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.. 0000021193 00000 n 0000008541 00000 n 0000005140 00000 n All rights reserved. Special Instructions. Clinical Management - Intermountain Healthcare 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. 0000005751 00000 n 0000011732 00000 n 0000087608 00000 n 0000050398 00000 n 0000170251 00000 n Each visit is centred around a single theme to allow for a focused deep dive into that specialty. 0000054116 00000 n 1 KEY POINTS The focal points discussed in this CPM include: Treating asymptomatic bacteriuria with antibiotics offers no benefit 0000008395 00000 n 0000009981 00000 n H\j0EY& CpijY_'P#suGC 'b~. 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. 0000031343 00000 n Fact Sheet Published in 2021 Printer-friendly version 0000007790 00000 n 0000023593 00000 n 0000005681 00000 n 0000029161 00000 n 0000007843 00000 n 0000013048 00000 n For more information about Perspectives, gohere. It turns out that clinical process management and improvement is our core business strategy.. 0000008863 00000 n The way Royal Free reaches out to the community, thats a big push for Intermountain right now. 0000006529 00000 n 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). 0000015259 00000 n 0000166102 00000 n This is not like an IQ test or psychological testing where the results could be skewed. [EV~P\>Qr78vJ|;w,qdP7Q)N/(5kJ[;zXG$Ai?"s nBg5S9"{Y(^rS4w7,!l2"O+^y'UvvBbS=&r65[8gx&DnyegC_oWvem$,kN 0000068805 00000 n 0000011106 00000 n Dr Streather noted that seeking out partnerships to improve is an essential part of growth, but that it is not always easy. 3 September 2021 %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 & 206 0 obj <> endobj 0000050331 00000 n 0000003093 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. 0000004246 00000 n 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. 0000002244 00000 n 0000051498 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). 0000032127 00000 n 1736 111 0000032034 00000 n 0000038456 00000 n 0000004046 00000 n 0000027605 00000 n Important features included creating meaningful alignment around value, building teams to drive the transition and implementing supportive workflows and technological innovations. 0000028071 00000 n 0000009151 00000 n 0000084852 00000 n If you will still be using Intermountain's network, systems or data, information about your use may be reviewed, WARNING: Intermountain Healthcare's Information Systems resources are for Intermountain approved purposes only. 0000018590 00000 n startxref 0000063119 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 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. 0000057752 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. "I`IvWdZ>B.nJ.o}LVL:}T{&!Qd4l;( q& Q/b2N$5%/wTg?8YSneUE+ 0000023553 00000 n During development of the care process model, the authors found many aspects of ICU care that required substantial change. 0000177828 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. A child who is about 10 or older can complete the screener. 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. 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. Its good to see that even after 18 months of introducing a complex programme, we see the general enthusiasm growing daily.. 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. 0000058348 00000 n 0000005441 00000 n 1506 0 obj <>stream Fortunately Intermountain Healthcare (among others) publishes their Care. 0000007723 00000 n by Dr Todd Allen 0000177145 00000 n 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). 0000002571 00000 n Reducing costs for patients with diabetes: What you need to know 0000016002 00000 n 0000004060 00000 n 0000011835 00000 n 0000008676 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. We already have resource guides developed for many counties in Utah. 0000045738 00000 n 0000072266 00000 n 0000063228 00000 n They then work to continually refine and improve each care process. E-mail. 0000084970 00000 n Choose a skill that you are comfortable teaching and share your knowledge with the families you see in clinic. 0000079310 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. 0000086222 00000 n 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. following: (1) modifying Intermountain data on any of Intermountain information systems; 0000064797 00000 n Mild range scores (0 10) protective approach, Moderate range (11 20) resilient approach, Severe range (21 or higher) restorative approach. 0000178647 00000 n 0000005448 00000 n 0000004300 00000 n 0000015893 00000 n 0000012852 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 & Send us an email or give us a call if you have questions. 0000021043 00000 n 0000017260 00000 n Additional assistance with risk assessment: iCentra order algorithm, Score Line 801-50-SCORE ( providers only ), and Connect Care 801-442-4457. 0000006822 00000 n Care pathways and the quest for better outcomes - Becker's Hospital Review 206 63 0000000016 00000 n Cerner, Intermountain Healthcare Implement iCentra EHR | Cerner Corporation 0000002361 00000 n PingID. 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. 0000020129 00000 n 0000025382 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. 0000013265 00000 n 0000006950 00000 n The clinical practice groups are changing the way we provide care in a profound way, said Streather. Intermountain monitors use of the Information Systems resources. 0000041140 00000 n 0000066042 00000 n 0000034112 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 CARE PROCESS MODEL JANUARY 2021 Chronic Obstructive Pulmonary Disease (COPD) Diagnosis, Treatment, and Resources ALGORITHM NOTES ALGORITHM: DIAGNOSIS OF COPD . 0000023458 00000 n Intermountain has also noted value in the partnership. 0000048275 00000 n Improving care quality and reducing cost are two of the highest priority goals for healthcare leaders. 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. 0000004465 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. 0000057886 00000 n 0000005907 00000 n 0000070461 00000 n 0000066307 00000 n It is not a prescription for every physician or every patient, nor does it replace clinical judgment. f-5Y)RqQ],Z*69=nwe.Io(MF ),m((KVorl= 4Yk/T=%AG> "}nrauFS 0000014285 00000 n 0000165722 00000 n 0000006553 00000 n 0000047145 00000 n 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. 0000079241 00000 n 0000079537 00000 n Care Process Models Eating Disorders - Intermountain Healthcare CPM020 - 01/21 3 COPD CPM JANUARY 2021 TABLES TABLE 1. Pierre-Henri Brchat, Pascal Briot, Lucy Savitz, Ross Fulton. 0000070665 00000 n 0000170355 00000 n 0000004256 00000 n 0000079777 00000 n Care Process Models Acute Sinusitis in Adults and Children 0000019018 00000 n 0000018484 00000 n Click for details. 0000005131 00000 n Intermountain will use a regional deployment strategy to bring all acute care facilities, ambulatory . 0000007525 00000 n 0000015124 00000 n 0000011817 00000 n %PDF-1.7 % 0000008918 00000 n 0000071218 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. 0000008837 00000 n 0000179023 00000 n under the leadership of Intermountain Healthcare's Behavioral Health Clinical Program. . SEEK is an effective model for prevention of abuse / neglect in early childhood. 0000073354 00000 n 0000019314 00000 n 0000132822 00000 n 0000049258 00000 n 0000054276 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. 0000007939 00000 n 0000006999 00000 n 1660 60 0000006063 00000 n 0000005602 00000 n H\@. 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. Published August 9, 2007, Quality- Improvement Research and Informed Consent. 0000004401 00000 n 0000006077 00000 n How a U.S. Health Care System Uses 15-Minute Huddles to Keep 23 Then make 3 key decisions. Acronym: CPM Targeted Populations: Ages 6-18; both males and females; for children who have experienced a wide range of traumas. 0000021255 00000 n 0000005286 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. 0000072821 00000 n 0000024509 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 Community-Acquired Pneumonia (CAP) - Intermountain Healthcare 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. trailer 0000004772 00000 n 0000079708 00000 n 0000055101 00000 n 0 0000059623 00000 n 0000110646 00000 n 0000012415 00000 n 0 0000050231 00000 n This care process model (CPM) was created by a multidisciplinary team of physicians, registered dietitians, mental health specialists, and other healthcare providers at Intermountain Healthcare. 1846 0 obj <>stream <<5BE851667CC40543996F5A9ED21E16D8>]/Prev 646447/XRefStm 3820>> Choose a state from the dropdown to add local service providers. 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.. 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. Go to my One Account. 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. Its important for them to see what were doing in action somewhere else.. 0000038525 00000 n Based on national guidelines and emerging evidence and shaped by local expert opinion, this CPM provides practical strategies . This article originally appeared inPerspectives, a thought leadership publication dedicated to rising trends and issues in the healthcare and IT industry. 0000226638 00000 n 0000226944 00000 n 0000176282 00000 n xref 0000021074 00000 n Intermountain Health Care - Case - Harvard Business School *(N}L{{./ +A C C9p:nY)-({ ~U 4|VfI)3%N>K, L7 Additionally, the PIPS team has clinicians available for consultation when needed. startxref D dL :G=%C>[wgG5wvorb$j9u>~U'/795}[ucCwOxEQ\hzAR>9d)oHH,YIPxM. 0000005250 00000 n %PDF-1.7 % CPM - Utah PIPS 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. 0000076190 00000 n This care process model (CPM) was developed by Intermountain Healthcare's Antibiotic Stewardship and Community-Based Care teams. 0000000016 00000 n 0000179788 00000 n 0000086396 00000 n 0000001530 00000 n What resources are available to get children into therapy? 0000059783 00000 n 0000008313 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. Its okay to answer their questions. 0000012710 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. 0000165412 00000 n * This CPM presents a model of best care based on the best available scientific evidence at the time of publication. 0000002368 00000 n 0000208680 00000 n /}>8N{oN9sw @P|&AM. Nope. 0000169759 00000 n 0000011998 00000 n Because of its unique size and scope, Royal Free London was concerned with reducing variation across its venues of care while increasing quality and decreasing costs. The Royal Free Hospital provides the only high-level isolation unit of its kind for the care of patients with the Ebola virus and other infectious diseases. 0000005079 00000 n 0000014692 00000 n Special attention is also paid to who attends each visit to ensure all stakeholders are involved. 0000066617 00000 n 0000006219 00000 n 0000129815 00000 n 0000088233 00000 n 0000054036 00000 n 0000005907 00000 n 0000008748 00000 n 0000088537 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. Care Process Model for Pediatric Traumatic Stress 0000065975 00000 n 0000009527 00000 n When should the child or caregiver complete the traumatic stress screener? 0000029472 00000 n At Intermountain Healthcare, we are looking for Medical Assistants who are patient-focused and engaged. %PDF-1.7 % 0000129774 00000 n endstream endobj 1718 0 obj <>/Filter/FlateDecode/Index[179 1481]/Length 57/Size 1660/Type/XRef/W[1 1 1]>>stream 0000072671 00000 n 0000002990 00000 n Copyright 2003-2020. 0000022254 00000 n 0000050304 00000 n 0000010514 00000 n Value-Based Care: Paving the Way to Health Transformation We recommend that child or caregiver complete the child traumatic stress screener while in the waiting room, prior to their appointment. Copyright 2023, Intermountain Healthcare, All rights reserved. 0000017200 00000 n 0000052968 00000 n 0000004712 00000 n 0000023933 00000 n All statements, protocols, and recommendations herein are viewed as transitory and iterative. 0000065716 00000 n 0000006007 00000 n 0000005233 00000 n 0000003817 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. trailer Intermountain used this philosophy to organise its most common care processes under the direction of an operations structure called clinical programmes. Lifestyle and Weight Management for Children and Adolescents %PDF-1.7 % 0000087852 00000 n 0000041187 00000 n 1425 0 obj <> endobj 0000011885 00000 n 0000004309 00000 n 0000050145 00000 n 0000023018 00000 n 0000035663 00000 n 0000017396 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. 0000069140 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. 0 0000005003 00000 n 0000176512 00000 n 3276 0 obj <>stream 0000005795 00000 n 0000075971 00000 n 0000020531 00000 n 0000178370 00000 n Lifestyle and Weight Management 0000005093 00000 n 0000070354 00000 n 0000001556 00000 n <<3AE4BE8F4CF5524D9372135619CC8848>]/Prev 518892>> 0000065908 00000 n 0000008676 00000 n 0000226561 00000 n 0000073570 00000 n 1 Resources for Parents and Caregivers 0000045274 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.. P , s &v. Its purpose is to summarize and promote evidence-based approaches to lifestyle and weight management, and to facilitate implementation in routine primary care. 0000066141 00000 n 0000007050 00000 n 0000002834 00000 n 0000085699 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.. 0000007424 00000 n 5-Step Model for Creating a Virtuous Medical and Financing System to Enhance the Health and Well being of Future Generations.
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