intermountain care process model

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intermountain care process model

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0000005079 00000 n 0000045385 00000 n 0000165722 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. 0000023553 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 & 0000063119 00000 n <]/Prev 276186/XRefStm 2368>> 0000076040 00000 n 0000004033 00000 n 0000006077 00000 n How can we help families with children who are 0-5? 0000005788 00000 n 0000007424 00000 n WARNING: Intermountain Healthcare's Information Systems resources are for Intermountain approved purposes only. 0000008535 00000 n 0000089548 00000 n 0000005048 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. 0000055101 00000 n 0000086104 00000 n 0000006007 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.. Cerner, Intermountain Healthcare Implement iCentra EHR 0000004263 00000 n 30 June 2022 0000010857 00000 n Care Process Model for Pediatric Traumatic Stress 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). 2:1b``AY0 tbg(8/C3n0=~ 0000008686 00000 n 0000072122 00000 n Screen for child traumatic stress. 0000070461 00000 n 0000050364 00000 n 0000050475 00000 n 0000004712 00000 n 0000015322 00000 n ALL RIGHTS RESERVED. 0000005250 00000 n 0000014285 00000 n 0000000016 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. 0000118945 00000 n 0000016002 00000 n startxref 0000076158 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. 0000088537 00000 n 0000110646 00000 n Signs of Trauma in Children Nope. 0000060798 00000 n 0000065908 00000 n 0000088156 00000 n 0000007525 00000 n 0000018590 00000 n 0000000016 00000 n 0000048189 00000 n Modified Medical Research Council Breathleness Scale (mMRC) 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. h1 01!\Ax'MF[!!z 1- 0000031920 00000 n 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. 0000132822 00000 n 0000059703 00000 n 0000023486 00000 n 0 %PDF-1.7 % 0000004465 00000 n 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. 0000071295 00000 n 0000005441 00000 n If the parent is completing the screener, they will receive a different version. 0000004401 00000 n A child who is about 10 or older can complete the screener. Click for details. 0000009425 00000 n 0000011492 00000 n 0000072821 00000 n 0000008541 00000 n 0000041187 00000 n 0000005602 00000 n 0000066042 00000 n Go to my One Account. 0000005131 00000 n Copyright 2023, Intermountain Healthcare, All rights reserved. 0000179289 00000 n 0000063674 00000 n 0000008863 00000 n Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. 0000009151 00000 n Learning some of these differences has provided insight for Intermountain into what may be possible in the future. 0000002048 00000 n 0000016612 00000 n Intermountain Health Care (IHC), an integrated delivery system based in Utah, has adopted a new strategy for managing health care delivery. :x-)KYYY"3%C_hS! 0000064758 00000 n 0000023458 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. 0000017841 00000 n PingID. 0000178724 00000 n 0000005093 00000 n 0000081803 00000 n | Dr Chris Streather 0000017996 00000 n 1846 0 obj <>stream At Intermountain Healthcare, we are looking for Medical Assistants who are patient-focused and engaged. 0000169759 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. 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. What resources are available to get children into therapy? 0000007949 00000 n 0000087852 00000 n 0000000016 00000 n At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. 0000015431 00000 n 0000005751 00000 n 0000179100 00000 n Cerner Intermountain Healthcare Implement iCentra EHR - Health IT Outcomes 0000003093 00000 n 0000005907 00000 n 0000002797 00000 n 0000076267 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. 0000010474 00000 n The approach focuses management attention not only on the facilities where care takes place but also on physician decision making and the care process itself, with the aim of boosting physician productivity and improving care quality, while saving money. 0000015624 00000 n 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. 0000006843 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.. 0000006531 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. 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 Intermountain Healthcare and Royal Free London are working toward a common goal of reduced clinical variance. 0000006553 00000 n 0000084783 00000 n 0000009981 00000 n 0000004300 00000 n Only authorized users with an appropriate business need and legal right may use these resources. Care Process Model JUNE 2019 2019 Update GOALS & MEASUREMENTS The goal of this CPM is to improve the . 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. Sign In Options. 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. 0000132101 00000 n <<5BE851667CC40543996F5A9ED21E16D8>]/Prev 646447/XRefStm 3820>> 0000031441 00000 n 0000064797 00000 n 0000012710 00000 n 0000017260 00000 n %PDF-1.7 % 0000005596 00000 n 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). 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. 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 . 0000050231 00000 n 5-Step Model for Creating a Virtuous Medical and Financing System to Enhance the Health and Well being of Future Generations. YC@NgR&Qr? >~.>* T`- Published February 21, 2008, Harming Through Protection. 0000055034 00000 n Intermountain will use a regional deployment strategy to bring all acute care facilities, ambulatory . 0000006219 00000 n 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. 0000060731 00000 n 0000004309 00000 n 0000008135 00000 n Reducing costs for patients with diabetes: What you need to know 0000018097 00000 n Dr Streather noted that seeking out partnerships to improve is an essential part of growth, but that it is not always easy. 0000010514 00000 n 0000009463 00000 n 0000009144 00000 n 0000013362 00000 n 0000198367 00000 n 0000036974 00000 n In addition to teaching them a useful coping skill, the child often feels an increased sense of support from parent(s) / guardian(s) who can help them practice the skill at home and remind them to use it when needed. 0000011030 00000 n 0000009984 00000 n 0000166102 00000 n Special Instructions. All statements, protocols, and recommendations herein are viewed as transitory and iterative. This care process model (CPM) and accompanying patient education were developed by a multidisciplinary team including primary . 0000054196 00000 n 0000044299 00000 n 0000019646 00000 n 0000012415 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. 0000079372 00000 n 0000007723 00000 n At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. 0000066391 00000 n 0000041107 00000 n 0000009925 00000 n Do I need to be a therapist to administer the screener or provide in-office interventions? 0000168976 00000 n height, weight, OFC, care process model data, etc.). 0000045274 00000 n 1660 60 Sign On 0000003820 00000 n 0000019314 00000 n 0000032127 00000 n 0000008067 00000 n 0000085699 00000 n 0000035663 00000 n 0000005795 00000 n 0000010599 00000 n 0000006783 00000 n 0000050304 00000 n When we visit Intermountain, we bring senior-level executives, but we also take people who are directly involved in care, said Dr Streather. * This CPM presents a model of best care based on the best available scientific evidence at the time of publication. 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. 0000058348 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. Joining forces to create a standard of care - cerner.com Franklin G. Miller, Ph.D., and Ezekiel J. Emanuel, M.D., Ph.D. 0000065951 00000 n 0000023429 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. 0000084446 00000 n 0000013048 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. 0000176359 00000 n This article originally appeared inPerspectives, a thought leadership publication dedicated to rising trends and issues in the healthcare and IT industry. 0000177263 00000 n If the child is younger than 10 or has developmental limitations, then the parent/caregiver can complete the screener for them. Biometrics. following: (1) modifying Intermountain data on any of Intermountain information systems; 0000176611 00000 n Each visit is centred around a single theme to allow for a focused deep dive into that specialty. We are also working with the Point of Care Foundation, which facilitates us working with patients and families in the design phase of all our clinical pathways.. 0000073461 00000 n !C4@$8 y 0000079708 00000 n /}>8N{oN9sw @P|&AM. 0000004772 00000 n 0000009340 00000 n 0000066109 00000 n 0000179023 00000 n 0 0000079777 00000 n 0000045545 00000 n 0000019636 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. 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 0000008676 00000 n 0000132863 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. 0000129774 00000 n 0000014673 00000 n Organising care in this way facilitates a broader, more longitudinal view of whats necessary to treat a condition. 0000045214 00000 n 0000009452 00000 n H\@. Prnom. hWkTSsH LB%A h oIBxH P,ZA 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. 0000021193 00000 n Dr James was hired by Intermountain in 1986 as the director of medical research and continuing medical education. 0000002368 00000 n startxref This care process model (CPM) was developed by Intermountain Healthcare's Antibiotic Stewardship and Community-Based Care teams.

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