Interprofessional Collaboration How Do We Get There? Todd James Indiana University Geriatrics 2015 IU Geriatrics
Goal of Mini-Course As a physician working with other health professionals, the physician will understand, observe and initiate the knowledge, skills and attitudes necessary to be an interprofessional collaborator. IU Geriatrics
Outline of Session • • Ice breaker Introductory material Interprofessional pocket card Team meeting video observation exercise Clinical observation exercise Debrief Adjournment
Questions for the Audience • What does Interdisciplinary mean? • Please compare and contrast with Interprofessional. • What are you thinking?
What Is Interprofessional Practice? Interprofessional practice occurs when “multiple health workers from different professional backgrounds work together with patients, families, carers and communities to deliver the highest quality of care. ” (WHO, 2010)
What is Interprofessional Education? “Interprofessional Education occurs when two or more professions learn with, from and about each other to improve collaboration and the quality of care. ” Centre For The Advancement Of Interprofessional Education, 2002
Aren’t We Already Interprofessional ? Crossing the Quality Chasm (IOM 2001) PCMH? Acute Care for Elders Teams? 30 -day Readmits? Home Health Agencies? Pharmacist on my ward team? Do health professionals learn “about, with and from” each other?
Interprofessional “When I entered medical school, it was all about being an individual expert. Now it’s all about applying that expertise to team-based patient care. ” Dr. Darrell G. Kirch President and Chief Executive Association of American Medical Colleges Harris, Gardiner, “New for Aspiring Doctors, the People Skills Test. ” NYT, July 10, 2011.
Teamwork … Essential Interprofessional “Teamwork has become so essential to medicine that the school not only chooses its students based on their willingness and ability to collaborate effectively, but also requires students to take teamwork classes. ” Virginia Tech Carilion School of Medicine and Research Institute
New Paradigm(s) Southwest Airlines vs. Waldorf Astoria Hotel Starbucks vs. Ruth Chris Steakhouse Checklist Manifesto vs. Hierarchical Health Services Gawande, Atul. The Checklist Manifesto: How to Get Things Right, Henry Holt and Co. Metropolitan Books. 2009
Increase in Older Population Increase in Complexity Increase in Chronic Disease Current systems are not working. Team based approaches improve outcomes for individual patients and possibly society. Institute of Medicine (IOM). Retooling for an Aging America. Washington, DC: The National Academies Press; 2008.
Vulnerable Health Professions • • • Silos of Education Silos of Practice Silos of Regulation Silos of Licensure Silos of Professional Societies
Multidisciplinary: Interprofessional • • • IP is a new word to describe a new paradigm IP described by competencies, CIHC & IPEC Adopted by numerous professional societies Interprofessional embedded in concept of professionalism Become an Interprofessional Collaborator
IPEC Sponsors • American Association of Colleges of Nursing • American Association of Colleges of Osteopathic Medicine • American Association of Colleges of Pharmacy • American Dental Education Association • Association of American Medical Colleges • Association of Schools of Public Health
IPEC / CICH Discussion of pocket card – also find copy at On. Course IP Collaborator site.
Interprofessional Collaborator • A person with the skills, knowledge and attitudes for collaborative, comprehensive care for patients. • Collaborative abilities achieved on three levels: 1) the traditional profession specific practice, 2) the individual`s practice within a team and then 3) the total team. Barr, H. (1998). Competent to collaborate: Towards a competency-based model for interprofessional education. Journal of Interprofessional Care, Volume 12, p. 181 -187.
IPEC / CICH Competency examples. üMake introductions üIdentify power gradients üSupport participation üNegotiate what is possible üClarify language üPromote collaborative practice environment
GITT Video Observation Exercise http: //vimeo. com/5917313 Fulmer T, Hyer K, Flaherty E, Mezey M, Whitelaw N, Jacobs MO, Luchi R, Hansen JC, Evans DA, Cassel C, Kotthoff-Burrell E, Kane R, Pfeiffer E. Geriatric interdisciplinary team training program: evaluation results. J Aging Health. 2005 Aug; 17(4): 443 -70. Pub. Med PMID: 16020574.
Clinical Observation ACE=Acute Care for Elders HC=House Calls HABC=Healthy Aging Brain Clinic Geri Psych CSH=Center for Senior Health GRACE=Geriatric Resources for Assessment and Care of Elders
Your Interprofessional Collaborator Observations • Observe and report (min. 2 x) using the Survey Monkey link in your email. • When you demonstrate IP Collaborator competencies, report them. • Remember, don’t give identifiable patient information.
Debrief • Materials also on On. Course. • Any questions? • Have we forgotten anything?
Adjourn Enjoy your IU Geriatrics Block Rotation!
Thank you! IU Geriatrics
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