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Welcome Team Health Consultation17 June 2011
Forum AimsTo consult with key stakeholders on Team Health’s four program areasTo jointly establish a model of local governance to support Team Health’s implementationTo identify resources (human, technological and other) required for local and sustained implementation of Team Health activitiesTo identify existing educational resources or programs that could be used to promote teamwork, communication and collaboration.
Rob Wilkins & Danielle ByersProgram CoordinatorsClinical Education and Training Institute
What are we trying to do?To improve teamwork, communication and collaboration for safer patient-centred care, and better staff experiencesWhy are we trying to do this?Increased staff motivation, well-being and retentionDecrease in staff turnoverIncreased patient and carer satisfactionIncreased patient safety Increase in appropriate use of specialist clinical resourcesReductions in patient mortality and critical incidentsIncrease in access to and coordination of health services

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Chris Ham, Chief Executive at The King’s Fund, highlights the 16 lessons needed to make a reality of integrated care, drawing on work by the Fund and others to provide examples of good practice.

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Interprofessional collaboration and education wonca 2013
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The document discusses interprofessional education (IPE) and collaborative practice (IPCP) in family medicine. It defines IPE as students from different professions learning together to enable effective collaboration and improve health outcomes. IPCP is defined as multiple healthcare workers from different backgrounds working as a team with patients, families, and communities to provide the highest quality care. The document advocates for IPE and IPCP, arguing it can improve mutual respect between professions, knowledge sharing, decision-making, and ultimately lead to better patient care through a more coordinated healthcare system.

family medicineinterprofessional collaborative parcticeinterprofessional education
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Presentation by Leanne Wells, CEO, CHF, at the International Primary Health Care Reform Conference, Brisbane, March 14-16 2016.

iphcrcaustraliaconsumers health forum
What do we mean by Team Work?Interprofessional Education (IPE)Occasions when two or more professions learn from, with and about each other to improve collaboration and the quality of careInterprofessional Practice (IPP)Occurs when two or more professions work together as a team with a common purpose, commitment and mutual respect (Freeth et al, 2005).
The global contextGlobal Evidence 	World Health Organisation Framework for Action on Interprofessional			Education and Collaborative Practice			International IPL Journals Research		2 x Cochrane Collaboration Literature Reviews			on IPL and professional practice & health 			care outcomesGrey Literature	 	Significant national investments: Canada, UK			U.S. and South Africa
Interprofessional core competencieshttp://www.cihc.ca/
What is the literature saying?

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This document discusses interprofessional practice and collaboration in healthcare. It defines interprofessional practice as multiple healthcare workers from different backgrounds working together to provide comprehensive patient care. Interprofessional collaboration is described as developing effective working relationships between professionals and with patients to enable optimal health outcomes. The document outlines some core competencies for interprofessional practice, including roles and responsibilities, values and ethics, communication, and teamwork. It provides evidence that team-based care can improve outcomes like continuity of care and patient satisfaction.

interprofessional educationcollaborative practice
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This document provides information on interprofessional education (IPE), including definitions, core competencies, rationale, implementation strategies, and tools. It defines IPE as occurring when two or more professions learn about, from and with each other to improve collaboration and quality of care. The document outlines the core IPE competencies of roles/responsibilities, values/ethics, communication, and teamwork. It emphasizes that change is difficult but can be achieved through forming inclusive coalitions, attaining clear goals, and building on small successes. A variety of teaching methods are presented, including case conferences, shadowing, and interprofessional research.

interprofessional education
	Put simply, the education of health professionals in the 21st Century must focus less on memorising and transmitting facts and more on promotion of the reasoning and communication skills that will enable the professional to be an effective partner, facilitator, adviser and advocate.The Lancet - December 2010Julio Frenk et al. Health Professionals for a new centuryTransforming education to strengthen health systems in anInterdependent world.  The Lancet v 376 Dec 2010
The local context	Garling ReportSpecial Commission of Inquiry into Acute Care Services in NSW Public Hospitals….I recommend that an Institute of Clinical Education and training be established with a broad mandate to take charge of the training of a new generation of clinicians in interdisciplinary team-based treatment of patients….
	This first report from the Bureau of Health Information shows clearly that patients are calling out for improvements and that improvement in staff teamwork, between doctors and nurses, is the action most likely to change a fair or poor patient care experience to an excellent one.The patient perspective…Patients who felt their quality of care was excellent were likely to have experienced excellence in staff teamwork.Bureau of Health Information. (May 2010) Insights into Care: Patients Perspectives onNSW Public Hospitals
What works?Multi-faceted strategiese-Learning modules across professional groupsOn-site coaching, debriefing and facilitationCurriculum that structures formal and informal interactions and is        designed to facilitate enquiryClinical placements and particularly rural clinical placements Champions in both health and education sectorsInterdisciplinary program governanceLinks with other programs (Established international movement)

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Professional power in healthcare comes from legal authority, regulations, codes of conduct, experience, and organizational roles. It gives professionals the capacity and expertise to achieve organizational goals through mobilizing resources and making decisions within their clinical specialties. While medicine has traditionally been the most powerful profession, collaborative teams aim to empower all professionals by sharing power and decision-making authority based on knowledge and the needs of patients. Differentials in power between professions still exist but effective collaboration requires acknowledging, recognizing, and resolving power imbalances.

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any questions?Learning & Teaching Program CoordinatorsRob Wilkins9844 6564Danielle Byers9844 6527

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Set of slide decks for the UDHC related presentation at the University of Canterbury Tertiary Engagement Summit where the purpose of discussion is to share ideas how students and trainees in tertiary education can engage with the community to bring about real world change. I chose to focus on UDHC and the excellent work the project has brought about.

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Team Health Presentation - Rob Wilkins & Danielle Byers

  • 1. Welcome Team Health Consultation17 June 2011
  • 2. Forum AimsTo consult with key stakeholders on Team Health’s four program areasTo jointly establish a model of local governance to support Team Health’s implementationTo identify resources (human, technological and other) required for local and sustained implementation of Team Health activitiesTo identify existing educational resources or programs that could be used to promote teamwork, communication and collaboration.
  • 3. Rob Wilkins & Danielle ByersProgram CoordinatorsClinical Education and Training Institute
  • 4. What are we trying to do?To improve teamwork, communication and collaboration for safer patient-centred care, and better staff experiencesWhy are we trying to do this?Increased staff motivation, well-being and retentionDecrease in staff turnoverIncreased patient and carer satisfactionIncreased patient safety Increase in appropriate use of specialist clinical resourcesReductions in patient mortality and critical incidentsIncrease in access to and coordination of health services
  • 5. What do we mean by Team Work?Interprofessional Education (IPE)Occasions when two or more professions learn from, with and about each other to improve collaboration and the quality of careInterprofessional Practice (IPP)Occurs when two or more professions work together as a team with a common purpose, commitment and mutual respect (Freeth et al, 2005).
  • 6. The global contextGlobal Evidence World Health Organisation Framework for Action on Interprofessional Education and Collaborative Practice International IPL Journals Research 2 x Cochrane Collaboration Literature Reviews on IPL and professional practice & health care outcomesGrey Literature Significant national investments: Canada, UK U.S. and South Africa
  • 8. What is the literature saying?
  • 9. Put simply, the education of health professionals in the 21st Century must focus less on memorising and transmitting facts and more on promotion of the reasoning and communication skills that will enable the professional to be an effective partner, facilitator, adviser and advocate.The Lancet - December 2010Julio Frenk et al. Health Professionals for a new centuryTransforming education to strengthen health systems in anInterdependent world. The Lancet v 376 Dec 2010
  • 10. The local context Garling ReportSpecial Commission of Inquiry into Acute Care Services in NSW Public Hospitals….I recommend that an Institute of Clinical Education and training be established with a broad mandate to take charge of the training of a new generation of clinicians in interdisciplinary team-based treatment of patients….
  • 11. This first report from the Bureau of Health Information shows clearly that patients are calling out for improvements and that improvement in staff teamwork, between doctors and nurses, is the action most likely to change a fair or poor patient care experience to an excellent one.The patient perspective…Patients who felt their quality of care was excellent were likely to have experienced excellence in staff teamwork.Bureau of Health Information. (May 2010) Insights into Care: Patients Perspectives onNSW Public Hospitals
  • 12. What works?Multi-faceted strategiese-Learning modules across professional groupsOn-site coaching, debriefing and facilitationCurriculum that structures formal and informal interactions and is designed to facilitate enquiryClinical placements and particularly rural clinical placements Champions in both health and education sectorsInterdisciplinary program governanceLinks with other programs (Established international movement)
  • 15. Team Health: Partnerships StrategyCETI & BHI
  • 16. any questions?Learning & Teaching Program CoordinatorsRob Wilkins9844 6564Danielle Byers9844 6527

Editor's Notes

  1. AIPPENACT Health
  2. Make comment on consultation with local health district,pillars and other partners – the literature says what works, and the challenges to implementation are logistics and resourcing. The purpose of the consultation is to find out what programs are existing and to navigate the challenges