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Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of Rochester School of Nursing

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Page 1: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

Core Competencies for Interprofessional Collaborative Practice and Care Coordination

Madeline H. Schmitt PhD, RN, FAAN

Professor Emerita

University of Rochester School of Nursing

Page 2: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

IPEC and the Core Competencies Expert Panel

Six national health professions education associations (AACN, AACOM, AACP, AAMC, ADEA, ASPH) formed a working group (IPEC) in 2009 to develop a framework of joint activities to support patient-centered team-based care, promote delivery reform, and foster interprofessional learning experiences

Jointly implement an Expert Panel in early 2010

Page 3: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

IPEC Charge to Expert Panel

Recommend common core competencies relevant across the professions to address the essential preparation of clinicians for interprofessional collaborative practice

Recommend learning experiences and educational strategies for achieving the competencies and related objectives

Page 4: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

Expert Panel Process

Page 5: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

Interprofessional Education and Interprofessional Collaboration

IPE When students from two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes (WHO, 2010)

IPC When multiple health workers from different professional backgrounds work together with patients, families, careers, and communities to deliver the highest quality of care (WHO, 2010)

Page 6: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

Professional & Interprofessional Competency

Professional Competency

Interprofessional Competency

Behavioral demonstrations of an integrated set of knowledge, skills, and attitudes that define the domains of work of a specific health profession applied in specific care contexts

Behavioral demonstrations of an integrated set of knowledge, skills and attitudes for working together across the professions, with other health care workers, and with patients/families/ communities/populations to improve health outcomes in specific care contexts

Page 7: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

IOM 5 Core Competencies, adapted to IPEC Expert

Panel Work

Work in Interprofessional

Teams“Core

Competencies”Apply

Quality Improvement

Provide Patient-

CenteredCare

UtilizeInformatics

Employ Evidence-

BasedPractice

Page 8: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

IP Competencies: General Criteria

Patient, Population & Relationship-centered Process-oriented “Common” language Applicable across practice settings

across professions Relevant to the learning continuum Outcome driven [performance] Relevant to IOM goals for improvement:

patient-centered, efficiency, effectiveness, safety, timeliness, and equity

Page 9: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

Work in IP Teams

Core Competencies

TeamworkProcesses

Roles/Responsibilities

Values/Ethics

Communication

Core Competencies: Four Domains

Page 10: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

VALUES/ETHICSOverall Competency

Work with individuals of other professions

to maintain a climate of mutual respect

and shared values

Page 11: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

VALUES/ETHICS Example competencies

Place the interests of patients and populations at the center of IP health care delivery

Respect the unique cultures, values, roles/responsibilities and expertise of other health professions

Page 12: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

ROLES & RESPONSIBILITIESOverall Competency

Use the knowledge of one’s own role

and those of other professions

to appropriately assess and address

the health care needs of the patients

and populations served

Page 13: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

ROLES & RESPONSIBILITIESExample Competencies

Recognize one’s limitations in skills, knowledge and abilities

Engage diverse health care professionals who complement one’s own professional expertise, as well as associated resources, to develop strategies to meet specific patient care needs

Page 14: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

INTERPROFESSIONAL COMMUNICATION

Overall Competency

Communicate with patients, families, communities and other health professionals

in a responsive and responsible manner

that supports a team approach

to the maintenance of health

and treatment of disease

Page 15: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

INTERPROFESSIONAL COMMUNICATION

Example Competencies

Organize and communicate information with patients, families and health care team members in a form that is understandable, avoiding discipline-specific terminology when possible

Give timely, sensitive, instructive feedback to others about their performance on the team, and respond respectfully as a team member to feedback from others

Page 16: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

INTERPROFESSIONAL TEAMWORK &TEAM-BASED CARE Overall Competency

Apply relationship-building values

and the principles of team dynamics

to perform effectively in different team roles

to plan and deliver patient/population-centered care that is safe, timely,

efficient, effective, and equitable

Page 17: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

INTERPROFESSIONAL TEAMWORK & TEAM-BASED CAREExample Competencies

Integrate the knowledge and experience of other professions-appropriate to the specific care situation-to inform care decisions, while respecting patient and community values and priorities/preferences for care

Use process improvement strategies to increase effectiveness of interprofessional teamwork and team-based care

Page 18: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

Emphasis of Core Competency

Framework

Focus is on individual competencies for working together

Not focused on common or unique clinical or broader [e.g., systems, QI] knowledge bases

Builds on professional competencies Principles extend to non-professional team

members Report available for downloading at

https://www.aamc.org/download/186750/data/core_competencies.pdf

Page 19: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

HRSA Invitational Conference February 16-17, 2011

Co-sponsored by Josiah Macy Jr. Foundation, Robert Wood Johnson Foundation, and American Board of Internal Medicine Foundation, along with HRSA and IPEC

Two goals-vetting core competencies Developing action plans for next steps Report available for downloading at

https://www.aamc.org/download/186752/data/team-based_competencies.pdf

Page 20: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

Core Competencies and Care Coordination

Competences underpin three core processes of teamwork and team-based care: CooperationCoordination [within as well as across

settings]Collaboration

Page 21: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

Linking core competencies and care coordination

“Care coordination” is a person-centered, assessment-based, interdisciplinary approach to integrating health care and social support services in a cost-effective manner in which an individual’s needs and preferences are assessed, a comprehensive care plan is developed, and services are managed and monitored by an evidence-based process which typically involves a designated lead care coordinator.”

Bold=core competency Blue=specific to care coordination fx or role

Page 22: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

Definition contains:

Values->Patient/person/family centered;

Roles->all team members, care coordinator [vs coordination function]

Communication->between team and care coordinator

Teamwork->interdisciplinary, comprehensive assessment and planning process

Page 23: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

Effective care coordination requires action at all levels#

National organizations [standards], Federal gov’t [monitoring system-level performance], State [tracking system performance], Regional/community [tracking system performance], Practice [allocate/manage care coordination function, integrate

care, monitor performance], Family [expectations, preferences, coordination role and skill

development, feedback]

#Antonelli, McAllister, & Popp (2009). Making care coordination a critical component of the pediatric health system: A multidisciplinary framework. The Commonwealth Fund. Publication No. 1277. Retrieved May 17, 2011 from http://www.commonwealthfund.org/Content/Publications/Fund-Reports/2009/May/Making-Care-Coordination-a-Critical-Component-of-the-Pediatric-Health-System.aspx

Page 24: Core Competencies for Interprofessional Collaborative Practice and Care Coordination Madeline H. Schmitt PhD, RN, FAAN Professor Emerita University of

Collaborating Across Borders IIITucson, AZ November 19-21, 2011

See

www.cabarizona2011.org


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