cihc is a 5-year initiative funded by health canada interprofessional education: how can it benefit...

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CIHC is a 5-year initiative funded by Health Canada Interprofessional Education: How can it Benefit Child & Youth Health? Grace Mickelson, Director - Academic Development Provincial Health Services Authority, BC Partnerships & Knowledge Exchange Committee, CIHC

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CIHC is a 5-year initiative funded by Health Canada

Interprofessional Education:How can it Benefit Child & Youth Health?

Grace Mickelson, Director - Academic DevelopmentProvincial Health Services Authority, BCPartnerships & Knowledge Exchange Committee, CIHC

CIHC is a 5-year initiative funded by Health Canada www.cihc.ca

CIHC is a 5-year initiative funded by Health Canada www.cihc.ca

Definition

• Interprofessional Education (IPE) occurs when two or more professions learn with, from and about each other in order to improve collaboration and the quality of care. (CAIPE, 2002)

(see the Canadian Interprofessional Health Collaborative’s (CIHC) Statement on the Definition and Principles of IPE: http://www.cihc.ca/resources-files/CIHCStatement_IPE_Final.pdf )

CIHC is a 5-year initiative funded by Health Canada www.cihc.ca

Definition

Collaborative Patient-Centred Practice (CPCP) • Active participation of each discipline in patient care• Patient/family goals and values enhanced• Mechanisms in place for continuous communication

among caregivers• Optimal staff participation in clinical decision-making

within and across disciplines• Respect for contributions of all professionals

Health Canada, 2003

CIHC is a 5-year initiative funded by Health Canada www.cihc.ca

IPE – Signposts

1992 First IPE course in Canada –

U of Alberta

1999 Centre for CollaborativeHealth Professional Educ.Memorial U.

2001 College of Health Disciplines – UBC

2006 Office of IPEU. of Toronto

2003 First Ministers’ Accord on Health Care Renewal

Federal HHR strategy andHealth Canada initiative –Interprofessional Educationfor Collaborative, Patient-Centred Practice (IECPCP)

2005 IECPCP – cycle 1 funding

2006 IECPCP – cycle 2 fundingCIHC

CIHC is a 5-year initiative funded by Health Canada www.cihc.ca

IECPCP Initiative

• 2003: National Expert Committee, background papers

• 2005 – 2008:– Complementary projects

– 20 IECPCP projects across Canada

– National Health Sciences Students’ Association

– Canadian Interprofessional Health Collaborative

CIHC is a 5-year initiative funded by Health Canada www.cihc.ca

Canadian Interprofessional Health Collaborative (CIHC)

• Funded by Health Canada for 5 years• Two main goals:

– Build the knowledge base for interprofessional education and collaborative, patient-centred care

– Mobilize knowledge to change practice

CIHC is a 5-year initiative funded by Health Canada www.cihc.ca

The Present

CIHC is a 5-year initiative funded by Health Canada www.cihc.ca

IPE in Action• IPE involves a diverse

cast of characters• Guiding principles can

assist planning

CIHC is a 5-year initiative funded by Health Canada www.cihc.ca

Evidence Makes the Best Case

• Series of systematic reviews of IPE over past 8 years• Some demonstrated benefits of IPE • Need to develop a body of quantitative and qualitative

scientific evidence linking IPE with more collaborative practice and better patient care

Pooling data across projects and sites

CIHC is a 5-year initiative funded by Health Canada www.cihc.ca

The Evidence

Benefits of IPE• Enables students

and practitioners to learn the knowledge and skills necessary to work collaboratively

• Students enjoy interprofessional experiences

CIHC is a 5-year initiative funded by Health Canada www.cihc.ca

The Evidence

• IPE enhances practice, improves the delivery of services and may also have a positive impact on patient care– Addresses challenges in chronic disease management– Improves workplace safety & job satisfaction– Improves organization of care (eg, referrals)– Builds efficient work patterns– Improves documentation (eg, guidelines, protocols)

CIHC is a 5-year initiative funded by Health Canada www.cihc.ca

One Size Does Not Fit All

• Flexible• Tailored to the needs of the specific setting, population,

organization or unit

CIHC is a 5-year initiative funded by Health Canada www.cihc.ca

Resources Required

• Adequate, dedicated, long-term

Education Health

CIHC is a 5-year initiative funded by Health Canada www.cihc.ca

Curricula Changes are Essential

• Flexible and creative• New way of learning• IP learning replaces some discipline specific• Informed by research

CIHC: Projects focused on knowledge/skill development in the form of a structured interprofessional learning activity

U. of Manitoba just announced a new position for IPE coordination

CIHC is a 5-year initiative funded by Health Canada www.cihc.ca

Introduced at the Right Time

With, from and about…Early Exposure?• Allow students to develop

sense of their profession• Allow students to understand

areas of collaborationLate Immersion?• Year prior to graduation• After graduation or licensure

“Teams can benefit patients if they are working well. If the team is not working well it can also affect the patient. It also makes me more aware of how I will want to practice in the future.” – Manitoba Student

CIHC is a 5-year initiative funded by Health Canada www.cihc.ca

Build Collaborative Learning Environments

• Integrate with health/wellness goals• Create collaborative

platforms across education institutions

• Find and champion existing IP teams to develop innovative learning environments

• Support student-led initiatives

Student Wellness Initiative Toward Community Health (SWITCH):Student-managed IP wellness centre providing year-round after-hours primary care, traditional Aboriginal healing and health programs to Saskatoon’s core neighborhoods.

CIHC is a 5-year initiative funded by Health Canada www.cihc.ca

Modify Structures to Support Collaboration

• IP leadership and planning groups• Incentives for IP teaching/learning• Mechanisms for IP communication

and coordination

NaHSSA’s IPE Mentorship Award

20082008 20072007

Canadian Child & Youth Health Coalition

CIHC is a 5-year initiative funded by Health Canada www.cihc.ca

Embed IPE in the System

• On April 10, 2008, the British Columbia Minister of Health introduced the Health Professions Regulatory Reform Act

Section 10 (f) introduces a change to the bylaws of all Regulatory Colleges in B.C. that will require each College “to promote and enhance the interprofessional collaborative practice between its registrants and persons practicing another health profession.”

CIHC is a 5-year initiative funded by Health Canada www.cihc.ca

Engage the Community

Build on existing strengths

IDEAS – IP Disaster/Emergency Action Studies • First responders, health personnel• Centennial College• Volunteers for simulations• Local, provincial, Department of Defence

CIHC is a 5-year initiative funded by Health Canada www.cihc.ca

Conclusion

IPE is growing and developing in Canada

IPE knowledge can be adapted forchild and youth health settings to:– Enable students and practitioners to learn the

knowledge and skills for collaborative working– Enhance practice and improve the delivery of

services

CIHC is a 5-year initiative funded by Health Canada www.cihc.ca

For more information:www.cihc.cawww.cihc.ca/libraryBrenda [email protected] [email protected]

CIHC is a 5-year initiative funded by Health Canada www.cihc.ca

Acknowledgements

• Thank you to the following people who assisted with this presentation:– John Gilbert, Project Lead, CIHC– Brenda Sawatzky-Girling, Managing Director, CIHC– Susanna Gilbert, Monkeytree Creative