intermountain care process model

0000007513 00000 n 0000006881 00000 n 0000017200 00000 n 0000010300 00000 n 0000032034 00000 n It is not a prescription for every physician or every patient, nor does it replace clinical judgment. <<7D7E07AF05D25B429403B179B549C510>]/Prev 735917/XRefStm 3093>> 0000198367 00000 n All rights reserved. 0000045214 00000 n 0000008676 00000 n Treatments, Prader-Willi Syndrome & Cognitive & Psychiatric Issues, Prader-Willi Syndrome and Complications from Obesity, Premature Infant and Retinopathy of Prematurity, Attention-Deficit/Hyperactivity Disorder (ADHD), Charcot-Marie-Tooth Disease (Hereditary Motor Sensory Neuropathy), Intellectual Disability & Global Developmental Delay, Postural Orthostatic Tachycardia Syndrome (POTS), Duchenne & Becker Muscular Dystrophy: Cardiomyopathy, MCADD (Medium-Chain Acyl-CoA Dehydrogenase), Somatic Symptom Disorder & Functional Neurologic Disorders, Carnitine Palmitoyltransferase 1A (CPT 1) Deficiency, Citrullinemia Type II & Citrin Deficiency, Guanidinoacetate Methyltransferase (GAMT) Deficiency, Holocarboxylase/Multiple Carboxylase Deficiency, Medium-Chain Acyl-CoA Dehydrogenase Deficiency (MCADD), Short/Branched Chain Acyl-CoA Dehydrogenase (SBCAD) Deficiency, Short-Chain Acyl-CoA Dehydrogenase Deficiency (SCADD), Very Long-Chain Acyl-CoA Dehydrogenase Deficiency (VLCADD), Screening Tests and the Diagnostic Process, After a Diagnosis or Problem is Identified, A New (or Old) Diagnosis - 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Miller, Ph.D., and Ezekiel J. Emanuel, M.D., Ph.D. 0000003556 00000 n 0000005048 00000 n 0000007762 00000 n Enzyme Replacement Therapy, Mucopolysaccharidosis Type I (MPS 1) Orthopedic Manifestations & 0000079428 00000 n 0000000016 00000 n 0000012129 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. 0000075636 00000 n 0000129774 00000 n Deming was also an advocate of considering systems as a whole, not as disparate smaller component parts that could be changed without influencing an entire operation. 0000028737 00000 n 0000081921 00000 n 0000044620 00000 n 0000006077 00000 n 0000169759 00000 n 0000066035 00000 n 0000177088 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. 0000012798 00000 n 0000176611 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 0000004263 00000 n 0000176762 00000 n 0000009724 00000 n hSiPSW>#BBX-"m6 EM;b;N:N+D(n." 0000013265 00000 n 0000011885 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. 0000022401 00000 n 0000014673 00000 n The power of building relationships is not just what can be done today, but what we can work on tomorrow, he added. | Dr Chris Wood 0000006529 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. 0000065867 00000 n Involving patients and clinicians in the design of care pathways has also given them a stake in the success of the project. 0000072898 00000 n Biometrics. 0000025573 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). 0000000016 00000 n 0000011030 00000 n Follow Up at Regular Intervals 0000178370 00000 n 0000007337 00000 n Pierre-Henri Brchat, Pascal Briot, Lucy Savitz, Ross Fulton. 0000066508 00000 n 0000009309 00000 n 0000008093 00000 n 0000007790 00000 n 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 0000017688 00000 n At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. 0000019314 00000 n 0000043331 00000 n 0000009425 00000 n Within a health system, unwarranted clinical variance is understood as the difference in clinical practices and services that do not derive from unique patient needs and that may involve the overuse, underuse or misuse of medical services. 0000008863 00000 n It takes humility to recognise that you dont have all the answers and seek out people who are leaders in their field, he said. Intermountain has also noted value in the partnership. 0000031343 00000 n 0000225756 00000 n 0 *kxVQQ6]9@{B%+/Q9a6Q_~Kx1 RX@QF p+h=52hf4f3#`33e{f|@gHXS'U`*}lts}=>;tPJfi5C&L^cI_2I7l8-G-mLvp +y" oE$qy(b9yz|~{kt;a| ~%1e8PKo*>7%T[.4jp+Gq}. 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. 0000086035 00000 n xref 0000166102 00000 n 0000079777 00000 n 0000044721 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.. 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. 0000176359 00000 n 6346 0 obj <> endobj 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. 0000006375 00000 n 0000024509 00000 n 0000078906 00000 n 9-FCr-+| E+dJgx!Ck 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. 0000010273 00000 n 0000072266 00000 n Of all the approaches leaders can leverage to address these issues, reducing unwarranted clinical variance is receiving increased attention. 0000039302 00000 n 0000004039 00000 n 0000002797 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. Then make 3 key decisions. 0000014978 00000 n 0000177977 00000 n 0000007949 00000 n 0000023486 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. trailer 0000005003 00000 n 0000002388 00000 n 0000008313 00000 n 0 0000177145 00000 n 0000008837 00000 n The partnership has provided value to RFL on many levels. 0000033836 00000 n 206 0 obj <> endobj 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. 0000118904 00000 n The PIPS team can help you identify resources in your area. 0 0000226561 00000 n 0000054116 00000 n 0000043417 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. 0000110685 00000 n How old does a child need to be to complete the traumatic stress screener? PingID. 0000009576 00000 n 0000129815 00000 n Intermountain Health Care (IHC), an integrated delivery system based in Utah, has adopted a new strategy for managing health care delivery. 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 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. 0000048189 00000 n 0000076267 00000 n 0000013806 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. 0000179100 00000 n 0000177828 00000 n 0000176282 00000 n 0000081400 00000 n 30 June 2022 Intermountain Stroke Care Process Model In Action 538 views Mar 19, 2019 3 Dislike Share Intermountain Healthcare 21.7K subscribers An eight year old stroke patient receives rapid life-saving. 0000165371 00000 n 0000029880 00000 n Copyright 2003-2020. 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). @G %%EOF Fortunately Intermountain Healthcare (among others) publishes their Care. Its okay to answer their questions. 0000002048 00000 n 0000045478 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. Modified Medical Research Council Breathleness Scale (mMRC) 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. We recommend that child or caregiver complete the child traumatic stress screener while in the waiting room, prior to their appointment. 0000007942 00000 n 0000063001 00000 n 6346 95 0000020129 00000 n 0000226257 00000 n 0000059623 00000 n 0000228696 00000 n hSYPW>G&$B% i}(!IA|C;N3mJd1 @EbBBDQ(+ %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 & Fact Sheet Published in 2021 Printer-friendly version We are already on our way to digitising 20 of those 44 pathways and will eventually have all 44 in the EHR.. 0000033569 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.. 0000018097 00000 n 0000025382 00000 n 0000088156 00000 n 0000005795 00000 n 0000076040 00000 n 0000015893 00000 n height, weight, OFC, care process model data, etc.). This article originally appeared inPerspectives, a thought leadership publication dedicated to rising trends and issues in the healthcare and IT industry. 0000009340 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. 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. 0 0000015816 00000 n 0000007843 00000 n Published August 9, 2007, Quality- Improvement Research and Informed Consent. 0000084852 00000 n First, primary care providers and care teams can meaningfully respond to family needs that may prevent trauma exposure in children (0 5 years) through the use of the SEEK questionnaire and Road Map of Care for Pediatric Trauma Prevention. Mot de passe (8 caractres ou plus) . 0000010167 00000 n 0000054196 00000 n h1 01!\Ax'MF[!!z 1- 1846 0 obj <>stream 0000075971 00000 n 0000005756 00000 n 0000170459 00000 n 0000005911 00000 n 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. 0000065975 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 & Published February 21, 2008, Harming Through Protection. 0000045385 00000 n 0000050331 00000 n 0000005907 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. %%EOF Using a theoretical framework of eight stages of change[18], the authors described the imple-mentation of the care process model in the RICU. . 0000258879 00000 n 0000009151 00000 n 0000004293 00000 n 0000008676 00000 n 0000014102 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. 0000220433 00000 n 0000069140 00000 n 0000007049 00000 n 0000002990 00000 n %%EOF 0000000016 00000 n 0000006843 00000 n 0000088537 00000 n 0000072789 00000 n 0000038376 00000 n 0000005286 00000 n We already have resource guides developed for many counties in Utah. 0000051705 00000 n 0000021680 00000 n 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 Healthcares Primary Childrens Hospital. Do I need to be a therapist to administer the screener or provide in-office interventions? 0000038525 00000 n startxref 0000016722 00000 n 0000065800 00000 n Still not finding what you are looking for? 0000045671 00000 n 0000165722 00000 n 0000008135 00000 n 0000011770 00000 n 0000007263 00000 n Each of the eight stages of change has a corresponding pitfall. 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 0000051498 00000 n At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. ALL RIGHTS RESERVED. 0000072122 00000 n 0000004556 00000 n We apologize that the page you are looking for is not available on our site. 0000057752 00000 n 0000015624 00000 n 2:1b``AY0 tbg(8/C3n0=~ 0000012208 00000 n 0000031441 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. 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.

intermountain care process model 2023