intermountain care process model intermountain care process model

0000004263 00000 n 0000041140 00000 n 0000005788 00000 n %PDF-1.7 % 0000044721 00000 n 0000005596 00000 n 0000069209 00000 n %%EOF xref 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 0000012710 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. 0000038456 00000 n 0000001530 00000 n 0000007843 00000 n 0000086035 00000 n 0000053140 00000 n 0000087608 00000 n 0000088156 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.. 0000066109 00000 n 0000008313 00000 n We are also working with the Point of Care Foundation, which facilitates us working with patients and families in the design phase of all our clinical pathways.. 0000043417 00000 n 0000128388 00000 n 0000045545 00000 n It is extremely important to screen patients until there are no further limitations on testing capacity. 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.. 0000008709 00000 n 0000084783 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. 0000007562 00000 n h1 01!\Ax'MF[!!z 1- 0000050398 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. 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. \H6Hl7% K{X0(%p* *\y~b!o^%CIe%'jR$b $zoE)fPBgf+"jf6yy/i>>XmHm!$ 0000002571 00000 n Its purpose is to summarize and promote evidence-based approaches to lifestyle and weight management, and to facilitate implementation in routine primary care. xref CPM020 - 01/21 3 COPD CPM JANUARY 2021 TABLES TABLE 1. 0000085699 00000 n 1719 0 obj <>stream This CPM includes two processes to address child traumatic stress across the pediatric lifespan. 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. What if the child or parent asks me a question about the screener while they are filling it out? 0000013265 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. 0000176512 00000 n %PDF-1.7 % Click for details. 0000076267 00000 n 0000079241 00000 n 0000014673 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. 0000029880 00000 n 0000014338 00000 n Failing to address variations can negatively impact the ability to provide quality, consistent, safe and cost-effective care. 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). 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. 0000059943 00000 n 0000088233 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. 0000055034 00000 n 0000225756 00000 n 0000033569 00000 n 0000066035 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. Additional assistance with risk assessment: iCentra order algorithm, Score Line 801-50-SCORE ( providers only ), and Connect Care 801-442-4457. 0000129774 00000 n 0000036974 00000 n 0000007049 00000 n 0000050304 00000 n startxref 0000056444 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. There can be reticence to learn from others and there can sometimes be the resistance to adopting something that was someone elses idea. Ping Identity Corporation. 0000073493 00000 n 0000044620 00000 n Care Process Model JUNE 2019 2019 Update GOALS & MEASUREMENTS The goal of this CPM is to improve the . 0000017396 00000 n 0000070354 00000 n 0000006219 00000 n 0000079428 00000 n 0000008093 00000 n How to address things like education, food and transportation, these are things the British government has been doing aggressively since WWII.. 0000170251 00000 n 0000079895 00000 n 0000054276 00000 n Biometrics. 0000007639 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. 0000016002 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 Go to my One Account. 0000014981 00000 n 0000002834 00000 n 0000072122 00000 n 0000017200 00000 n by Cerner UK height, weight, OFC, care process model data, etc.). 0000051705 00000 n 0000010857 00000 n 0000004039 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. Copyright 2003-2020. 0000000016 00000 n 0000008837 00000 n monitored, audited, and stored. 0000064797 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. 0000003302 00000 n 0000007186 00000 n 2:1b``AY0 tbg(8/C3n0=~ 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. 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. 0000006063 00000 n Send us an email or give us a call if you have questions. 0000052882 00000 n 0000008918 00000 n 0000007939 00000 n 0000062870 00000 n 0000018590 00000 n At two of our sites, we were immediately able to capture data-driven outcomes from the newly digitised pathways, said Dr Streather. 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. 0000004465 00000 n 0000034112 00000 n 0000001556 00000 n 0000006687 00000 n 0000009463 00000 n Learning some of these differences has provided insight for Intermountain into what may be possible in the future. 0000025573 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. 0000003264 00000 n 0000055101 00000 n Andrew D. Auerbach, M.D., M.P.H., C. Seth Landefeld, M.D., and Kaveh G. Shojanie, M.D. At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. Important features included creating meaningful alignment around value, building teams to drive the transition and implementing supportive workflows and technological innovations. 0000010300 00000 n %%EOF All rights reserved. * 0000065975 00000 n 0000128347 00000 n Still not finding what you are looking for? Each of the eight stages of change has a corresponding pitfall. 0000031343 00000 n 0000042757 00000 n Mot de passe (8 caractres ou plus) . 0000079310 00000 n 0000065800 00000 n 0000011885 00000 n 0000066617 00000 n 0000029050 00000 n 1736 0 obj <> endobj 0000177977 00000 n 0000005756 00000 n Do I need to be a therapist to administer the screener or provide in-office interventions? 0000039302 00000 n 0000009452 00000 n 0000226638 00000 n 0000006553 00000 n 0000011732 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. D dL :G=%C>[wgG5wvorb$j9u>~U'/795}[ucCwOxEQ\hzAR>9d)oHH,YIPxM. 0000047145 00000 n 0000060865 00000 n 0000022401 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. 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. 0000066391 00000 n 0000014102 00000 n Published February 21, 2008. 0000003129 00000 n 0000005003 00000 n . 0000010567 00000 n 0000013288 00000 n 0000226944 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 & 0000018484 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. 0000004246 00000 n 0000068805 00000 n %PDF-1.7 % 0000014978 00000 n Nope. 0000015893 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. 0000048189 00000 n For more information about Perspectives, gohere. 0000065908 00000 n 0000054036 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. 0000087852 00000 n 0000066218 00000 n The power of building relationships is not just what can be done today, but what we can work on tomorrow, he added. CARE PROCESS MODEL JANUARY 2021 Chronic Obstructive Pulmonary Disease (COPD) Diagnosis, Treatment, and Resources ALGORITHM NOTES ALGORITHM: DIAGNOSIS OF COPD . 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. 0000012208 00000 n 0000065951 00000 n trailer 0000081734 00000 n Follow Up at Regular Intervals 9-FCr-+| E+dJgx!Ck 0000178370 00000 n 0000132863 00000 n 0000023486 00000 n 0000006783 00000 n 0000005907 00000 n 0000011835 00000 n 0000045738 00000 n 0000228696 00000 n 0000009144 00000 n 0000002048 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. 1736 111 5-Step Model for Creating a Virtuous Medical and Financing System to Enhance the Health and Well being of Future Generations. <<5BE851667CC40543996F5A9ED21E16D8>]/Prev 646447/XRefStm 3820>> 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. 0000000016 00000 n 0000065716 00000 n 0000023553 00000 n 0000009348 00000 n View wait times and save your place in line at an Intermountain InstaCare location near you. 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. 0000029161 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.