0000065800 00000 n xref 0000021680 00000 n 0000001556 00000 n 0000004256 00000 n hUiPG~=";.^qv12%&e-Kg.^OPxx7(w~X]"`~g 0000002361 00000 n 0000004300 00000 n 0000045274 00000 n xref All rights reserved. 0000128388 00000 n 0000071068 00000 n 0 0000079777 00000 n 0000176436 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. 0000053140 00000 n 0000017626 00000 n 0000012722 00000 n 0000063119 00000 n 0000055101 00000 n 2007-2021 INTERMOUNTAIN HEALTHCARE. 0000226561 00000 n 0000165799 00000 n 0000016612 00000 n Important features included creating meaningful alignment around value, building teams to drive the transition and implementing supportive workflows and technological innovations. 0000009144 00000 n 0000066617 00000 n 0000007263 00000 n Users are prohibited from doing any of the 0000005681 00000 n 0000081400 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. 0000179100 00000 n 0000228696 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.. 0000079537 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. Dr Streather noted that seeking out partnerships to improve is an essential part of growth, but that it is not always easy. 0000064758 00000 n 0000005387 00000 n 0000008093 00000 n 0000084970 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. 0000014102 00000 n 0000019636 00000 n 0000070999 00000 n 0000132101 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. 0000004401 00000 n This CPM includes two processes to address child traumatic stress across the pediatric lifespan. 0000005131 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. Click for details. A child who is about 10 or older can complete the screener. %%EOF 0000059703 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. 0000008244 00000 n 0000004293 00000 n 0000028071 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. Its okay to answer their questions. 0000170561 00000 n If the parent is completing the screener, they will receive a different version. 0000018163 00000 n 0000051827 00000 n If symptom severity remains unchanged or worsens, consider alternatives such as providing a new brief in-office intervention, reinforcing the need to follow through with treatment for those who have not, or changing the treatment stratification and therapy referral to a more intensive approach. WARNING: Intermountain authorized users only. 0000226944 00000 n 0000011770 00000 n Once we understood the science of process management techniques as derived and applied in the business world could be brought into healthcare, we had our secret sauce and we knew we needed to teach that science to our teams, said Dr Todd Allen, senior executive medical director for the Healthcare Delivery Institute at Intermountain. 0000010273 00000 n 0000011106 00000 n 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 . 0000041140 00000 n 0000003129 00000 n 0000165371 00000 n 0000037253 00000 n 0000064797 00000 n 0000006007 00000 n 0000022000 00000 n 0000177729 00000 n 0000002947 00000 n 0000129815 00000 n 1 KEY POINTS The focal points discussed in this CPM include: Treating asymptomatic bacteriuria with antibiotics offers no benefit Ping Identity Corporation. . The CPM also guides family decision making, links at-risk children to evidence-based trauma therapy, and encourages providers' use of in . 0000068805 00000 n 0000018335 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. The multidisciplinary team is tasked with asking how they can improve the care processes within the programme. Published August 9, 2007, Quality- Improvement Research and Informed Consent. 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. 0000058433 00000 n 0000057819 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. 0000015816 00000 n 0000005534 00000 n 0000024509 00000 n 0000013288 00000 n 0000004208 00000 n 0000179788 00000 n under the leadership of Intermountain Healthcare's Behavioral Health Clinical Program. 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. 0000225797 00000 n 0000017200 00000 n 0000003817 00000 n Do I need to be a therapist to administer the screener or provide in-office interventions? 0000006220 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. 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. 0000009981 00000 n 0000014009 00000 n 0000066391 00000 n 0000002368 00000 n 0000005286 00000 n 0000029880 00000 n 0000056204 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. Behaviors, Attention-Deficit/Hyperactivity Disorder (ADHD) & Mood Disorders, Fetal Alcohol Spectrum Disorder Distinguished from Autism, Mucopolysaccharidosis Type I & Motor Development, Mucopolysaccharidosis Type I (MPS 1) Genetics, Mucopolysaccharidosis Type I (MPS 1) Hematopoietic Stem Cell Transplantation & 0000031239 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. 0000004619 00000 n 0000177828 00000 n The clinical practice groups are changing the way we provide care in a profound way, said Streather. 0000081734 00000 n 0000005003 00000 n 0000005441 00000 n 0000045385 00000 n It is extremely important to screen patients until there are no further limitations on testing capacity. 0000007843 00000 n CPM uses several different tools to look for trauma exposure (recent and remote events), suicidality and self-harm, and traumatic stress symptoms. 0000034579 00000 n 0000069327 00000 n 0000038525 00000 n startxref by Amy Bowen | Kaye Coholan 0000072602 00000 n The partnership has provided value to RFL on many levels. 0000041107 00000 n 0000001530 00000 n intervention with those in the low symptom range. 0000045738 00000 n 0000052882 00000 n 0000023553 00000 n 0000007337 00000 n 0000007562 00000 n 0000048275 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. 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. 0000045671 00000 n It is not a prescription for every physician or every patient, nor does it replace clinical judgment. In primary care settings, you can evaluate the response to services using the Pediatric Traumatic Stress Screening Tool at follow up visits. 0000041187 00000 n 0000005911 00000 n 0000072478 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. 0000006066 00000 n 0000058232 00000 n We have 44 pathways in operation, which represents about 60 to 70 percent of our clinical patient-facing activity. Andrew D. Auerbach, M.D., M.P.H., C. Seth Landefeld, M.D., and Kaveh G. Shojanie, M.D. 0000007488 00000 n 0000004033 00000 n 0000007942 00000 n This care process model (CPM) was developed by Intermountain Healthcare's Antibiotic Stewardship and Community-Based Care teams. Ive rarely seen in the NHS such buy-in from the clinical community, he said. 0000044620 00000 n 0000220433 00000 n 0000050304 00000 n 1846 0 obj <>stream 0000073570 00000 n 0000009151 00000 n Intermountain will use a regional deployment strategy to bring all acute care facilities, ambulatory . 0000003093 00000 n trailer 0 Incorporating the newly redesigned pathways into the EHR has had an immediate impact for RFL. %PDF-1.7 % 0000004619 00000 n 0000086222 00000 n 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. 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. 0000045545 00000 n 0000070354 00000 n 206 63 0000022254 00000 n 0000179484 00000 n 0000025382 00000 n 0000060798 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. Intermountain Health Care (IHC), an integrated delivery system based in Utah, has adopted a new strategy for managing health care delivery. H\@. 0000088233 00000 n The really great benefits of the relationship between Intermountain and Royal Free are in the future of working together to apply what we already know in newer and better ways., Senior executive medical director for the Healthcare Delivery Institute, Vice president at Cerner and medical executive for iCentra development at Intermountain Healthcare. 0000193542 00000 n 0000069209 00000 n 0000006783 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. 0000014673 00000 n 0000009984 00000 n This care process model was developed to help guide the general practitioner on outpatient screening for diabetes and management of type 2 diabetes in patients within the University of Utah and Intermountain Healthcare systems. 0000010514 00000 n 0000020531 00000 n 0000073493 00000 n 0000005742 00000 n Go to my One Account. 0000225874 00000 n 0000013265 00000 n 0000177145 00000 n 0000208680 00000 n Learning some of these differences has provided insight for Intermountain into what may be possible in the future. Improving care quality and reducing cost are two of the highest priority goals for healthcare leaders. 0000050145 00000 n 0000000016 00000 n WARNING: Intermountain Healthcare's Information Systems resources are for Intermountain approved purposes only. 0000002281 00000 n At two of our sites, we were immediately able to capture data-driven outcomes from the newly digitised pathways, said Dr Streather. C-suite leadership has been overwhelmingly supportive of the project, furthering the message that the Trust is serious about reducing variance and improving care. 0000076158 00000 n 0000022401 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. 0000056318 00000 n 0000026552 00000 n 0000002580 00000 n 0000032127 00000 n 0000023458 00000 n 0000072671 00000 n 0000168976 00000 n 0000059863 00000 n 0000039302 00000 n 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. 0000005596 00000 n 0000018097 00000 n 0000066540 00000 n 0000011492 00000 n 0000087649 00000 n 0000002325 00000 n 0000073461 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. 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. 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. 0000071295 00000 n 0 Organising care in this way facilitates a broader, more longitudinal view of whats necessary to treat a condition. 0000084852 00000 n Follow Up at Regular Intervals 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.. Administers screening tests to . 0000023018 00000 n 0000018484 00000 n Intermountain Healthcare Delivery Institute, Skip to Intermountain Healthcare company wide navigation, Skip to Intermountain Healthcare company wide footer navigation, Sustaining and Extending Clinical Improvements: A Health 95 Systems Use of Clinical Programs to Build Quality Infrastructure, by Brent C. James, Joel S. Lazar, Clinical Programs, Development Teams, and CPMs, Guidebook for Implementation of a Clinical Work Process-Based Organizational Structure, Managing for Ethical Health Care Delivery, The Hastings Center - Health Care Quality Improvement: Ethical and Regulatory Issues, Quality Improvement and Ethical Oversight, The Tension Between Needing to Improve Care and Knowing How to Do It. 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). 0000169759 00000 n 0000014692 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. The report also estimated that approximately 75,000 deaths might have been prevented in 2005 if every U.S. state had provided care at a quality level on par with the best performing state. 0000066119 00000 n 0000056444 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. \H6Hl7% K{X0(%p* *\y~b!o^%CIe%'jR$b $zoE)fPBgf+"jf6yy/i>>XmHm!$ 0000004465 00000 n 0000049258 00000 n 0000004246 00000 n <]/Prev 276186/XRefStm 2368>> 0000170251 00000 n 0000031920 00000 n 0000110685 00000 n 0000069140 00000 n This work was funded through federal grant monies allocated by the National Child Traumatic Stress Initiative (NCTSI), which is part of the Substance Abuse and Mental Health Services Administration (SAMHSA). 0000005756 00000 n 0000033986 00000 n 0000028737 00000 n 0000007424 00000 n 0000047145 00000 n This care process model (CPM) and accompanying patient education were developed by a multidisciplinary team including primary . 0000011835 00000 n 0000033890 00000 n When should the child or caregiver complete the traumatic stress screener? 0000054276 00000 n 0000177977 00000 n @G 0000086355 00000 n Copyright 2003-2020. 0000176241 00000 n 0000006531 00000 n What if the child or parent asks me a question about the screener while they are filling it out? 3175 0 obj <> endobj 0000050231 00000 n 0000088537 00000 n 0000026052 00000 n 0000065716 00000 n Sign In Options. 0000258879 00000 n 0000020693 00000 n 0000015820 00000 n 0000079708 00000 n 0000018713 00000 n >iDTPTTqbZ]w;$zm3{! The clinical leadership for the digitisation programme is divided into RFLs four clinical divisions: Medicine, Surgery, Specialist Services, and Womens, Childrens and Diagnostics. 0000006950 00000 n 0000008428 00000 n 0000179023 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. 0000009340 00000 n 0000000016 00000 n 30 June 2022 0000000016 00000 n 0000062915 00000 n 0000017996 00000 n 0000087852 00000 n 0000010300 00000 n 1506 0 obj <>stream 0000088156 00000 n Fortunately Intermountain Healthcare (among others) publishes their Care. startxref 0000053054 00000 n 0000021559 00000 n 0000072266 00000 n | Dr Chris Wood 0000004046 00000 n 0000076267 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. 0000009925 00000 n Additionally, the PIPS team has clinicians available for consultation when needed. 0000178370 00000 n CPMs also include education, communication and data standards so process and outcome measures are truly meaningful and comparable across institutions. 0000076190 00000 n 0000005233 00000 n Biometrics. monitored, audited, and stored. RFL has upwards of 80 clinicians involved in this process in each of the four divisions and has digitised seven pathways with plans to digitise additional pathways two at a time through a standard process. 0000023004 00000 n 0000009576 00000 n 0000005788 00000 n 0000024023 00000 n Published on 8 March 2019. 0000007939 00000 n View wait times and save your place in line at an Intermountain InstaCare location near you. 0000004309 00000 n 0000075636 00000 n 0000004039 00000 n 0000017688 00000 n 0000008748 00000 n 0 0000002388 00000 n 7 September 2022 0000036090 00000 n 0000038439 00000 n There can be reticence to learn from others and there can sometimes be the resistance to adopting something that was someone elses idea. 0000015431 00000 n 0000023543 00000 n 0000044721 00000 n 0000003264 00000 n 0000110760 00000 n hSYPW>G&$B% i}(!IA|C;N3mJd1 @EbBBDQ(+ P , s &v. 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. 1719 0 obj <>stream 0000009348 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. . %%EOF 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. 0000035663 00000 n During development of the care process model, the authors found many aspects of ICU care that required substantial change. !C4@$8 y <<5BE851667CC40543996F5A9ED21E16D8>]/Prev 646447/XRefStm 3820>> 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. 0000065975 00000 n 0000014338 00000 n 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. 0000066307 00000 n At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. 0000014981 00000 n 1736 111 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. 0000011998 00000 n trailer 0000059943 00000 n 0000011030 00000 n <<7D7E07AF05D25B429403B179B549C510>]/Prev 735917/XRefStm 3093>> following: (1) modifying Intermountain data on any of Intermountain information systems; 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. At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. 0000072821 00000 n All statements, protocols, and recommendations herein are viewed as transitory and iterative. 0000008058 00000 n Based on national guidelines and emerging evidence and shaped by local expert opinion, this CPM provides practical strategies . 0000226257 00000 n %%EOF 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. 206 0 obj <> endobj trailer * 0000132863 00000 n Prnom. Published February 21, 2008. 0000023933 00000 n 0000010599 00000 n The PIPS team can help you identify resources in your area. 0000006553 00000 n Screen for child traumatic stress. 0000176359 00000 n Inscrivez-vous pour postuler au poste de Medical Assistant chez Intermountain Health. <<3AE4BE8F4CF5524D9372135619CC8848>]/Prev 518892>> Its good to see that even after 18 months of introducing a complex programme, we see the general enthusiasm growing daily.. 0000021696 00000 n What resources are available to get children into therapy? (3) duplicating any Intermountain data or placing a copy of any Intermountain data on any non-Intermountain asset. 0000072789 00000 n They then work to continually refine and improve each care process. /}>8N{oN9sw @P|&AM. 0000065951 00000 n 0000009463 00000 n 0000087726 00000 n 0000178647 00000 n 0000014285 00000 n 0000006999 00000 n Nom. 0000004263 00000 n 0000008541 00000 n
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