Decrease in the Patients Admitted

Clinical Integration Program at IHC

Decrease in Average Length of the stay
Clinical Integration Program at IHC
Decrease in Average cost per case
Clinical Integration Program at IHC
Intermountain Health Care
Facilitators and barriers to implementing
Clinical Integration Program at IHC
Intermountain Health Care
VISION STATEMENT:
The best clinical practice delivered in a consistent
and integrated way; lowest appropriate cost ; a
service experience , supported by systems and
processes, that focuses on the patient

Clinical Integration Program at IHC

Issue- Overcoming the challenges involved in
implementing the IT supported Clinical
Integration Program at IHC

STAKEHOLDERS of IHC
Shareholders
Physicians
Patients
Local
Community
IHC
LDS
Church
Employees
Affiliated
In-
Patients
Out-
Patients
Staff
Core
Staff
Non-Core
Staff
Healthcare - USA
Commonwealth fund report


Quality
Access
Specialized Healthcare
Primary Healthcare
Efficiency Last
Equity - Last
Healthy lives - Last
porters

Clinical Pathways/Care Pathways
Care pathways are set of protocols may
serve as useful and evidence- based
tools to reduce variations in clinical
practice and improve quality and
outcomes of healthcare interventions

Transition of IHC from Physician
Perspective
Challenges
Autonomy of physicians
Diagnosis differ for different Cases
Adaptation to new Technologies
Managing Resources
involvement of both clinical service providers and
managers
Benefits
Records stored in a Centralized place
Reduced Waiting Time and Time spent to serve Patients
Facilitates team work

Transition of IHC from Patients'
Perspective-Pros
Patients will have clear expectations of their care
Payment based on Results
Medical negligence reduced-Fixes accountability
Reduction in length of stay and costs
Reduced Insurance premiums
IT-suported CPs leads to high staff satisfaction
Increased collaboration with patients
Transition of IHC from Patients'
Perspective-Cons
Patients may exert their preferences for
certain treatments which may not be
recommended
Variation in how organizations go about
implementing the pathways may be large
Cost saving reasons over rides the doctors
better clinical judgement
Transformational
challenge
Process People
Fishbone Paradigm Transformational
Compensation
Clinical Conditions
Cross-functional
Integration
Operations
Clinical Care
Management
Quality Standards
Protocols
Training
Medical Literature
Variance in
outcomes
Spontaneous neat
ideas
Recruitment
Training
Clinical support
services
Admin support
services
Service Quality