Users are prohibited from doing any of the 0000050398 00000 n 0000007263 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.. 0000007639 00000 n 0000021193 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. 0000004309 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 0000081921 00000 n Lifestyle and Weight Management 1 Resources for Parents and Caregivers Care pathways and the quest for better outcomes - Becker's Hospital Review trailer 0000034112 00000 n H\j0EY& CpijY_'P#suGC 'b~. 0000055101 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. Care Process Models Acute Sinusitis in Adults and Children For more information about Perspectives, gohere. C-suite leadership has been overwhelmingly supportive of the project, furthering the message that the Trust is serious about reducing variance and improving care. 0000170561 00000 n 1425 82 Do I need to be a therapist to administer the screener or provide in-office interventions? 0000004619 00000 n 0000049258 00000 n Groundbreaking population health and value model will improve affordability and access to care. 0000085699 00000 n Prnom. 0000005541 00000 n 0000071218 00000 n 0000029050 00000 n 0000015124 00000 n 0000019646 00000 n %PDF-1.7 % Utah PIPS 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. 0000056444 00000 n %PDF-1.7 % 0000043417 00000 n 0000041107 00000 n 0000017260 00000 n Published February 21, 2008, Harming Through Protection. 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.. 0000009309 00000 n 0000088233 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. 0000050364 00000 n Association of Integrated Team-Based Care With Health Care - JAMA The clinical leadership for the digitisation programme is divided into RFLs four clinical divisions: Medicine, Surgery, Specialist Services, and Womens, Childrens and Diagnostics. 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 0000177263 00000 n 0000002368 00000 n 0000177340 00000 n 0000170251 00000 n 0000076190 00000 n 0000018163 00000 n 0000220433 00000 n !C4@$8 y 0000057752 00000 n 0000025653 00000 n trailer 0000038456 00000 n 0000017276 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 %2O92qx`x@7l* eLBX&4*p*x 9`%jX,/p*x2 aWbL dTK`rX/i-'bT Df`9D3hA9@@!N Hg1pfM_:+.y- iM=5{*g2msZ:G3Lrtwsut e5b1L & hSiPSW>#BBX-"m6 EM;b;N:N+D(n." 0000007186 00000 n 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. 0000009981 00000 n 0000072122 00000 n 0000072898 00000 n 0000063087 00000 n <<969DFD35F0E1574DA86361927245C514>]/Prev 975812/XRefStm 3817>> 0 WARNING: Intermountain Healthcare's Information Systems resources are for Intermountain approved purposes only. 0000007939 00000 n Special Instructions. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. 0000001979 00000 n How to address things like education, food and transportation, these are things the British government has been doing aggressively since WWII.. trailer 0000050304 00000 n 0000015431 00000 n startxref 0000002834 00000 n 0000079537 00000 n 0000005441 00000 n 0000062870 00000 n 1 KEY POINTS The focal points discussed in this CPM include: Treating asymptomatic bacteriuria with antibiotics offers no benefit 0000019636 00000 n 0000028737 00000 n If different clinicians in the same health system are using widely varying protocols to treat the same conditions, the result will be poorer patient outcomes and a less-than-clear picture of what it truly costs to treat the condition. %%EOF Modified Medical Research Council Breathleness Scale (mMRC) 0000045385 00000 n 2:1b``AY0 tbg(8/C3n0=~ It turns out that clinical process management and improvement is our core business strategy.. 0000002947 00000 n 0000070665 00000 n 0000017626 00000 n hSYPW>G&$B% i}(!IA|C;N3mJd1 @EbBBDQ(+ 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. 0000177977 00000 n 0000225797 00000 n Pierre-Henri Brchat, Pascal Briot, Lucy Savitz, Ross Fulton. 0000005286 00000 n 0000068805 00000 n 0000176611 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. 0000062915 00000 n Pediatric Acute Otitis Media (Ear Infection) 2019 Update 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). 0000012798 00000 n 0000018713 00000 n 1425 0 obj <> endobj Care Process Model JUNE 2019 2019 Update GOALS & MEASUREMENTS The goal of this CPM is to improve the . Published February 21, 2008. 0000226257 00000 n 0000072671 00000 n 1736 0 obj <> endobj by Cerner UK 0000007337 00000 n 0000014692 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. 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. f-5Y)RqQ],Z*69=nwe.Io(MF ),m((KVorl= 4Yk/T=%AG> "}nrauFS Then make 3 key decisions. 0000009151 00000 n The clinical practice groups are changing the way we provide care in a profound way, said Streather. Lifestyle and Weight Management for Children and Adolescents 0000006531 00000 n Screen for child traumatic stress. 0000228696 00000 n | Dr Chris Wood 0000012415 00000 n 0000005751 00000 n 0000014338 00000 n 0000226561 00000 n Provides patient education as directed (content reflects specific MA training, guidelines, care process models, protocols). 0000000016 00000 n 0000002325 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. 0000033569 00000 n 0000016002 00000 n 0000002797 00000 n 0000015259 00000 n 0000064797 00000 n This CPM includes two processes to address child traumatic stress across the pediatric lifespan. 0000012722 00000 n Inscrivez-vous pour postuler au poste de Medical Assistant chez Intermountain Health. 0000038439 00000 n 0000010857 00000 n 0000055034 00000 n 0000073570 00000 n 0000003264 00000 n 0000002281 00000 n 0000004089 00000 n This is not like an IQ test or psychological testing where the results could be skewed. 0000008676 00000 n 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 Healthcares Primary Childrens Hospital. At two of our sites, we were immediately able to capture data-driven outcomes from the newly digitised pathways, said Dr Streather. 0000065867 00000 n 0000013362 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. 0000048319 00000 n 0000022000 00000 n 0000008863 00000 n startxref 0000079241 00000 n 0000001530 00000 n endstream endobj 1718 0 obj <>/Filter/FlateDecode/Index[179 1481]/Length 57/Size 1660/Type/XRef/W[1 1 1]>>stream 0000208680 00000 n 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. 0000007949 00000 n Pediatric Diabetes Screening & Management Care Process Model 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. It helps primary care providers identify areas of potential high risk for the child and provide relevant information and support to the parents / caregivers. 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. 0000069209 00000 n Fortunately Intermountain Healthcare (among others) publishes their Care. The way Royal Free reaches out to the community, thats a big push for Intermountain right now. 0000177828 00000 n Two of the first clinical programmes developed were cardiovascular, and women and newborns. If the parent is completing the screener, they will receive a different version. 0000086035 00000 n 0000176282 00000 n Care Process Models Eating Disorders - Intermountain Healthcare hUiPG~=";.^qv12%&e-Kg.^OPxx7(w~X]"`~g "I`IvWdZ>B.nJ.o}LVL:}T{&!Qd4l;( q& Q/b2N$5%/wTg?8YSneUE+ 0000006077 00000 n 0000070999 00000 n 0000128388 00000 n 0000193542 00000 n 0000050331 00000 n 0000168976 00000 n xref 0000169759 00000 n 0000057819 00000 n 0000110646 00000 n 0000008428 00000 n 0000015893 00000 n 0000048275 00000 n 0000179100 00000 n P , s &v. Still not finding what you are looking for? 0000005233 00000 n 0000033890 00000 n %PDF-1.7 % 0000011106 00000 n 0000023593 00000 n 7 September 2022 Proven Imaging Appropriate Use Criteria from Intermountain - PRWeb Mild range scores (0 10) protective approach, Moderate range (11 20) resilient approach, Severe range (21 or higher) restorative approach. 0 0000004401 00000 n Dr James was hired by Intermountain in 1986 as the director of medical research and continuing medical education. 0000226638 00000 n 0000079777 00000 n xref 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 0000065908 00000 n 0000015624 00000 n PDF CPM Intermountain Eating Disorders - University of Vermont 0000039661 00000 n 0000069327 00000 n 0000059703 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. 0000071295 00000 n Each visit is centred around a single theme to allow for a focused deep dive into that specialty. P.O. 0000004060 00000 n by Amy Bowen | Kaye Coholan 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. by Cerner UK Continue below to learn more about the implementing the Child Traumatic Stress Care Process Model in a pediatric primary care setting. * This is the healthcare-specific version of what is known in lean terminology as "mass customization." 0000004556 00000 n 0000009463 00000 n 0000118904 00000 n 0000008067 00000 n 0000051705 00000 n Each of the eight stages of change has a corresponding pitfall. 0000002388 00000 n 0000010599 00000 n 0000003302 00000 n Signs of Trauma in Children 0000063196 00000 n 0000021043 00000 n 0000165799 00000 n Value-Based Care: Paving the Way to Health Transformation 0000176436 00000 n 0000005756 00000 n 0000054036 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. 0000071068 00000 n <<3AE4BE8F4CF5524D9372135619CC8848>]/Prev 518892>> 0000005448 00000 n Learning some of these differences has provided insight for Intermountain into what may be possible in the future. startxref hWkTSsH LB%A h oIBxH P,ZA It is not a prescription for every physician or every patient, nor does it replace clinical judgment. 0000023004 00000 n . Cerner, Intermountain Healthcare Implement iCentra EHR | Cerner Corporation 0000005681 00000 n 0000073461 00000 n 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. 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. 0000078906 00000 n height, weight, OFC, care process model data, etc.). xref Based on national guidelines and emerging evidence and shaped by local expert opinion, this CPM provides practical strategies . ALL RIGHTS RESERVED. 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). 0000005534 00000 n Involving patients and clinicians in the design of care pathways has also given them a stake in the success of the project. 0000060731 00000 n 0000066540 00000 n 0000004033 00000 n 0000013703 00000 n Franklin G. Miller, Ph.D., and Ezekiel J. Emanuel, M.D., Ph.D. 0000015322 00000 n trailer trailer 0000017841 00000 n 0000010300 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. 0000010567 00000 n This care process model (CPM) outlines the recommended approach. 0000041140 00000 n 0000009348 00000 n 0000079428 00000 n 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. 0000002990 00000 n This care process model (CPM) and accompanying patient education were developed by a multidisciplinary team including primary . 0000069140 00000 n 0000003129 00000 n 0000052164 00000 n 0000198367 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. Ive rarely seen in the NHS such buy-in from the clinical community, he said. 0000041187 00000 n 0000075971 00000 n 0000079895 00000 n 0000226944 00000 n 0000053054 00000 n 0000066035 00000 n 0000086355 00000 n 0000058433 00000 n 0000065716 00000 n 0000052968 00000 n 0000066042 00000 n 0000071186 00000 n 0000076267 00000 n * This CPM presents a model of best care based on the best available scientific evidence at the time of publication. 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. 0000009576 00000 n 0000177088 00000 n 1846 0 obj <>stream 0000008058 00000 n 0000080004 00000 n 0000006783 00000 n 0000007525 00000 n 0000226180 00000 n 0000052882 00000 n 0000013806 00000 n Andrew D. Auerbach, M.D., M.P.H., C. Seth Landefeld, M.D., and Kaveh G. Shojanie, M.D. View wait times and save your place in line at an Intermountain InstaCare location near you. 0000007790 00000 n 0000066391 00000 n 0000178647 00000 n by Treesa Carter | James Hitter %%EOF 0000001556 00000 n CARE PROCESS MODEL JANUARY 2021 Chronic Obstructive Pulmonary Disease (COPD) Diagnosis, Treatment, and Resources ALGORITHM NOTES ALGORITHM: DIAGNOSIS OF COPD . 0000011817 00000 n 0000018097 00000 n 0000063674 00000 n 0000179407 00000 n 0000016722 00000 n The Royal Free Hospital provides the only high-level isolation unit of its kind for the care of patients with the Ebola virus and other infectious diseases.