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