intermountain care process model

0000036974 00000 n 0000007942 00000 n 0000050364 00000 n 1719 0 obj <>stream 0000021559 00000 n 0000038525 00000 n 0000225756 00000 n Ive rarely seen in the NHS such buy-in from the clinical community, he said. 0000006687 00000 n 0000005286 00000 n 0000065951 00000 n 0000013048 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 0000005602 00000 n 0000007525 00000 n 0000005756 00000 n The partnership has provided value to RFL on many levels. xref 0000021074 00000 n 0000005227 00000 n 0000018097 00000 n 0000004401 00000 n 0000021193 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. What if the child or parent asks me a question about the screener while they are filling it out? 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. We already have resource guides developed for many counties in Utah. 0000070461 00000 n 0000041140 00000 n 0000009576 00000 n 0000059623 00000 n 0000045738 00000 n Still not finding what you are looking for? Members of each clinical programme regularly review the core care processes within it using evidence from literature and data from Intermountains own EHR. 0000069327 00000 n Organising care in this way facilitates a broader, more longitudinal view of whats necessary to treat a condition. 1846 0 obj <>stream Continue below to learn more about the implementing the Child Traumatic Stress Care Process Model in a pediatric primary care setting. 0000023429 00000 n 0000021696 00000 n 0000073354 00000 n 0000009151 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. WARNING: Intermountain Healthcare's Information Systems resources are for Intermountain approved purposes only. CPM uses several different tools to look for trauma exposure (recent and remote events), suicidality and self-harm, and traumatic stress symptoms. 0000069140 00000 n 0000072122 00000 n 0000000016 00000 n 0000050304 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. %%EOF 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. 0000011106 00000 n %%EOF startxref 0000132101 00000 n 0000017396 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. All statements, protocols, and recommendations herein are viewed as transitory and iterative. 0000177729 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. 0000014285 00000 n Intermountain Healthcare convened a team consisting of executive leadership, the enterprise initiative office and internal medicine leaders to design the RPC. 0000060023 00000 n 0000000016 00000 n 0000073570 00000 n 0000008067 00000 n 0000005131 00000 n 0000003264 00000 n 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. 0000170561 00000 n 0000041107 00000 n 0000002048 00000 n 0000008918 00000 n 0000045385 00000 n What resources are available to get children into therapy? 0000129815 00000 n This is not like an IQ test or psychological testing where the results could be skewed. All rights reserved. Critical to the relationships success is that Intermountain leaders visit RFL and can provide guidance and feedback in real time and on-site. 0000006219 00000 n trailer Treesa Carter and James Hitter share their experiences of working on the transformation of health and social care integration at Suffolk County Council. 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. 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. Nom. xref It turns out that clinical process management and improvement is our core business strategy.. 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. 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. ALL RIGHTS RESERVED. This care process model (CPM) was created by a multidisciplinary team of physicians, registered dietitians, mental health specialists, and other healthcare providers at Intermountain Healthcare. 3175 0 obj <> endobj 0000169759 00000 n How old does a child need to be to complete the traumatic stress screener? 0000179407 00000 n 0000064758 00000 n 0000029161 00000 n 0000086104 00000 n 0000002834 00000 n 0000015820 00000 n 0000007790 00000 n 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 0000023004 00000 n 0000026834 00000 n Each visit is centred around a single theme to allow for a focused deep dive into that specialty. 0000072898 00000 n <<969DFD35F0E1574DA86361927245C514>]/Prev 975812/XRefStm 3817>> 0000022000 00000 n 0000028071 00000 n 0000086035 00000 n 0000012415 00000 n Intermountain will use a regional deployment strategy to bring all acute care facilities, ambulatory . CARE PROCESS MODEL JANUARY 2021 Chronic Obstructive Pulmonary Disease (COPD) Diagnosis, Treatment, and Resources ALGORITHM NOTES ALGORITHM: DIAGNOSIS OF COPD . When we visit Intermountain, we bring senior-level executives, but we also take people who are directly involved in care, said Dr Streather. 113021080>ca`labefpe|$X)Cc+G>[.3A/20 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. Copyright 2003-2020. Its purpose is to summarize and promote evidence-based approaches to lifestyle and weight management, and to facilitate implementation in routine primary care. 0000035663 00000 n 0000220433 00000 n * This CPM presents a model of best care based on the best available scientific evidence at the time of publication. 0000176762 00000 n Prnom. Dr Streather noted that seeking out partnerships to improve is an essential part of growth, but that it is not always easy. 0000011885 00000 n Based on national guidelines and emerging evidence and shaped by local expert opinion, this CPM provides practical strategies . The multidisciplinary team is tasked with asking how they can improve the care processes within the programme. 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. 0000004060 00000 n 0000058433 00000 n The clinical practice groups are changing the way we provide care in a profound way, said Streather. 0000006066 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. 0000198367 00000 n 0000008676 00000 n 0000004046 00000 n 0000063087 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. 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.. 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. 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. 0000087649 00000 n 0000005695 00000 n 0000031239 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 0000170459 00000 n 0000015005 00000 n 0000063228 00000 n 0000006553 00000 n It was created by general pediatricians at the University of Utah in collaboration with Intermountain Health pediatric . 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 0000019646 00000 n 0000005907 00000 n At two of our sites, we were immediately able to capture data-driven outcomes from the newly digitised pathways, said Dr Streather. 0000007049 00000 n 0000110685 00000 n If this is an emergency please go to the nearest emergency room or call 911. 0000225874 00000 n 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. 0000014338 00000 n 0000066540 00000 n 0000013703 00000 n This CPM includes two processes to address child traumatic stress across the pediatric lifespan. 0000225797 00000 n 0000016606 00000 n xref The PIPS team can help you identify resources in your area. 0000066307 00000 n 0000022254 00000 n 0000011835 00000 n Its okay to answer their questions. 0000023593 00000 n 0000007337 00000 n 0000057819 00000 n 0000065908 00000 n 0000007050 00000 n They then work to continually refine and improve each care process. 0000087852 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. 0000018713 00000 n Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. 0000087608 00000 n 7 September 2022 0000007263 00000 n 0000176611 00000 n 0000043331 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. 0 0000009309 00000 n 0000005441 00000 n Choose a skill that you are comfortable teaching and share your knowledge with the families you see in clinic. startxref 0000086222 00000 n 0000066035 00000 n 0000012722 00000 n 0000066391 00000 n 0000004619 00000 n 0000017276 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. 0000004556 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. %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 & 0000033836 00000 n 0000021680 00000 n 0000004465 00000 n 0000006783 00000 n 0000071218 00000 n 0000007639 00000 n 0000023486 00000 n 0000088233 00000 n 0000017260 00000 n 0000002990 00000 n 0000031343 00000 n Groundbreaking population health and value model will improve affordability and access to care. <<7D7E07AF05D25B429403B179B549C510>]/Prev 735917/XRefStm 3093>> 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 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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. <<5BE851667CC40543996F5A9ED21E16D8>]/Prev 646447/XRefStm 3820>> 0000168976 00000 n 0000015816 00000 n 0000031441 00000 n For children 6 18 years who report a potentially traumatic experience on the Pediatric Traumatic Stress Screening Tool (more information on this screening tool available in full CPM), the process of responding effectively to child traumatic stress involves three steps: Based on screening tool results, a brief in-office intervention targeting their most prominent symptom(s) has been shown to make a big difference for many children. Intermountain monitors use of the Information Systems resources. Do I need to be a therapist to administer the screener or provide in-office interventions? 0000226257 00000 n by Dr Todd Allen 0000007153 00000 n 0000007762 00000 n 0000004619 00000 n 0000017200 00000 n 3175 102 0000003519 00000 n h1 01!\Ax'MF[!!z 1- 0000002368 00000 n 0000009144 00000 n 0000060731 00000 n 0000079310 00000 n 0000054036 00000 n 0000001979 00000 n 0000014009 00000 n 0000018163 00000 n 0000007949 00000 n If you will still be using Intermountain's network, systems or data, information about your use may be reviewed, . 0000081734 00000 n 0000014981 00000 n 0000071811 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). 0000005596 00000 n Special Instructions. 0000011492 00000 n In primary care settings, you can evaluate the response to services using the Pediatric Traumatic Stress Screening Tool at follow up visits. 0000002580 00000 n 0000176512 00000 n <<3AE4BE8F4CF5524D9372135619CC8848>]/Prev 518892>> 0000044620 00000 n 0000031920 00000 n 0000005751 00000 n 0000008244 00000 n 0000165412 00000 n 0000179330 00000 n 0000044721 00000 n 0000034579 00000 n A child who is about 10 or older can complete the screener. Sign In Options. 0000021255 00000 n 0000005795 00000 n 0000025653 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. 0000028737 00000 n 0000045274 00000 n %PDF-1.7 % 0000018335 00000 n Intermountain Health Care (IHC), an integrated delivery system based in Utah, has adopted a new strategy for managing health care delivery. 0000013288 00000 n 0000016002 00000 n <<099953D8ECDC4449BF4B89817F7FC266>]/Prev 820759/XRefStm 5250>> 0000072671 00000 n 0000003129 00000 n 0000004293 00000 n 0000023018 00000 n 0000054196 00000 n 0000008976 00000 n 0000076267 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 . 0000016612 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). 0000007488 00000 n hUiPG~=";.^qv12%&e-Kg.^OPxx7(w~X]"`~g 0000006881 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}. 0000026052 00000 n 0000016011 00000 n This care process model (CPM) was developed by Intermountain Healthcare's Antibiotic Stewardship and Community-Based Care teams. Care Process Models Care Process Model MONTH 2015 2015 Update DIAGNOSIS AND MANAGEMENT OF Urinary Tract Infection in Adults APRIL 2019 2019 INTERMOUNTAIN HEALTHCARE. 0000072789 00000 n by Treesa Carter | James Hitter 0000039661 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. 0000176359 00000 n 0000008395 00000 n 0000084446 00000 n 0000086396 00000 n 0000226561 00000 n YC@NgR&Qr? >~.>* T`- startxref %PDF-1.7 % 0000177088 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. %%EOF Seeing their institutional processes adapted by other health systems is a validation of the approach. 0000005448 00000 n trailer 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. 0000017688 00000 n 1660 0 obj <> endobj 0000072478 00000 n 0000005534 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. 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. Published August 9, 2007, Quality- Improvement Research and Informed Consent. 0000078906 00000 n Care Process Model JUNE 2013 This care process model (CPM) was created by a multidisciplinary team of physicians and other healthcare providers at Intermountain Healthcare. 0000019314 00000 n 0000016606 00000 n 0000066119 00000 n 0000012852 00000 n 0000017996 00000 n 0000000016 00000 n This article originally appeared inPerspectives, a thought leadership publication dedicated to rising trends and issues in the healthcare and IT industry. 0000178724 00000 n This is the healthcare-specific version of what is known in lean terminology as "mass customization." 0000038439 00000 n 3 September 2021 0000177340 00000 n 0000071295 00000 n 0000065975 00000 n 0000042757 00000 n 0000129774 00000 n Its important for them to see what were doing in action somewhere else.. 0000085699 00000 n During development of the care process model, the authors found many aspects of ICU care that required substantial change. 0000066042 00000 n 0000023543 00000 n 0000059863 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. 0000110646 00000 n 0000006007 00000 n 0000027605 00000 n 0000054276 00000 n 0000005751 00000 n 0000076190 00000 n Biometrics. 0000048275 00000 n 0000165799 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. 0000026552 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. 5-Step Model for Creating a Virtuous Medical and Financing System to Enhance the Health and Well being of Future Generations. 0000054116 00000 n 0000011998 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. 0000058232 00000 n 0000011817 00000 n Copyright 2023, Intermountain Healthcare, All rights reserved. 0000011770 00000 n How to address things like education, food and transportation, these are things the British government has been doing aggressively since WWII.. 0000005250 00000 n 9-FCr-+| E+dJgx!Ck 0000013631 00000 n 0000066141 00000 n We recommend that child or caregiver complete the child traumatic stress screener while in the waiting room, prior to their appointment. 0000258879 00000 n Two of the first clinical programmes developed were cardiovascular, and women and newborns. Its purpose is to summarize and promote evidencebased approaches to lifestyle and weight management, and to facilitate implementation in routine . 0000009984 00000 n 0000006375 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 . 0000066508 00000 n If the parent is completing the screener, they will receive a different version. 0000132822 00000 n 0000072821 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. Care Process Model JUNE 2019 2019 Update GOALS & MEASUREMENTS The goal of this CPM is to improve the . 0000008676 00000 n Dr James was hired by Intermountain in 1986 as the director of medical research and continuing medical education. Only authorized users with an appropriate business need and legal right may use these resources. 0000066617 00000 n 0000007723 00000 n 0000004033 00000 n 0000075971 00000 n monitored, audited, and stored. CPMs also include education, communication and data standards so process and outcome measures are truly meaningful and comparable across institutions. 0 0000008686 00000 n P.O. 0000050145 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. 0000008500 00000 n The CPM also guides family decision making, links at-risk children to evidence-based trauma therapy, and encourages providers' use of in . E-mail. 0000066109 00000 n 0000057752 00000 n 6346 95 %%EOF At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. 0000009340 00000 n 0000036090 00000 n hSiPSW>#BBX-"m6 EM;b;N:N+D(n." under the leadership of Intermountain Healthcare's Behavioral Health Clinical Program. 0000065800 00000 n 0000008093 00000 n 0000079241 00000 n 0000006529 00000 n 0000081400 00000 n 0000025382 00000 n 0000021043 00000 n 0000110760 00000 n 0000226638 00000 n It is extremely important to screen patients until there are no further limitations on testing capacity. CPM020 - 01/21 3 COPD CPM JANUARY 2021 TABLES TABLE 1. endstream endobj 1718 0 obj <>/Filter/FlateDecode/Index[179 1481]/Length 57/Size 1660/Type/XRef/W[1 1 1]>>stream Fact Sheet Published in 2021 Printer-friendly version 0000176241 00000 n Andrew D. Auerbach, M.D., M.P.H., C. Seth Landefeld, M.D., and Kaveh G. Shojanie, M.D.

intermountain care process model 2023