0000073493 00000 n 0000004039 00000 n 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. At two of our sites, we were immediately able to capture data-driven outcomes from the newly digitised pathways, said Dr Streather. 0000008135 00000 n 0000007488 00000 n 0000007762 00000 n Click for details. 0000014692 00000 n 0000023933 00000 n Key Points All pregnant patients at 20 weeks of gestation require a Labor and . 0000013048 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 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). All statements, protocols, and recommendations herein are viewed as transitory and iterative. 0000052968 00000 n 0000007337 00000 n 0000066307 00000 n 0000019314 00000 n Do I need to be a therapist to administer the screener or provide in-office interventions? 0000017626 00000 n Community-Acquired Pneumonia (CAP) - Intermountain Healthcare Each of the eight stages of change has a corresponding pitfall. The multidisciplinary team is tasked with asking how they can improve the care processes within the programme. 0000177828 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.. 0000051498 00000 n 0000008676 00000 n 0000007263 00000 n 3175 0 obj <> endobj How old does a child need to be to complete the traumatic stress screener? Two of the first clinical programmes developed were cardiovascular, and women and newborns. During development of the care process model, the authors found many aspects of ICU care that required substantial change. 0000053140 00000 n 0000004401 00000 n 0000086035 00000 n Critical to the relationships success is that Intermountain leaders visit RFL and can provide guidance and feedback in real time and on-site. 206 63 %%EOF 0000009981 00000 n Important features included creating meaningful alignment around value, building teams to drive the transition and implementing supportive workflows and technological innovations. :x-)KYYY"3%C_hS! 0000006999 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. 0000008918 00000 n 0000027265 00000 n %PDF-1.7 % 0000050364 00000 n 0000010567 00000 n 0000023458 00000 n %PDF-1.7 % 0000087608 00000 n trailer Utah PIPS 0000021680 00000 n 0000006066 00000 n 0000066617 00000 n 0000258879 00000 n The PIPS team can help you identify resources in your area. 0000015124 00000 n Of all the approaches leaders can leverage to address these issues, reducing unwarranted clinical variance is receiving increased attention. by Treesa Carter | James Hitter 0000036974 00000 n Ive rarely seen in the NHS such buy-in from the clinical community, he said. 0000004772 00000 n 0000063087 00000 n 0000060731 00000 n 0000009144 00000 n 0000076267 00000 n 0000011030 00000 n %PDF-1.7 % What resources are available to get children into therapy? 0000004256 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. WARNING: Intermountain Healthcare's Information Systems resources are for Intermountain approved purposes only. 0000073461 00000 n 0000041187 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. 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. 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. Lifestyle and Weight Management 0000012852 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. Pediatric Diabetes Screening & Management Care Process Model We already have resource guides developed for many counties in Utah. 0000011835 00000 n 0000080004 00000 n 0000006687 00000 n 0000009309 00000 n Intermountain has also noted value in the partnership. 0000063119 00000 n We recommend that child or caregiver complete the child traumatic stress screener while in the waiting room, prior to their appointment. 0000179100 00000 n 0000066141 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. by Dr Todd Allen 0000009348 00000 n H\j0EY& CpijY_'P#suGC 'b~. startxref 0000033836 00000 n 0000004089 00000 n 0000007562 00000 n This care process model (CPM) is maintained by Intermountain Healthcare's Lower Respiratory Tract Infection Team, . %%EOF 0000088233 00000 n 0000176512 00000 n 0000038525 00000 n trailer 0000021074 00000 n 0000060798 00000 n %PDF-1.7 % 0000001979 00000 n 0000000016 00000 n 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 0000008244 00000 n 0000007843 00000 n 0000005003 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}. The partnership between Intermountain and RFL involves teams from each organisation visiting the other to observe and attend workshops and monthly teleconferencing so that Intermountain can provide remote support to RFL as the Trust implements clinical practice groups (CPGs), RFLs version of CPMs. Prnom. 0000041107 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. 0000005602 00000 n 0000009576 00000 n 0000132822 00000 n 0000069327 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. 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. height, weight, OFC, care process model data, etc.). The clinical practice groups are changing the way we provide care in a profound way, said Streather. 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. xref %%EOF 3175 102 0000000016 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. 0000003817 00000 n 0000004309 00000 n 0000015322 00000 n 0000003400 00000 n WARNING: Intermountain authorized users only. 0000066042 00000 n They then work to continually refine and improve each care process. 0000015624 00000 n 0000003093 00000 n 0000004712 00000 n 0000005756 00000 n A child who is about 10 or older can complete the screener. 113021080>ca`labefpe|$X)Cc+G>[.3A/20 0000066391 00000 n 1846 0 obj <>stream 0000005250 00000 n 0 0000071068 00000 n 0000006843 00000 n 0000070999 00000 n following: (1) modifying Intermountain data on any of Intermountain information systems; 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 0000007790 00000 n 0000065951 00000 n 0000019636 00000 n 0000032127 00000 n 0000165412 00000 n 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.. 0000010167 00000 n 3276 0 obj <>stream 0000011770 00000 n Fact Sheet Published in 2021 Printer-friendly version 0000002947 00000 n 0000078906 00000 n %PDF-1.7 % 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. 0000012129 00000 n Mary Ann Baily, Ph.D. hb``0f``d`e` l,x70y7Yc[%Lq|cO 'rX)!2[HQ(WVE 0khhDGG; J@(}=bw&5_R 0000054276 00000 n He brought with him a background in medical research, having previously held positions at the National Cancer Institute and the Harvard School of Public Health, as well as an interest in the theory and methods of W. Edwards Deming. 0000033569 00000 n 0000015259 00000 n Reducing costs for patients with diabetes: What you need to know 0000180800 00000 n The partnership has provided value to RFL on many levels. 0000002580 00000 n 0000006529 00000 n 0000076190 00000 n 0000009347 00000 n 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. 0000007513 00000 n 0000050475 00000 n Additional assistance with risk assessment: iCentra order algorithm, Score Line 801-50-SCORE ( providers only ), and Connect Care 801-442-4457. 0000066109 00000 n 0000068805 00000 n 0000018335 00000 n 6440 0 obj <>stream 0000027605 00000 n 0000058433 00000 n Fortunately Intermountain Healthcare (among others) publishes their Care. trailer 0000177977 00000 n 0000023429 00000 n 0000045385 00000 n 0000079895 00000 n Its good to see that even after 18 months of introducing a complex programme, we see the general enthusiasm growing daily.. 0000208680 00000 n 0000051827 00000 n CPMs also include education, communication and data standards so process and outcome measures are truly meaningful and comparable across institutions. h1 01!\Ax'MF[!!z 1- 0000009425 00000 n 0000072122 00000 n 0000005387 00000 n If you will still be using Intermountain's network, systems or data, information about your use may be reviewed, 0000179407 00000 n Lifestyle and Weight Management for Children and Adolescents 0000079310 00000 n by Amy Bowen | Kaye Coholan 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). 0000029880 00000 n 0000056444 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. | Dr Chris Streather hUiPG~=";.^qv12%&e-Kg.^OPxx7(w~X]"`~g 0000013703 00000 n 0000066203 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. 0000017396 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. 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. 0000064797 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. Intermountain Health hiring Medical Assistant Allergy Clinic in 0000019646 00000 n 0000029608 00000 n Intermountain Health Care - Case - Harvard Business School 0000031239 00000 n Administers screening tests to . ALL RIGHTS RESERVED. 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. 1425 0 obj <> endobj 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. 0000017688 00000 n 0000050231 00000 n 0000004263 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. 0000015816 00000 n 0000018163 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. 0000128388 00000 n 2:1b``AY0 tbg(8/C3n0=~ 0000014978 00000 n If this is an emergency please go to the nearest emergency room or call 911. 0000011998 00000 n H\@. Additionally, the PIPS team has clinicians available for consultation when needed. 0000176436 00000 n PingID. startxref 2007-2021 INTERMOUNTAIN HEALTHCARE. under the leadership of Intermountain Healthcare's Behavioral Health Clinical Program. 0000013362 00000 n The partnership with Intermountain has allowed us to learn the positive things, and the things theyve found difficult, the pitfalls and bear traps theyve discovered, and thats made it easier to be open to the perspective of people that have walked the journey before us.. 0000004926 00000 n 0000165371 00000 n monitored, audited, and stored. 0000064758 00000 n \H6Hl7% K{X0(%p* *\y~b!o^%CIe%'jR$b $zoE)fPBgf+"jf6yy/i>>XmHm!$ 0000050398 00000 n 0000129774 00000 n 0000086355 00000 n 0000069140 00000 n 0000008994 00000 n 0000025653 00000 n 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. 0000005227 00000 n 0000005286 00000 n 0000007049 00000 n 0000044620 00000 n 0000031920 00000 n 0000006783 00000 n View wait times and save your place in line at an Intermountain InstaCare location near you. 0000045671 00000 n Intermountain Health Care (IHC), an integrated delivery system based in Utah, has adopted a new strategy for managing health care delivery. Organising care in this way facilitates a broader, more longitudinal view of whats necessary to treat a condition. 0000053054 00000 n Seeing their institutional processes adapted by other health systems is a validation of the approach. 0000166102 00000 n 0000170251 00000 n 0000000016 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. 0000012415 00000 n 0000029050 00000 n 0000055034 00000 n Using a theoretical framework of eight stages of change[18], the authors described the imple-mentation of the care process model in the RICU. As a founding member of the Together 2 Goal program, Intermountain's Medical Group Diabetes Care Process Model serves as the primary source material for much of the initiative.
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