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0000010273 00000 n 0000009425 00000 n 0000060865 00000 n 0000018335 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. 0000034579 00000 n 0000032127 00000 n 0000180800 00000 n trailer <<3AE4BE8F4CF5524D9372135619CC8848>]/Prev 518892>> If symptom severity remains unchanged or worsens, consider alternatives such as providing a new brief in-office intervention, reinforcing the need to follow through with treatment for those who have not, or changing the treatment stratification and therapy referral to a more intensive approach. 0000070665 00000 n 0000079460 00000 n 5-Step Model for Creating a Virtuous Medical and Financing System to Enhance the Health and Well being of Future Generations. 0000132863 00000 n We recommend that child or caregiver complete the child traumatic stress screener while in the waiting room, prior to their appointment. 0000060731 00000 n 0000165371 00000 n (3) duplicating any Intermountain data or placing a copy of any Intermountain data on any non-Intermountain asset. Send us an email or give us a call if you have questions. 0000019018 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. 0000041187 00000 n 0000006066 00000 n 0000002244 00000 n 0000013703 00000 n 0000073493 00000 n Intermountain Healthcare and Royal Free London are working toward a common goal of reduced clinical variance. H\j0EY& CpijY_'P#suGC 'b~. 0000049258 00000 n It was created by general pediatricians at the University of Utah in collaboration with Intermountain Health pediatric . 0000019646 00000 n 0000080004 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 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. YC@NgR&Qr? >~.>* T`- Mot de passe (8 caractres ou plus) . 0000007942 00000 n 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. 0000059863 00000 n 0000058348 00000 n 0 0000177145 00000 n 0000019636 00000 n 0000072898 00000 n 0000063001 00000 n 0000005602 00000 n 0000008541 00000 n Each visit is centred around a single theme to allow for a focused deep dive into that specialty. If you will still be using Intermountain's network, systems or data, information about your use may be reviewed, 0000053140 00000 n 0000016606 00000 n 0000086104 00000 n 0000038456 00000 n 0000006375 00000 n 0000009452 00000 n It is not a prescription for every physician or every patient, nor does it replace clinical judgment. 0000008837 00000 n 0000010474 00000 n 0000050304 00000 n 0000021074 00000 n 0000006077 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. Do I need to be a therapist to administer the screener or provide in-office interventions? Care Process Model JUNE 2019 2019 Update GOALS & MEASUREMENTS The goal of this CPM is to improve the . 0000073570 00000 n 0000014285 00000 n 0000179330 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. 0000024509 00000 n by Cerner UK 1660 0 obj <> endobj 0000023593 00000 n 0000226180 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. 0000003093 00000 n 0000079310 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. * 0000013631 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. 0000176282 00000 n 0000026834 00000 n This article originally appeared inPerspectives, a thought leadership publication dedicated to rising trends and issues in the healthcare and IT industry. 0000013288 00000 n 0000010991 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. 0000176436 00000 n 0000009151 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. 0000000016 00000 n WARNING: Intermountain authorized users only. 0000002388 00000 n 0000013265 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. 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. 0000050231 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. >iDTPTTqbZ]w;$zm3{! Incorporating the newly redesigned pathways into the EHR has had an immediate impact for RFL. 0000086396 00000 n 0000087608 00000 n 0000072789 00000 n Fact Sheet Published in 2021 Printer-friendly version 26 April 2022 All statements, protocols, and recommendations herein are viewed as transitory and iterative. 0000043331 00000 n PingID. 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. 0000004465 00000 n 0000011835 00000 n It is based on expert opinion and clinical practice guidelines from the Infectious Disease Society of America (IDSA), the American Academy of Pediatrics (AAP), and the American Academy of Otolaryngology (AAO). 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 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. Dr Streather noted that seeking out partnerships to improve is an essential part of growth, but that it is not always easy. 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. 0000035663 00000 n Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. [EV~P\>Qr78vJ|;w,qdP7Q)N/(5kJ[;zXG$Ai?"s nBg5S9"{Y(^rS4w7,!l2"O+^y'UvvBbS=&r65[8gx&DnyegC_oWvem$,kN 0000004208 00000 n 1719 0 obj <>stream xref 9-FCr-+| E+dJgx!Ck 0000007790 00000 n 0000023018 00000 n 0000050331 00000 n 0000007762 00000 n 0000023004 00000 n The way Royal Free reaches out to the community, thats a big push for Intermountain right now. 0000071068 00000 n 0000070354 00000 n Groundbreaking population health and value model will improve affordability and access to care. 0000003400 00000 n The Services Directory has information about Nationwide providers. 0000170459 00000 n WARNING: Intermountain Healthcare's Information Systems resources are for Intermountain approved purposes only. 0000002368 00000 n Improving care quality and reducing cost are two of the highest priority goals for healthcare leaders. 0000056444 00000 n 0000004033 00000 n 0000004401 00000 n 0000023933 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. 0000258879 00000 n 0000011770 00000 n 0000065908 00000 n 0 0000008709 00000 n 0000045385 00000 n 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. Attempts to publish pathway development in the peer-reviewed literature are limited by lack of scientific rigor. 0000047145 00000 n Of all the approaches leaders can leverage to address these issues, reducing unwarranted clinical variance is receiving increased attention. 0000129815 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). 0000072671 00000 n startxref View wait times and save your place in line at an Intermountain InstaCare location near you. 0000081734 00000 n by Cerner UK 0000002834 00000 n This is not like an IQ test or psychological testing where the results could be skewed. 0000029608 00000 n 0000009463 00000 n 0000079428 00000 n Prnom. 0000017200 00000 n 0000005294 00000 n 0000086355 00000 n 0000009724 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. 0000165799 00000 n 0000054196 00000 n 0000005227 00000 n 0000000016 00000 n 0000005751 00000 n 0000088233 00000 n Chief among these is the willingness to be open to change and new ideas. 30 June 2022 0000005286 00000 n Fortunately Intermountain Healthcare (among others) publishes their Care. 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. 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. 0000014692 00000 n Published February 21, 2008. What resources are available to get children into therapy? This care process model (CPM) outlines the recommended approach. 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. 0000004619 00000 n 0000050475 00000 n 0000110685 00000 n xref Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device.Learn More. endstream endobj 1718 0 obj <>/Filter/FlateDecode/Index[179 1481]/Length 57/Size 1660/Type/XRef/W[1 1 1]>>stream 0000036090 00000 n 0000005681 00000 n 0000001556 00000 n \H6Hl7% K{X0(%p* *\y~b!o^%CIe%'jR$b $zoE)fPBgf+"jf6yy/i>>XmHm!$ 0000059623 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. 2007-2021 INTERMOUNTAIN HEALTHCARE. 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 0000073461 00000 n Intermountain Health Care (IHC), an integrated delivery system based in Utah, has adopted a new strategy for managing health care delivery. 0000007263 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 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. 0000032034 00000 n 0000065867 00000 n CARE PROCESS MODEL JANUARY 2021 Chronic Obstructive Pulmonary Disease (COPD) Diagnosis, Treatment, and Resources ALGORITHM NOTES ALGORITHM: DIAGNOSIS OF COPD . 0000038439 00000 n 0000011885 00000 n 0000020531 00000 n 0000089548 00000 n 0000087649 00000 n 0000017626 00000 n . 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. 0000087726 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. Published February 21, 2008, Harming Through Protection. Ping Identity Corporation. This CPM includes two processes to address child traumatic stress across the pediatric lifespan. 0000031343 00000 n 0000179484 00000 n 0000010300 00000 n 0000178647 00000 n 0000066035 00000 n 0000057953 00000 n 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.. 0000065975 00000 n Screen for child traumatic stress. 0000028737 00000 n 2:1b``AY0 tbg(8/C3n0=~ 0000179407 00000 n Administers screening tests to . 0000226561 00000 n Acronym: CPM Targeted Populations: Ages 6-18; both males and females; for children who have experienced a wide range of traumas. 0000009984 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. 0000008976 00000 n 0000007843 00000 n 0000017396 00000 n 0000170561 00000 n 0000012710 00000 n 0000010567 00000 n 0000050145 00000 n The CPM also guides family decision making, links at-risk children to evidence-based trauma therapy, and encourages providers' use of in . 0000045214 00000 n 0000072478 00000 n 1736 111 At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. 0000021680 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. 0000004619 00000 n 0000020693 00000 n 0000038376 00000 n 0000002325 00000 n 0000023458 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 . 0000078906 00000 n 0000016606 00000 n 0000023486 00000 n 0000025573 00000 n 0000012415 00000 n 0000027605 00000 n 0000054116 00000 n 0000045545 00000 n 0000005644 00000 n 0000170355 00000 n Sign In Options. Using a theoretical framework of eight stages of change[18], the authors described the imple-mentation of the care process model in the RICU. xref 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. 0000039302 00000 n 0000036974 00000 n 0000081921 00000 n startxref 0000007049 00000 n Nope. 0000004309 00000 n under the leadership of Intermountain Healthcare's Behavioral Health Clinical Program. 0000005596 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.. This care process model (CPM) and accompanying patient education were developed by a multidisciplinary team including primary . 0000066203 00000 n 0 0000076158 00000 n startxref 0000004556 00000 n 0000023429 00000 n 0000008676 00000 n 0000132101 00000 n 0000198367 00000 n 0000006553 00000 n 0000177088 00000 n During development of the care process model, the authors found many aspects of ICU care that required substantial change. 0000008863 00000 n 0000066119 00000 n 0000009981 00000 n 6346 95 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. 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. 0000026552 00000 n Ive rarely seen in the NHS such buy-in from the clinical community, he said. 0000177977 00000 n %PDF-1.7 % It helps primary care providers identify areas of potential high risk for the child and provide relevant information and support to the parents / caregivers. 0000055101 00000 n 0000004772 00000 n 0000003820 00000 n trailer 0000011030 00000 n 1846 0 obj <>stream 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. 0000084852 00000 n 0000045671 00000 n 0000014673 00000 n 0000003264 00000 n 0000075971 00000 n <<5BE851667CC40543996F5A9ED21E16D8>]/Prev 646447/XRefStm 3820>> 0000007186 00000 n 0000065951 00000 n 0000070999 00000 n 0000076190 00000 n 0000023553 00000 n D dL :G=%C>[wgG5wvorb$j9u>~U'/795}[ucCwOxEQ\hzAR>9d)oHH,YIPxM. <]/Prev 276186/XRefStm 2368>> Nom. Andrew D. Auerbach, M.D., M.P.H., C. Seth Landefeld, M.D., and Kaveh G. Shojanie, M.D. 0000079777 00000 n It has three main hospitals the Royal Free Hospital (founded in 1828 with the direct mission of providing free, quality care to patients with little or no means), Barnet Hospital and Chase Farm Hospital. 0000031920 00000 n 0000014338 00000 n 0000128347 00000 n 0000066307 00000 n 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. 0000132822 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. 0000179788 00000 n :x-)KYYY"3%C_hS! 0000005048 00000 n 0000034112 00000 n 0000041107 00000 n