interprofessional teaching clinic practicalities brought to you by: ku som dept. of family medicine...
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Interprofessional Teaching Clinic Practicalities
Brought to you by:KU SOM Dept. of Family Medicine
KU School of PharmacyKU School of Nursing
KU School of Health ProfessionsKU School of Law
What is IPE?World Health Organization definesInterprofessional Education (IPE):
“When students from two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes. Once
students understand how to work interprofessionally, they are ready to enter the workplace as a member of the collaborative practice team. This is a key step in moving health systems from fragmentation to a
position of strength.”1
1 World Health Organization (WHO). Framework for action on interprofessional education & collaborative practice. Geneva: World Health Organization. 2010.
IPTC Practicalities Currently, IPTC runs 6 half days a week.
Pharmacy and Medicine are together everyday. Nursing, Pharmacy and Medicine see
patients together 2 of the 6 half-days. OT, PT, Psychology, Law and HIM
IPTC Practicalities
• Location may change if MOB Large Conference Room is unavailable. If that’s the case, we will be next door in MOB Small Conference Room.
• HIM students will be joining us on 3/10/14, 3/24/14, 3/31/14 and 4/7/14.
Monday Tuesday Wednesday Thursday Friday
8AM-12PM IPTC: M3/6P*MOB Large Conference Room
IPTC: M3/6P/N4MOB Large Conference Room
IPTC: M3/6P/N4MOB Large Conference Room
IPTC: M3/6PMOB Small Conference Room
IPTC: M3/6P/PTMOB Large Conference Room
1PM-5PM NO IPTC Studio PopMOB Large Conference Room
IPTC: M3/6P/OTMOB Small Conference Room
NO IPTC NO IPTC
IPTC Practicalities Faculty
Medicine: Jana Zaudke MD, MA Hannah Maxfield MD, Sarah Marks MD Nursing: Christina Phillips DNP Pharmacy: James Kleoppel MS, PharmD, Sarah Shrader PharmD Physical Therapy: Stephen Jernigan PT, PhD Occupational Therapy: Dory Sabata OTD, Jane Cox OTD Medical-Legal Partnership: Katie Cronin BSW, JD, Dana
Pugh JD Clinical Psychology: Wendi Born PhD Heath Information Management: Lauren Pulino RHIA
IPTC Practicalities: Before the Encounter Remember to – Bring your laptop to IPTC
To access Epic using your web browser, go to: https://access.kumed.com
Download Citrix to access O2 and patient information.
Review the patient chart with your interprofessional team Click on the patient’s name on the provider schedule and
choose ‘Review’ from the toolbar directly above the schedule Do not double-click on the patient name until AFTER the patient
has arrived to the clinic
Huddle with your team BEFORE the encounter
IPTC Practicalities: During the Encounter
Interprofessional Patient-Centered Communication
Each team member introduced self to patient.
Each team member explained professional role to patient.
The team explained the “team-based” visit.
The team set expectations at the beginning of the visit with the patient.
The team elicited the patient’s perspective throughout the visit.
The team demonstrated empathy to the patient.
The team negotiated a treatment plan with the patient.
The team communicated to the patient in terms they could understand.
Interprofessional Team-Based Communication
During the Huddle before the encounter, the team pre-determined roles/tasks for each team member.
Everyone on the team contributed to the patient interview.The team was organized in their approach during the patient encounter.
During the Huddle after the encounter, everyone on team contributed to developing patient care plan.
Everyone on the team contributed to communicating the plan (including education) to the patient.
The team was respectful to all profession’s ideas.If needed, the team utilized conflict resolution to achieve team consensus with patient care plan.
IPTC Practicalities: During the Encounter
Interview and HistoryInterview addressed 1. Chief Complaint
1. History of Present Illness
1. Past Medical History
1. Family History
1. Social History
1. Review of Systems
Patient Interviewed regarding medication reconciliation.Patient interviewed regarding health maintenance (e.g., smoking status, immunizations).Patient interviewed regarding self-care of chronic diseases (e.g., home blood glucose/pressure monitoring, diet, exercise).Patient assessed for adherence to treatment plan (e.g., meds, lifestyle changes).Physical exam was performed.
IPTC Practicalities: During the Encounter
Collaborative Patient Care PlanTeam addressed concern for health literacy.
Team addressed need for patient education.
Team developed appropriate clinical care plan (e.g., labs, diagnostic tests, medications, referrals).
IPTC Practicalities: After the Encounter Remember to – Huddle with your team AFTER the encounter Involve all professions during the presentation of the
patient to the faculty preceptor(s) Consider using the SBAR to organize the team, the
presentation and the plan prior to presenting to the faculty preceptor(s).
IPTC Practicalities: After the Encounter
SBAR
SITUATION-Describe significant findings and complaints-Provide pertinent info from ROS and PE-Present today’s prioritized problem list
BACKGROUND-Provide brief history of the patient-Discuss pertinent labs, tests, meds, etc.
ASSESSMENT-Provide assessment for each problem on prioritized problem list
RECOMMENDATION-Provide plan for each problem on prioritized problem list-Discuss prioritized patient education and communication needs-Deliver plan for follow up and what patient education needs for the next visit
IPTC Practicalities:After the Encounter Write a note for every encounter
Include profession specific input from your team members in your note
Document the following items within the Doc Flowsheets, “Self-Management Counseling” tab Document patient education Document referrals to Medical-Legal Partnership, Mental Health
professional, etc. Document the names and professions of the students on your
team
IPTC Practicalities: After the Encounter
IPTC Practicalities Visit us at:http://medicine.kumc.edu/school-of-medicine/family-medicine/for-patients/ipt-clinic.html Here’s a link to a video made and
produced by nursing students who participated in IPTC Spring 2012.
http://youtu.be/sOFoeFxX7YE Follow us on Twitter @IPTClinic
What is Studio Pop? What is Studio Pop?
Studio – space and time for process and product
Pop – thinking about the patient population
When? Tuesday afternoons from 1-4 PM Where? MOB Large Conference Room
What are ‘Pop Tarts’? Activities are called ‘Pop Tarts’
Reflective writing Each profession’s faculty will prompt
students to complete two reflections. Both will be submitted via Blackboard within the
‘Studio Pop’ course.
Debriefing and Conversations Crucial Conversations and Conflict Resolution Viewing of the film, Unnatural Causes, and
small group discussion
What are ‘Pop Tarts’? High and Low Fidelity Simulations
Interprofessional Standardized Patient encounter – Jack Newman, Visit # 1 and #2
Medical Error Simulation Hot Spotting Home Visits Intensive Primary Care Visits
Studio Pop Week 1 – January 14th
(Zaudke/Kleoppel) IPE SP, “Jack Newman: Visit #1”
Week 2 – January 21st (Zaudke/Marks/Phillips) Orientation and Introductions
What is IPE and IPP? Who is on your team?
Working in Interprofessional Teams – how it is going?
Studio Pop Week 3 – January 28th
(Zaudke/Marks/Phillips/Kleoppel) Debrief on the week Film, ‘Unnatural Causes’ and Small Group
Discussions Week 4 – February 4th
(Zaudke/Marks/Phillips/Kleoppel/Cox) Debrief on the week ‘Crucial Conversations’
Studio Pop Week 5 – February 11th
(Zaudke/Phillips/Kleoppel) IPE SP “Jack Newman: Visit # 2”
Week 6 – February 18th (Zaudke/Marks/Phillips/Kleoppel) Hot Spotting Home Visits
Pharmacy, Nursing and Medicine
Studio Pop Week 7 – February 25th
(Zaudke/Marks/Phillips/Kleoppel/Cox) Hot Spotting Home Visits
Pharmacy, Nursing, and Occupational Therapy
Thank you for your attention!