intermountain care process model

0000045738 00000 n Modified Medical Research Council Breathleness Scale (mMRC) 0000073493 00000 n 0000005907 00000 n 0000027605 00000 n 0000050331 00000 n 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. Provides patient education as directed (content reflects specific MA training, guidelines, care process models, protocols). When we visit Intermountain, we bring senior-level executives, but we also take people who are directly involved in care, said Dr Streather. 0000010273 00000 n Care Process Model for Pediatric Traumatic Stress Administers screening tests to . 0000023933 00000 n 0000021696 00000 n Intermountain used this philosophy to organise its most common care processes under the direction of an operations structure called clinical programmes. 0000003302 00000 n Behaviors, Attention-Deficit/Hyperactivity Disorder (ADHD) & Mood Disorders, Fetal Alcohol Spectrum Disorder Distinguished from Autism, Mucopolysaccharidosis Type I & Motor Development, Mucopolysaccharidosis Type I (MPS 1) Genetics, Mucopolysaccharidosis Type I (MPS 1) Hematopoietic Stem Cell Transplantation & 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. 0000005907 00000 n 0000015259 00000 n 0000028071 00000 n If you will still be using Intermountain's network, systems or data, information about your use may be reviewed, 2007-2021 INTERMOUNTAIN HEALTHCARE. 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. 0000081921 00000 n We are already on our way to digitising 20 of those 44 pathways and will eventually have all 44 in the EHR.. First, primary care providers and care teams can meaningfully respond to family needs that may prevent trauma exposure in children (0 5 years) through the use of the SEEK questionnaire and Road Map of Care for Pediatric Trauma Prevention. 0000032127 00000 n 0000008863 00000 n Continue below to learn more about the implementing the Child Traumatic Stress Care Process Model in a pediatric primary care setting. Mary Ann Baily, Ph.D. *kxVQQ6]9@{B%+/Q9a6Q_~Kx1 RX@QF p+h=52hf4f3#`33e{f|@gHXS'U`*}lts}=>;tPJfi5C&L^cI_2I7l8-G-mLvp +y" oE$qy(b9yz|~{kt;a| ~%1e8PKo*>7%T[.4jp+Gq}. 0000165722 00000 n 0000178647 00000 n 0000176512 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. 0000008313 00000 n 0000005788 00000 n Joining forces to create a standard of care - cerner.com 0000132822 00000 n 206 0 obj <> endobj Lifestyle and Weight Management 0000071218 00000 n 0000063001 00000 n Additional assistance with risk assessment: iCentra order algorithm, Score Line 801-50-SCORE ( providers only ), and Connect Care 801-442-4457. P.O. 0000042757 00000 n The partnership has provided value to RFL on many levels. It takes humility to recognise that you dont have all the answers and seek out people who are leaders in their field, he said. Dr Streather noted that seeking out partnerships to improve is an essential part of growth, but that it is not always easy. 0000050398 00000 n 0000065800 00000 n :x-)KYYY"3%C_hS! 0000086104 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. 26 April 2022 268 0 obj <>stream 0000071811 00000 n 0000079310 00000 n 0000065867 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 0000035552 00000 n Cerner, Intermountain Healthcare Implement iCentra EHR | Cerner Corporation 0000006553 00000 n 0000029472 00000 n 0000084446 00000 n 0000045671 00000 n 0000017396 00000 n 0000048319 00000 n Key Points All pregnant patients at 20 weeks of gestation require a Labor and . 0000066540 00000 n 0000208680 00000 n startxref 0000078906 00000 n Choose a state from the dropdown to add local service providers. 0000000016 00000 n 0000079428 00000 n Lifestyle and Weight Management for Children and Adolescents Then make 3 key decisions. 0000045214 00000 n Click for details. Utah PIPS 0000062870 00000 n 0000016606 00000 n 0000176762 00000 n Its good to see that even after 18 months of introducing a complex programme, we see the general enthusiasm growing daily.. Additionally, the PIPS team has clinicians available for consultation when needed. 0000025653 00000 n Of all the approaches leaders can leverage to address these issues, reducing unwarranted clinical variance is receiving increased attention. 0000008135 00000 n 0000007562 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. 0000004293 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. 1719 0 obj <>stream 0000002048 00000 n | Dr Chris Streather 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. 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. Fact Sheet Published in 2021 Printer-friendly version under the leadership of Intermountain Healthcare's Behavioral Health Clinical Program. 0000005387 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 \H6Hl7% K{X0(%p* *\y~b!o^%CIe%'jR$b $zoE)fPBgf+"jf6yy/i>>XmHm!$ 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. 0000041187 00000 n 0000015322 00000 n 0000054116 00000 n 0000055101 00000 n Organising care in this way facilitates a broader, more longitudinal view of whats necessary to treat a condition. 0000004465 00000 n 0000057953 00000 n 0000002797 00000 n Its purpose is to summarize and promote evidence-based approaches to lifestyle and weight management, and to facilitate implementation in routine primary care. 0000081734 00000 n 113021080>ca`labefpe|$X)Cc+G>[.3A/20 0000057819 00000 n %PDF-1.7 % 0000021193 00000 n xref f-5Y)RqQ],Z*69=nwe.Io(MF ),m((KVorl= 4Yk/T=%AG> "}nrauFS 0000166102 00000 n 0000025573 00000 n 0000002571 00000 n 0000004556 00000 n 0000009981 00000 n Biometrics. P , s &v. 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. 0000069140 00000 n 0000063119 00000 n How can we help families with children who are 0-5? 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. 0000007942 00000 n Intermountain Healthcare and SCL Health Complete Merger This CPM includes two processes to address child traumatic stress across the pediatric lifespan. 0000006208 00000 n Proven Imaging Appropriate Use Criteria from Intermountain - PRWeb 0000008709 00000 n 0000045545 00000 n 0000071186 00000 n 0000005742 00000 n 0000055034 00000 n 1660 0 obj <> endobj CPM020 - 01/21 3 COPD CPM JANUARY 2021 TABLES TABLE 1. 0000069209 00000 n If this is an emergency please go to the nearest emergency room or call 911. 0000014401 00000 n 0000060798 00000 n 0000014981 00000 n 0000066203 00000 n 0000050364 00000 n 0000006937 00000 n 0000089548 00000 n Failing to address variations can negatively impact the ability to provide quality, consistent, safe and cost-effective care. 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. 0000005286 00000 n 0000033836 00000 n The clinical practice groups are changing the way we provide care in a profound way, said Streather. 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. Care pathways and the quest for better outcomes - Becker's Hospital Review 0000060731 00000 n The Royal Free London NHS Foundation Trust (RFL) is one of the largest hospital Trusts in the NHS, employing more than 10,000 staff and serving 1.6 million patients across 20 sites in north London and Hertfordshire. 0000118904 00000 n 0000017688 00000 n 0000073570 00000 n 0000068805 00000 n 1425 0 obj <> endobj Published February 21, 2008. Intermountain Healthcare convened a team consisting of executive leadership, the enterprise initiative office and internal medicine leaders to design the RPC. 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. Special Instructions. 0000023018 00000 n 0000009984 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 Involving patients and clinicians in the design of care pathways has also given them a stake in the success of the project. hSiPSW>#BBX-"m6 EM;b;N:N+D(n." trailer Mild range scores (0 10) protective approach, Moderate range (11 20) resilient approach, Severe range (21 or higher) restorative approach. xref 0000011106 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 %PDF-1.7 % 0000024023 00000 n 0000079372 00000 n We have 44 pathways in operation, which represents about 60 to 70 percent of our clinical patient-facing activity. (3) duplicating any Intermountain data or placing a copy of any Intermountain data on any non-Intermountain asset. 9-FCr-+| E+dJgx!Ck 0000012710 00000 n %PDF-1.7 % Pierre-Henri Brchat, Pascal Briot, Lucy Savitz, Ross Fulton. 0000006822 00000 n 3175 102 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. 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 0000044721 00000 n Follow Up at Regular Intervals 0000039302 00000 n 0000003519 00000 n 0000023486 00000 n It turns out that clinical process management and improvement is our core business strategy.. 0000002834 00000 n 0000044299 00000 n CPM - Utah PIPS Andrew D. Auerbach, M.D., M.P.H., C. Seth Landefeld, M.D., and Kaveh G. Shojanie, M.D. Care Process Model JUNE 2019 2019 Update GOALS & MEASUREMENTS The goal of this CPM is to improve the . hSYPW>G&$B% i}(!IA|C;N3mJd1 @EbBBDQ(+ 30 June 2022 0 %%EOF %%EOF 0000053054 00000 n 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. 0000079241 00000 n 0000063087 00000 n 0000007790 00000 n 0000179289 00000 n 0000006219 00000 n All rights reserved. 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 Choose a skill that you are comfortable teaching and share your knowledge with the families you see in clinic. 0000015005 00000 n Sign On 0000003556 00000 n PingID. 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. startxref 0000052968 00000 n 0000002325 00000 n 1425 82 Learning some of these differences has provided insight for Intermountain into what may be possible in the future. 0000002990 00000 n 0000019636 00000 n 0000017841 00000 n trailer 0000006950 00000 n 0000005541 00000 n trailer 0000017200 00000 n 0000009348 00000 n 0000037253 00000 n 0000008976 00000 n 0000006531 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. 0000225797 00000 n 0000002368 00000 n 0000045274 00000 n 0000021559 00000 n 0000004263 00000 n 0000070461 00000 n 206 63 0000065975 00000 n 2:1b``AY0 tbg(8/C3n0=~ 0000019018 00000 n 0000027265 00000 n 0000225756 00000 n 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. Cerner, Intermountain Healthcare Implement iCentra EHR 0000018097 00000 n Do I need to be a therapist to administer the screener or provide in-office interventions? 0000020531 00000 n 1736 111 0000015820 00000 n Care Process Models Pregnant Patients in the Emergency Department 2021 Intermountain will use a regional deployment strategy to bring all acute care facilities, ambulatory . CARE PROCESS MODEL JANUARY 2021 Chronic Obstructive Pulmonary Disease (COPD) Diagnosis, Treatment, and Resources ALGORITHM NOTES ALGORITHM: DIAGNOSIS OF COPD . 0000006881 00000 n 0000007525 00000 n The power of building relationships is not just what can be done today, but what we can work on tomorrow, he added. 0 0000258879 00000 n 0000009340 00000 n 0000079708 00000 n startxref 0000226180 00000 n Incorporating the newly redesigned pathways into the EHR has had an immediate impact for RFL. At two of our sites, we were immediately able to capture data-driven outcomes from the newly digitised pathways, said Dr Streather. 0000226944 00000 n 1 Resources for Parents and Caregivers 0000023553 00000 n 0000018223 00000 n 0000004039 00000 n 0000170251 00000 n 0000059863 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. 0000066141 00000 n 0000032530 00000 n View wait times and save your place in line at an Intermountain InstaCare location near you. 0000004712 00000 n 0000008093 00000 n 0000056444 00000 n The back page summarizes antibiotic recommendations and notes . 0000004046 00000 n 0000007723 00000 n Copyright 2003-2020. /}>8N{oN9sw @P|&AM. 0000009144 00000 n 0000075971 00000 n Ive rarely seen in the NHS such buy-in from the clinical community, he said. <<3AE4BE8F4CF5524D9372135619CC8848>]/Prev 518892>> [EV~P\>Qr78vJ|;w,qdP7Q)N/(5kJ[;zXG$Ai?"s nBg5S9"{Y(^rS4w7,!l2"O+^y'UvvBbS=&r65[8gx&DnyegC_oWvem$,kN 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. 0000007337 00000 n 0000009151 00000 n 0000014285 00000 n 0000006529 00000 n 0000019314 00000 n 0000014692 00000 n 0000007949 00000 n 0000008541 00000 n 0000020129 00000 n 0000059783 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. 0000011835 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. %%EOF YC@NgR&Qr? >~.>* T`- 0000059943 00000 n Inscrivez-vous pour postuler au poste de Medical Assistant chez Intermountain Health. 0000012852 00000 n 0000072898 00000 n by Cerner UK 0000025382 00000 n 0000010474 00000 n 0000058232 00000 n 0000009347 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. (2) removing Intermountain data from any Intermountain information system; or Its purpose is to summarize and promote evidencebased approaches to lifestyle and weight management, and to facilitate implementation in routine . 0000015624 00000 n 0000006007 00000 n 0000005079 00000 n 0000006783 00000 n 0000002388 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.

intermountain care process model 2023