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Future of Healthcare - Interprofessional Teams
Interprofessional
Healthcare Teams


      Implications
           for
  Education and Practice
Objectives
 1. Describe the process of effective teams
 2. Discuss ethical principles that guide
    interprofessional teamwork
 3. Interact with individuals of other healthcare
    professions to create a climate of mutual respect
    and shared values
 4. Identify effective communication skills that
    support the interprofessional team processes
 5. Identify ways to forge interdependent
    relationships with other healthcare professionals
    to improve patient care and advanced learning
Future of Healthcare - Interprofessional Teams

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This slide covers the concept of shared governance, its brief background, governance models, advantages, disadvantages, and implementation process.

Why are discussing
this topic?

  Problems in our Healthcare System
    Lack of care coordination ⇨ duplication of services,
    increased costs
    Increasing complexity of health care
  National and International organizations
  recommendations (e.g. WHO, Accreditation, IOM)
    IOM Future of Nursing Report (2010): “Nurses
    should be educated with health professions
    both as students and throughout their careers
    in lifelong learning…” (p. 2)
IOM Recommendations
1) Remove scope of practice barriers
2) Expand opportunities for nurses to lead
    and diffuse collaborative improvement efforts
3) Implement nurse residency programs
4) Increase proportion of nurses with BSN degree
   to 80% by 2020
5) Double the number of nurses with a doctorate by
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Definitions
Interprofessional
Collaboration (IPC)                  Team
  Active participation of each
  discipline in patient care to       A group with a common
  enhance communication among         purpose, having
  professionals and improve care      interdependent subtasks
  coordination.                       to accomplish. A team
Interprofessional                     has complementary skills
                                      that generate synergy
Education (IPE)                       through a coordinated
  When two or more professions        effort maximizing
  learn from and about each other     members strengths.
  to improve collaboration and the
  quality of care
2011 IPE Competencies
IPEC= AACN + ACOM + AACP + ADEA + AAMC + AASPH




    Values and Ethics for Interprofessional
    Practice
    Roles and Responsibilities for Collaborative
    Practice
    Interprofessional Communication
    Interprofessional Teamwork and Team-based
    Care

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Model:
Appreciative Inquiry

  Appreciative Inquiry (AI) is a method to help
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    Beyond organizational development ⇨ what gives
    vitality to human systems (e.g. family, personal
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How Does AI Work?


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 The Brain works in pictures
 Change is directional based on focus
 Language and stories are important (culture
 building)
 Old stories die hard
 Collective wisdom of the people
How to Get Started*
     Affirmative Topic selected
    4-D cycle (Discovery, Dream, Design,
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    Focusing on the positive ideal using the
    collective wisdom of the people
    “Goodfinder”: Experts at deliberately
    noticing, anticipating, and magnifying
    positive potential
*David Cooperrider Case Western Reserve University mid 1980’s
Future of Healthcare - Interprofessional Teams

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References

  Committee on the Health of Professions Education Summit (2003)
  Health Professions Education: A Bridge to Quality. Washington, DC:
  The National Academies of Sciences.
  Interprofessional Education Collaboration (2011) Core Competencies
  for Interprofessional Collaborative Practice. A report of an expert
  panel. Washington, DC: Interprofessional Education Collaborative.
  IOM (2010) The Future of Nursing: Leading Change, Advancing
  Health. Committee on the Robert Wood Johnson Foundation Initiative
  on the Future of Nursing at the Institute of Medicine; Institute of
  Medicine. http://www.nap.edu/catalog/12956.html. Last accessed
  October, 2012.
  Sportsman, S. (2012). Interprofessional Education: a white paper.
  http://pages.elsevieradvantage.com/rs/elsevierhse/images/ACG-11-
  12-Exemplars-of-Interprofessional-Education%20REV.pdf. Last
  accessed February, 2013.

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Future of Healthcare - Interprofessional Teams

  • 2. Interprofessional Healthcare Teams Implications for Education and Practice
  • 3. Objectives 1. Describe the process of effective teams 2. Discuss ethical principles that guide interprofessional teamwork 3. Interact with individuals of other healthcare professions to create a climate of mutual respect and shared values 4. Identify effective communication skills that support the interprofessional team processes 5. Identify ways to forge interdependent relationships with other healthcare professionals to improve patient care and advanced learning
  • 5. Why are discussing this topic? Problems in our Healthcare System Lack of care coordination ⇨ duplication of services, increased costs Increasing complexity of health care National and International organizations recommendations (e.g. WHO, Accreditation, IOM) IOM Future of Nursing Report (2010): “Nurses should be educated with health professions both as students and throughout their careers in lifelong learning…” (p. 2)
  • 6. IOM Recommendations 1) Remove scope of practice barriers 2) Expand opportunities for nurses to lead and diffuse collaborative improvement efforts 3) Implement nurse residency programs 4) Increase proportion of nurses with BSN degree to 80% by 2020 5) Double the number of nurses with a doctorate by 2020 6) Ensure that nurses engage in lifelong learning 7) Prepare and enable nurses to lead change to advance health 8) Build an infrastructure to collect and analyze health care workforce data
  • 7. Definitions Interprofessional Collaboration (IPC) Team Active participation of each discipline in patient care to A group with a common enhance communication among purpose, having professionals and improve care interdependent subtasks coordination. to accomplish. A team Interprofessional has complementary skills that generate synergy Education (IPE) through a coordinated When two or more professions effort maximizing learn from and about each other members strengths. to improve collaboration and the quality of care
  • 8. 2011 IPE Competencies IPEC= AACN + ACOM + AACP + ADEA + AAMC + AASPH Values and Ethics for Interprofessional Practice Roles and Responsibilities for Collaborative Practice Interprofessional Communication Interprofessional Teamwork and Team-based Care
  • 9. Model: Appreciative Inquiry Appreciative Inquiry (AI) is a method to help create the “best” in organizational systems. Beyond organizational development ⇨ what gives vitality to human systems (e.g. family, personal relationships) Asking good questions ⇨ good decision making Who is on my team to help me ask these questions? Ideal  vs. Problem Solving models
  • 10. How Does AI Work? The Brain is a search engine: i.e. red cars The Brain works in pictures Change is directional based on focus Language and stories are important (culture building) Old stories die hard Collective wisdom of the people
  • 11. How to Get Started* Affirmative Topic selected 4-D cycle (Discovery, Dream, Design, Destiny) Focusing on the positive ideal using the collective wisdom of the people “Goodfinder”: Experts at deliberately noticing, anticipating, and magnifying positive potential *David Cooperrider Case Western Reserve University mid 1980’s
  • 13. Team Process Effective versus Ineffective Team Process How have you developed effective teams?
  • 14. Audience Participation Story: tell about a time when you were part of a highly effective team… What are the top three qualities of effective teams?
  • 15. Mutual Respect and Shared Values Ideas in creating respect and shared values among interdisciplinary team members vs. profession-centrism & competition
  • 16. Audience Participation Story: tell about a time when you felt respected by another professional… What shared values do interprofessional healthcare team members have in common?
  • 17. Communication Skills Ideas about skills and barriers? Conflict & confrontation, incivility, assertiveness, openness, receptivity, advocating…
  • 18. Audience Participation Story: Tell about a time when you observed someone else who communicated or advocated effectively. How does your way of communicating support or hinder teamwork?
  • 19. Bridging the Interprofessional Team Education- Practice Gap Initiatives, programs, innovative ideas for building collaboration among interprofessional team members?
  • 20. Audience Participation Story: tell about a time you developed a relationship or worked closely with someone from another profession. How can interdisciplinary awareness and respect be expanded by education systems? Practice environments?
  • 21. References Committee on the Health of Professions Education Summit (2003) Health Professions Education: A Bridge to Quality. Washington, DC: The National Academies of Sciences. Interprofessional Education Collaboration (2011) Core Competencies for Interprofessional Collaborative Practice. A report of an expert panel. Washington, DC: Interprofessional Education Collaborative. IOM (2010) The Future of Nursing: Leading Change, Advancing Health. Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing at the Institute of Medicine; Institute of Medicine. http://www.nap.edu/catalog/12956.html. Last accessed October, 2012. Sportsman, S. (2012). Interprofessional Education: a white paper. http://pages.elsevieradvantage.com/rs/elsevierhse/images/ACG-11- 12-Exemplars-of-Interprofessional-Education%20REV.pdf. Last accessed February, 2013.

Editor's Notes

  1. Welcome and self introduction by Nancy Gillespie, Dean, School of Health SciencesMention the incredible mix of the audience (students, educators, practicing LPNs and nurses and other professionals). What a unique opportunity, nursing profession essential to quality healthcare outcomes. When else has our nursing community had this opportunity to come together/
  2. Illustration of what a team looks like and what can be done in teams!
  3. Traditionally, health care professionals have been taught and later practiced in silos.
  4. Underlined areas relate to IPE and IPC. ---- do we need to include this slide or is the previous slide enough???
  5. IPC has been slowly encouraged in the practice environment.
  6. May 2011, Interprofessional Education Collaborative (IPEC) developed the competenciesIPEC consisted of: (schools of public health) Serve as a road map to develop learning activities to support development
  7. Before we get started with our panel, let’s look at a 2 minute you-tube clip and ask ourselves….. “WHAT IF?”
  8. Panel discussion of initiatives, programs, ideas in bridging the education practice gap.