View wait times and save your place in line at an Intermountain InstaCare location near you. 0000225874 00000 n 0000002325 00000 n 0000052968 00000 n 0000010857 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 . 0000039661 00000 n The CPM also guides family decision making, links at-risk children to evidence-based trauma therapy, and encourages providers' use of in . %PDF-1.7 % 0000004060 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. Published February 21, 2008. 0000014981 00000 n ALL RIGHTS RESERVED. If the parent is completing the screener, they will receive a different version. xref intervention with those in the low symptom range. 0000226561 00000 n 0000008686 00000 n 0000043417 00000 n 0000071218 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}. 0000060798 00000 n 0000026052 00000 n 0000013806 00000 n Mary Ann Baily, Ph.D. %PDF-1.7 % Intermountain Healthcare: Towards an integrated, value-based model 0000016606 00000 n xref 0000006950 00000 n The EHR data from every patient treated by CPMs offer further points to improve the next application of the CPM through a nearly real-time feedback loop. 0000081734 00000 n 0000081921 00000 n 0000009309 00000 n 0000011732 00000 n 0000009981 00000 n <<7D7E07AF05D25B429403B179B549C510>]/Prev 735917/XRefStm 3093>> 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. 0000002388 00000 n 0000009144 00000 n 0000062870 00000 n The PIPS team can help you identify resources in your area. We already have resource guides developed for many counties in Utah. 0000018097 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. 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. 0000228696 00000 n When should the child or caregiver complete the traumatic stress screener? 268 0 obj <>stream 3175 102 0000018335 00000 n 0000048275 00000 n 0000258879 00000 n <<969DFD35F0E1574DA86361927245C514>]/Prev 975812/XRefStm 3817>> 0000089548 00000 n trailer 0000005644 00000 n In primary care settings, you can evaluate the response to services using the Pediatric Traumatic Stress Screening Tool at follow up visits. 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. 0000008709 00000 n 0000003817 00000 n 0000015820 00000 n 0000035663 00000 n 0000044299 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. 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). 0000063228 00000 n under the leadership of Intermountain Healthcare's Behavioral Health Clinical Program. 0000050231 00000 n 0000027265 00000 n endstream endobj 1718 0 obj <>/Filter/FlateDecode/Index[179 1481]/Length 57/Size 1660/Type/XRef/W[1 1 1]>>stream 0000004256 00000 n 0000017200 00000 n 0000072821 00000 n 0000132822 00000 n If this is an emergency please go to the nearest emergency room or call 911. 0000079777 00000 n 0000056444 00000 n 0000165799 00000 n . 0000045274 00000 n 1506 0 obj <>stream 0000005742 00000 n If the child is younger than 10 or has developmental limitations, then the parent/caregiver can complete the screener for them. 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. Published August 9, 2007, Quality- Improvement Research and Informed Consent. 0000021696 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. 0000009425 00000 n 0000013631 00000 n 0000006077 00000 n Ping Identity Corporation. 0000079310 00000 n What resources are available to get children into therapy? It turns out that clinical process management and improvement is our core business strategy.. 0000226257 00000 n Value-Based Care: Paving the Way to Health Transformation 0000006783 00000 n 0000006219 00000 n Cerner Intermountain Healthcare Implement iCentra EHR - Health IT Outcomes 0000071811 00000 n 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 0000021193 00000 n Clinical Management - Intermountain Healthcare Intermountain has also noted value in the partnership. trailer 0000026552 00000 n /}>8N{oN9sw @P|&AM. 0000005911 00000 n 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. 0000006553 00000 n 0000012415 00000 n 0000021074 00000 n 0000178724 00000 n All statements, protocols, and recommendations herein are viewed as transitory and iterative. 0000004208 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. 0000033569 00000 n trailer 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. CARE PROCESS MODEL JANUARY 2021 Chronic Obstructive Pulmonary Disease (COPD) Diagnosis, Treatment, and Resources ALGORITHM NOTES ALGORITHM: DIAGNOSIS OF COPD . Sign On 0000060023 00000 n 1 KEY POINTS The focal points discussed in this CPM include: Treating asymptomatic bacteriuria with antibiotics offers no benefit 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 . Important features included creating meaningful alignment around value, building teams to drive the transition and implementing supportive workflows and technological innovations. 0000085699 00000 n 0000225756 00000 n 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. 1 Resources for Parents and Caregivers 1660 0 obj <> endobj Its good to see that even after 18 months of introducing a complex programme, we see the general enthusiasm growing daily.. 0000066119 00000 n PDF (Spuhler) by Intermountain HANYS Granted to Use Permission for 0000007525 00000 n We are already on our way to digitising 20 of those 44 pathways and will eventually have all 44 in the EHR.. Choose a skill that you are comfortable teaching and share your knowledge with the families you see in clinic. 0000004401 00000 n 0000023933 00000 n xref 3276 0 obj <>stream 0000168976 00000 n 0000006220 00000 n 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. 0000193542 00000 n Lifestyle and Weight Management 0000007488 00000 n 0000019018 00000 n 0000084783 00000 n We found that there was a great deal of unwarranted variation in the way we delivered care that created less than ideal quality care for patients, and there were operational inefficiencies baked into that, said Dr Chris Streather, chief medical officer at RFL. trailer A child who is about 10 or older can complete the screener. 0000055034 00000 n The power of building relationships is not just what can be done today, but what we can work on tomorrow, he added. 0000009576 00000 n Utah PIPS 6346 0 obj <> endobj The way Royal Free reaches out to the community, thats a big push for Intermountain right now. There is quite a lot of admiration in the United Kingdom for some of the system-wide approaches for improving quality in the United States, said Dr Streather. 6440 0 obj <>stream 0000005233 00000 n All rights reserved. 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 1425 82 0000057752 00000 n 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. 0000034112 00000 n 0000177340 00000 n 0000024509 00000 n 0000086396 00000 n Cerner, Intermountain Healthcare Implement iCentra EHR | Cerner Corporation 0000057819 00000 n monitored, audited, and stored. 0000128388 00000 n 0000066109 00000 n Acronym: CPM Targeted Populations: Ages 6-18; both males and females; for children who have experienced a wide range of traumas. 0000066540 00000 n startxref 0 0000008541 00000 n 0000001530 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. 0000015893 00000 n 0000045671 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. 0000044721 00000 n 0000007153 00000 n PingID. 0000028071 00000 n 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. 0000003264 00000 n 0000005048 00000 n 0000017396 00000 n 0000009984 00000 n 0000008244 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. *(N}L{{./ +A C C9p:nY)-({ ~U 4|VfI)3%N>K, L7 0000063196 00000 n The clinical practice groups are changing the way we provide care in a profound way, said Streather. 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. 0000079927 00000 n H\@. 0000110646 00000 n 0000004046 00000 n P , s &v. Critical to the relationships success is that Intermountain leaders visit RFL and can provide guidance and feedback in real time and on-site. 0000179484 00000 n 1736 111 1425 0 obj <> endobj Care Process Models Eating Disorders - Intermountain Healthcare 0000007790 00000 n 0000022254 00000 n 0000177145 00000 n following: (1) modifying Intermountain data on any of Intermountain information systems; 0000059863 00000 n Failing to address variations can negatively impact the ability to provide quality, consistent, safe and cost-effective care. 0000066141 00000 n %PDF-1.7 % 0 2007-2021 INTERMOUNTAIN HEALTHCARE. 0000011998 00000 n 6346 95 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. 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. 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. 0000006531 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. 0000050364 00000 n 0000024023 00000 n 0000015124 00000 n 0000118945 00000 n 0000022401 00000 n 0000177263 00000 n startxref Pediatric Acute Otitis Media (Ear Infection) 2019 Update 0000009151 00000 n startxref 0000010567 00000 n 0000062915 00000 n Box 581289 Salt Lake City, Utah 84158, A Short History of the Medical Home Portal, Pediatric Patient Summary-Medical Home Portal Project, Nevada Pediatric Mental Health Care Access Program (PMHCAP), Rhode Island Pediatric Psychiatry Resource Network (PediPRN), University of Utah Pediatric Resident Writing Elective, University of Utah Writing & Career Development Group, Utah Children's Care Coordination Network, Anxiety Disorders & Attention Deficit Hyperactivity Disorder (ADHD), Attention-Deficit/Hyperactivity Disorder (ADHD) & Disruptive 0000179023 00000 n 0000080004 00000 n 0000066391 00000 n 0000005907 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. 0000005448 00000 n CARE PROCESS MODEL Chronic Obstructive Pulmonary Disease (COPD) 0000060731 00000 n 0000004772 00000 n 0000005387 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. 0000002990 00000 n Additionally, the PIPS team has clinicians available for consultation when needed. 0000076190 00000 n 0000018590 00000 n %PDF-1.7 % 0000065867 00000 n 0000013048 00000 n <<3AE4BE8F4CF5524D9372135619CC8848>]/Prev 518892>> 0000009463 00000 n 0000003129 00000 n C-suite leadership has been overwhelmingly supportive of the project, furthering the message that the Trust is serious about reducing variance and improving care. 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. 1736 0 obj <> endobj 0000032530 00000 n 0000118904 00000 n 0000078906 00000 n Pierre-Henri Brchat, Pascal Briot, Lucy Savitz, Ross Fulton. 0000015816 00000 n Intermountain Health Care - Case - Harvard Business School 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. At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. Using a theoretical framework of eight stages of change[18], the authors described the imple-mentation of the care process model in the RICU. !C4@$8 y 0000071295 00000 n 0000015005 00000 n 0000011615 00000 n 0000003400 00000 n 0000008135 00000 n Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. We recommend that child or caregiver complete the child traumatic stress screener while in the waiting room, prior to their appointment. 0000021043 00000 n %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 & 0000180800 00000 n 0000058348 00000 n startxref Ive rarely seen in the NHS such buy-in from the clinical community, he said. 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. 0000068805 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. 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. 0000045738 00000 n Involving patients and clinicians in the design of care pathways has also given them a stake in the success of the project. 0000073354 00000 n 0000002947 00000 n 0000023543 00000 n Care Process Models Care Process Model MONTH 2015 2015 Update DIAGNOSIS AND MANAGEMENT OF Urinary Tract Infection in Adults APRIL 2019 2019 INTERMOUNTAIN HEALTHCARE. Published on 8 March 2019. Association of Integrated Team-Based Care With Health Care - JAMA 0000005079 00000 n Cerner, Intermountain Healthcare Implement iCentra EHR 0000177088 00000 n Intermountain Healthcare's Enhanced Recovery Protocol for Colon Surgery This CPM includes two processes to address child traumatic stress across the pediatric lifespan. \H6Hl7% K{X0(%p* *\y~b!o^%CIe%'jR$b $zoE)fPBgf+"jf6yy/i>>XmHm!$ 0000029472 00000 n 0000006687 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. trailer Fact Sheet Published in 2021 Printer-friendly version 0000004246 00000 n This is the healthcare-specific version of what is known in lean terminology as "mass customization." 0000012129 00000 n 0000014338 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. Signs of Trauma in Children 0000038456 00000 n 0000004926 00000 n Go to my One Account. 0000013703 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. 0000016011 00000 n 7 September 2022 0000002048 00000 n 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. 0000014978 00000 n hWkTSsH LB%A h oIBxH P,ZA Care Process Models Acute Sinusitis in Adults and Children 0000006822 00000 n Intermountain Healthcare convened a team consisting of executive leadership, the enterprise initiative office and internal medicine leaders to design the RPC. 0000036974 00000 n This is not like an IQ test or psychological testing where the results could be skewed. 0000016722 00000 n Special attention is also paid to who attends each visit to ensure all stakeholders are involved. 0000073493 00000 n 0000013288 00000 n 0000010474 00000 n 0000011106 00000 n 0000004039 00000 n 0000086104 00000 n Incorporating the newly redesigned pathways into the EHR has had an immediate impact for RFL. 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). 0000007942 00000 n 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..