IntermountainIntegratedCareinActionSepsis-BCPatient.pptVIP

Next Steps PLAN DO STUDY ACT Develop criteria Educate Implement What are we trying to accomplish? Identify outcomes and set acceptable ranges of significance Develop action steps to optimize care Process Outcome Measures Assess consistency of implementation What changes can we make to improve? The 5 Axioms of Intermountain Healthcare Most treatments for a specific condition have similar characteristics There is still massive variation in clinician’s practices All have something to learn and something to teach Clinicians will lead most changes themselves Clinical integration is our strategic plan The Principles Of Shared Baselines Select a high priority care process Generate an evidence-based best practice guideline Blend the guideline into the flow of clinical work Use the guideline as a shared baseline with clinicians free to vary based on individual patient needs Measure, learn from and (over time) Eliminate variation arising from the professional Retain variation arising from patients The IOM on the Quality Chasm According to the IOM, there exists a “chasm” between scientific practice and implementing evidence-based medicine at the bedside. “Between the healthcare we have and the care we could have lies not just a gap, but a chasm.”1 “Health care does not yet reliably transfer best-known science into practice, and processes frequently fail, despite the best intentions of a dedicated and highly skilled workforce.”2 And So We Begin Again I am sorry for you, young men (and women) of this generation. You will do great things. You will have great victories, and standing on our shoulders, you will see far, but you can never have our sensations. To have lived through a revolution, to have seen a new birth of science, a new dispensation of health, reorganized medical schools, remodeled hospitals, a new outlook for humanity, is not given to every generation. Reid, Edith Gittings. The Great Physician: A Life of Sir William Osler. New York, NY: Oxford Universi