0000081803 00000 n This is the healthcare-specific version of what is known in lean terminology as "mass customization." 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 0000041187 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. 0000073354 00000 n 0000041140 00000 n 9-FCr-+| E+dJgx!Ck 0000003264 00000 n We have 44 pathways in operation, which represents about 60 to 70 percent of our clinical patient-facing activity. 0000129774 00000 n 1846 0 obj <>stream D dL :G=%C>[wgG5wvorb$j9u>~U'/795}[ucCwOxEQ\hzAR>9d)oHH,YIPxM. For more information about Perspectives, gohere. Dr Streather noted that seeking out partnerships to improve is an essential part of growth, but that it is not always easy. 0000070461 00000 n 0000059943 00000 n 0000025573 00000 n For preschool-age children, the SEEK model for pediatric primary care is recommended to guide providers in screening for, assessing, and addressing problems related to child safety. xref 0000226257 00000 n 0000002990 00000 n 0000029161 00000 n 0000066391 00000 n 0000225874 00000 n 0000045274 00000 n 0000062870 00000 n 0000032530 00000 n !C4@$8 y 0000025382 00000 n 0000078906 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.. 0000084783 00000 n 0000005448 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. 0000018097 00000 n 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. 0000002834 00000 n 0000169759 00000 n 0000059783 00000 n It turns out that clinical process management and improvement is our core business strategy.. 0000179330 00000 n 0000042757 00000 n 0000177977 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. Enzyme Replacement Therapy, Mucopolysaccharidosis Type I (MPS 1) Orthopedic Manifestations & 0000007049 00000 n 0000007639 00000 n 0000076267 00000 n Based on national guidelines and emerging evidence and shaped by local expert opinion, this CPM provides practical strategies . 0000086222 00000 n 0000063228 00000 n 0000039302 00000 n 0000179484 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. (2) removing Intermountain data from any Intermountain information system; or 0000052882 00000 n 0000076158 00000 n <<099953D8ECDC4449BF4B89817F7FC266>]/Prev 820759/XRefStm 5250>> 0000021680 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. 0000118945 00000 n Its good to see that even after 18 months of introducing a complex programme, we see the general enthusiasm growing daily.. Care Process Model JUNE 2019 2019 Update GOALS & MEASUREMENTS The goal of this CPM is to improve the . hb``0f``d`e` l,x70y7Yc[%Lq|cO 'rX)!2[HQ(WVE 0khhDGG; J@(}=bw&5_R 0000017276 00000 n 0000180800 00000 n 0000032034 00000 n 0000007186 00000 n | Dr Chris Wood 0000045671 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. 0000015816 00000 n 0000051827 00000 n 0000179289 00000 n 0000002571 00000 n 0000055101 00000 n /}>8N{oN9sw @P|&AM. 0000004046 00000 n The report also estimated that approximately 75,000 deaths might have been prevented in 2005 if every U.S. state had provided care at a quality level on par with the best performing state. 0000057886 00000 n 0000002361 00000 n 0000004926 00000 n 0000178370 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. 0000059863 00000 n f-5Y)RqQ],Z*69=nwe.Io(MF ),m((KVorl= 4Yk/T=%AG> "}nrauFS 0000007153 00000 n Prnom. 1660 60 0000009527 00000 n Learning some of these differences has provided insight for Intermountain into what may be possible in the future. 0000005541 00000 n 0000069327 00000 n 0000006843 00000 n 0000072789 00000 n ALL RIGHTS RESERVED. How to address things like education, food and transportation, these are things the British government has been doing aggressively since WWII.. Screen for child traumatic stress. The CPM also guides family decision making, links at-risk children to evidence-based trauma therapy, and encourages providers' use of in . 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. 0000066203 00000 n 0000007790 00000 n Published August 9, 2007, Quality- Improvement Research and Informed Consent. 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. 0000006375 00000 n 0000193542 00000 n Key Points All pregnant patients at 20 weeks of gestation require a Labor and . 0000087852 00000 n 0000017841 00000 n 0000055034 00000 n 0000066035 00000 n 0000005140 00000 n At two of our sites, we were immediately able to capture data-driven outcomes from the newly digitised pathways, said Dr Streather. 0000001530 00000 n 0000066141 00000 n 0000011732 00000 n 0000060798 00000 n xref 0000053140 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. At Intermountain Healthcare, we are looking for Medical Assistants who are patient-focused and engaged. 30 June 2022 H\@. 0000032127 00000 n Choose a state from the dropdown to add local service providers. Intermountain monitors use of the Information Systems resources. 0000081734 00000 n 0000081921 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. 0000045385 00000 n 0000072821 00000 n 0000084970 00000 n 0000086396 00000 n 0000063674 00000 n 0 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.. 0000165412 00000 n Its purpose is to summarize and promote evidencebased approaches to lifestyle and weight management, and to facilitate implementation in routine . <<3AE4BE8F4CF5524D9372135619CC8848>]/Prev 518892>> 0000015893 00000 n 0000009151 00000 n hSYPW>G&$B% i}(!IA|C;N3mJd1 @EbBBDQ(+ 0000050304 00000 n 0000066617 00000 n This care process model (CPM) and accompanying patient education were developed by a multidisciplinary team including primary . 0000065716 00000 n 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. 0000002388 00000 n 0000026052 00000 n Important features included creating meaningful alignment around value, building teams to drive the transition and implementing supportive workflows and technological innovations. Published on 8 March 2019. 0000007424 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. height, weight, OFC, care process model data, etc.). 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.. 0000225797 00000 n 0000073570 00000 n <<969DFD35F0E1574DA86361927245C514>]/Prev 975812/XRefStm 3817>> %PDF-1.7 % trailer 0000179100 00000 n This article originally appeared inPerspectives, a thought leadership publication dedicated to rising trends and issues in the healthcare and IT industry. 0000019314 00000 n Provides patient education as directed (content reflects specific MA training, guidelines, care process models, protocols). 0000008918 00000 n h1 01!\Ax'MF[!!z 1- 0000009425 00000 n Continue below to learn more about the implementing the Child Traumatic Stress Care Process Model in a pediatric primary care setting. 0000002580 00000 n 0000005286 00000 n 0000048319 00000 n 26 April 2022 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. monitored, audited, and stored. 0000006937 00000 n 0000004465 00000 n 0000006529 00000 n 0000010991 00000 n 0000006219 00000 n 6440 0 obj <>stream 0000066119 00000 n 0000170459 00000 n The multidisciplinary team is tasked with asking how they can improve the care processes within the programme. 0000009463 00000 n 0000038376 00000 n 0000079460 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. 0000018590 00000 n Care Process Model JUNE 2013 This care process model (CPM) was created by a multidisciplinary team of physicians and other healthcare providers at Intermountain Healthcare. 0000165371 00000 n Administers screening tests to . 0000026834 00000 n * This CPM presents a model of best care based on the best available scientific evidence at the time of publication. 0000118904 00000 n 0000071811 00000 n 0000012129 00000 n 0000001979 00000 n 0000021255 00000 n 0000063087 00000 n The clinical leadership for the digitisation programme is divided into RFLs four clinical divisions: Medicine, Surgery, Specialist Services, and Womens, Childrens and Diagnostics. 0000021193 00000 n 0000004033 00000 n 0000017396 00000 n 0000009452 00000 n Six Steps to Mass Customization in Healthcare Rather than rely solely on guidelines, healthcare systems should use a clinical management method to develop shared baseline protocols. 0000026552 00000 n Children in the severe and moderate traumatic stress symptom range will typically benefit from an intervention based on their symptoms, but clinicians may also choose to use a brief Published February 21, 2008. This care process model (CPM) outlines the recommended approach. Intermountain has also noted value in the partnership. 0000071186 00000 n 3 September 2021 0000038525 00000 n %%EOF hWkTSsH LB%A h oIBxH P,ZA 0000007939 00000 n 0000087608 00000 n 6346 0 obj <> endobj 0000079708 00000 n startxref 2:1b``AY0 tbg(8/C3n0=~ 0000002368 00000 n 0000075971 00000 n 0000008748 00000 n 0000002048 00000 n 0000005003 00000 n 0000008994 00000 n 0000050331 00000 n 0000035552 00000 n 0000179788 00000 n 0000128347 00000 n 0000048275 00000 n 0000079372 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. by Dr Todd Allen 0000064758 00000 n 0000008313 00000 n 0000076190 00000 n 0000056204 00000 n trailer %PDF-1.7 % 0000008709 00000 n By integrating our care process models into the EHR, we make sure that not only is the information where clinicians need it, when they need it, but its also baked into the soul of the organisation, Dr Allen said. P , s &v. If the child is younger than 10 or has developmental limitations, then the parent/caregiver can complete the screener for them. 0000220433 00000 n 0000007723 00000 n 0000023018 00000 n Pierre-Henri Brchat, Pascal Briot, Lucy Savitz, Ross Fulton. %%EOF The PIPS team can help you identify resources in your area. 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. 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. 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 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. 0000048189 00000 n 0000087726 00000 n Each visit is centred around a single theme to allow for a focused deep dive into that specialty. 0000005250 00000 n Only authorized users with an appropriate business need and legal right may use these resources. Two of the first clinical programmes developed were cardiovascular, and women and newborns. 0000023543 00000 n 0000005048 00000 n 0000013288 00000 n (3) duplicating any Intermountain data or placing a copy of any Intermountain data on any non-Intermountain asset. 0000050398 00000 n 0000016011 00000 n 0000002281 00000 n Involving patients and clinicians in the design of care pathways has also given them a stake in the success of the project. 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. 1660 0 obj <> endobj hSiPSW>#BBX-"m6 EM;b;N:N+D(n." 0000084852 00000 n Ping Identity Corporation. 0000015124 00000 n 0000072671 00000 n 0000054036 00000 n 0000014978 00000 n 0000129815 00000 n 0000086355 00000 n 0000006220 00000 n 0000050231 00000 n %PDF-1.7 % 0000017996 00000 n 0000071068 00000 n 0000084446 00000 n 1736 111 %%EOF We recommend that child or caregiver complete the child traumatic stress screener while in the waiting room, prior to their appointment. 0000031239 00000 n xref 0000020531 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.. 0000016606 00000 n Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. 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. 0000054276 00000 n 1 KEY POINTS The focal points discussed in this CPM include: Treating asymptomatic bacteriuria with antibiotics offers no benefit The clinical practice groups are changing the way we provide care in a profound way, said Streather. 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. Providers and caregivers around the country are using the model to measure and improve key diabetic metrics, including A1C results, blood pressure control, and kidney . 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. 0000011106 00000 n 0000014285 00000 n 0000019646 00000 n 0000226944 00000 n 0000029472 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). Still not finding what you are looking for? trailer 0000009576 00000 n 0000005907 00000 n 0000023553 00000 n Published February 21, 2008, Harming Through Protection. Mot de passe (8 caractres ou plus) . 0000011770 00000 n 0000029608 00000 n 0000006063 00000 n 6346 95 Sign In Options. 0000022401 00000 n 0000012710 00000 n 0000013631 00000 n %PDF-1.7 % PingID. 5-Step Model for Creating a Virtuous Medical and Financing System to Enhance the Health and Well being of Future Generations. 0000016722 00000 n 0000018223 00000 n Intermountain Health Care (IHC), an integrated delivery system based in Utah, has adopted a new strategy for managing health care delivery. <<5BE851667CC40543996F5A9ED21E16D8>]/Prev 646447/XRefStm 3820>> 0000054196 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. 0000177088 00000 n 0000132822 00000 n Mary Ann Baily, Ph.D. 0000013265 00000 n 0000009984 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 0000002797 00000 n 0000009348 00000 n This care process model (CPM) was developed by Intermountain Healthcare's Antibiotic Stewardship and Community-Based Care teams. 0 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. 0000070999 00000 n startxref 0000014338 00000 n 0000013362 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. 0000070665 00000 n 0000052164 00000 n Ive rarely seen in the NHS such buy-in from the clinical community, he said. 0000027265 00000 n 0000060731 00000 n 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