intermountain care process model

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0000023543 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. 206 63 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. 1425 0 obj <> endobj startxref 0000004401 00000 n All statements, protocols, and recommendations herein are viewed as transitory and iterative. The clinical practice groups are changing the way we provide care in a profound way, said Streather. 0000072898 00000 n 0000088156 00000 n Care Process Models Urinary Tract Infection in Adults 0000021559 00000 n 0000051827 00000 n 0000069327 00000 n 0000038439 00000 n Ive rarely seen in the NHS such buy-in from the clinical community, he said. Pediatric Diabetes Screening & Management Care Process Model [EV~P\>Qr78vJ|;w,qdP7Q)N/(5kJ[;zXG$Ai?"s nBg5S9"{Y(^rS4w7,!l2"O+^y'UvvBbS=&r65[8gx&DnyegC_oWvem$,kN 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. 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. The back page summarizes antibiotic recommendations and notes . 0000017841 00000 n A child who is about 10 or older can complete the screener. 0000066042 00000 n 0000072478 00000 n 0000228696 00000 n intervention with those in the low symptom range. 0000065716 00000 n 0000039661 00000 n 0000057752 00000 n 0000006529 00000 n 0000003820 00000 n 0000036974 00000 n 0000044299 00000 n Users are prohibited from doing any of the 30 June 2022 0000003302 00000 n During development of the care process model, the authors found many aspects of ICU care that required substantial change. Go to my One Account. 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. 0000079708 00000 n 0000065867 00000 n Its good to see that even after 18 months of introducing a complex programme, we see the general enthusiasm growing daily.. 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. 0000081803 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. 0000087649 00000 n 0000004256 00000 n 0000042757 00000 n 0000050231 00000 n 0000004060 00000 n 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). 0000004246 00000 n 0000048275 00000 n @G by Cerner UK 0000058232 00000 n 0000179289 00000 n Community-Acquired Pneumonia (CAP) - Intermountain Healthcare 0000076040 00000 n 0000073354 00000 n 0000002281 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. 6440 0 obj <>stream 0000048189 00000 n 0000071186 00000 n Care Process Models Eating Disorders - Intermountain Healthcare 0000002834 00000 n 0000006208 00000 n Mot de passe (8 caractres ou plus) . xref 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. 0000072671 00000 n %%EOF h1 01!\Ax'MF[!!z 1- 0000008535 00000 n 0000031343 00000 n 0000045478 00000 n 0000258879 00000 n 0000002797 00000 n 0000080004 00000 n This is the healthcare-specific version of what is known in lean terminology as "mass customization." following: (1) modifying Intermountain data on any of Intermountain information systems; 0000008058 00000 n %PDF-1.7 % 0000178724 00000 n 1736 111 0000225874 00000 n Mild range scores (0 10) protective approach, Moderate range (11 20) resilient approach, Severe range (21 or higher) restorative approach. 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. 0000072789 00000 n 0000003817 00000 n 0000004033 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. 0000054116 00000 n 0000010567 00000 n 0000051498 00000 n 0000177828 00000 n 0000012710 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. Intermountain will use a regional deployment strategy to bring all acute care facilities, ambulatory . 0000000016 00000 n 0000045545 00000 n 0000165799 00000 n 0000068805 00000 n 0000059703 00000 n 113021080>ca`labefpe|$X)Cc+G>[.3A/20 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. Dr James was hired by Intermountain in 1986 as the director of medical research and continuing medical education. P.O. It is extremely important to screen patients until there are no further limitations on testing capacity. 0000008500 00000 n 0000004619 00000 n 0000014401 00000 n 0 0000053054 00000 n Intermountain Healthcare and SCL Health Complete Merger 0000081400 00000 n WARNING: Intermountain authorized users only. 0000014285 00000 n 0000087726 00000 n 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 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. 0000062915 00000 n 0000079460 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. Pierre-Henri Brchat, Pascal Briot, Lucy Savitz, Ross Fulton. 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 0000002580 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 Critical to the relationships success is that Intermountain leaders visit RFL and can provide guidance and feedback in real time and on-site. Salt Lake City, UT/Broomfield, CO (April 5, 2022) - Intermountain Healthcare and SCL Health, two leading nonprofit healthcare organizations, have completed their merger, creating a model health system that provides high-quality, accessible, and affordable healthcare to more patients and . Care pathways and the quest for better outcomes - Becker's Hospital Review %PDF-1.7 % When should the child or caregiver complete the traumatic stress screener? There can be reticence to learn from others and there can sometimes be the resistance to adopting something that was someone elses idea. 0000029880 00000 n 0000176282 00000 n 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. 0000003556 00000 n 0 0000015322 00000 n Care Process Models Care Process Model MONTH 2015 2015 Update DIAGNOSIS AND MANAGEMENT OF Urinary Tract Infection in Adults APRIL 2019 2019 INTERMOUNTAIN HEALTHCARE. 0000018713 00000 n 0000065908 00000 n xref 0000029608 00000 n Continue below to learn more about the implementing the Child Traumatic Stress Care Process Model in a pediatric primary care setting. 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). *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}. It is not a prescription for every physician or every patient, nor does it replace clinical judgment. 0000022000 00000 n D dL :G=%C>[wgG5wvorb$j9u>~U'/795}[ucCwOxEQ\hzAR>9d)oHH,YIPxM. 0000002368 00000 n 0000005048 00000 n 0000009309 00000 n 0000000016 00000 n 0000005534 00000 n Do I need to be a therapist to administer the screener or provide in-office interventions? 0000010991 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. 0000029050 00000 n 0000012415 00000 n 0000009151 00000 n Joining forces to create a standard of care - cerner.com 0000007049 00000 n 0000001556 00000 n Proven Imaging Appropriate Use Criteria from Intermountain - PRWeb 0000023486 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. 0000086104 00000 n CPM uses several different tools to look for trauma exposure (recent and remote events), suicidality and self-harm, and traumatic stress symptoms. 0000076190 00000 n Biometrics. Provides patient education as directed (content reflects specific MA training, guidelines, care process models, protocols). 0000002048 00000 n 0000001979 00000 n 0000009348 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. 0000165412 00000 n 0000054196 00000 n %%EOF 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. 0000033890 00000 n 0000005093 00000 n Incorporating the newly redesigned pathways into the EHR has had an immediate impact for RFL. 0000063674 00000 n We apologize that the page you are looking for is not available on our site. 0000007843 00000 n 0000011030 00000 n We recommend that child or caregiver complete the child traumatic stress screener while in the waiting room, prior to their appointment. 0000028737 00000 n Its important for them to see what were doing in action somewhere else.. Choose a skill that you are comfortable teaching and share your knowledge with the families you see in clinic. 0000128388 00000 n 0000048319 00000 n 0000034579 00000 n 0000004926 00000 n xref Organising care in this way facilitates a broader, more longitudinal view of whats necessary to treat a condition. Intermountain Healthcare convened a team consisting of executive leadership, the enterprise initiative office and internal medicine leaders to design the RPC. 0000009463 00000 n Care Process Models Acute Sinusitis in Adults and Children 0000008676 00000 n CARE PROCESS MODEL Chronic Obstructive Pulmonary Disease (COPD) 0000053140 00000 n 0000015005 00000 n 0000011770 00000 n 1660 60 0000013362 00000 n 0000005602 00000 n 0000006063 00000 n At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. 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. by Amy Bowen | Kaye Coholan 0000013288 00000 n 0000076158 00000 n 0000005079 00000 n 0000027265 00000 n 0000165371 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. 0000066203 00000 n %%EOF <<969DFD35F0E1574DA86361927245C514>]/Prev 975812/XRefStm 3817>> How can we help families with children who are 0-5? 0000059783 00000 n 0000023429 00000 n Click the following URL which is the closest match we can find to the one you entered: Use the left navigation or the tabs above to browse the site, Perform a search using the search box at the top of the page. 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. 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.. 0000020129 00000 n 0000004712 00000 n 0000017276 00000 n Cerner, Intermountain Healthcare Implement iCentra EHR 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. 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 0000021680 00000 n 0000015259 00000 n 0000072266 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. 0000017396 00000 n 0000021696 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. 0000044620 00000 n 0000014102 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. 0000022567 00000 n 0000079428 00000 n Providers and caregivers around the country are using the model to measure and improve key diabetic metrics, including A1C results, blood pressure control, and kidney . 0000225797 00000 n 0000038525 00000 n They then work to continually refine and improve each care process. 0000019018 00000 n 0000004465 00000 n Dr Streather noted that seeking out partnerships to improve is an essential part of growth, but that it is not always easy.