0000009340 00000 n 0000087649 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. 0000008395 00000 n 0000081734 00000 n [EV~P\>Qr78vJ|;w,qdP7Q)N/(5kJ[;zXG$Ai?"s nBg5S9"{Y(^rS4w7,!l2"O+^y'UvvBbS=&r65[8gx&DnyegC_oWvem$,kN This care process model (CPM) was developed by Intermountain Healthcare's Antibiotic Stewardship and Community-Based Care teams. 0000001530 00000 n 0000066109 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. 0000059703 00000 n Care Process Models Acute Sinusitis in Adults and Children 0000007424 00000 n 0000022000 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). 0000058433 00000 n 0000049258 00000 n Inscrivez-vous pour postuler au poste de Medical Assistant chez Intermountain Health. trailer 0000021680 00000 n <]/Prev 276186/XRefStm 2368>> 0000009309 00000 n Organising care in this way facilitates a broader, more longitudinal view of whats necessary to treat a condition. 0000034112 00000 n 0000070354 00000 n 0000063196 00000 n 0000010599 00000 n 0000064797 00000 n 0000054036 00000 n 0000031441 00000 n !C4@$8 y 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. 0000005596 00000 n 0000053054 00000 n 0000018223 00000 n Pediatric Acute Otitis Media (Ear Infection) 2019 Update %PDF-1.7 % 0000006950 00000 n 0000072478 00000 n 0000006007 00000 n /}>8N{oN9sw @P|&AM. 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. Go to my One Account. 0000076040 00000 n * %%EOF 0000021255 00000 n 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. 0000080004 00000 n 6346 0 obj <> endobj 0000069327 00000 n @G 0000005079 00000 n Additionally, the PIPS team has clinicians available for consultation when needed. Sign On 0000051705 00000 n 0000226257 00000 n 0000087608 00000 n 0000063119 00000 n 0000004300 00000 n 0000041107 00000 n xref 0000110646 00000 n 0000008709 00000 n 0000062870 00000 n Pierre-Henri Brchat, Pascal Briot, Lucy Savitz, Ross Fulton. 0000003519 00000 n 0000000016 00000 n How can we help families with children who are 0-5? 0000016606 00000 n Administers screening tests to . 0000170459 00000 n 0000018163 00000 n . What if the child or parent asks me a question about the screener while they are filling it out? 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. Based on national guidelines and emerging evidence and shaped by local expert opinion, this CPM provides practical strategies . The PIPS team can help you identify resources in your area. Intermountain Healthcare and SCL Health Complete Merger There can be reticence to learn from others and there can sometimes be the resistance to adopting something that was someone elses idea. 0000031343 00000 n We looked at a number of places known for their international best practice, and the most advanced version of what we were trying to do was happening at Intermountain.. 0000087726 00000 n Clinical Management - Intermountain Healthcare 0000177145 00000 n 0000015893 00000 n 0000079310 00000 n 0000026552 00000 n Intermountain Healthcare and Royal Free London are working toward a common goal of reduced clinical variance. 0000002244 00000 n 0000065716 00000 n 0000008918 00000 n Copyright 2003-2020. 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. 0000084783 00000 n 0000019636 00000 n 1736 111 It is not a prescription for every physician or every patient, nor does it replace clinical judgment. 0000064758 00000 n 0000000016 00000 n Lean Healthcare: 6 Methodologies for Improvement startxref 0000005911 00000 n 0000004309 00000 n 0000010567 00000 n 1660 60 View wait times and save your place in line at an Intermountain InstaCare location near you. 0000005534 00000 n WARNING: Intermountain Healthcare's Information Systems resources are for Intermountain approved purposes only. 0000004619 00000 n 0000226944 00000 n 0000023553 00000 n 0000013265 00000 n 0000008135 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. Improving care quality and reducing cost are two of the highest priority goals for healthcare leaders. 0000048319 00000 n Intermountain Healthcare convened a team consisting of executive leadership, the enterprise initiative office and internal medicine leaders to design the RPC. Association of Integrated Team-Based Care With Health Care - JAMA 0000014401 00000 n 0000005907 00000 n With the help and facilitation of Cerner, the two organisations entered into a formal partnership in 2016 to bring the philosophies and practices behind Intermountains clinical programmes and CPMs to RFL in a transatlantic knowledge sharing endeavour. They then work to continually refine and improve each care process. Intermountain will use a regional deployment strategy to bring all acute care facilities, ambulatory . 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. 0000079428 00000 n 0000058232 00000 n 0000031920 00000 n 0000088156 00000 n startxref Choose a skill that you are comfortable teaching and share your knowledge with the families you see in clinic. 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. 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. 0000021696 00000 n 0000013631 00000 n 0000006937 00000 n 0000023593 00000 n 0000011106 00000 n 0000086104 00000 n 0000088537 00000 n 0000028071 00000 n 0000086035 00000 n 0000089548 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.. Attempts to publish pathway development in the peer-reviewed literature are limited by lack of scientific rigor. 0000006999 00000 n 0000013806 00000 n 0000045671 00000 n 0000008500 00000 n 0000071218 00000 n 0000002834 00000 n 0000081803 00000 n 0000079241 00000 n 0000005681 00000 n 0000050231 00000 n Care Process Models Eating Disorders - Intermountain Healthcare Its purpose is to summarize and promote evidencebased approaches to lifestyle and weight management, and to facilitate implementation in routine . 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. 0000015431 00000 n Prnom. 0000076158 00000 n 0000008535 00000 n Acronym: CPM Targeted Populations: Ages 6-18; both males and females; for children who have experienced a wide range of traumas. hWkTSsH LB%A h oIBxH P,ZA 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. 0000198367 00000 n 0000003820 00000 n Of all the approaches leaders can leverage to address these issues, reducing unwarranted clinical variance is receiving increased attention. 0000017841 00000 n 0000079708 00000 n Dr James was hired by Intermountain in 1986 as the director of medical research and continuing medical education. 3276 0 obj <>stream 0000022254 00000 n Send us an email or give us a call if you have questions. This is not like an IQ test or psychological testing where the results could be skewed. 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. 0000023486 00000 n 0000000016 00000 n 0000084852 00000 n Key Points All pregnant patients at 20 weeks of gestation require a Labor and . 0000004619 00000 n by Cerner UK 0000012852 00000 n If you will still be using Intermountain's network, systems or data, information about your use may be reviewed, Intermountain Healthcare in Salt Lake City, Utah, recognised the link between variance, quality and cost early on thanks in part to Dr Brent James. 2:1b``AY0 tbg(8/C3n0=~ 0000006373 00000 n 0000066218 00000 n 0000007263 00000 n 0000177729 00000 n 0000168976 00000 n 0000032127 00000 n 0000005907 00000 n 0000008428 00000 n 0000022567 00000 n 0000051827 00000 n 0000014692 00000 n 0000005003 00000 n * This CPM presents a model of best care based on the best available scientific evidence at the time of publication. by Cerner UK 0000005286 00000 n 0000050475 00000 n 0000006553 00000 n trailer 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 0000036090 00000 n 0000026052 00000 n 0000043331 00000 n 0000057819 00000 n 0000016002 00000 n 0000008067 00000 n 0000038439 00000 n 0000069140 00000 n 0000025573 00000 n 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. 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.. 0000055101 00000 n 3 September 2021 0000059623 00000 n Care Process Models Pregnant Patients in the Emergency Department 2021 0000072821 00000 n 0000000016 00000 n Click for details. 0000057752 00000 n 0000132101 00000 n Care Process Models Urinary Tract Infection in Adults 0000008058 00000 n trailer startxref 0000002368 00000 n 0000005742 00000 n Choose a state from the dropdown to add local service providers. 1 KEY POINTS The focal points discussed in this CPM include: Treating asymptomatic bacteriuria with antibiotics offers no benefit 0000007762 00000 n 0000004246 00000 n Intermountain Healthcare's Enhanced Recovery Protocol for Colon Surgery Sign In Options. 0000025653 00000 n 3175 0 obj <> endobj 0000004033 00000 n 30 June 2022 0000048275 00000 n endstream endobj 207 0 obj <>>>/Metadata 204 0 R/Names 209 0 R/OpenAction 208 0 R/Outlines 197 0 R/PageLayout/TwoPageRight/Pages 203 0 R/Type/Catalog/ViewerPreferences<>>> endobj 208 0 obj <> endobj 209 0 obj <> endobj 210 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>/XObject<>>>/Rotate 0/Tabs/W/Thumb 198 0 R/TrimBox[0.0 0.0 792.0 612.0]/Type/Page>> endobj 211 0 obj [212 0 R 213 0 R 214 0 R] endobj 212 0 obj <>/Border[0 0 0]/H/N/Rect[647.403 349.775 697.152 339.065]/Subtype/Link/Type/Annot>> endobj 213 0 obj <>/Border[0 0 0]/H/N/Rect[647.905 312.2 690.6 301.535]/Subtype/Link/Type/Annot>> endobj 214 0 obj <>/Border[0 0 0]/H/N/Rect[32.9 392.516 116.959 379.171]/Subtype/Link/Type/Annot>> endobj 215 0 obj <> endobj 216 0 obj <> endobj 217 0 obj <> endobj 218 0 obj <> endobj 219 0 obj [/ICCBased 246 0 R] endobj 220 0 obj <> endobj 221 0 obj <> endobj 222 0 obj <> endobj 223 0 obj <> endobj 224 0 obj <>stream xref 0000002361 00000 n 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. >iDTPTTqbZ]w;$zm3{! Each of the eight stages of change has a corresponding pitfall. 0000208680 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. 0000015005 00000 n 0000010167 00000 n 0000006208 00000 n 0000008313 00000 n 0000016011 00000 n 0000019646 00000 n Fact Sheet Published in 2021 Printer-friendly version <<969DFD35F0E1574DA86361927245C514>]/Prev 975812/XRefStm 3817>> 0000132822 00000 n Chief among these is the willingness to be open to change and new ideas. 0000005441 00000 n 0000014981 00000 n YC@NgR&Qr? >~.>* T`- 0000075636 00000 n Enzyme Replacement Therapy, Mucopolysaccharidosis Type I (MPS 1) Orthopedic Manifestations & The partnership has provided value to RFL on many levels. PDF (Spuhler) by Intermountain HANYS Granted to Use Permission for 0000008541 00000 n 0000084970 00000 n 0000044620 00000 n 0000014102 00000 n 0000004772 00000 n 0000044721 00000 n 0000006822 00000 n At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. 0000065951 00000 n 0000065975 00000 n A 2012 report from the Institute of Medicine found that inefficiencies in the U.S. healthcare system resulted in up to $750 billion of wasted spending in 2009, roughly 30 percent of total healthcare spending in that year. 0000085699 00000 n Screen for child traumatic stress. 0000029472 00000 n 0 0000076267 00000 n 0000002797 00000 n 0000028737 00000 n 0000001556 00000 n 0000006531 00000 n 0000008994 00000 n Two of the first clinical programmes developed were cardiovascular, and women and newborns. 0000053140 00000 n 0000016612 00000 n 0000054196 00000 n . 0000086355 00000 n *kxVQQ6]9@{B%+/Q9a6Q_~Kx1 RX@QF p+h=52hf4f3#`33e{f|@gHXS'U`*}lts}=>;tPJfi5C&L^cI_2I7l8-G-mLvp +y" oE$qy(b9yz|~{kt;a| ~%1e8PKo*>7%T[.4jp+Gq}. 0000008093 00000 n 0000071068 00000 n 0000005695 00000 n Mary Ann Baily, Ph.D. Each visit is centred around a single theme to allow for a focused deep dive into that specialty. 0000002990 00000 n Lifestyle and Weight Management 0000009724 00000 n 0000005227 00000 n 0000059863 00000 n 0000059783 00000 n E-mail. hSYPW>G&$B% i}(!IA|C;N3mJd1 @EbBBDQ(+ 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. %%EOF Community-Acquired Pneumonia (CAP) - Intermountain Healthcare Fortunately Intermountain Healthcare (among others) publishes their Care. 0000011615 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. 0000005048 00000 n 0000026834 00000 n 0000006219 00000 n h1 01!\Ax'MF[!!z 1- 0000018097 00000 n 0000225797 00000 n 0000047145 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. 0000052968 00000 n 0000078906 00000 n 0000128347 00000 n Signs of Trauma in Children 0000001979 00000 n Joining forces to create a standard of care - cerner.com 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. 0000057953 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. Intermountain Healthcare: Towards an integrated, value-based model 0000063001 00000 n We are segmenting clinicians into clinical themes and having them evaluate pathways of care and look at the data that informs those pathways to determine how we can improve them in a systematic way. 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. 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. 0000033890 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. Follow Up at Regular Intervals 0000072671 00000 n 0000007939 00000 n 0000004401 00000 n 0000079372 00000 n 0000033569 00000 n 0000071811 00000 n This care process model (CPM) outlines the recommended approach. 0000018713 00000 n 0000086222 00000 n Part of the partnership has been learning that it is not a one-to-one process of dropping in methodology from Intermountain to RFL, and that the Trust has adapted the ideas to their own circumstances. xref 0000071186 00000 n Intermountain has also noted value in the partnership. 0000177828 00000 n 0000000016 00000 n 0000225874 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. 0000038456 00000 n 0000004293 00000 n The CPM also guides family decision making, links at-risk children to evidence-based trauma therapy, and encourages providers' use of in .
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