7 results match your criteria: "Authors Affiliation : Healthcare Delivery Institute[Affiliation]"
Driving Quality and Clinical Integration: The Role of Clinical Programs and the Intermountain Health Care Delivery Institute.
Qual Manag Health Care
September 2024
Author Affiliations: Healthcare Delivery Institute, Intermountain Health (Dr Fowles, Mr Wolfe, Dr Srivastava), Clinical Programs, Intermountain Health (Mss Petersen and Christensen and Drs Grissom and Srivastava), Department of Pulmonary & Critical Care Medicine, Intermountain Medical Center (Dr Grissom), Murray, Utah, and Department of Pediatrics Intermountain's Primary Children Hospital, University of Utah School of Medicine, Salt Lake City, Utah (Dr Srivastava).
Implementation of a Standardized Approach to the Category II Fetal Heart Tracing.
Qual Manag Health Care
December 2024
Author's Affiliation: Clinical Programs (Dr Esplin and Ms Campbell), Healthcare Delivery Institute (Drs Fowles and Srivastava), Intermountain Health, Murray, Utah.
Guideline concordant care for acute low back pain: A mixed-methods analysis of determinants of implementation.
Am J Emerg Med
November 2024
Intermountain Healthcare Delivery Institute, Intermountain Health, Salt Lake City, UT, United States of America.
Introduction: We conducted an explanatory, sequential mixed-methods study to measure variation in the use of imaging and physical therapy (PT) for acute low back pain (LBP) and to identify implementation determinants that might explain variation in use across 22 EDs and 27 urgent cares in urban and rural locations within a community-based health system.
Methods: We described the patient population and measured concordance with LBP guideline recommendations on imaging and PT referral from January-June 2023. We conducted key informant interviews with physicians and advanced practice providers (APPs), n = 30, from these 49 sites between July - September 2023 and performed content analysis to identify implementation determinants to guideline concordance.
Simplifying Outpatient Procedure Access: Rethinking the GI Access Challenge Using Human Centered Design and an A3 Framework.
Qual Manag Health Care
June 2024
Authors Affiliation : Healthcare Delivery Institute, Intermountain Health, Murray, Utah.
Impact of Local Tailoring on Acute Stroke Care in 21 Disparate Emergency Departments: A Prospective Stepped Wedge Type III Hybrid Effectiveness-Implementation Study.
Circ Cardiovasc Qual Outcomes
May 2024
Healthcare Delivery Institute (A.J.K., D.W., R.S.), Enterprise Analytics (J.W.A.), Intermountain Health, Salt Lake City, UT.
Background: Faster delivery of tPA (tissue-type plasminogen activator) results in better health outcomes for eligible patients with stroke. Standardization of stroke protocols in emergency departments (EDs) has been difficult, especially in nonstroke centers. We measured the effectiveness of a centrally led implementation strategy with local site tailoring to sustain adherence to an acute stroke protocol to improve door-to-needle (DTN) times across disparate EDs in a multihospital health system.
View Article and Find Full Text PDFCreating a Framework for Physician & APP Leader Development and Peer Collaboration.
Qual Manag Health Care
April 2024
Author Affiliations: Intermountain Health (Mss Jenkins, Stirling, and Pendo) and Healthcare Delivery Institute, Intermountain Health (Mr Thomas, Dr Fowles, and Mr Srivastava), Murray, Utah.
Family, nurse, and physician beliefs on family-centered rounds: A 21-site study.
J Hosp Med
December 2022
Healthcare Delivery Institute, Intermountain Healthcare, Murray, Utah, USA.
Background: Variation exists in family-centered rounds (FCR).
Objective: We sought to understand patient/family and clinician FCR beliefs/attitudes and practices to support implementation efforts.
Designs, Settings And Participants: Patients/families and clinicians at 21 geographically diverse US community/academic pediatric teaching hospitals participated in a prospective cohort dissemination and implementation study.