ|;w,qdP7Q)N/(5kJ[;zXG$Ai?"s nBg5S9"{Y(^rS4w7,!l2"O+^y'UvvBbS=&r65[8gx&DnyegC_oWvem$,kN The partnership has provided value to RFL on many levels. This care process model (CPM) was created by a multidisciplinary team of physicians, registered dietitians, mental health specialists, and other healthcare providers at Intermountain Healthcare. 0000048189 00000 n 0000066203 00000 n 0000015124 00000 n <<969DFD35F0E1574DA86361927245C514>]/Prev 975812/XRefStm 3817>> 0000009348 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. 0000057819 00000 n 0000005534 00000 n 0000004263 00000 n 0000165371 00000 n 0000009151 00000 n 0000071218 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). 0000071811 00000 n 0000041107 00000 n 0000045385 00000 n %PDF-1.7 % 0000014009 00000 n 0000176436 00000 n

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