0000017276 00000 n 0000079310 00000 n 0000007186 00000 n 0000225874 00000 n 0000038439 00000 n 0000033569 00000 n 0000005079 00000 n 0000010599 00000 n <<5BE851667CC40543996F5A9ED21E16D8>]/Prev 646447/XRefStm 3820>> 0000017396 00000 n 0000021255 00000 n 0000166102 00000 n At Intermountain Healthcare, we are looking for Medical Assistants who are patient-focused and engaged. 0000004246 00000 n %PDF-1.7 % 0000018713 00000 n 0000005907 00000 n 0000003093 00000 n Dr Streather noted that seeking out partnerships to improve is an essential part of growth, but that it is not always easy. 0000011817 00000 n 0000004619 00000 n 0000063228 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 0000110646 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. 0000006066 00000 n 0000076158 00000 n 0000035552 00000 n 0000007488 00000 n 0000179330 00000 n 0000016722 00000 n This care process model (CPM) was developed by Intermountain Healthcare's Antibiotic Stewardship and Community-Based Care teams. The multidisciplinary team is tasked with asking how they can improve the care processes within the programme. Together, these components have allowed Intermountain to create integrated CPMs to manage practice guidelines and digital workflows that actively guide doctors toward the clinical decisions that will improve outcomes for patients. 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). Intermountain used this philosophy to organise its most common care processes under the direction of an operations structure called clinical programmes. 0000003264 00000 n 0000050475 00000 n 0000226257 00000 n 0000072478 00000 n 0000011885 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 . 0000013288 00000 n 0000001979 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. 0000009527 00000 n 0000002281 00000 n !C4@$8 y by Dr Todd Allen SEEK is an effective model for prevention of abuse / neglect in early childhood. 0000005441 00000 n :x-)KYYY"3%C_hS! %%EOF It takes humility to recognise that you dont have all the answers and seek out people who are leaders in their field, he said. <]/Prev 276186/XRefStm 2368>> 0000008067 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. This article originally appeared inPerspectives, a thought leadership publication dedicated to rising trends and issues in the healthcare and IT industry. 0000021043 00000 n 0000000016 00000 n This care process model (CPM) and accompanying patient education were developed by a multidisciplinary team including primary . 0000007639 00000 n 0000085699 00000 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. 0000051498 00000 n 0000029608 00000 n The back page summarizes antibiotic recommendations and notes . At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. 0000006822 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.. 0000031441 00000 n 0000058348 00000 n 0000220433 00000 n Users are prohibited from doing any of the 0000005140 00000 n 0000005387 00000 n | Dr Chris Wood %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 & 0000063674 00000 n 0000087852 00000 n 0000168976 00000 n 0000072898 00000 n 0000011998 00000 n 0000179484 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. 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. 0000132822 00000 n 0000063001 00000 n 0000165371 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. 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 0000050364 00000 n 0000016606 00000 n 0000037253 00000 n Prnom. Mary Ann Baily, Ph.D. 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. 0000010991 00000 n intervention with those in the low symptom range. 0000050398 00000 n 0000179100 00000 n 0000129815 00000 n 0000084852 00000 n 0000039302 00000 n 0000066042 00000 n under the leadership of Intermountain Healthcare's Behavioral Health Clinical Program. 0000009984 00000 n 0000008676 00000 n 0000071218 00000 n 0000045738 00000 n WARNING: Intermountain Healthcare's Information Systems resources are for Intermountain approved purposes only. 0000017996 00000 n 0000022567 00000 n Then make 3 key decisions. \H6Hl7% K{X0(%p* *\y~b!o^%CIe%'jR$b $zoE)fPBgf+"jf6yy/i>>XmHm!$ 0000009925 00000 n 0000007337 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. 0000052968 00000 n xref 5-Step Model for Creating a Virtuous Medical and Financing System to Enhance the Health and Well being of Future Generations. 0000002580 00000 n 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. 0000029880 00000 n 0000226180 00000 n We are already on our way to digitising 20 of those 44 pathways and will eventually have all 44 in the EHR.. 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 0000059943 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. 0000002388 00000 n 0000005602 00000 n 0000032127 00000 n 1736 111 hSiPSW>#BBX-"m6 EM;b;N:N+D(n." 0000177828 00000 n Intermountain will use a regional deployment strategy to bring all acute care facilities, ambulatory . xref 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.. 0000081803 00000 n 0000007843 00000 n 0000066218 00000 n 0000226638 00000 n 0000075636 00000 n 0000055034 00000 n 0000051705 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. This is the healthcare-specific version of what is known in lean terminology as "mass customization." trailer 0000012129 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. 6440 0 obj <>stream 0000023553 00000 n trailer 0000002990 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. 0000038525 00000 n 0000017626 00000 n 0000009340 00000 n It was created by general pediatricians at the University of Utah in collaboration with Intermountain Health pediatric . 0000002048 00000 n startxref 0000208680 00000 n 0000036090 00000 n startxref 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. 0000002797 00000 n 0000025382 00000 n Treatments, Prader-Willi Syndrome & Cognitive & Psychiatric Issues, Prader-Willi Syndrome and Complications from Obesity, Premature Infant and Retinopathy of Prematurity, Attention-Deficit/Hyperactivity Disorder (ADHD), Charcot-Marie-Tooth Disease (Hereditary Motor Sensory Neuropathy), Intellectual Disability & Global Developmental Delay, Postural Orthostatic Tachycardia Syndrome (POTS), Duchenne & Becker Muscular Dystrophy: Cardiomyopathy, MCADD (Medium-Chain Acyl-CoA Dehydrogenase), Somatic Symptom Disorder & Functional Neurologic Disorders, Carnitine Palmitoyltransferase 1A (CPT 1) Deficiency, Citrullinemia Type II & Citrin Deficiency, Guanidinoacetate Methyltransferase (GAMT) Deficiency, Holocarboxylase/Multiple Carboxylase Deficiency, Medium-Chain Acyl-CoA Dehydrogenase Deficiency (MCADD), Short/Branched Chain Acyl-CoA Dehydrogenase (SBCAD) Deficiency, Short-Chain Acyl-CoA Dehydrogenase Deficiency (SCADD), Very Long-Chain Acyl-CoA Dehydrogenase Deficiency (VLCADD), Screening Tests and the Diagnostic Process, After a Diagnosis or Problem is Identified, A New (or Old) Diagnosis - "You Are Not Alone", Building New Hopes and Dreams After a Diagnosis, Caring for Children with Special Health Care Needs, Complementary and Alternative Medicine (CAM), Foster Care of Children with Special Needs, Hospital Admissions, Inpatient Stay, and Discharge, Management and Prevention of Constipation in Children, Safety Precautions for Children with Seizures, Transportation and Travel for People with Disabilities, Choosing a Complementary and Alternative Medicine (CAM) Provider, From Preschool to Kindergarten/Elementary School, Tips for Single Parents of Children with Special Needs, When Parents of Children with Disabilities Divorce, Attention Deficit Hyperactivity Disorder (ADHD) (FAQ), Duchenne & Becker Muscular Dystrophy (FAQ), Intellectual Disability and Global Developmental Delay (FAQ), Mucopolysaccharidosis Type I (MPS I) (FAQ), Neonatal Opioid Withdrawal Syndrome (NOWS) (FAQ), Postural Orthostatic Tachycardia Syndrome (POTS) (FAQ), Transgender and Gender-Diverse Youth (FAQ), Everyday Strategies to Help Improve Wellness, Thoughts From a Single Parent of a Great Kid, A Parent Perspective on Dealing With Ignorance, Services for the Uninsured or Under-Insured, Understanding the Affordable Care Act (ACA) and the Health Insurance Marketplace, Causes of Hearing Loss, with ICD-10 codes, Coding for Developmental & Mental Health Screening, About Children & Youth with Special Health Care Needs (CYSHCN), Questions & Answers about Care Coordination, Children with Short Stature Born Small for Gestational Age, Drooling in Children with Special Health Care Needs, Mild Traumatic Brain Injury (TBI) & Post-concussive Syndrome, Neonatal Opioid Withdrawal Syndrome (NOWS), Pain in Children with Special Health Care Needs, CBD for Neurologic Conditions in Children, Childhood Epilepsy with Centrotemporal Spikes (CECTS), Evaluation & Treatment of a First Unprovoked Seizure, Medical Conditions Affecting Sleep in Children, Sleep Disorders & Parasomnias in Children, Toilet Training Children with Complex Medical Conditions, Attention-Deficit/Hyperactivity Disorder (ADHD) for Educators, Boosting Calories for Babies, Toddlers, and Older Children, Feeding & Swallowing Problems in Children, Feeding Tubes & Gastrostomies in Children, Nutrition & Growth in Children with Complex Conditions, Bilirubin Screening & Testing in Newborns, Clinical Guidelines for Care of Children with Medical Complexity, Evaluation for Suspected Ehlers-Danlos Syndrome, Newborn Differences of Sex Development (DSD) Admission Checklist, Congenital Cytomegalovirus (CMV) Related Hearing Loss, Folic Acid Supplementation & Neural Tube Defects, Infant & Early Childhood Social-Emotional Screening, Mental Health Screening for Children & Teens, https://www.medicalhomeportal.org/clinical-practice/guidelines-and-algorithms, Utah Department of Health & Human Services, Nevada Division of Public and Behavioral Health, Centers for Medicare and Medicaid Services (CMS), Ohio Department of Health, Bureau of Maternal, Child & Family Health, Childrens Medical Services/Children with Special Needs, New Mexico Department of Health, Rhode Island Title V/Maternal and Child Health Program, Check the URL you entered to make sure it is correct. 0000065951 00000 n 0000051827 00000 n We are segmenting clinicians into clinical themes and having them evaluate pathways of care and look at the data that informs those pathways to determine how we can improve them in a systematic way. 0000176611 00000 n 0000014338 00000 n 0000258879 00000 n Enzyme Replacement Therapy, Mucopolysaccharidosis Type I (MPS 1) Orthopedic Manifestations & 0000042757 00000 n 0000005795 00000 n 0000079372 00000 n Organising care in this way facilitates a broader, more longitudinal view of whats necessary to treat a condition. 0000002361 00000 n 0000079927 00000 n 0000025653 00000 n 0000170459 00000 n 0000060731 00000 n Published August 9, 2007, Quality- Improvement Research and Informed Consent. 0000004060 00000 n 0000086104 00000 n 0000014102 00000 n It is extremely important to screen patients until there are no further limitations on testing capacity. 0000045545 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). 0000034579 00000 n 0000057886 00000 n 3 September 2021 This is not like an IQ test or psychological testing where the results could be skewed. 0000009348 00000 n 0000005093 00000 n 0000179788 00000 n 0000000016 00000 n Of all the approaches leaders can leverage to address these issues, reducing unwarranted clinical variance is receiving increased attention. 0000023486 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. 0000008676 00000 n 0000003302 00000 n Additionally, the PIPS team has clinicians available for consultation when needed. 0000045671 00000 n 0000049258 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. 0000059783 00000 n Improving care quality and reducing cost are two of the highest priority goals for healthcare leaders. At two of our sites, we were immediately able to capture data-driven outcomes from the newly digitised pathways, said Dr Streather. 0000005695 00000 n 0000053140 00000 n hUiPG~=";.^qv12%&e-Kg.^OPxx7(w~X]"`~g 0000014285 00000 n ALL RIGHTS RESERVED. 0000006063 00000 n 0000081921 00000 n 0000088537 00000 n 0000005681 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. 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. 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. 0000070999 00000 n 0000009724 00000 n Members of each clinical programme regularly review the core care processes within it using evidence from literature and data from Intermountains own EHR. Involving patients and clinicians in the design of care pathways has also given them a stake in the success of the project. 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. 0000048275 00000 n 0000066617 00000 n 0000014009 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. We already have resource guides developed for many counties in Utah. Choose a state from the dropdown to add local service providers. 0000000016 00000 n 0000069327 00000 n Choose a skill that you are comfortable teaching and share your knowledge with the families you see in clinic. It turns out that clinical process management and improvement is our core business strategy.. Special Instructions. 0000003519 00000 n 0000045274 00000 n 0000016002 00000 n 0000009463 00000 n 0000054196 00000 n 0000071295 00000 n 0000008058 00000 n 0000060865 00000 n 0000079895 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. Important features included creating meaningful alignment around value, building teams to drive the transition and implementing supportive workflows and technological innovations. 0000054276 00000 n 0000132101 00000 n 0000176436 00000 n 0000088156 00000 n 0000177263 00000 n 0000048319 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. 0000010167 00000 n 0000004256 00000 n 0000009576 00000 n 0000010857 00000 n 0000076190 00000 n 0000073461 00000 n 0000008535 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. 0000005534 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. CARE PROCESS MODEL JANUARY 2021 Chronic Obstructive Pulmonary Disease (COPD) Diagnosis, Treatment, and Resources ALGORITHM NOTES ALGORITHM: DIAGNOSIS OF COPD . <<3AE4BE8F4CF5524D9372135619CC8848>]/Prev 518892>> 0000007942 00000 n 0000024509 00000 n * Each of the eight stages of change has a corresponding pitfall. 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. 0000031343 00000 n 0000008541 00000 n 0000006208 00000 n 0000015322 00000 n 0000006687 00000 n 0000008976 00000 n 0000002947 00000 n by Cerner UK 0000029161 00000 n Copyright 2023, Intermountain Healthcare, All rights reserved. 0000062870 00000 n 0000021193 00000 n 0000000016 00000 n 0000004039 00000 n 0000013265 00000 n The partnership has provided value to RFL on many levels. YC@NgR&Qr? >~.>* T`- 0000004401 00000 n 0000087649 00000 n 0000170251 00000 n 0000056204 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. If the child is younger than 10 or has developmental limitations, then the parent/caregiver can complete the screener for them. Key Points All pregnant patients at 20 weeks of gestation require a Labor and . 0000033890 00000 n 0000054116 00000 n 0000005003 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. 0000005644 00000 n Sign In Options. 0000005751 00000 n startxref Based on national guidelines and emerging evidence and shaped by local expert opinion, this CPM provides practical strategies . As RFL leaders began to search for established models and methods to reduce variance in care, they were introduced to Intermountains clinical programme and CPM approach. 0000008428 00000 n 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. 0000010474 00000 n 0000005294 00000 n 0000176282 00000 n Mot de passe (8 caractres ou plus) . 0000009309 00000 n 0000025573 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. D dL :G=%C>[wgG5wvorb$j9u>~U'/795}[ucCwOxEQ\hzAR>9d)oHH,YIPxM. %PDF-1.7 % A 2012 report from the Institute of Medicine found that inefficiencies in the U.S. healthcare system resulted in up to $750 billion of wasted spending in 2009, roughly 30 percent of total healthcare spending in that year. 0000001556 00000 n (2) removing Intermountain data from any Intermountain information system; or 0000007949 00000 n 0000029050 00000 n 0000018163 00000 n 0000066035 00000 n Dr James was hired by Intermountain in 1986 as the director of medical research and continuing medical education. 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 They then work to continually refine and improve each care process. Continue below to learn more about the implementing the Child Traumatic Stress Care Process Model in a pediatric primary care setting. 0000066119 00000 n 0000056444 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.
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