interprofessional education: transforming care through teamwork - adriana perez
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Adriana Perez, PhD, ANP-BC, Assistant Professor & Southwest Borderlands Scholar, Arizona State University College of NursingTRANSCRIPT
PLENARY SESSION PLENARY SESSION Interprofessional Education: Interprofessional Education: Transforming Care through Transforming Care through Team Work Team Work Adriana Perez, PhD, ANP-BCAdriana Perez, PhD, ANP-BCASSISTANT PROFESSOR & SOUTHWEST BORDERLANDS SCHOLAR
CO-DIRECTOR, HARTFORD CENTER OF GERONTOLOGICAL NURSING EXCELLENCE
• Crossing the Quality Chasm: A New Health System for the 21st Century (IOM Report, 2001)– More than 70 peer-reviewed
publications documented serious health outcomes from 1990-2000
– Cooperation among clinician should be a priority
– Less than 15% of nursing and medical schools have any interdisciplinary programs
Historical ContextHistorical Context
Health Professions Education: A Bridge to Quality (IOM Report, 2003)
• Students and working professionals to develop and maintain proficiency– Delivering patient-centered care– Working as part of interdisciplinary teams– Practicing evidenced-based medicine– Focusing on quality improvement and – Using information technology
Health Care System Challenges
High-quality, patient-centered health care for all will require a transformation of the health care delivery system
Institute of Medicine Report
Interprofessional Collaboration
Interprofessional Education
• “Occasion when two or more professionals learn with, from and about one another to facilitate collaboration in practice” (CAIPE, 1997, p. 3)
• Interprofessional education involves educators and learners from 2 or more health professions and their foundational disciplines who jointly create and foster a collaborative learning environment (CAIPE, GITT, IOM)
• With the passage of the Affordable Care Act (ACA) there is new incentive to advance interprofessional practice.
A New Era in Health & Health Care
• Comprehensive Geriatric Education Program (HRSA)– Overall efforts aimed at
developing future leaders in gerontology and improving outcomes in geriatric care.
• Nursing• Social work• Physical therapy
Exemplar
Desired Outcomes
• Positively influence the attitudes and perceptions of students by reducing negative stereotypes to help overcome barriers to collaboration
• Common curricula in education can result in the development of common concepts, values, perspectives and language, which, in turn will provide a frame of reference for collaborative practice
Evidence
• Limited research has been conducted on interdisciplinary education
• Systematic review (2007) found:– Positive changes in knowledge, skills,
attitudes, and beliefs– Impact on quality health care
Exemplar
• Interprofessional Approaches to Healthy Aging– Broad-based coalitions– Scenarios aligning interprofessional
education and collaborative practice– Team based competencies
Stakeholders
• Buy in from Dean of each college
• Support from Associate Dean for Academic Affairs for each college
• Program Directors/Block Directors
• Support of faculty to be involved
• Student acceptance of interdisciplinary experience
• Health facilities
Barriers
• Unprepared faculty
• Differences across schools and students
• Structural barriers
• Limited research
• Unsupportive training environments
Traditional Education Systems
• Underscore a hierarchy
• Discourage the challenge of authority
• Discourage the acknowledgement of error
Key Messages
• Identify Interprofessional Education as an institutional goal
• Identify administrative & faculty champions
• Establish relationships with other universities & health care programs
• Consider faculty development and recognition program
• Long-term sustainability, including funding resources
• Consider who is missing as part of the health care team
Conclusion
• Health professionals must be educated in a multidisciplinary environment that will enhance communication and collaboration.
• Benefits include a greater potential for solving complex problems compared to any one profession acting alone.
(IOM, 2001).