0000009527 00000 n 0000026552 00000 n 0000009981 00000 n 0000037253 00000 n 0000018713 00000 n 0000018223 00000 n * 0000009144 00000 n Intermountain used this philosophy to organise its most common care processes under the direction of an operations structure called clinical programmes. 0000179788 00000 n 0000022254 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. 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. 0000007843 00000 n 0000006531 00000 n 0000063196 00000 n 0000063001 00000 n 0000007639 00000 n 0000054036 00000 n 0000060798 00000 n 0000050231 00000 n 0000071186 00000 n 3175 0 obj <> endobj 0000023543 00000 n We already have resource guides developed for many counties in Utah. Ping Identity Corporation. 0000006529 00000 n 0000017276 00000 n 0000019018 00000 n 0000054196 00000 n %%EOF 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.. 0000050304 00000 n 0000007050 00000 n WARNING: Intermountain Healthcare's Information Systems resources are for Intermountain approved purposes only. 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. 0000000016 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. 0000024023 00000 n 0000021696 00000 n 7 September 2022 0000006208 00000 n 0000005742 00000 n 0000070461 00000 n 0000027265 00000 n 0000176359 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. Each of the eight stages of change has a corresponding pitfall. 0000001979 00000 n Do I need to be a therapist to administer the screener or provide in-office interventions? 0000038439 00000 n 0000087649 00000 n 0000039904 00000 n 0000011106 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. Using a theoretical framework of eight stages of change[18], the authors described the imple-mentation of the care process model in the RICU. 0000069209 00000 n Copyright 2003-2020. 0000079537 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. 0000062915 00000 n 0000072266 00000 n 0000051498 00000 n 0000008313 00000 n 0000050398 00000 n 0000011998 00000 n 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. 0000084970 00000 n Nom. 0000066042 00000 n 0000023593 00000 n 0000005751 00000 n 0000086035 00000 n We recommend that child or caregiver complete the child traumatic stress screener while in the waiting room, prior to their appointment. 0000011835 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. 0000033986 00000 n 0000035552 00000 n 0000014338 00000 n Published August 9, 2007, Quality- Improvement Research and Informed Consent. 0000013631 00000 n 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. 0000008535 00000 n Organising care in this way facilitates a broader, more longitudinal view of whats necessary to treat a condition. 0000013703 00000 n 0000079372 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. 0000008676 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.. Its okay to answer their questions. 0000018335 00000 n 0000005751 00000 n 0000165412 00000 n CPM020 - 01/21 3 COPD CPM JANUARY 2021 TABLES TABLE 1. 0000005286 00000 n h1 01!\Ax'MF[!!z 1- 0000088537 00000 n 0000226638 00000 n 0000087852 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. Attempts to publish pathway development in the peer-reviewed literature are limited by lack of scientific rigor. 0000178370 00000 n 0000041140 00000 n 0000170251 00000 n Incorporating the newly redesigned pathways into the EHR has had an immediate impact for RFL. 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. 0000069327 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. H\j0EY& CpijY_'P#suGC 'b~. 0000023429 00000 n 0000066203 00000 n 0000085699 00000 n 0000011732 00000 n 0000014285 00000 n Learning some of these differences has provided insight for Intermountain into what may be possible in the future. This care process model (CPM) was developed by Intermountain Healthcare's Antibiotic Stewardship and Community-Based Care teams. *(N}L{{./ +A C C9p:nY)-({ ~U 4|VfI)3%N>K, L7 0000021255 00000 n 0000132863 00000 n 0000002571 00000 n 0000021074 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. 0000226180 00000 n The clinical practice groups are changing the way we provide care in a profound way, said Streather. 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 It was created by general pediatricians at the University of Utah in collaboration with Intermountain Health pediatric . 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. 0000177977 00000 n 0000008676 00000 n Follow Up at Regular Intervals 0000178724 00000 n Mot de passe (8 caractres ou plus) . Involving patients and clinicians in the design of care pathways has also given them a stake in the success of the project. 0000008863 00000 n 0000015322 00000 n (2) removing Intermountain data from any Intermountain information system; or 0000129774 00000 n 0000180800 00000 n 0000018163 00000 n %PDF-1.7 % 0000073570 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. 0000065908 00000 n 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. 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. 0000054116 00000 n 0000007263 00000 n startxref 0000059783 00000 n 0 0000225874 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. Click for details. 0000005907 00000 n 1660 0 obj <> endobj 0 It is not a prescription for every physician or every patient, nor does it replace clinical judgment. <<099953D8ECDC4449BF4B89817F7FC266>]/Prev 820759/XRefStm 5250>> 0000012129 00000 n 0000066508 00000 n 0000038376 00000 n 0000011770 00000 n If the parent is completing the screener, they will receive a different version. %PDF-1.7 % 0000050331 00000 n 0000055034 00000 n We are already on our way to digitising 20 of those 44 pathways and will eventually have all 44 in the EHR.. 0000179100 00000 n 0000005681 00000 n 5-Step Model for Creating a Virtuous Medical and Financing System to Enhance the Health and Well being of Future Generations. 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. Critical to the relationships success is that Intermountain leaders visit RFL and can provide guidance and feedback in real time and on-site. 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. 0000075636 00000 n Then make 3 key decisions. 0000005602 00000 n 0000072789 00000 n 0000072671 00000 n 0000002281 00000 n Nope. 0000002361 00000 n following: (1) modifying Intermountain data on any of Intermountain information systems; 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. 0000008709 00000 n 0000005227 00000 n <<7D7E07AF05D25B429403B179B549C510>]/Prev 735917/XRefStm 3093>> 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. 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. 0000008395 00000 n Published February 21, 2008, Harming Through Protection. 1506 0 obj <>stream 0000110646 00000 n Each visit is centred around a single theme to allow for a focused deep dive into that specialty. 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. 0000014009 00000 n Care Process Model JUNE 2019 2019 Update GOALS & MEASUREMENTS The goal of this CPM is to improve the . 0000070665 00000 n 0000017200 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. The power of building relationships is not just what can be done today, but what we can work on tomorrow, he added. 1736 111 "I`IvWdZ>B.nJ.o}LVL:}T{&!Qd4l;( q& Q/b2N$5%/wTg?8YSneUE+ 0000045671 00000 n 0000013265 00000 n %%EOF Copyright 2023, Intermountain Healthcare, All rights reserved. 0000032127 00000 n xref 0000076190 00000 n 6346 95 The really great benefits of the relationship between Intermountain and Royal Free are in the future of working together to apply what we already know in newer and better ways., Senior executive medical director for the Healthcare Delivery Institute, Vice president at Cerner and medical executive for iCentra development at Intermountain Healthcare. 0000005003 00000 n A child who is about 10 or older can complete the screener. C-suite leadership has been overwhelmingly supportive of the project, furthering the message that the Trust is serious about reducing variance and improving care. 0000003093 00000 n View wait times and save your place in line at an Intermountain InstaCare location near you. 0000071218 00000 n 0000039302 00000 n Dr James was hired by Intermountain in 1986 as the director of medical research and continuing medical education. 0000057886 00000 n 0000052968 00000 n 0000015124 00000 n 0000023933 00000 n The way Royal Free reaches out to the community, thats a big push for Intermountain right now. 0000044721 00000 n 0000063228 00000 n Care Process Model AUGUST 2016 The inside pages of this tool provide an algorithm and associated notes and can be folded open and posted in your office or clinic. 0000043331 00000 n 0000066617 00000 n 0000029161 00000 n Intermountain Healthcare and Royal Free London are working toward a common goal of reduced clinical variance. 0000032034 00000 n 0000011817 00000 n 0000166102 00000 n Care Process Model AUGUST 2013 !is care process model (CPM) and accompanying patient education were developed by a multidisciplinary team including primary care physicians (PCPs), mental health specialists, registered dietitians, and eating disorder specialists, under the leadership of Intermountain Healthcares Behavioral Health Clinical Program. D dL :G=%C>[wgG5wvorb$j9u>~U'/795}[ucCwOxEQ\hzAR>9d)oHH,YIPxM. startxref Special attention is also paid to who attends each visit to ensure all stakeholders are involved. This care process model (CPM) and accompanying patient education were developed by a multidisciplinary team including primary . 0000005907 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 0000023553 00000 n 6440 0 obj <>stream 0000001530 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. 0000021559 00000 n 0000029472 00000 n 0000003302 00000 n 0000004772 00000 n 0000081921 00000 n 0000069140 00000 n 0000000016 00000 n 0000177340 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 0000004293 00000 n 0000023004 00000 n 0000018590 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. 0000016606 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.. 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. 0000058232 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). 3 September 2021 0000004246 00000 n 0000000016 00000 n 2007-2021 INTERMOUNTAIN HEALTHCARE. 0000031239 00000 n 0000004033 00000 n 0000086396 00000 n 0000066391 00000 n 0000045214 00000 n 0000033890 00000 n 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. 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. 0000007186 00000 n 0000258879 00000 n 0000071068 00000 n 0000015431 00000 n 0000059623 00000 n 0000005294 00000 n 0000226561 00000 n 0000066141 00000 n 0000009724 00000 n Go to my One Account. Prnom. 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. 0000007513 00000 n 0000041187 00000 n 0000006066 00000 n 0000066307 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. 0000005596 00000 n @G In primary care settings, you can evaluate the response to services using the Pediatric Traumatic Stress Screening Tool at follow up visits. trailer 0000007525 00000 n 0000022000 00000 n How can we help families with children who are 0-5? This CPM includes two processes to address child traumatic stress across the pediatric lifespan. 0000006881 00000 n 0000017260 00000 n 0000031920 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. 0000042757 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. 0000065800 00000 n 0000010273 00000 n 0000056318 00000 n Intermountain monitors use of the Information Systems resources. 0000006063 00000 n 0000006553 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. Sign In Options. 0 0000017396 00000 n 0000179289 00000 n xref 0000020531 00000 n Fact Sheet Published in 2021 Printer-friendly version Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. 0000058433 00000 n Special Instructions. 0000165799 00000 n hSYPW>G&$B% i}(!IA|C;N3mJd1 @EbBBDQ(+ startxref 0000079241 00000 n 0000005911 00000 n 0000065975 00000 n by Treesa Carter | James Hitter 0000024509 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. 0000002990 00000 n 0000057953 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. What resources are available to get children into therapy? 0000087608 00000 n 0000005140 00000 n 0000004712 00000 n 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. Key Points All pregnant patients at 20 weeks of gestation require a Labor and . This care process model (CPM) is maintained by Intermountain Healthcare's Lower Respiratory Tract Infection Team, . 0000128388 00000 n 0000008135 00000 n !C4@$8 y P , s &v. Chief among these is the willingness to be open to change and new ideas. 0000003400 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.