rising to the challenge of embracing diversity in practice through interprofessional collaborative...
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Rising to the Challenge of Embracing Diversity in PracticeThrough Interprofessional Collaborative CareNovember 8, 2014
Cynthia Arndell, MD, FACPJustina Trott, MD, FACP
• Define interprofessional collaborative practice (IPC)
• Discuss the attributes of an effective team
• Describe ways to improve IPC in your current practice setting
Objectives:
Introductions• Your name/title• What setting do you practice in currently?
Think, pair, share: (turn to your neighbor and discussthe questions below):
• Who are the members of your healthcare team?• How well does your team work together in delivering
patient-centered care?
What does interprofessional collaborative practice mean to you?
Interprofessional Collaborative Practice
Multiple health workers from different
backgrounds work together with patients, families, caregivers and
communities to deliver the highest quality of care
World Health Organization, 2010
• Editorial: Bridging the Quality Chasm: Interprofessional Teams to the Rescue? Weinstein, R.S. et al, Corrected Proof. Published online, February 11, 2013
• Improved Patient Outcomes, Zwarenstein et al, JIC Supplement 1:2005
• Improved Cost Efficiency, D’Amour et al 2005 & Rogowski et al 2001
• Improved Health Professional Satisfaction, Cohen & Bailey 1997
• Improved Work Places, Shamian & El-Jardali 2007
What is the evidence?
“A team of experts does not make an expert team”
Salas et al. Toward understanding of team performance and training. In Swezey, Salas, eds. Teams: Their training and performance. Norwood, NJ Ablex, 1992:3-29.
Recall the best healthcare team you were ever part of…
Teamwork at Its’ Best
Consider the following• What were the circumstances?• Who were the team members, i.e., nurse, social
worker, MD, patient case manager?• What were the patient outcomes, i.e., why was it a
success story?• What were the characteristics/qualities of the team
members that made it an effective, collaborative team?
The Reality: Barriers to IPC• Organizational structures/
culture• Power imbalances and role
socialization―how disciplines communicate with other disciplines and transfer behaviors and attitudes
• System challenges―funding and reimbursement, patient documentation, physical structures
What are the 1 – 3 things you could do differently to make your practice more collaborative?
• What are some behaviors you recognize within yourself that could be changed?
• Within your organization, what are the most effective ways of making the types of changes you want to make?
• Who should involved be in making these changes?• How can you gain support for the changes among
organizational leaders? From managers? From front-line care providers? From other staff?
• Whose expertise can you draw on from the broader community as you make these changes?
CONSIDER THE FOLLOWING:
Take Home Points• Advancing IPC requires a cultural
paradigm shift which begins with you• There is enough evidence to ACT NOW• EVERYONE is a stakeholder and has a
role to play• Garner the support of staff,
administrators, community agencies• Establish protocol for integrating IPC
into practice and tools to measure success
Interprofessional Collaborative Care Resources• IP-COMPASS –MedEdPORTAL publication: Parker K, McGuire M, Oandasan
I, Zorzi R. The Interprofessional Collaborative Organization Map and Preparedness Assessment Tool (IP-COMPASS). MedEdPORTAL; 2012.: www.mededportal.org/publication/9257<http://www.mededportal. org/publication/9257
• Josiah Macy foundation: www.macyfoundation.org• National Center for Interprofessional Practice and Education:
http://www.ahceducation.umn.edu/national-center-for-interprofessional-practice-and-education/index.htm
• Interprofessional Education Collaborative Core Competencies: http://www.aacn.nche.edu/education-resources/ipecreport.pdf
• World Health Organization: http://www.who.int/hrh/education/en/