0000006881 00000 n by Dr Todd Allen Fact Sheet Published in 2021 Printer-friendly version 26 April 2022 0000038525 00000 n 0000011770 00000 n trailer 0000220433 00000 n 0000179484 00000 n 6440 0 obj <>stream hb``0f``d`e` l,x70y7Yc[%Lq|cO 'rX)!2[HQ(WVE 0khhDGG; J@(}=bw&5_R xref 0000064797 00000 n <<099953D8ECDC4449BF4B89817F7FC266>]/Prev 820759/XRefStm 5250>> 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 Published on 8 March 2019. 0000008863 00000 n 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. The CPM also guides family decision making, links at-risk children to evidence-based trauma therapy, and encourages providers' use of in . 0000076040 00000 n Intermountain Healthcare convened a team consisting of executive leadership, the enterprise initiative office and internal medicine leaders to design the RPC. 0000088537 00000 n 3276 0 obj <>stream 0000053054 00000 n 0000176512 00000 n Copyright 2023, Intermountain Healthcare, All rights reserved. Critical to the relationships success is that Intermountain leaders visit RFL and can provide guidance and feedback in real time and on-site. 0000009340 00000 n 0000006999 00000 n 0000225874 00000 n *(N}L{{./ +A C C9p:nY)-({ ~U 4|VfI)3%N>K, L7 Andrew D. Auerbach, M.D., M.P.H., C. Seth Landefeld, M.D., and Kaveh G. Shojanie, M.D. 0000033986 00000 n 0000024023 00000 n monitored, audited, and stored. 0000051827 00000 n 0000007723 00000 n 0000059943 00000 n 0000018484 00000 n 0000005751 00000 n 0000079777 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. Dr Streather noted that seeking out partnerships to improve is an essential part of growth, but that it is not always easy. 0000001556 00000 n 0000003264 00000 n 0000084852 00000 n 0000002571 00000 n 0000006687 00000 n 0000003093 00000 n 0000066540 00000 n 0000072789 00000 n 0000058433 00000 n 0000165371 00000 n H\j0EY& CpijY_'P#suGC 'b~. 0000005681 00000 n :x-)KYYY"3%C_hS! 0000007790 00000 n 0000087852 00000 n 0000008395 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. 0000066508 00000 n . Ive rarely seen in the NHS such buy-in from the clinical community, he said. 0000045545 00000 n Fortunately Intermountain Healthcare (among others) publishes their Care. 0000011885 00000 n Click for details. >iDTPTTqbZ]w;$zm3{! Failing to address variations can negatively impact the ability to provide quality, consistent, safe and cost-effective care. 0000017200 00000 n 0000015005 00000 n 0000193542 00000 n 0000005695 00000 n 0000176436 00000 n 0000035552 00000 n At Salt Lake City-based Intermountain Healthcare, ensuring the alignment of all these things to provide extraordinary care requires a constant regimented focus across our 23 hospitals, 170. *kxVQQ6]9@{B%+/Q9a6Q_~Kx1 RX@QF p+h=52hf4f3#`33e{f|@gHXS'U`*}lts}=>;tPJfi5C&L^cI_2I7l8-G-mLvp +y" oE$qy(b9yz|~{kt;a| ~%1e8PKo*>7%T[.4jp+Gq}. 0000033836 00000 n 0000021193 00000 n 0000009348 00000 n 0000052968 00000 n 0000009576 00000 n 0000005788 00000 n 0 \H6Hl7% K{X0(%p* *\y~b!o^%CIe%'jR$b $zoE)fPBgf+"jf6yy/i>>XmHm!$ 0000065951 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. by Cerner UK 0000072671 00000 n 0000177977 00000 n 0000076267 00000 n 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 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. 0000005742 00000 n 0000024509 00000 n 0000066042 00000 n 0000071811 00000 n 0000013265 00000 n 0000012852 00000 n 0000165412 00000 n startxref 0000005079 00000 n 0000068805 00000 n 0000005003 00000 n 0000008428 00000 n %%EOF Intermountain Healthcare in Salt Lake City, Utah, recognised the link between variance, quality and cost early on thanks in part to Dr Brent James. 0000045385 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. C-suite leadership has been overwhelmingly supportive of the project, furthering the message that the Trust is serious about reducing variance and improving care. 1846 0 obj <>stream 0000054196 00000 n 0000079537 00000 n 0000005227 00000 n Copyright 2003-2020. 0000028071 00000 n 0000010599 00000 n 0000006375 00000 n CPMs also include education, communication and data standards so process and outcome measures are truly meaningful and comparable across institutions. 0000026552 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.. 0000010857 00000 n 0000226257 00000 n Intermountain monitors use of the Information Systems resources. 0000066109 00000 n 113021080>ca`labefpe|$X)Cc+G>[.3A/20 0000012208 00000 n 0000079927 00000 n 0000004619 00000 n hWkTSsH LB%A h oIBxH P,ZA Nope. 0000079895 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. %PDF-1.7 % 0000069209 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.. 0000009309 00000 n 0000085699 00000 n trailer 0000062870 00000 n 0000049258 00000 n 0000042757 00000 n 0000007186 00000 n 0000011492 00000 n %%EOF 0000066391 00000 n CPM020 - 01/21 3 COPD CPM JANUARY 2021 TABLES TABLE 1. 0000006077 00000 n 0000004772 00000 n 0000031920 00000 n ALL RIGHTS RESERVED. 0000006373 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. 0000010167 00000 n 0000031239 00000 n 0000018223 00000 n 0000005602 00000 n 0000025573 00000 n 0000020129 00000 n 0000073461 00000 n 0000007049 00000 n 0000023553 00000 n 1660 0 obj <> endobj 0000058348 00000 n 0000008500 00000 n 0000010474 00000 n 3175 102 0000006553 00000 n Provides patient education as directed (content reflects specific MA training, guidelines, care process models, protocols). 0000050364 00000 n 0000079460 00000 n 0000012415 00000 n 0000005048 00000 n 0000208680 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. 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. The power of building relationships is not just what can be done today, but what we can work on tomorrow, he added. Seeing their institutional processes adapted by other health systems is a validation of the approach. 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.. 0000014338 00000 n 3 September 2021 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. 0000225797 00000 n 0000056318 00000 n Pierre-Henri Brchat, Pascal Briot, Lucy Savitz, Ross Fulton. 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. ALL RIGHTS RESERVED. 0000006531 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. 0000176762 00000 n 0000023004 00000 n Follow Up at Regular Intervals 0000013048 00000 n 0000079310 00000 n Franklin G. Miller, Ph.D., and Ezekiel J. Emanuel, M.D., Ph.D. 0000005541 00000 n Enzyme Replacement Therapy, Mucopolysaccharidosis Type I (MPS 1) Orthopedic Manifestations & 0000023933 00000 n 0000037253 00000 n 0000045274 00000 n 0000008541 00000 n 2:1b``AY0 tbg(8/C3n0=~ <<5BE851667CC40543996F5A9ED21E16D8>]/Prev 646447/XRefStm 3820>> Important features included creating meaningful alignment around value, building teams to drive the transition and implementing supportive workflows and technological innovations. 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 . Its good to see that even after 18 months of introducing a complex programme, we see the general enthusiasm growing daily.. Continue below to learn more about the implementing the Child Traumatic Stress Care Process Model in a pediatric primary care setting. Sign In Options. 0000044620 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. 0000008748 00000 n 0000079708 00000 n At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. <<3AE4BE8F4CF5524D9372135619CC8848>]/Prev 518892>> 0000176241 00000 n 0000226944 00000 n Care Process Model JUNE 2013 This care process model (CPM) was created by a multidisciplinary team of physicians and other healthcare providers at Intermountain Healthcare. 0000007762 00000 n 0000036974 00000 n 0000087608 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). Dr James was hired by Intermountain in 1986 as the director of medical research and continuing medical education. 0000017996 00000 n It was created by general pediatricians at the University of Utah in collaboration with Intermountain Health pediatric . %PDF-1.7 % 0000013806 00000 n 0000010273 00000 n 0000071218 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. 206 63 0000005596 00000 n 0000010514 00000 n 0000025653 00000 n What if the child or parent asks me a question about the screener while they are filling it out? 0000034579 00000 n 0000063674 00000 n 0000168976 00000 n At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. Biometrics. 0000023458 00000 n 0000087649 00000 n WARNING: Intermountain authorized users only. 0000226180 00000 n H\@. 0000045214 00000 n 0000177263 00000 n 0000016722 00000 n Choose a skill that you are comfortable teaching and share your knowledge with the families you see in clinic. Mary Ann Baily, Ph.D. 0000003817 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. 0000054036 00000 n %%EOF xref 0000177340 00000 n 0000010991 00000 n 0000007942 00000 n 0000022401 00000 n 0000176611 00000 n 0000018590 00000 n /}>8N{oN9sw @P|&AM. We have 44 pathways in operation, which represents about 60 to 70 percent of our clinical patient-facing activity. 0000028737 00000 n 0000059783 00000 n 0000008244 00000 n 0000014401 00000 n 0000065908 00000 n Send us an email or give us a call if you have questions. 0000029050 00000 n 0000009527 00000 n 0000009151 00000 n 0000004712 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. 0000005093 00000 n 0000003129 00000 n 0000072602 00000 n Attempts to publish pathway development in the peer-reviewed literature are limited by lack of scientific rigor. 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. 0000048189 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. At two of our sites, we were immediately able to capture data-driven outcomes from the newly digitised pathways, said Dr Streather. <]/Prev 276186/XRefStm 2368>> %%EOF 0000004033 00000 n 0000047145 00000 n 0000004465 00000 n 0000073354 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 management and revenue cycle system, at two Intermountain hospitals and 24 clinics across northern Utah. . Modified Medical Research Council Breathleness Scale (mMRC) 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 . 0000089548 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. 0000011106 00000 n 0000021559 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. Intermountain Stroke Care Process Model In Action 538 views Mar 19, 2019 3 Dislike Share Intermountain Healthcare 21.7K subscribers An eight year old stroke patient receives rapid life-saving. 0000007337 00000 n YC@NgR&Qr? >~.>* T`- 0000016606 00000 n 0000057953 00000 n 0000012798 00000 n 0000063196 00000 n 0000022567 00000 n 9-FCr-+| E+dJgx!Ck 0000029161 00000 n
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