0000006881 00000 n hSYPW>G&$B% i}(!IA|C;N3mJd1 @EbBBDQ(+ 0000005911 00000 n 0000060865 00000 n First, primary care providers and care teams can meaningfully respond to family needs that may prevent trauma exposure in children (0 5 years) through the use of the SEEK questionnaire and Road Map of Care for Pediatric Trauma Prevention. Part of the partnership has been learning that it is not a one-to-one process of dropping in methodology from Intermountain to RFL, and that the Trust has adapted the ideas to their own circumstances. 0000177263 00000 n 0000007942 00000 n 0000002571 00000 n \H6Hl7% K{X0(%p* *\y~b!o^%CIe%'jR$b $zoE)fPBgf+"jf6yy/i>>XmHm!$ monitored, audited, and stored. How old does a child need to be to complete the traumatic stress screener? 0000006063 00000 n 0000005742 00000 n 0000010273 00000 n There is quite a lot of admiration in the United Kingdom for some of the system-wide approaches for improving quality in the United States, said Dr Streather. 0000028071 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. * This CPM presents a model of best care based on the best available scientific evidence at the time of publication. 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. 0000060731 00000 n 0000178647 00000 n P , s &v. The PIPS team can help you identify resources in your area. 0000010474 00000 n 0000079460 00000 n 0000002048 00000 n 0000226561 00000 n 0000006373 00000 n 0000000016 00000 n 0000002388 00000 n 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. 0000056204 00000 n 0000010857 00000 n 0000226944 00000 n 1 Resources for Parents and Caregivers /}>8N{oN9sw @P|&AM. trailer Critical to the relationships success is that Intermountain leaders visit RFL and can provide guidance and feedback in real time and on-site. by Cerner UK 0000170459 00000 n 0000039302 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 Healthcare's Primary Children's Hospital. 0000043417 00000 n 0000007562 00000 n 0000018223 00000 n Intermountain will use a regional deployment strategy to bring all acute care facilities, ambulatory . 0000009347 00000 n 0000009340 00000 n 0000033569 00000 n 0000004256 00000 n Nope. 0000038525 00000 n 0000057886 00000 n 0000014009 00000 n 0000059623 00000 n 0000015431 00000 n Acronym: CPM Targeted Populations: Ages 6-18; both males and females; for children who have experienced a wide range of traumas. 0000072671 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. 3276 0 obj <>stream The way Royal Free reaches out to the community, thats a big push for Intermountain right now. 0000080004 00000 n 0000000016 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. startxref 0000007723 00000 n 0000051827 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 %PDF-1.7 % Intermountain Healthcare convened a team consisting of executive leadership, the enterprise initiative office and internal medicine leaders to design the RPC. %%EOF 0000022000 00000 n Failing to address variations can negatively impact the ability to provide quality, consistent, safe and cost-effective care. (2) removing Intermountain data from any Intermountain information system; or 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. 0000056444 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. 0000071295 00000 n 0000009463 00000 n 0000003264 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. Nom. 0000066218 00000 n 0000041107 00000 n 1719 0 obj <>stream 0000008994 00000 n 0000013631 00000 n 0000039904 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.. 0000017200 00000 n Dr Streather noted that seeking out partnerships to improve is an essential part of growth, but that it is not always easy. 0000011732 00000 n 0000023593 00000 n 0000008395 00000 n trailer 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. <<969DFD35F0E1574DA86361927245C514>]/Prev 975812/XRefStm 3817>> . 0000011817 00000 n Key Points All pregnant patients at 20 weeks of gestation require a Labor and . 0000076040 00000 n 0000027605 00000 n hUiPG~=";.^qv12%&e-Kg.^OPxx7(w~X]"`~g 0000220433 00000 n 0000003820 00000 n This care process model (CPM) and accompanying patient education were developed by a multidisciplinary team including primary . 0000007949 00000 n by Cerner UK 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. 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 0000003817 00000 n 0000128388 00000 n 0000004039 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}. 0000258879 00000 n 0000088156 00000 n 0000225756 00000 n 0000177729 00000 n 0000064797 00000 n 0000176611 00000 n 0000044620 00000 n 0000054276 00000 n startxref 0000002990 00000 n 0000012208 00000 n 0000008837 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. 0000008428 00000 n 0000008676 00000 n 0000166102 00000 n CPM020 - 01/21 3 COPD CPM JANUARY 2021 TABLES TABLE 1. 0000180800 00000 n 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. 0000005602 00000 n Each of the eight stages of change has a corresponding pitfall. Two of the first clinical programmes developed were cardiovascular, and women and newborns. 0000005541 00000 n 0000079708 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. 0000023553 00000 n 0000039661 00000 n 3175 102 0000066391 00000 n 0000038439 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. ALL RIGHTS RESERVED. Attempts to publish pathway development in the peer-reviewed literature are limited by lack of scientific rigor. 0000002361 00000 n Intermountain Healthcare: Towards an integrated, value-based model Intermountain (US) UH Bristol (UK) TTSH (Singapore) VCHI (US) Show sources Briefing paper Tackling waste is a difficult but. It is extremely important to screen patients until there are no further limitations on testing capacity. 0000004619 00000 n 0000008748 00000 n It turns out that clinical process management and improvement is our core business strategy.. 0000176359 00000 n Intermountain used this philosophy to organise its most common care processes under the direction of an operations structure called clinical programmes. 0000033986 00000 n At two of our sites, we were immediately able to capture data-driven outcomes from the newly digitised pathways, said Dr Streather. 0000021696 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. 0000075971 00000 n 0000006529 00000 n 0000028737 00000 n 0000026052 00000 n 0000009348 00000 n 0000179484 00000 n 0000050231 00000 n Pierre-Henri Brchat, Pascal Briot, Lucy Savitz, Ross Fulton. H\@. 0000070461 00000 n 0000005788 00000 n 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). 0000032530 00000 n 0000079241 00000 n 0000086035 00000 n 0000001556 00000 n 0000016612 00000 n 0000015005 00000 n 0000078906 00000 n 0000025382 00000 n 0000054116 00000 n 0000023458 00000 n All rights reserved. We already have resource guides developed for many counties in Utah. 0000208680 00000 n 0000006066 00000 n 0000053140 00000 n 0000009527 00000 n 0000057752 00000 n 0000002834 00000 n 0000066035 00000 n 0000005387 00000 n 0000009151 00000 n 0000065867 00000 n 0 0000058348 00000 n 0000084446 00000 n When should the child or caregiver complete the traumatic stress screener? The clinical practice groups are changing the way we provide care in a profound way, said Streather. 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. View wait times and save your place in line at an Intermountain InstaCare location near you.
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