Annual Nursing Update - Intermountain Healthcare

allrespondentsPhysiciansSelectHealthLisa Fallert, RN2006 was an eventful year. First, our name was changed from ‘IHC HealthPlans’ to SelectHealth, with a focus on Superior Service initiatives. This hasallowed members to better distinguish the differing roles of the insuranceand healthcare delivery sides of Intermountain Healthcare.I believe that the RN Consultantrole is an essential component ofour regional leadership structure. 4.4 4.8RN Consultant facilitatesimplementation and oversight ofclinical programs in our region. 4.4 4.8RN Consultant provides resourcesthat improve clinic quality. 4.5 4.8RN Consultant provides resourcesthat help maintain compliancewith clinical regulations. 4.5 4.9RN Consultant helps clinicalemployees to be successful. 4.4 4.8Scale of 1-5 (1 is strongly disagree and 5 is strongly agree)We continue to focus on health promotion, wellness and qualityimprovement. In 2006, we supported 105 employer-based health fairs,54 employer-based “brown bag” lunch meetings on health topics, and14 community events, including the annual Family Fitness Festival. Ourmembers received 380,000 reminders, newsletters, or phone calls fromSelectHealth on the importance of cancer screening and prevention,immunizations, management of chronic illness, preventive exams andother health information.In our Utilization Review/Case Management department, our staffidentified and helped 32,000 patients who would benefit from casemanagement interventions for acute inpatient stays, high-risk maternity,or chronic disease. We also added a pediatric case manager to our team tocollaborate with Primary Children’s Medical Center’s diabetes clinic. Inaddition, we worked closely with Intermountain’s hospitals to facilitate arefresher and recertification program for all of Intermountain’s certifiedInterQual trainers.2 0 0 7 G o a l s• SelectHealth will be resurveyed by NCQA (National Committee forQuality Assurance) to renew our accreditation. New standards were addedby NCQA for care management and disease management programs, andour team is in the process of implementing the new standards. We arealso implementing new tools and resources on our website to provideadditional information to members, employers and providers.. . . 4 1 . . .