intermountain care process model intermountain care process model

0000004309 00000 n 0000017396 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. 0000008395 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. 0000179330 00000 n 0000018163 00000 n 0000072266 00000 n 0000069209 00000 n This CPM includes two processes to address child traumatic stress across the pediatric lifespan. Still not finding what you are looking for? 0000015322 00000 n 0000063087 00000 n Enzyme Replacement Therapy, Mucopolysaccharidosis Type I (MPS 1) Orthopedic Manifestations & SEEK is an effective model for prevention of abuse / neglect in early childhood. 0000005048 00000 n 0000066042 00000 n Franklin G. Miller, Ph.D., and Ezekiel J. Emanuel, M.D., Ph.D. 0000006881 00000 n 1425 82 0000027605 00000 n 0000128347 00000 n %PDF-1.7 % 0000003817 00000 n Published August 9, 2007, Quality- Improvement Research and Informed Consent. 0000070999 00000 n 0000006843 00000 n 0000050364 00000 n For more information about Perspectives, gohere. 0000031343 00000 n 0000022254 00000 n 0000008135 00000 n C-suite leadership has been overwhelmingly supportive of the project, furthering the message that the Trust is serious about reducing variance and improving care. xref All rights reserved. 0000086035 00000 n 0000084446 00000 n 0000068805 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. A 2012 report from the Institute of Medicine found that inefficiencies in the U.S. healthcare system resulted in up to $750 billion of wasted spending in 2009, roughly 30 percent of total healthcare spending in that year. At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. 0000051705 00000 n Special attention is also paid to who attends each visit to ensure all stakeholders are involved. 0000057752 00000 n 0000001556 00000 n 0000007049 00000 n %%EOF 0000006937 00000 n For preschool-age children, the SEEK model for pediatric primary care is recommended to guide providers in screening for, assessing, and addressing problems related to child safety. 0000005644 00000 n 0000132822 00000 n This care process model was developed to help guide the general practitioner on outpatient screening for diabetes and management of type 2 diabetes in patients within the University of Utah and Intermountain Healthcare systems. 0000052882 00000 n Learning some of these differences has provided insight for Intermountain into what may be possible in the future. 0000029880 00000 n [EV~P\>Qr78vJ|;w,qdP7Q)N/(5kJ[;zXG$Ai?"s nBg5S9"{Y(^rS4w7,!l2"O+^y'UvvBbS=&r65[8gx&DnyegC_oWvem$,kN 0000071295 00000 n By incorporating these pathways into its EHR, RFL will ensure that the methodology behind its care pathways is baked into the systems digital infrastructure, making it easier for anyone, at any site, to follow the recommended method of care. 0000072478 00000 n Pierre-Henri Brchat, Pascal Briot, Lucy Savitz, Ross Fulton. 0000088233 00000 n 0000005131 00000 n What resources are available to get children into therapy? 0000070354 00000 n 0000005602 00000 n 0000110685 00000 n 0000023429 00000 n 0000045478 00000 n 0000000016 00000 n 0000179100 00000 n 0000065867 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. Each of the eight stages of change has a corresponding pitfall. 0000179788 00000 n 0000010514 00000 n 1660 60 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. 0000050231 00000 n 0000208680 00000 n If this is an emergency please go to the nearest emergency room or call 911. 0000005541 00000 n 0000015816 00000 n 0000079777 00000 n 0000005907 00000 n This care process model (CPM) and accompanying patient education were developed by a multidisciplinary team including primary . 0000007186 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. 0000002361 00000 n %%EOF 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. 0000007424 00000 n by Dr Todd Allen 0000168976 00000 n 0000070461 00000 n xref 0000011998 00000 n 0000005093 00000 n 0 0000165799 00000 n startxref 0000129774 00000 n 0000176282 00000 n We have 44 pathways in operation, which represents about 60 to 70 percent of our clinical patient-facing activity. :x-)KYYY"3%C_hS! 0000052164 00000 n 0000079428 00000 n 0000011817 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. 0000000016 00000 n 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. monitored, audited, and stored. 0000039302 00000 n 0000128388 00000 n @G 0000010167 00000 n 0000058348 00000 n Using a theoretical framework of eight stages of change[18], the authors described the imple-mentation of the care process model in the RICU. 0000086222 00000 n YC@NgR&Qr? >~.>* T`- 0000037253 00000 n trailer 2:1b``AY0 tbg(8/C3n0=~ 0000000016 00000 n 0000023458 00000 n 0000019636 00000 n <]/Prev 276186/XRefStm 2368>> 0000005003 00000 n 0000044721 00000 n 0000038456 00000 n Fortunately Intermountain Healthcare (among others) publishes their Care. 1660 0 obj <> endobj 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. 0000177340 00000 n 0000060865 00000 n 0000020531 00000 n 0000064758 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 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). 0000087726 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. 0000006950 00000 n 0000031441 00000 n 0000087649 00000 n The back page summarizes antibiotic recommendations and notes . Its purpose is to summarize and promote evidencebased approaches to lifestyle and weight management, and to facilitate implementation in routine . startxref 0000072789 00000 n xref hSiPSW>#BBX-"m6 EM;b;N:N+D(n." Administers screening tests to . A child who is about 10 or older can complete the screener. Users are prohibited from doing any of the 0000226561 00000 n Mot de passe (8 caractres ou plus) . 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. 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.. <<7D7E07AF05D25B429403B179B549C510>]/Prev 735917/XRefStm 3093>> 0000176762 00000 n 0000039661 00000 n 0000003129 00000 n 0000006219 00000 n 0000009925 00000 n 0000086104 00000 n 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. 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. 0000088156 00000 n 0000027265 00000 n H\@. 0000013288 00000 n Together, these components have allowed Intermountain to create integrated CPMs to manage practice guidelines and digital workflows that actively guide doctors toward the clinical decisions that will improve outcomes for patients. 0000178647 00000 n 0000081400 00000 n 0000063001 00000 n 0000176611 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. 0000033836 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. 0000066540 00000 n . 0000010599 00000 n 0000177145 00000 n 0000072821 00000 n 0000071186 00000 n In-office interventions (such as teaching guiding imagery, belly breathing, or progressive muscle relaxation) can be taught by any individual who is comfortable teaching these skills, clinical background not necessary. 0000014338 00000 n 0000005441 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. 0000012415 00000 n 0000073493 00000 n 0000079372 00000 n 0000011106 00000 n 0000018713 00000 n 0000022000 00000 n trailer 0000179023 00000 n Choose a skill that you are comfortable teaching and share your knowledge with the families you see in clinic. 0000086355 00000 n The Services Directory has information about Nationwide providers. 0000064797 00000 n 0000010474 00000 n 0000176436 00000 n 0000059703 00000 n We found that there was a great deal of unwarranted variation in the way we delivered care that created less than ideal quality care for patients, and there were operational inefficiencies baked into that, said Dr Chris Streather, chief medical officer at RFL. 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. 0000016612 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. 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. 0000021043 00000 n The way Royal Free reaches out to the community, thats a big push for Intermountain right now. ALL RIGHTS RESERVED. 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. 113021080>ca`labefpe|$X)Cc+G>[.3A/20 0000054196 00000 n 0000023593 00000 n 3276 0 obj <>stream 0000009340 00000 n Follow Up at Regular Intervals 0000050304 00000 n 0000004060 00000 n 9-FCr-+| E+dJgx!Ck 0000051498 00000 n Mary Ann Baily, Ph.D. 0000006220 00000 n 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. 0000004619 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 - "You Are Not Alone", Building New Hopes and Dreams After a Diagnosis, Caring for Children with Special Health Care Needs, Complementary and Alternative Medicine (CAM), Foster Care of Children with Special Needs, Hospital Admissions, Inpatient Stay, and Discharge, Management and Prevention of Constipation in Children, Safety Precautions for Children with Seizures, Transportation and Travel for People with Disabilities, Choosing a Complementary and Alternative Medicine (CAM) Provider, From Preschool to Kindergarten/Elementary School, Tips for Single Parents of Children with Special Needs, When Parents of Children with Disabilities Divorce, Attention Deficit Hyperactivity Disorder (ADHD) (FAQ), Duchenne & Becker Muscular Dystrophy (FAQ), Intellectual Disability and Global Developmental Delay (FAQ), Mucopolysaccharidosis Type I (MPS I) (FAQ), Neonatal Opioid Withdrawal Syndrome (NOWS) (FAQ), Postural Orthostatic Tachycardia Syndrome (POTS) (FAQ), Transgender and Gender-Diverse Youth (FAQ), Everyday Strategies to Help Improve Wellness, Thoughts From a Single Parent of a Great Kid, A Parent Perspective on Dealing With Ignorance, Services for the Uninsured or Under-Insured, Understanding the Affordable Care Act (ACA) and the Health Insurance Marketplace, Causes of Hearing Loss, with ICD-10 codes, Coding for Developmental & Mental Health Screening, About Children & Youth with Special Health Care Needs (CYSHCN), Questions & Answers about Care Coordination, Children with Short Stature Born Small for Gestational Age, Drooling in Children with Special Health Care Needs, Mild Traumatic Brain Injury (TBI) & Post-concussive Syndrome, Neonatal Opioid Withdrawal Syndrome (NOWS), Pain in Children with Special Health Care Needs, CBD for Neurologic Conditions in Children, Childhood Epilepsy with Centrotemporal Spikes (CECTS), Evaluation & Treatment of a First Unprovoked Seizure, Medical Conditions Affecting Sleep in Children, Sleep Disorders & Parasomnias in Children, Toilet Training Children with Complex Medical Conditions, Attention-Deficit/Hyperactivity Disorder (ADHD) for Educators, Boosting Calories for Babies, Toddlers, and Older Children, Feeding & Swallowing Problems in Children, Feeding Tubes & Gastrostomies in Children, Nutrition & Growth in Children with Complex Conditions, Bilirubin Screening & Testing in Newborns, Clinical Guidelines for Care of Children with Medical Complexity, Evaluation for Suspected Ehlers-Danlos Syndrome, Newborn Differences of Sex Development (DSD) Admission Checklist, Congenital Cytomegalovirus (CMV) Related Hearing Loss, Folic Acid Supplementation & Neural Tube Defects, Infant & Early Childhood Social-Emotional Screening, Mental Health Screening for Children & Teens, https://www.medicalhomeportal.org/clinical-practice/guidelines-and-algorithms, Utah Department of Health & Human Services, Nevada Division of Public and Behavioral Health, Centers for Medicare and Medicaid Services (CMS), Ohio Department of Health, Bureau of Maternal, Child & Family Health, Childrens Medical Services/Children with Special Needs, New Mexico Department of Health, Rhode Island Title V/Maternal and Child Health Program, Check the URL you entered to make sure it is correct. Sign In Options. hWkTSsH LB%A h oIBxH P,ZA 0000110646 00000 n Important features included creating meaningful alignment around value, building teams to drive the transition and implementing supportive workflows and technological innovations. 0000009425 00000 n 0000060731 00000 n 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. How can we help families with children who are 0-5? This care process model (CPM) is maintained by Intermountain Healthcare's Lower Respiratory Tract Infection Team, . 0000080004 00000 n Andrew D. Auerbach, M.D., M.P.H., C. Seth Landefeld, M.D., and Kaveh G. Shojanie, M.D. 0000011030 00000 n 0000058232 00000 n 0000011885 00000 n 0000059623 00000 n We already have resource guides developed for many counties in Utah. Intermountain Healthcare in Salt Lake City, Utah, recognised the link between variance, quality and cost early on thanks in part to Dr Brent James. 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). (3) duplicating any Intermountain data or placing a copy of any Intermountain data on any non-Intermountain asset. Copyright 2003-2020. 0000177977 00000 n 0000065975 00000 n This is the healthcare-specific version of what is known in lean terminology as "mass customization." 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. At two of our sites, we were immediately able to capture data-driven outcomes from the newly digitised pathways, said Dr Streather. 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. 0000008976 00000 n f-5Y)RqQ],Z*69=nwe.Io(MF ),m((KVorl= 4Yk/T=%AG> "}nrauFS /}>8N{oN9sw @P|&AM. 0000006066 00000 n 0000007790 00000 n 0000008748 00000 n 0000007939 00000 n 0000076190 00000 n 0000009724 00000 n Copyright 2023, Intermountain Healthcare, All rights reserved. 0000118945 00000 n 0 0000012798 00000 n