intermountain care process model intermountain care process model

0000002361 00000 n %%EOF 0000170561 00000 n 0000132101 00000 n 0000047145 00000 n 0000033836 00000 n Prnom. 0000177977 00000 n 0000014673 00000 n 0000179407 00000 n 113021080>ca`labefpe|$X)Cc+G>[.3A/20 <<5BE851667CC40543996F5A9ED21E16D8>]/Prev 646447/XRefStm 3820>> 0000170355 00000 n 0000012852 00000 n 0000007153 00000 n 0000008918 00000 n 0000023486 00000 n Only authorized users with an appropriate business need and legal right may use these resources. 0000057752 00000 n hUiPG~=";.^qv12%&e-Kg.^OPxx7(w~X]"`~g The CPM also guides family decision making, links at-risk children to evidence-based trauma therapy, and encourages providers' use of in . 0000050331 00000 n 0000013631 00000 n 0000019018 00000 n View wait times and save your place in line at an Intermountain InstaCare location near you. %%EOF 0000008541 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. 0000041187 00000 n 0000073461 00000 n 0000005644 00000 n xref 0000008976 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. 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. <<099953D8ECDC4449BF4B89817F7FC266>]/Prev 820759/XRefStm 5250>> Within a health system, unwarranted clinical variance is understood as the difference in clinical practices and services that do not derive from unique patient needs and that may involve the overuse, underuse or misuse of medical services. 0000084852 00000 n 0000081734 00000 n 0000051705 00000 n Its important for them to see what were doing in action somewhere else.. CPMs also include education, communication and data standards so process and outcome measures are truly meaningful and comparable across institutions. 0000019636 00000 n 0000066119 00000 n 0 Mot de passe (8 caractres ou plus) . 0000052882 00000 n * This CPM presents a model of best care based on the best available scientific evidence at the time of publication. 0000165412 00000 n 1 KEY POINTS The focal points discussed in this CPM include: Treating asymptomatic bacteriuria with antibiotics offers no benefit 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. YC@NgR&Qr? >~.>* T`- 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). 0000000016 00000 n 0000005602 00000 n 0000007424 00000 n 0000045738 00000 n 0000052164 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. 1736 111 0000086396 00000 n 0000011615 00000 n 0000053140 00000 n 0000013806 00000 n 0000008093 00000 n 0000003264 00000 n Do I need to be a therapist to administer the screener or provide in-office interventions? 0000064797 00000 n P.O. by Treesa Carter | James Hitter If the child is younger than 10 or has developmental limitations, then the parent/caregiver can complete the screener for them. 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. 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 At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. | Dr Chris Streather 0000005250 00000 n 0000079428 00000 n 0000059623 00000 n 0000005140 00000 n 0000036090 00000 n 0000008313 00000 n 0000069140 00000 n 0000006687 00000 n 0000007939 00000 n 2007-2021 INTERMOUNTAIN HEALTHCARE. 0000021696 00000 n 0000015259 00000 n Ive rarely seen in the NHS such buy-in from the clinical community, he said. 0000012722 00000 n 0000176282 00000 n 0000086035 00000 n 0000072266 00000 n 0000004465 00000 n 0000018335 00000 n 0000010599 00000 n Failing to address variations can negatively impact the ability to provide quality, consistent, safe and cost-effective care. This article originally appeared inPerspectives, a thought leadership publication dedicated to rising trends and issues in the healthcare and IT industry. 0000004060 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 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. 0000016722 00000 n 0000011817 00000 n It helps primary care providers identify areas of potential high risk for the child and provide relevant information and support to the parents / caregivers. Special attention is also paid to who attends each visit to ensure all stakeholders are involved. 0000088156 00000 n 0000060865 00000 n 0000004246 00000 n 0000004619 00000 n 26 April 2022 0000005756 00000 n 0000005751 00000 n 0000005788 00000 n 0000005441 00000 n 1719 0 obj <>stream 0000010567 00000 n 0000066203 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.. intervention with those in the low symptom range. 0000003820 00000 n 0000045214 00000 n 0000017276 00000 n 0000005596 00000 n 0000007762 00000 n 0000004712 00000 n 0000070354 00000 n 3276 0 obj <>stream What if the child or parent asks me a question about the screener while they are filling it out? 0000005387 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. 0000072789 00000 n 0000006531 00000 n Its good to see that even after 18 months of introducing a complex programme, we see the general enthusiasm growing daily.. xref 0000011732 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. 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. <]/Prev 276186/XRefStm 2368>> 0000005534 00000 n 0000010857 00000 n trailer 0000005227 00000 n 0000009347 00000 n H\@. 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. 0000066035 00000 n 0000036974 00000 n WARNING: Intermountain Healthcare's Information Systems resources are for Intermountain approved purposes only. %%EOF 0000110760 00000 n 0000005795 00000 n 0000066391 00000 n 0000007513 00000 n 0000005003 00000 n 0000020129 00000 n 0000129815 00000 n 0000006077 00000 n 0000017200 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.. 0000228696 00000 n 0000069209 00000 n 0000000016 00000 n 0000177088 00000 n 0000065951 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. 0000025653 00000 n 0000079310 00000 n 0000088233 00000 n Click for details. 0000059783 00000 n 0000016002 00000 n 1 Resources for Parents and Caregivers 0000023553 00000 n 0000063228 00000 n 0000002244 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. 0000118904 00000 n Seeing their institutional processes adapted by other health systems is a validation of the approach. Send us an email or give us a call if you have questions. %PDF-1.7 % 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 0000011885 00000 n 0000179100 00000 n 0000002281 00000 n At Intermountain Healthcare, we are looking for Medical Assistants who are patient-focused and engaged. 0000009151 00000 n 0000005695 00000 n 0000066540 00000 n 0000015816 00000 n 0000002947 00000 n This CPM includes two processes to address child traumatic stress across the pediatric lifespan. 0000179484 00000 n 1660 60 3 September 2021 0000071186 00000 n 0000087649 00000 n 0000009463 00000 n Then make 3 key decisions. D dL :G=%C>[wgG5wvorb$j9u>~U'/795}[ucCwOxEQ\hzAR>9d)oHH,YIPxM. The multidisciplinary team is tasked with asking how they can improve the care processes within the programme. 0000056444 00000 n 0000051827 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 0000003400 00000 n 0000001979 00000 n 0000006208 00000 n trailer 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. Biometrics. 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. 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. 0000009452 00000 n During development of the care process model, the authors found many aspects of ICU care that required substantial change. by Cerner UK 0000015893 00000 n 0000034112 00000 n 0000021680 00000 n 0000016612 00000 n Enzyme Replacement Therapy, Mucopolysaccharidosis Type I (MPS 1) Orthopedic Manifestations & <<969DFD35F0E1574DA86361927245C514>]/Prev 975812/XRefStm 3817>> 0000007723 00000 n 0000020693 00000 n It is not a prescription for every physician or every patient, nor does it replace clinical judgment. 0000021043 00000 n f-5Y)RqQ],Z*69=nwe.Io(MF ),m((KVorl= 4Yk/T=%AG> "}nrauFS PingID. 0000076040 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. 0000066508 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. 0000050231 00000 n 0000177729 00000 n 0000018163 00000 n 0000022567 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. H\j0EY& CpijY_'P#suGC 'b~. 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. 0000178647 00000 n 0000176241 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.