0000039904 00000 n 0000005227 00000 n Special Instructions. 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 <]/Prev 276186/XRefStm 2368>> 0000004089 00000 n 0000170251 00000 n 0000005079 00000 n Key Points All pregnant patients at 20 weeks of gestation require a Labor and . It is extremely important to screen patients until there are no further limitations on testing capacity. xref . 0000086104 00000 n 0000170459 00000 n 0000004263 00000 n 0000029608 00000 n 268 0 obj <>stream 0000018713 00000 n At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. 26 April 2022 There is quite a lot of admiration in the United Kingdom for some of the system-wide approaches for improving quality in the United States, said Dr Streather. 0000023458 00000 n 0000004293 00000 n 0000003093 00000 n 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. 0000007513 00000 n Click the following URL which is the closest match we can find to the one you entered: Use the left navigation or the tabs above to browse the site, Perform a search using the search box at the top of the page. 0000208680 00000 n 0000016612 00000 n 0000005681 00000 n 0000016722 00000 n 0000003400 00000 n 1425 82 0000018223 00000 n Copyright 2023, Intermountain Healthcare, All rights reserved. 0000038525 00000 n 0000048189 00000 n Critical to the relationships success is that Intermountain leaders visit RFL and can provide guidance and feedback in real time and on-site. 0000118945 00000 n 0000060731 00000 n 0000025653 00000 n 0000010167 00000 n 0000048275 00000 n | Dr Chris Wood 0000010514 00000 n 0000017996 00000 n 0000014978 00000 n hSYPW>G&$B% i}(!IA|C;N3mJd1 @EbBBDQ(+ 0000027265 00000 n 0000178647 00000 n This care process model (CPM) and accompanying patient education were developed by a multidisciplinary team including primary . 0000012798 00000 n 0000004309 00000 n 0000110646 00000 n 0000023018 00000 n We apologize that the page you are looking for is not available on our site. 0000064758 00000 n 0000178370 00000 n 0000088537 00000 n 0000079537 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. 0000009925 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. 0000065800 00000 n 0000004465 00000 n Intermountain Healthcare and Royal Free London are working toward a common goal of reduced clinical variance. 0000013362 00000 n For many children, belly breathing or mindfulness training (teens) will be able to slow down a racing heart or mind at bedtime to fall asleep easier or reduce the intensity of anxious / fearful or angry feelings. 0000054276 00000 n 0000055034 00000 n startxref 0000057886 00000 n 0000021696 00000 n 0000044299 00000 n 0000006220 00000 n 0000054116 00000 n 0000057752 00000 n 0000006999 00000 n 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. Ive rarely seen in the NHS such buy-in from the clinical community, he said. 0000079428 00000 n Acronym: CPM Targeted Populations: Ages 6-18; both males and females; for children who have experienced a wide range of traumas. How can we help families with children who are 0-5? 0000002388 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. Involving patients and clinicians in the design of care pathways has also given them a stake in the success of the project. 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. 0000064797 00000 n xref During development of the care process model, the authors found many aspects of ICU care that required substantial change. 0000179330 00000 n 0000015005 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. 0000004712 00000 n 0000011732 00000 n 0000008067 00000 n 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 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. 0000179484 00000 n 0000069327 00000 n The back page summarizes antibiotic recommendations and notes . 0000177340 00000 n Seeing their institutional processes adapted by other health systems is a validation of the approach. 0000072789 00000 n 0000129774 00000 n E-mail. 0000019646 00000 n Additionally, the PIPS team has clinicians available for consultation when needed. 0000007942 00000 n 0000006007 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. 0000010599 00000 n Provides patient education as directed (content reflects specific MA training, guidelines, care process models, protocols). 0000004060 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 Healthcares Primary Childrens Hospital. 0000005756 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. 0000086396 00000 n 0000022000 00000 n 0000076040 00000 n 0000066617 00000 n 0000033986 00000 n Administers screening tests to . 0000016011 00000 n 0000066508 00000 n 0000176241 00000 n 0000005131 00000 n 0000066203 00000 n A child who is about 10 or older can complete the screener. 0000226944 00000 n 0000084783 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.. 3175 0 obj <> endobj 0000005286 00000 n 0000044620 00000 n 2:1b``AY0 tbg(8/C3n0=~ 0000009340 00000 n 0000071811 00000 n 0000054196 00000 n 0000038439 00000 n Improving care quality and reducing cost are two of the highest priority goals for healthcare leaders. 0000043417 00000 n 0000026052 00000 n 0000008709 00000 n 0000018335 00000 n 0000066307 00000 n Biometrics. Each visit is centred around a single theme to allow for a focused deep dive into that specialty. 0000081921 00000 n 0000176282 00000 n <<969DFD35F0E1574DA86361927245C514>]/Prev 975812/XRefStm 3817>> Using a theoretical framework of eight stages of change[18], the authors described the imple-mentation of the care process model in the RICU. 0000079708 00000 n endstream endobj 1661 0 obj <>/Metadata 177 0 R/Names 1662 0 R/Outlines 155 0 R/PageLayout/SinglePage/Pages 176 0 R/StructTreeRoot 179 0 R/Type/Catalog/ViewerPreferences<>>> endobj 1662 0 obj <> endobj 1663 0 obj >/PageWidthList<0 612.0>>>>>>/Resources<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/Rotate 0/StructParents 0/Thumb 171 0 R/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 1664 0 obj [1665 0 R 1666 0 R 1667 0 R 1668 0 R] endobj 1665 0 obj <>/Border[0 0 0]/H/N/Rect[131.157 415.338 170.914 404.138]/StructParent 17/Subtype/Link/Type/Annot>> endobj 1666 0 obj <>/Border[0 0 0]/H/N/Rect[460.652 162.428 475.529 151.48]/StructParent 1/Subtype/Link/Type/Annot>> endobj 1667 0 obj <>/Border[0 0 0]/H/N/Rect[509.976 162.428 537.031 151.48]/StructParent 2/Subtype/Link/Type/Annot>> endobj 1668 0 obj <>/Border[0 0 0]/H/N/Rect[187.84 256.725 212.127 244.468]/StructParent 18/Subtype/Link/Type/Annot>> endobj 1669 0 obj <> endobj 1670 0 obj <> endobj 1671 0 obj <> endobj 1672 0 obj <> endobj 1673 0 obj <> endobj 1674 0 obj <>stream 0000009724 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. 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. 0000015322 00000 n If the child is younger than 10 or has developmental limitations, then the parent/caregiver can complete the screener for them. 0000023593 00000 n by Dr Todd Allen 0000017276 00000 n Its good to see that even after 18 months of introducing a complex programme, we see the general enthusiasm growing daily.. 0000035552 00000 n 0000021255 00000 n endstream endobj 1718 0 obj <>/Filter/FlateDecode/Index[179 1481]/Length 57/Size 1660/Type/XRef/W[1 1 1]>>stream Of all the approaches leaders can leverage to address these issues, reducing unwarranted clinical variance is receiving increased attention. 0000008837 00000 n 0000079241 00000 n \H6Hl7% K{X0(%p* *\y~b!o^%CIe%'jR$b $zoE)fPBgf+"jf6yy/i>>XmHm!$ Its okay to answer their questions. 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. 1660 0 obj <> endobj 0000021559 00000 n 0000002281 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. 1660 60 0000005751 00000 n 1736 0 obj <> endobj 0000009463 00000 n 0000177977 00000 n 0000070354 00000 n 0000128347 00000 n The Services Directory has information about Nationwide providers. 0000081803 00000 n 0000014285 00000 n 0000009144 00000 n 0000057953 00000 n 0000001556 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. 0000110760 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. %PDF-1.7 % 0000050398 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). 0000007525 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 0000009347 00000 n Intermountain Health Care (IHC), an integrated delivery system based in Utah, has adopted a new strategy for managing health care delivery. 0000011998 00000 n 0000002571 00000 n startxref Attempts to publish pathway development in the peer-reviewed literature are limited by lack of scientific rigor. 0000022254 00000 n 0000041187 00000 n 0000176762 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 0000017626 00000 n 0000011770 00000 n 0000035663 00000 n 0000009309 00000 n The partnership has provided value to RFL on many levels. 0000042757 00000 n 0000087608 00000 n %%EOF 0000002947 00000 n 0000009981 00000 n 0000005003 00000 n %%EOF xref 0000179023 00000 n 0000005541 00000 n 0000014338 00000 n In primary care settings, you can evaluate the response to services using the Pediatric Traumatic Stress Screening Tool at follow up visits. WARNING: Intermountain Healthcare's Information Systems resources are for Intermountain approved purposes only. 1 Resources for Parents and Caregivers 0000003556 00000 n 0000024023 00000 n Enzyme Replacement Therapy, Mucopolysaccharidosis Type I (MPS 1) Orthopedic Manifestations & 0000032530 00000 n 1719 0 obj <>stream 0000065908 00000 n 0000080004 00000 n 0000006219 00000 n 0000013288 00000 n 0000008541 00000 n 0000008058 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. H\@. 0000005742 00000 n 0000036090 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. 0000029472 00000 n 0000168976 00000 n 0000013265 00000 n 0000070665 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. Choose a state from the dropdown to add local service providers. intervention with those in the low symptom range. 0000007639 00000 n It is not a prescription for every physician or every patient, nor does it replace clinical judgment. 0000007939 00000 n by Treesa Carter | James Hitter This is the healthcare-specific version of what is known in lean terminology as "mass customization." 0000178724 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. 0000005534 00000 n 0000048319 00000 n The power of building relationships is not just what can be done today, but what we can work on tomorrow, he added. Mild range scores (0 10) protective approach, Moderate range (11 20) resilient approach, Severe range (21 or higher) restorative approach. %PDF-1.7 % 0000020531 00000 n 0000000016 00000 n 0000176611 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.. The PIPS team can help you identify resources in your area. This care process model (CPM) is maintained by Intermountain Healthcare's Lower Respiratory Tract Infection Team, . 0000065975 00000 n 0000010300 00000 n We already have resource guides developed for many counties in Utah. 0000019636 00000 n 0000041140 00000 n 0000023004 00000 n 0000045738 00000 n 0000007424 00000 n Continue below to learn more about the implementing the Child Traumatic Stress Care Process Model in a pediatric primary care setting. 0000062915 00000 n 0000089548 00000 n <<5BE851667CC40543996F5A9ED21E16D8>]/Prev 646447/XRefStm 3820>> 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). 0000179788 00000 n 0000015893 00000 n 0000050364 00000 n 0000059623 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. How old does a child need to be to complete the traumatic stress screener? 0000002580 00000 n 0000177729 00000 n 0000015624 00000 n In the 5 phase III alvimopan efficacy trials, a simple standardized accelerated postoperative care pathway was used rather than a comprehensive, multidisciplinary colon surgery care process model that is used by Intermountain Healthcare. * This CPM presents a model of best care based on the best available scientific evidence at the time of publication. 0000006822 00000 n RFL has upwards of 80 clinicians involved in this process in each of the four divisions and has digitised seven pathways with plans to digitise additional pathways two at a time through a standard process. 0000013631 00000 n 0000006553 00000 n 0000007949 00000 n Fortunately Intermountain Healthcare (among others) publishes their Care. With healthcare costs continuing to rise and clinical outcomes increasingly linked to reimbursement, optimising care and lowering costs are critical factors in determining the competitiveness and effectiveness of hospitals and health systems. Modified Medical Research Council Breathleness Scale (mMRC) 0000021074 00000 n 0000000016 00000 n 0000021193 00000 n 0000071186 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. 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. 0000017841 00000 n 0000068805 00000 n 0000165722 00000 n 0000054036 00000 n 0000059703 00000 n 0000052882 00000 n 0000065716 00000 n 0000226257 00000 n 0000012208 00000 n by Amy Bowen | Kaye Coholan 0000013806 00000 n 0000226638 00000 n 0000084446 00000 n 0000004926 00000 n 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 0000084970 00000 n 0000008748 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.. 0000001979 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.. 0000004256 00000 n 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. /}>8N{oN9sw @P|&AM. 0000011615 00000 n 0000018484 00000 n 0000063674 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. 0000006077 00000 n Once we understood the science of process management techniques as derived and applied in the business world could be brought into healthcare, we had our secret sauce and we knew we needed to teach that science to our teams, said Dr Todd Allen, senior executive medical director for the Healthcare Delivery Institute at Intermountain. 0000228696 00000 n 0000010857 00000 n *(N}L{{./ +A C C9p:nY)-({ ~U 4|VfI)3%N>K, L7 0000066391 00000 n 0000003264 00000 n 3276 0 obj <>stream 0000004300 00000 n %%EOF Members of each clinical programme regularly review the core care processes within it using evidence from literature and data from Intermountains own EHR. 0000052968 00000 n 0 C-suite leadership has been overwhelmingly supportive of the project, furthering the message that the Trust is serious about reducing variance and improving care. 0000051498 00000 n 0000029161 00000 n 0000132101 00000 n It takes humility to recognise that you dont have all the answers and seek out people who are leaders in their field, he said. 0000002990 00000 n 0000015816 00000 n 0000008686 00000 n 0000132822 00000 n 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. 0000225797 00000 n 0000011835 00000 n 206 63 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. We have 44 pathways in operation, which represents about 60 to 70 percent of our clinical patient-facing activity. The goal of these visits is for the RFL team to gain a deeper understanding of both the methodology and evidence behind Intermountains CPMs, and to get tactical education on how to familiarise clinical staff on methodology and help show them how to socialise these models for widespread adoption. Ping Identity Corporation. 0000011885 00000 n 0000193542 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. 0000017260 00000 n 0000059943 00000 n 0000006373 00000 n At two of our sites, we were immediately able to capture data-driven outcomes from the newly digitised pathways, said Dr Streather. 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. 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. 0000079927 00000 n startxref 0000009425 00000 n 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. Important features included creating meaningful alignment around value, building teams to drive the transition and implementing supportive workflows and technological innovations. 0000002325 00000 n %PDF-1.7 % 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. following: (1) modifying Intermountain data on any of Intermountain information systems; 0000079310 00000 n [EV~P\>Qr78vJ|;w,qdP7Q)N/(5kJ[;zXG$Ai?"s nBg5S9"{Y(^rS4w7,!l2"O+^y'UvvBbS=&r65[8gx&DnyegC_oWvem$,kN 0000003820 00000 n Published August 9, 2007, Quality- Improvement Research and Informed Consent. 0000075636 00000 n Do I need to be a therapist to administer the screener or provide in-office interventions? 0000128388 00000 n Intermountain Stroke Care Process Model In Action 538 views Mar 19, 2019 3 Dislike Share Intermountain Healthcare 21.7K subscribers An eight year old stroke patient receives rapid life-saving. CPMs also include education, communication and data standards so process and outcome measures are truly meaningful and comparable across institutions. 0000033569 00000 n startxref 0000050145 00000 n If this is an emergency please go to the nearest emergency room or call 911. YC@NgR&Qr? >~.>* T`- Based on national guidelines and emerging evidence and shaped by local expert opinion, this CPM provides practical strategies .