Healthcare Delivery Institute

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    About

    The Healthcare Delivery Institute empowers Intermountain Health in its efforts to excel at providing evidence-based clinical care. We are a team of health services researchers, implementation scientists, clinicians, health system engineers, quality improvement experts, biomedical informaticists, and educational professionals, focused on advancing evidence-based best practices through Clinical Best Practice Integration (cBPI).

    The HDI Team regularly publishes on topics such as implementation science, clinical quality improvement, social determinants of health, clinical & cultural integration, and Intermountain's model for advancing evidence-based best practice. Please click the link below to view our recent publications. If you would like more information, please email us at institute@imail.org

    View HDI publications
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    Healthcare Delivery Institute

    Moving ideas forward to improve outcomes

    The goal of the cBPI initiative is to improve healthcare outcomes by increasing adherence to evidence-based clinical practice. Our Intermountain approach results in faster adoption of best practices because it:

    • Treats implementation as a major undertaking in its own right
    • Incorporates systematic prioritization
    • Measures adherence and focuses on adherence metrics
    • Develops and uses technology that supports caregivers to make it easier to follow best practices
    • Leverages the Intermountain Operating Model

    Implementations to Date
    Clinical Best Practice Integration consultants partner with clinical teams to turn ideas into evidence-based best practices to improve patient care. Here are a few examples of implementations that have happened so far:

    • Acute Stroke in Emergency Departments
      Driving high adherence to administration of TPA within 60 minutes of ED arrival will result in earlier engagement of the tele-stroke team, less disability, and shorter length of stay.
    • Pediatric Minor Head Trauma in Emergency Departments
      Driving high adherence to the avoidance of head CT scans for patients presenting to the ED with a very low risk of cTBI will reduce unnecessary CT scans and attendant risk of CT-induced malignancy.
    • Low Tidal Volume Ventilation in Intensive Care Units
      Driving high adherence to tidal volume ≤6.5ml/KBW will result in reduced lung injury, mortality.

     

    Intermountain Health’s unique term for implementation science, Care Delivery Science emphasizes the overarching mission of evidence-based medicine – helping patients back to better health.

    Our team includes applied health services researchers, implementation scientists, and evaluation experts so that we can improve the quality and reliability of care.

    The Healthcare Delivery Institute hosts second-year Fellows enrolled in the prestigious Stanford/Intermountain Fellowship in Population Health, Delivery Science, and Primary Care. Co-directed by Dr. Srivastava, Intermountain's Chief Clinical Programs Officer, this intensive two-year fellowship offers participants a comprehensive experience. Fellows earn a master’s degree in health services research from Stanford University, receive tuition for the Advanced Training Program (ATP), and gain invaluable hands-on experience in implementation science and mentorship within the HDI.

    Overview:
    The two-year program includes tuition support for a master’s degree in health services research that gives fellows a basic understanding of epidemiology, study design, cost effectiveness, health policy, implementation science and other disciplines needed for a successful research or program development career. Fellows will also be exposed to key health delivery concepts including Lean healthcare design, the Patient Centered Medical Home, longitudinal population outcomes tracking, and change management. Each Fellow will assemble a formal mentorship team from world class faculty at both institutions to help him or her develop a project from conception to completion and publication. The program will also provide each fellow with $50K to support their research efforts and prepare them for a successful independent career. Clinical responsibilities will be minimal (1/2 day per week) to ensure ample time to develop these skills.

    For more information contact Dr. Raj Srivastava (Raj.Srivastava@imail.org)

     

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    Introduction to cBPI

    Learn more about Clinical Best Practice Integration initiative (cBPI), dedicated to enhancing healthcare outcomes through increased adherence to evidence-based clinical practices.

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    Contact us

    Intermountain Healthcare Delivery Institute
    Kem C. Gardner Transformation Center
    5026 S. State Street
    Murray, Utah 84107

    (801) 507-8708

    General Email Inquiries: institute@imail.org

    Raj Srivastava, MD, FRCP(C), MPH – Chief Clinical Programs Officer

    Kayla Glover – Assistant to Raj Srivastava
    Phone: 801-507-8715
    Email: Kayla.Glover@imail.org

    Doug Wolfe, MBA - Assistant Vice President
    Phone: (801) 507-8734
    Email: doug.wolfe@imail.org

    Advanced Training Program (ATP)

    Natalie Soria, MBA - CQI Education Manager
    Phone: (801) 507‐8705
    Email: natalie.soria@imail.org

    Clinical Best Practice Integration

    Ian Howells, MHA, RN - Clinical Implementation Director
    Phone: (970) 420‐8835
    Email: ian.howells@imail.org

    Care Delivery Science

    Tim Fowles, PhD - Health Services Research Director
    Phone: (801) 507‐8716
    Email: timothy.fowles@imail.org

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