0000044299 00000 n xref 0000013362 00000 n RFL provides specialist services in liver and kidney transplantation, rare cancers, haemophilia, HIV, infectious diseases, plastic surgery, immunology, neurology, Parkinsons disease, vascular surgery, cardiology, amyloidosis and scleroderma. 0000010474 00000 n 0000000016 00000 n This CPM includes two processes to address child traumatic stress across the pediatric lifespan. If the parent is completing the screener, they will receive a different version. 0000011885 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. 0000011998 00000 n 0000081400 00000 n The multidisciplinary team is tasked with asking how they can improve the care processes within the programme. 0000006531 00000 n 0000017996 00000 n 0000055101 00000 n ALL RIGHTS RESERVED. 0000087852 00000 n CARE PROCESS MODEL JANUARY 2021 Chronic Obstructive Pulmonary Disease (COPD) Diagnosis, Treatment, and Resources ALGORITHM NOTES ALGORITHM: DIAGNOSIS OF COPD . 3276 0 obj <>stream 0000066141 00000 n 0000019636 00000 n 0000011732 00000 n 0000041187 00000 n 0000005602 00000 n 0000176282 00000 n What resources are available to get children into therapy? 0000004263 00000 n 0000193542 00000 n 0000014401 00000 n 0000015259 00000 n Published February 21, 2008, Harming Through Protection. by Treesa Carter | James Hitter 0000011030 00000 n 0000007843 00000 n 0000039661 00000 n 0000062915 00000 n 0000225797 00000 n %%EOF 0000002571 00000 n 0000011817 00000 n 0000110760 00000 n 0000032530 00000 n It is not a prescription for every physician or every patient, nor does it replace clinical judgment. 0000051827 00000 n 0000081803 00000 n It is extremely important to screen patients until there are no further limitations on testing capacity. Members of each clinical programme regularly review the core care processes within it using evidence from literature and data from Intermountains own EHR. 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 0000003519 00000 n Intermountain Healthcare convened a team consisting of executive leadership, the enterprise initiative office and internal medicine leaders to design the RPC. 1425 82 0000179407 00000 n 0000004089 00000 n %PDF-1.7 % 0000041140 00000 n 0000005596 00000 n !C4@$8 y 0000004926 00000 n 0000002244 00000 n 0000179289 00000 n hUiPG~=";.^qv12%&e-Kg.^OPxx7(w~X]"`~g 0000045214 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. startxref Each of the eight stages of change has a corresponding pitfall. Choose a state from the dropdown to add local service providers. 0000005003 00000 n Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device.Learn More. What if the child or parent asks me a question about the screener while they are filling it out? 30 June 2022 0000018097 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. 0000064758 00000 n 0000177263 00000 n 0000013048 00000 n 0000052968 00000 n 0000016002 00000 n 0000048275 00000 n 0000008863 00000 n 0000023018 00000 n 0000008093 00000 n Intermountain has also noted value in the partnership. Fortunately Intermountain Healthcare (among others) publishes their Care. 0000058348 00000 n Acronym: CPM Targeted Populations: Ages 6-18; both males and females; for children who have experienced a wide range of traumas. 0000006219 00000 n 0000052164 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. At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. 0000068805 00000 n 0000001979 00000 n Its purpose is to summarize and promote evidencebased approaches to lifestyle and weight management, and to facilitate implementation in routine . Copyright 2003-2020. 0000009452 00000 n 0000003093 00000 n 0000006687 00000 n 0000004619 00000 n 0000048319 00000 n 0000002834 00000 n 0000019314 00000 n SEEK is an effective model for prevention of abuse / neglect in early childhood. Intermountain Health Care (IHC), an integrated delivery system based in Utah, has adopted a new strategy for managing health care delivery. 0000057819 00000 n %%EOF 0000014338 00000 n Click for details. P , s &v. 0000004300 00000 n 0000014285 00000 n 0000177828 00000 n Prnom. 0000002361 00000 n 0000165371 00000 n 0000002368 00000 n 0000006881 00000 n Copyright 2023, Intermountain Healthcare, All rights reserved. 0000004039 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. 0000000016 00000 n Andrew D. Auerbach, M.D., M.P.H., C. Seth Landefeld, M.D., and Kaveh G. Shojanie, M.D. 0000003820 00000 n hWkTSsH LB%A h oIBxH P,ZA 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. Mary Ann Baily, Ph.D. 0000034579 00000 n 0000006373 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.. 0000026834 00000 n Users are prohibited from doing any of the Its important for them to see what were doing in action somewhere else.. 0000168976 00000 n E-mail. 0000012852 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. Critical to the relationships success is that Intermountain leaders visit RFL and can provide guidance and feedback in real time and on-site. Dr Streather noted that seeking out partnerships to improve is an essential part of growth, but that it is not always easy. 0000056444 00000 n 0000059783 00000 n 0000198367 00000 n View wait times and save your place in line at an Intermountain InstaCare location near you. 0000023593 00000 n 0000007525 00000 n 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. 0000011106 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. 0000047145 00000 n 0000011615 00000 n 0000000016 00000 n @G 0000128388 00000 n 0 0000056204 00000 n Special attention is also paid to who attends each visit to ensure all stakeholders are involved. 0000069209 00000 n 1736 0 obj <> endobj 0000008837 00000 n 0000009151 00000 n 0000031920 00000 n 0000060023 00000 n 0000014981 00000 n endstream endobj 1718 0 obj <>/Filter/FlateDecode/Index[179 1481]/Length 57/Size 1660/Type/XRef/W[1 1 1]>>stream %%EOF 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. 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. 0000079895 00000 n 0000008244 00000 n 0000022254 00000 n Inscrivez-vous pour postuler au poste de Medical Assistant chez Intermountain Health. 0000005048 00000 n 0000023004 00000 n 0000073354 00000 n 0000176436 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 management and revenue cycle system, at two Intermountain hospitals and 24 clinics across northern Utah. Additional assistance with risk assessment: iCentra order algorithm, Score Line 801-50-SCORE ( providers only ), and Connect Care 801-442-4457. 0000050231 00000 n 0000005742 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. * This CPM presents a model of best care based on the best available scientific evidence at the time of publication. 0000016612 00000 n 0000018484 00000 n 0000179788 00000 n 1 KEY POINTS The focal points discussed in this CPM include: Treating asymptomatic bacteriuria with antibiotics offers no benefit 0000023458 00000 n 0000009925 00000 n 3175 102 0000170561 00000 n 0000014978 00000 n 0000179023 00000 n 0000086222 00000 n This is not like an IQ test or psychological testing where the results could be skewed. 0000063119 00000 n Franklin G. Miller, Ph.D., and Ezekiel J. Emanuel, M.D., Ph.D. 0000033836 00000 n H\j0EY& CpijY_'P#suGC 'b~. 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. 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. 0000066042 00000 n 0000045385 00000 n 0000060731 00000 n 0000007049 00000 n 0000006220 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. 0000015624 00000 n 0000029161 00000 n 0000021696 00000 n Working with Intermountain and redesigning their methods of care represents a considerable shift for RFL and leaders have been deliberate about how these changes are introduced to doctors, nurses and others who provide care. 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.. 0000012129 00000 n 0000177729 00000 n "I`IvWdZ>B.nJ.o}LVL:}T{&!Qd4l;( q& Q/b2N$5%/wTg?8YSneUE+ 0000036974 00000 n 0000033986 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 0 WARNING: Intermountain authorized users only. Do I need to be a therapist to administer the screener or provide in-office interventions? 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. 0000009309 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. Fact Sheet Published in 2021 Printer-friendly version 0000016011 00000 n 0000071295 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. 0000005233 00000 n CPM020 - 01/21 3 COPD CPM JANUARY 2021 TABLES TABLE 1. 0000079310 00000 n Biometrics. 0000081734 00000 n 0000066119 00000 n 0000023553 00000 n 0000016722 00000 n 0000208680 00000 n 0000063087 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. 0000076158 00000 n 0000007723 00000 n 0000002580 00000 n Learning some of these differences has provided insight for Intermountain into what may be possible in the future. 0000059863 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. 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 & Intermountain monitors use of the Information Systems resources. 0000065800 00000 n 0000051705 00000 n Its okay to answer their questions. 0000033569 00000 n H\@. 0000008918 00000 n 0000060798 00000 n >iDTPTTqbZ]w;$zm3{! 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.. 0000084852 00000 n 1425 0 obj <> endobj 0000073461 00000 n 0000007050 00000 n 0000003264 00000 n 0000086355 00000 n 0000225756 00000 n (2) removing Intermountain data from any Intermountain information system; or 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). 0000013806 00000 n 0000017396 00000 n 0000010514 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. startxref 0000042757 00000 n 0 0000017688 00000 n 0000066508 00000 n %%EOF 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. 0000002325 00000 n 0000003129 00000 n 0000058232 00000 n 0000006063 00000 n 0000009340 00000 n 0000110646 00000 n The clinical practice groups are changing the way we provide care in a profound way, said 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. 0000006208 00000 n 0000016606 00000 n 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. Each visit is centred around a single theme to allow for a focused deep dive into that specialty. *(N}L{{./ +A C C9p:nY)-({ ~U 4|VfI)3%N>K, L7 Improving care quality and reducing cost are two of the highest priority goals for healthcare leaders. Published on 8 March 2019. 0000018590 00000 n 0000038525 00000 n Choose a skill that you are comfortable teaching and share your knowledge with the families you see in clinic. 0000075971 00000 n 0000005751 00000 n 0000021193 00000 n 0000007939 00000 n 2:1b``AY0 tbg(8/C3n0=~ 0000005286 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. Ping Identity Corporation. 0000019018 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. 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. 0000006066 00000 n 0000005250 00000 n 0000072478 00000 n 0000072898 00000 n Go to my One Account. 113021080>ca`labefpe|$X)Cc+G>[.3A/20 In primary care settings, you can evaluate the response to services using the Pediatric Traumatic Stress Screening Tool at follow up visits. 0000007263 00000 n 0000071186 00000 n Enzyme Replacement Therapy, Mucopolysaccharidosis Type I (MPS 1) Orthopedic Manifestations & Contribute to Intermountain by participating in one of our charitable events, Find fresh ideas to manage your health, enjoy better quality of life, and LiVe Well, Learn more about Intermountain's mission: Helping people live the healthiest lives possible, Search and apply for volunteer opportunities at Intermountain. 0000038439 00000 n 0000028071 00000 n 0000045478 00000 n hb``0f``d`e` l,x70y7Yc[%Lq|cO 'rX)!2[HQ(WVE 0khhDGG; J@(}=bw&5_R 0000179484 00000 n This care process model (CPM) is maintained by Intermountain Healthcare's Lower Respiratory Tract Infection Team, . Of all the approaches leaders can leverage to address these issues, reducing unwarranted clinical variance is receiving increased attention. trailer following: (1) modifying Intermountain data on any of Intermountain information systems; [EV~P\>Qr78vJ|;w,qdP7Q)N/(5kJ[;zXG$Ai?"s nBg5S9"{Y(^rS4w7,!l2"O+^y'UvvBbS=&r65[8gx&DnyegC_oWvem$,kN %%EOF xref 0000076267 00000 n Published February 21, 2008. 0000005795 00000 n 0 0000007488 00000 n 0000031441 00000 n 0000011770 00000 n 0000169759 00000 n 0000063001 00000 n 0000165722 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. We already have resource guides developed for many counties in Utah. 0000032127 00000 n 0000004246 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. 0000009463 00000 n The partnership has provided value to RFL on many levels. 0000066391 00000 n 0000012415 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. 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). Care Process Models Care Process Model MONTH 2015 2015 Update DIAGNOSIS AND MANAGEMENT OF Urinary Tract Infection in Adults APRIL 2019 2019 INTERMOUNTAIN HEALTHCARE. 0000177340 00000 n 0000006950 00000 n 6346 0 obj <> endobj 0000006007 00000 n 0000013265 00000 n 0000008709 00000 n 0000073570 00000 n 0000220433 00000 n 0000006843 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. 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. This care process model (CPM) and accompanying patient education were developed by a multidisciplinary team including primary . 0000012208 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. 0000005644 00000 n The Services Directory has information about Nationwide providers. 0000072122 00000 n 0000065867 00000 n 0000005131 00000 n 1660 60 6440 0 obj <>stream 0000033890 00000 n 0000014009 00000 n 0000008313 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). 0000005788 00000 n 0000226944 00000 n 0000017200 00000 n 0000059623 00000 n 0000118945 00000 n This article originally appeared inPerspectives, a thought leadership publication dedicated to rising trends and issues in the healthcare and IT industry. 0000004309 00000 n monitored, audited, and stored. 0000066307 00000 n 0000084970 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. 7 September 2022 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. 0000053054 00000 n %%EOF If you will still be using Intermountain's network, systems or data, information about your use may be reviewed, 0000088233 00000 n 0000004401 00000 n 0000038456 00000 n Intermountain will use a regional deployment strategy to bring all acute care facilities, ambulatory . CPM uses several different tools to look for trauma exposure (recent and remote events), suicidality and self-harm, and traumatic stress symptoms. 0000020531 00000 n I think one of the problems in health systems is that good practice happens in a lot of places, but were not very good at learning from excellence in other places, said Dr Streather. 0000018713 00000 n 0000008676 00000 n 0000023429 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. 0000078906 00000 n 0000066035 00000 n How can we help families with children who are 0-5? 0000087608 00000 n 0000066617 00000 n How to address things like education, food and transportation, these are things the British government has been doing aggressively since WWII.. 0000043417 00000 n 0000060865 00000 n 0000071218 00000 n 0000055034 00000 n 0000009981 00000 n 0000035663 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. Organising care in this way facilitates a broader, more longitudinal view of whats necessary to treat a condition. 0000008135 00000 n 0000043331 00000 n 0000054036 00000 n 0000010567 00000 n 0000013703 00000 n 0000006077 00000 n 0000065975 00000 n 0000008748 00000 n 0000064797 00000 n 0000015322 00000 n 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. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.
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