0000044620 00000 n 0000009348 00000 n 0000018223 00000 n Deming, who trained as an electrical engineer, believed that quality and cost are inextricably linked, and creating efficiencies in any process would lead to reduced costs and increased quality. !C4@$8 y 0000058348 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. 0000009925 00000 n 0000007050 00000 n PingID. (2) removing Intermountain data from any Intermountain information system; or 0000177977 00000 n 0000055101 00000 n 0000005602 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. 0000005387 00000 n *(N}L{{./ +A C C9p:nY)-({ ~U 4|VfI)3%N>K, L7 0000006208 00000 n 0000179289 00000 n 0000084446 00000 n 268 0 obj <>stream 0000066307 00000 n Each visit is centred around a single theme to allow for a focused deep dive into that specialty. The Services Directory has information about Nationwide providers. 0000066540 00000 n Continue below to learn more about the implementing the Child Traumatic Stress Care Process Model in a pediatric primary care setting. 1 Resources for Parents and Caregivers h1 01!\Ax'MF[!!z 1- %PDF-1.7 % This article originally appeared inPerspectives, a thought leadership publication dedicated to rising trends and issues in the healthcare and IT industry. View wait times and save your place in line at an Intermountain InstaCare location near you. 0000023004 00000 n It is extremely important to screen patients until there are no further limitations on testing capacity. 0000168976 00000 n 0000024509 00000 n 0000016606 00000 n Mild range scores (0 10) protective approach, Moderate range (11 20) resilient approach, Severe range (21 or higher) restorative approach. 0000129774 00000 n 0000110760 00000 n 0000004208 00000 n 3276 0 obj <>stream 0 0000005441 00000 n 0000004256 00000 n 0000013362 00000 n 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 Dr Streather noted that seeking out partnerships to improve is an essential part of growth, but that it is not always easy. 0000004060 00000 n 0000005048 00000 n This CPM includes two processes to address child traumatic stress across the pediatric lifespan. 0000045214 00000 n 0000008863 00000 n 0000024023 00000 n 0000009151 00000 n Ive rarely seen in the NHS such buy-in from the clinical community, he said. 0000000016 00000 n The power of building relationships is not just what can be done today, but what we can work on tomorrow, he added. 1736 0 obj <> endobj 0000006066 00000 n Send us an email or give us a call if you have questions. 0000078906 00000 n 0000005233 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. All statements, protocols, and recommendations herein are viewed as transitory and iterative. 0000007723 00000 n 0000079428 00000 n 206 0 obj <> endobj 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. 0000033569 00000 n 0000005093 00000 n 0000031920 00000 n This is the healthcare-specific version of what is known in lean terminology as "mass customization." At Intermountain Healthcare, we are looking for Medical Assistants who are patient-focused and engaged. 0000039904 00000 n 0000057752 00000 n 0000015820 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). 0000193542 00000 n 0000008541 00000 n H\j0EY& CpijY_'P#suGC 'b~. 0000010857 00000 n Acronym: CPM Targeted Populations: Ages 6-18; both males and females; for children who have experienced a wide range of traumas. 0000012129 00000 n The PIPS team can help you identify resources in your area. This care process model (CPM) is maintained by Intermountain Healthcare's Lower Respiratory Tract Infection Team, . %PDF-1.7 % 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 0000009452 00000 n 0000165412 00000 n 0000001979 00000 n 0000228696 00000 n 0000060023 00000 n 0000006843 00000 n 0 0000002947 00000 n 0000076158 00000 n 0000006219 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.. 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 0000050145 00000 n 0000079310 00000 n 0000062870 00000 n 0000022401 00000 n 0000177729 00000 n 0000065951 00000 n 0000057819 00000 n 0000071295 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. 0000017688 00000 n 0000004039 00000 n trailer 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. 0000000016 00000 n 0000038456 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. 0000027605 00000 n 0000070665 00000 n 0000048319 00000 n Prnom. 0000005286 00000 n 0000226257 00000 n 0000012852 00000 n 0000050398 00000 n 0000018590 00000 n %%EOF Choose a state from the dropdown to add local service providers. 0000003556 00000 n 0000009463 00000 n 0000072898 00000 n When should the child or caregiver complete the traumatic stress screener? Within a health system, unwarranted clinical variance is understood as the difference in clinical practices and services that do not derive from unique patient needs and that may involve the overuse, underuse or misuse of medical services. 0000005911 00000 n 0000033836 00000 n <<3AE4BE8F4CF5524D9372135619CC8848>]/Prev 518892>> 9-FCr-+| E+dJgx!Ck 0000022000 00000 n 0000132822 00000 n 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. 0000005448 00000 n 3175 102 0000006999 00000 n 0000011885 00000 n 0000000016 00000 n 0000110685 00000 n 0000005907 00000 n 0000001556 00000 n 0000118904 00000 n 0000170561 00000 n 0000170459 00000 n 0000072789 00000 n 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 0000005227 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. 0000013288 00000 n Involving patients and clinicians in the design of care pathways has also given them a stake in the success of the project. 0000063001 00000 n 0000220433 00000 n Fortunately Intermountain Healthcare (among others) publishes their Care. 0000005294 00000 n 6346 0 obj <> endobj Attempts to publish pathway development in the peer-reviewed literature are limited by lack of scientific rigor. They then work to continually refine and improve each care process. When we visit Intermountain, we bring senior-level executives, but we also take people who are directly involved in care, said Dr Streather. We recommend that child or caregiver complete the child traumatic stress screener while in the waiting room, prior to their appointment. If this is an emergency please go to the nearest emergency room or call 911. 0000023458 00000 n 0000071218 00000 n 0000005751 00000 n 0000009340 00000 n 0000008067 00000 n Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device.Learn More. 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. 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. 0000208680 00000 n 0000000016 00000 n 0000066617 00000 n startxref 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. Groundbreaking population health and value model will improve affordability and access to care. Mot de passe (8 caractres ou plus) . 0000051498 00000 n 0 following: (1) modifying Intermountain data on any of Intermountain information systems; 0000008994 00000 n 0000063674 00000 n 0000007513 00000 n Intermountain used this philosophy to organise its most common care processes under the direction of an operations structure called clinical programmes. 0000008837 00000 n Based on national guidelines and emerging evidence and shaped by local expert opinion, this CPM provides practical strategies . 0000009576 00000 n 0000034112 00000 n %%EOF If you will still be using Intermountain's network, systems or data, information about your use may be reviewed, 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. CPMs are meant to provide an evidence-based and standardised way to address the core clinical processes that matter most to their patients and clinicians. 0000008535 00000 n 0000177263 00000 n trailer 0000054036 00000 n 0000180800 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. 0000008918 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. 0000015893 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. If the parent is completing the screener, they will receive a different version. 0000060731 00000 n Sign In Options. 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. 3 September 2021 Franklin G. Miller, Ph.D., and Ezekiel J. Emanuel, M.D., Ph.D. [EV~P\>Qr78vJ|;w,qdP7Q)N/(5kJ[;zXG$Ai?"s nBg5S9"{Y(^rS4w7,!l2"O+^y'UvvBbS=&r65[8gx&DnyegC_oWvem$,kN The back page summarizes antibiotic recommendations and notes . 0000025653 00000 n Its okay to answer their questions. 0000072478 00000 n 0000076267 00000 n 0000073461 00000 n Published February 21, 2008. Care Process Model JUNE 2019 2019 Update GOALS & MEASUREMENTS The goal of this CPM is to improve the . 0000004033 00000 n 0000060865 00000 n %PDF-1.7 % 0000066391 00000 n 0000011770 00000 n by Treesa Carter | James Hitter 0000017200 00000 n 0000059783 00000 n Users are prohibited from doing any of the 0000069140 00000 n intervention with those in the low symptom range. Failing to address variations can negatively impact the ability to provide quality, consistent, safe and cost-effective care. 0000016011 00000 n 0000008500 00000 n 0000053140 00000 n This care process model (CPM) and accompanying patient education were developed by a multidisciplinary team including primary . 0000055034 00000 n YC@NgR&Qr? >~.>* T`- 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. 0000226944 00000 n 0000005079 00000 n Intermountain Healthcare is a Utah-based, not-for-profit system of 22 hospitals, a Medical Group with more than 1,600 physicians and advanced practice clinicians at about 180 clinics, a health plans division called SelectHealth, and other health services. Two of the first clinical programmes developed were cardiovascular, and women and newborns. How to address things like education, food and transportation, these are things the British government has been doing aggressively since WWII.. 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. 0000002361 00000 n 0000007562 00000 n 0000003400 00000 n 0000004619 00000 n 0000007525 00000 n 0000011998 00000 n 3175 0 obj <> endobj 0000029050 00000 n 0000178370 00000 n 0000006077 00000 n 0000065800 00000 n 6440 0 obj <>stream 0000008135 00000 n 0000058433 00000 n 0000075971 00000 n We already have resource guides developed for many counties in Utah. /}>8N{oN9sw @P|&AM. Follow Up at Regular Intervals 1425 82 0000170251 00000 n 0000002388 00000 n 0000013703 00000 n 0000072821 00000 n Enzyme Replacement Therapy, Mucopolysaccharidosis Type I (MPS 1) Orthopedic Manifestations & 0000008709 00000 n trailer 0000063228 00000 n 0000008244 00000 n 0000017841 00000 n 0000036974 00000 n 0000002580 00000 n 0000176512 00000 n 0000004556 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. 0000016612 00000 n 0000007153 00000 n 0000084970 00000 n 0000033890 00000 n 0000080004 00000 n 0000059623 00000 n 0000226638 00000 n 0 At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. 1660 0 obj <> endobj 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. Improving care quality and reducing cost are two of the highest priority goals for healthcare leaders. 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. 0000007942 00000 n 0000050475 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. 0000016606 00000 n Inscrivez-vous pour postuler au poste de Medical Assistant chez Intermountain Health. 0000020129 00000 n 0000086222 00000 n 0000087726 00000 n 0000132863 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. under the leadership of Intermountain Healthcare's Behavioral Health Clinical Program. Screen for child traumatic stress. hWkTSsH LB%A h oIBxH P,ZA Organising care in this way facilitates a broader, more longitudinal view of whats necessary to treat a condition. 0000049258 00000 n Mary Ann Baily, Ph.D. 0000081734 00000 n WARNING: Intermountain Healthcare's Information Systems resources are for Intermountain approved purposes only. 0000006937 00000 n 0000054116 00000 n "I`IvWdZ>B.nJ.o}LVL:}T{&!Qd4l;( q& Q/b2N$5%/wTg?8YSneUE+ 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. 0000005131 00000 n 0000063196 00000 n 26 April 2022 0000022254 00000 n 0000089548 00000 n 0000011615 00000 n Learning some of these differences has provided insight for Intermountain into what may be possible in the future. 0000020531 00000 n 0000170355 00000 n 206 63 0000008395 00000 n 0000009981 00000 n 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. 0000058232 00000 n P , s &v. 0000045671 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. 2:1b``AY0 tbg(8/C3n0=~ The clinical practice groups are changing the way we provide care in a profound way, said Streather. %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 & 0000038376 00000 n 0000009527 00000 n 0000014401 00000 n Additional assistance with risk assessment: iCentra order algorithm, Score Line 801-50-SCORE ( providers only ), and Connect Care 801-442-4457. 0000017260 00000 n 0000056204 00000 n 0000021043 00000 n 0000031343 00000 n 0000036090 00000 n 0000057953 00000 n Ping Identity Corporation. 0000169759 00000 n It helps primary care providers identify areas of potential high risk for the child and provide relevant information and support to the parents / caregivers. 0000007790 00000 n 0000072122 00000 n 0000029608 00000 n 0000066119 00000 n Still not finding what you are looking for? xref xref 0000129815 00000 n 0000118945 00000 n 0000052164 00000 n 0000004309 00000 n 0000026052 00000 n 0000005003 00000 n 0000003093 00000 n What if the child or parent asks me a question about the screener while they are filling it out? 0000198367 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. 0000014285 00000 n 0000038525 00000 n 0000068805 00000 n 5-Step Model for Creating a Virtuous Medical and Financing System to Enhance the Health and Well being of Future Generations. 0000006553 00000 n 0000084852 00000 n 0000063119 00000 n 0000010273 00000 n by Cerner UK 0000025573 00000 n 0000050304 00000 n 0000084783 00000 n Important features included creating meaningful alignment around value, building teams to drive the transition and implementing supportive workflows and technological innovations. CPMs also include education, communication and data standards so process and outcome measures are truly meaningful and comparable across institutions. We are already on our way to digitising 20 of those 44 pathways and will eventually have all 44 in the EHR.. 0000014102 00000 n 0000005742 00000 n 0000176611 00000 n It is not a prescription for every physician or every patient, nor does it replace clinical judgment. Additionally, the PIPS team has clinicians available for consultation when needed. SEEK is an effective model for prevention of abuse / neglect in early childhood. 0000081921 00000 n 0 %PDF-1.7 % startxref 0000065867 00000 n 0000025382 00000 n 0000016722 00000 n Modified Medical Research Council Breathleness Scale (mMRC) 0000005695 00000 n It takes humility to recognise that you dont have all the answers and seek out people who are leaders in their field, he said. 0000165371 00000 n 0000079460 00000 n 0000004046 00000 n 0000258879 00000 n 0000066141 00000 n trailer 0000026552 00000 n 0000012798 00000 n 0000051827 00000 n What resources are available to get children into therapy? 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.. 1 KEY POINTS The focal points discussed in this CPM include: Treating asymptomatic bacteriuria with antibiotics offers no benefit 0000177340 00000 n 0000066035 00000 n Dr James was hired by Intermountain in 1986 as the director of medical research and continuing medical education. 0000005541 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. 0000014673 00000 n Only authorized users with an appropriate business need and legal right may use these resources. 0000050364 00000 n 0000015322 00000 n If the child is younger than 10 or has developmental limitations, then the parent/caregiver can complete the screener for them. 0000035663 00000 n 0000000016 00000 n 0000015624 00000 n 0000014692 00000 n 0000013265 00000 n 1660 60 0 0000008976 00000 n 0000043331 00000 n 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 .