intermountain care process model

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. 0000069209 00000 n 0000065800 00000 n 0000002244 00000 n 0000015816 00000 n 0000002580 00000 n 2007-2021 INTERMOUNTAIN HEALTHCARE. 0000076040 00000 n 3276 0 obj <>stream 0000179289 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. Treesa Carter and James Hitter share their experiences of working on the transformation of health and social care integration at Suffolk County Council. 0000022000 00000 n 0000006063 00000 n 0000010567 00000 n 0000003302 00000 n 0000086035 00000 n Based on national guidelines and emerging evidence and shaped by local expert opinion, this CPM provides practical strategies . 0000009144 00000 n 0000003556 00000 n 0000004256 00000 n Care Process Model JUNE 2019 2019 Update GOALS & MEASUREMENTS The goal of this CPM is to improve the . 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. hb``0f``d`e` l,x70y7Yc[%Lq|cO 'rX)!2[HQ(WVE 0khhDGG; J@(}=bw&5_R 0000177729 00000 n Nope. 0000179407 00000 n by Dr Todd Allen (2) removing Intermountain data from any Intermountain information system; or 0000176611 00000 n 0000008313 00000 n <<7D7E07AF05D25B429403B179B549C510>]/Prev 735917/XRefStm 3093>> 0000039302 00000 n 0000070999 00000 n 0000043331 00000 n The Royal Free London NHS Foundation Trust (RFL) is one of the largest hospital Trusts in the NHS, employing more than 10,000 staff and serving 1.6 million patients across 20 sites in north London and Hertfordshire. 0000179100 00000 n 0000024509 00000 n startxref Then make 3 key decisions. 0000029050 00000 n 0000005093 00000 n 0000075636 00000 n Special attention is also paid to who attends each visit to ensure all stakeholders are involved. 0000037253 00000 n 0000010474 00000 n 0000176436 00000 n 0000012852 00000 n The Services Directory has information about Nationwide providers. 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. 0000086104 00000 n 0000009340 00000 n 0000179484 00000 n xref 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. 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. 0000017260 00000 n 0000050475 00000 n 0000014692 00000 n 0000026052 00000 n [EV~P\>Qr78vJ|;w,qdP7Q)N/(5kJ[;zXG$Ai?"s nBg5S9"{Y(^rS4w7,!l2"O+^y'UvvBbS=&r65[8gx&DnyegC_oWvem$,kN <<099953D8ECDC4449BF4B89817F7FC266>]/Prev 820759/XRefStm 5250>> At Intermountain Healthcare, we are looking for Medical Assistants who are patient-focused and engaged. %PDF-1.7 % Dr Streather noted that seeking out partnerships to improve is an essential part of growth, but that it is not always easy. When should the child or caregiver complete the traumatic stress screener? 0000073570 00000 n 0000017276 00000 n 0000013806 00000 n 0000003519 00000 n 0000132822 00000 n 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. 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. 0000079372 00000 n %%EOF 0000086396 00000 n 0000008863 00000 n 0000005756 00000 n 0000006531 00000 n 0000019018 00000 n Although realigning care at RFL is still a work in progress, the introduction of the CPG concept and its adaptation to the Trusts culture and needs is having an impact. Important features included creating meaningful alignment around value, building teams to drive the transition and implementing supportive workflows and technological innovations. 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. 0000009452 00000 n H\@. 0000005695 00000 n 3 September 2021 0000001979 00000 n 0000008686 00000 n | Dr Chris Wood 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. 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. A child who is about 10 or older can complete the screener. Each of the eight stages of change has a corresponding pitfall. 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. 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. 0000013288 00000 n 0000007562 00000 n Franklin G. Miller, Ph.D., and Ezekiel J. Emanuel, M.D., Ph.D. 0000007939 00000 n Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. It is not a prescription for every physician or every patient, nor does it replace clinical judgment. 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. | Dr Chris Streather 0000176241 00000 n 0000014981 00000 n 0000081803 00000 n 0000014285 00000 n One of the best features of the child traumatic stress care process model is that it can be administered by people who don't have a clinical background. 0000023553 00000 n 0000070354 00000 n Do I need to be a therapist to administer the screener or provide in-office interventions? 0000058433 00000 n 0000021680 00000 n 0000032530 00000 n Screen for child traumatic stress. 0000005602 00000 n 0000053140 00000 n 0000005448 00000 n 0000057752 00000 n 0000072671 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. %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 & Improving care quality and reducing cost are two of the highest priority goals for healthcare leaders. 6440 0 obj <>stream 0000056444 00000 n Two of the first clinical programmes developed were cardiovascular, and women and newborns. 0000004926 00000 n 0000010300 00000 n 0000025573 00000 n 0000009981 00000 n 0000179788 00000 n 6346 95 0000008994 00000 n 0000226257 00000 n 0000004046 00000 n xref This care process model (CPM) outlines the recommended approach. 0000028071 00000 n Special Instructions. 0000008395 00000 n 0000193542 00000 n 0000020693 00000 n 1736 111 Its good to see that even after 18 months of introducing a complex programme, we see the general enthusiasm growing daily.. 0000006822 00000 n Only authorized users with an appropriate business need and legal right may use these resources. The power of building relationships is not just what can be done today, but what we can work on tomorrow, he added. 0000010857 00000 n 0000028737 00000 n 0 0000226561 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). How old does a child need to be to complete the traumatic stress screener? 0000011817 00000 n 0000004619 00000 n 0000079708 00000 n For many children, belly breathing or mindfulness training (teens) will be able to slow down a racing heart or mind at bedtime to fall asleep easier or reduce the intensity of anxious / fearful or angry feelings. Attempts to publish pathway development in the peer-reviewed literature are limited by lack of scientific rigor. 0000004619 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. 0000004293 00000 n 1 KEY POINTS The focal points discussed in this CPM include: Treating asymptomatic bacteriuria with antibiotics offers no benefit 0000009151 00000 n We recommend that child or caregiver complete the child traumatic stress screener while in the waiting room, prior to their appointment. Mot de passe (8 caractres ou plus) . Nom. Treesa Carter and James Hitter share their experiences of working on the transformation of health and social care integration at Suffolk County Council. 0000176512 00000 n 0000063001 00000 n Intermountain monitors use of the Information Systems resources. ALL RIGHTS RESERVED. 0000033569 00000 n 0000018590 00000 n 0000129774 00000 n How to address things like education, food and transportation, these are things the British government has been doing aggressively since WWII.. 0000045214 00000 n "I`IvWdZ>B.nJ.o}LVL:}T{&!Qd4l;( q& Q/b2N$5%/wTg?8YSneUE+ 0000071218 00000 n 0000017200 00000 n 0000076190 00000 n 0000050398 00000 n We didnt want to take a standardised cookbook approach to medicine, but we wanted to ensure that care was more predictable and evidence-based so that we could deliver it in a more cost-effective way.. 0000009576 00000 n 0000078906 00000 n 0000033986 00000 n 0000066391 00000 n 1736 0 obj <> endobj 0 0000008976 00000 n 0000054036 00000 n WARNING: Intermountain authorized users only. 0000011030 00000 n 0000060865 00000 n 0000026834 00000 n startxref 0000002388 00000 n (3) duplicating any Intermountain data or placing a copy of any Intermountain data on any non-Intermountain asset. If you will still be using Intermountain's network, systems or data, information about your use may be reviewed, 0000070461 00000 n Ping Identity Corporation. 0000014673 00000 n 0000075971 00000 n 0000047145 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. 0000053054 00000 n 0000063228 00000 n 0000050231 00000 n Sign In Options. 0000084852 00000 n Published August 9, 2007, Quality- Improvement Research and Informed Consent. There can be reticence to learn from others and there can sometimes be the resistance to adopting something that was someone elses idea. monitored, audited, and stored. 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. Follow Up at Regular Intervals 0000005048 00000 n 0000009347 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. 0000065867 00000 n 0000042757 00000 n YC@NgR&Qr? >~.>* T`- 0000038525 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. %PDF-1.7 % 0000013362 00000 n Continue below to learn more about the implementing the Child Traumatic Stress Care Process Model in a pediatric primary care setting. 0000128388 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. 0000008500 00000 n 0000084783 00000 n 0000015259 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. 0000003817 00000 n 0000079310 00000 n 0000021559 00000 n 0000035552 00000 n %%EOF 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. 0000038456 00000 n 0000165412 00000 n The clinical leadership for the digitisation programme is divided into RFLs four clinical divisions: Medicine, Surgery, Specialist Services, and Womens, Childrens and Diagnostics. The clinical practice groups are changing the way we provide care in a profound way, said Streather. This care process model (CPM) and accompanying patient education were developed by a multidisciplinary team including primary . Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device.Learn More. 0000029880 00000 n 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). 0000008428 00000 n 1846 0 obj <>stream 9-FCr-+| E+dJgx!Ck 0000005294 00000 n height, weight, OFC, care process model data, etc.). 0000018097 00000 n How can we help families with children who are 0-5? Still not finding what you are looking for? 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. 0000054116 00000 n 0000006529 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. 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. :x-)KYYY"3%C_hS! 0000088233 00000 n 0000226638 00000 n 0000010514 00000 n 0000005907 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 . 0000043417 00000 n 0000063087 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. 0000065716 00000 n 0000008093 00000 n 0000059703 00000 n 0000010167 00000 n 0000007049 00000 n %%EOF 26 April 2022 0000051498 00000 n 0000024023 00000 n See the Intermountain care process model Non-surgical Management of Ectopic Pregnancy DEVELOPMENT AND DESIGN OF Care Process Models Care Process Model MONTH 2015 2015 Update 0000066218 00000 n 0000165722 00000 n 206 63 Modified Medical Research Council Breathleness Scale (mMRC) 0000011885 00000 n 0000006999 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). 0000176359 00000 n 0000063674 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. 0000011106 00000 n This is not like an IQ test or psychological testing where the results could be skewed. If the child is younger than 10 or has developmental limitations, then the parent/caregiver can complete the screener for them. 0000023429 00000 n Failing to address variations can negatively impact the ability to provide quality, consistent, safe and cost-effective care. 0000006007 00000 n P.O. View wait times and save your place in line at an Intermountain InstaCare location near you. 0000045671 00000 n 0000035663 00000 n It has three main hospitals the Royal Free Hospital (founded in 1828 with the direct mission of providing free, quality care to patients with little or no means), Barnet Hospital and Chase Farm Hospital. H\j0EY& CpijY_'P#suGC 'b~. 0000006077 00000 n 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. 0000013048 00000 n 0000005911 00000 n 0000050145 00000 n 0000045545 00000 n 0 0000041187 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. 0000008541 00000 n This article originally appeared inPerspectives, a thought leadership publication dedicated to rising trends and issues in the healthcare and IT industry. 5-Step Model for Creating a Virtuous Medical and Financing System to Enhance the Health and Well being of Future Generations. 0000002281 00000 n 0000050331 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. 0000007513 00000 n 0000029161 00000 n 0000072602 00000 n 0000015893 00000 n 0000081921 00000 n 0000002947 00000 n 0000020531 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. 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. under the leadership of Intermountain Healthcare's Behavioral Health Clinical Program. 0000051827 00000 n 0000079777 00000 n 0000177977 00000 n 0000036090 00000 n 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 & 0000036974 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. 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. E-mail. 0000003400 00000 n 0000118945 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. Groundbreaking population health and value model will improve affordability and access to care. 0000071811 00000 n 1660 0 obj <> endobj 0000002368 00000 n 0000069327 00000 n 0000005233 00000 n 0000026552 00000 n They then work to continually refine and improve each care process. 0000012208 00000 n For preschool-age children, the SEEK model for pediatric primary care is recommended to guide providers in screening for, assessing, and addressing problems related to child safety. 0000007525 00000 n 0000019646 00000 n 0 0000001530 00000 n 0000022254 00000 n 0000087726 00000 n 0000000016 00000 n 0000045478 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. 0000063119 00000 n 0000060798 00000 n 0000009463 00000 n Users are prohibited from doing any of the 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.. 0000045274 00000 n 0000012415 00000 n Key Points All pregnant patients at 20 weeks of gestation require a Labor and . 0000025382 00000 n 0000118904 00000 n 0000009309 00000 n /}>8N{oN9sw @P|&AM. Its okay to answer their questions. 0000018335 00000 n 0000132101 00000 n WARNING: Intermountain Healthcare's Information Systems resources are for Intermountain approved purposes only. If this is an emergency please go to the nearest emergency room or call 911. Andrew D. Auerbach, M.D., M.P.H., C. Seth Landefeld, M.D., and Kaveh G. Shojanie, M.D. 0000168976 00000 n 1660 60 0000011615 00000 n . trailer 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. This is the healthcare-specific version of what is known in lean terminology as "mass customization." 0000021043 00000 n 0000079895 00000 n P , s &v. 0000032127 00000 n 0000000016 00000 n It was created by general pediatricians at the University of Utah in collaboration with Intermountain Health pediatric . Choose a state from the dropdown to add local service providers. What resources are available to get children into therapy? Ive rarely seen in the NHS such buy-in from the clinical community, he said. 0000009925 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. startxref 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. 0000005596 00000 n 0000014978 00000 n 0000009984 00000 n 0000085699 00000 n by Treesa Carter | James Hitter 0000076158 00000 n 0000058348 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. 0000020129 00000 n 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. 0000005907 00000 n 0000006208 00000 n 0000029608 00000 n 0000006950 00000 n 0000066109 00000 n 1719 0 obj <>stream Intermountain has also noted value in the partnership. 0000055034 00000 n CPM020 - 01/21 3 COPD CPM JANUARY 2021 TABLES TABLE 1. Send us an email or give us a call if you have questions. 3175 0 obj <> endobj Intermountain Healthcare convened a team consisting of executive leadership, the enterprise initiative office and internal medicine leaders to design the RPC. 0000016606 00000 n It turns out that clinical process management and improvement is our core business strategy.. 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 0000178724 00000 n D dL :G=%C>[wgG5wvorb$j9u>~U'/795}[ucCwOxEQ\hzAR>9d)oHH,YIPxM. 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. intervention with those in the low symptom range. 0000023458 00000 n 0000004246 00000 n 0000057886 00000 n 0000086222 00000 n 0000038439 00000 n 0000005286 00000 n 0000071295 00000 n 0000012129 00000 n 0000069140 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. endstream endobj 1718 0 obj <>/Filter/FlateDecode/Index[179 1481]/Length 57/Size 1660/Type/XRef/W[1 1 1]>>stream 0000015322 00000 n startxref 0000007949 00000 n 0000038376 00000 n However, EHR-based processes will typically need to be matched with a system strategy that unlocks the potential of front-line clinical teams who are informed by good clinical data and a culture of improvement, quality and safety. hWkTSsH LB%A h oIBxH P,ZA 0000170459 00000 n 0000021074 00000 n 0000005788 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. <<3AE4BE8F4CF5524D9372135619CC8848>]/Prev 518892>> 0000002834 00000 n *(N}L{{./ +A C C9p:nY)-({ ~U 4|VfI)3%N>K, L7 %PDF-1.7 % !C4@$8 y 0000057819 00000 n 0000000016 00000 n 0000087852 00000 n 0000087649 00000 n 0000017396 00000 n 0000007942 00000 n Learning some of these differences has provided insight for Intermountain into what may be possible in the future. 0000018163 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. 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. 0000070665 00000 n 0000059943 00000 n 0000008058 00000 n 0000013265 00000 n 0000010991 00000 n Go to my One Account. 1 Resources for Parents and Caregivers 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 . 0000060731 00000 n 0000066141 00000 n 0000086355 00000 n 0000013703 00000 n 0000006937 00000 n 0000015820 00000 n 0000007843 00000 n Fact Sheet Published in 2021 Printer-friendly version trailer The back page summarizes antibiotic recommendations and notes . 0000006843 00000 n trailer 0000056318 00000 n 0 268 0 obj <>stream 0000008244 00000 n 0000001556 00000 n We have 44 pathways in operation, which represents about 60 to 70 percent of our clinical patient-facing activity. 0000051705 00000 n * Enzyme Replacement Therapy, Mucopolysaccharidosis Type I (MPS 1) Orthopedic Manifestations & 0000012798 00000 n 0000170355 00000 n 0000002990 00000 n trailer 0000002048 00000 n The way Royal Free reaches out to the community, thats a big push for Intermountain right now. hUiPG~=";.^qv12%&e-Kg.^OPxx7(w~X]"`~g 0000015624 00000 n If the parent is completing the screener, they will receive a different version. 0000013631 00000 n 0000003264 00000 n 0000005681 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.