0000011492 00000 n 0000023553 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. Copyright 2003-2020. %PDF-1.7 % 0000086104 00000 n 0000009527 00000 n %%EOF 0000066042 00000 n 0000002797 00000 n Learning some of these differences has provided insight for Intermountain into what may be possible in the future. startxref 0000043417 00000 n Administers screening tests to . 0000056204 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. 0000073570 00000 n CPMs also include education, communication and data standards so process and outcome measures are truly meaningful and comparable across institutions. Published August 9, 2007, Quality- Improvement Research and Informed Consent. 0000003817 00000 n hUiPG~=";.^qv12%&e-Kg.^OPxx7(w~X]"`~g 0000045274 00000 n At Salt Lake City-based Intermountain Healthcare, ensuring the alignment of all these things to provide extraordinary care requires a constant regimented focus across our 23 hospitals, 170. 0000015322 00000 n 0000060798 00000 n There are aspects of Royal Free care that Intermountain can learn from, said Dr Chris Wood, vice president, Cerner and medical executive for iCentra development at Intermountain Healthcare. Treesa Carter and James Hitter share their experiences of working on the transformation of health and social care integration at Suffolk County Council. 0000004046 00000 n 0000007525 00000 n 2:1b``AY0 tbg(8/C3n0=~ 0000052968 00000 n Special attention is also paid to who attends each visit to ensure all stakeholders are involved. 0000018713 00000 n 0000000016 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.. 0000006208 00000 n 0000129815 00000 n 0000028071 00000 n 0000023543 00000 n Prnom. 0000226638 00000 n We already have resource guides developed for many counties in Utah. 0000032034 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. Continue below to learn more about the implementing the Child Traumatic Stress Care Process Model in a pediatric primary care setting. Additional assistance with risk assessment: iCentra order algorithm, Score Line 801-50-SCORE ( providers only ), and Connect Care 801-442-4457. 0000012852 00000 n 0000002990 00000 n 1736 0 obj <> endobj 0000177088 00000 n 0000021559 00000 n Each clinical programme is led by a doctor, nurse and administration triad, and is resourced with all those whose work affects the patients care and outcome. Copyright 2023, Intermountain Healthcare, All rights reserved. Critical to the relationships success is that Intermountain leaders visit RFL and can provide guidance and feedback in real time and on-site. Members of each clinical programme regularly review the core care processes within it using evidence from literature and data from Intermountains own EHR. Intermountain Health Care (IHC), an integrated delivery system based in Utah, has adopted a new strategy for managing health care delivery. 0000020531 00000 n trailer 0000007942 00000 n 0000049258 00000 n 0000176436 00000 n We apologize that the page you are looking for is not available on our site. 0000000016 00000 n 0000006529 00000 n 0000081734 00000 n 0000063196 00000 n 0000002580 00000 n 0000002281 00000 n 0000176359 00000 n 0000165371 00000 n 0000088156 00000 n 0000007639 00000 n 0000225874 00000 n 0000023018 00000 n intervention with those in the low symptom range. 0000084970 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. At Intermountain Healthcare, we are looking for Medical Assistants who are patient-focused and engaged. 0000017626 00000 n 0000006375 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. monitored, audited, and stored. 0000068805 00000 n 6440 0 obj <>stream %%EOF 0 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). 0000080004 00000 n 0000132101 00000 n startxref 0000006937 00000 n 0000005795 00000 n Involving patients and clinicians in the design of care pathways has also given them a stake in the success of the project. Pierre-Henri Brchat, Pascal Briot, Lucy Savitz, Ross Fulton. 0000070665 00000 n 0000169759 00000 n 0000012722 00000 n 1425 82 Its purpose is to summarize and promote evidencebased approaches to lifestyle and weight management, and to facilitate implementation in routine . Fortunately Intermountain Healthcare (among others) publishes their Care. 0000128347 00000 n 0000069209 00000 n %PDF-1.7 % 0000005907 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. | Dr Chris Wood 0000021043 00000 n Biometrics. 1506 0 obj <>stream 0000005788 00000 n 0000021696 00000 n Choose a state from the dropdown to add local service providers. 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. 0000072122 00000 n 0000079777 00000 n 1 KEY POINTS The focal points discussed in this CPM include: Treating asymptomatic bacteriuria with antibiotics offers no benefit Franklin G. Miller, Ph.D., and Ezekiel J. Emanuel, M.D., Ph.D. 0000014102 00000 n 0000005541 00000 n 0000045385 00000 n 0000005742 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. 0000057752 00000 n 0000005227 00000 n D dL :G=%C>[wgG5wvorb$j9u>~U'/795}[ucCwOxEQ\hzAR>9d)oHH,YIPxM. 0000071186 00000 n 0000132863 00000 n Intermountain will use a regional deployment strategy to bring all acute care facilities, ambulatory . Its okay to answer their questions. * 0000008058 00000 n 0000065716 00000 n 0000038525 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. In primary care settings, you can evaluate the response to services using the Pediatric Traumatic Stress Screening Tool at follow up visits. 0000014338 00000 n 0000008093 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. View wait times and save your place in line at an Intermountain InstaCare location near you. 0000007337 00000 n Failing to address variations can negatively impact the ability to provide quality, consistent, safe and cost-effective care. 0000043331 00000 n 0000011835 00000 n 0000073493 00000 n 0000004246 00000 n 0000006220 00000 n 0000058433 00000 n 0000028737 00000 n 0000031343 00000 n Only authorized users with an appropriate business need and legal right may use these resources. 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. 0000086222 00000 n 0000005751 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. 0000034579 00000 n Intermountain used this philosophy to organise its most common care processes under the direction of an operations structure called clinical programmes. 0000084446 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. We are already on our way to digitising 20 of those 44 pathways and will eventually have all 44 in the EHR.. 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). 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. 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. Dr James was hired by Intermountain in 1986 as the director of medical research and continuing medical education. 0000005286 00000 n 0000009925 00000 n 0000193542 00000 n 0000011998 00000 n WARNING: Intermountain Healthcare's Information Systems resources are for Intermountain approved purposes only. 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. 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). Mot de passe (8 caractres ou plus) . 0000002048 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. 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.. Intermountain Healthcare in Salt Lake City, Utah, recognised the link between variance, quality and cost early on thanks in part to Dr Brent James. 0000000016 00000 n 1736 111 Based on national guidelines and emerging evidence and shaped by local expert opinion, this CPM provides practical strategies . 0000004208 00000 n 0000005596 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.. 0000087649 00000 n 0000009347 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. 0000000016 00000 n 0000179330 00000 n 0000007049 00000 n 0000008500 00000 n 0000007562 00000 n This care process model (CPM) was developed by Intermountain Healthcare's Antibiotic Stewardship and Community-Based Care teams. 0000076267 00000 n 0000069327 00000 n Nope. 0000088537 00000 n 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. Its important for them to see what were doing in action somewhere else.. 0000014673 00000 n 0000007939 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. 0000008135 00000 n Still not finding what you are looking for? 0000005250 00000 n 1846 0 obj <>stream 0000012798 00000 n 0000226257 00000 n 0000070999 00000 n 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.
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