Interprofessional Learning Clinical Placement Toolkit Module: Opportunity Are we a team that can offer IP learning experiences? “Building and sustaining training in WA”

Toolkit Structure Slides aim to be interactive throughout the toolkit, with the opportunity to explore and review elements in more depth as needed. Action buttons such as these will take you to a separate slide or to other documents and links. Return buttons allow you to navigate back to the slide you were on after looking into elements in more depth. Click the button if you would like to read more. More “Building and sustaining training in WA”

Interprofessional Practice There are three aspects of interprofessional practice that can be used to describe a service delivery team collaboration. 1.Team Approach 2.Team Management Structure 3.Team Processes “Building and sustaining training in WA”

1. Team Approach The team approach in place in a service delivery team should be responsive to the complexity of the client’s needs. Coordination: Team members talk and provide each other with necessary information Cooperation: Team members negotiate and plan to minimize duplication/ensure resource efficiency Collaboration: Team members interact, negotiate and jointly work with each other. Adapted from World Health Organisation (2010) Framework for Action on Interprofessional Education & Collaborative Practice, Health Professions Network Nursing & Midwifery Chair, Geneva Accessed here 19/5/15here “Building and sustaining training in WA”

Team approach reflects resource use based on a ‘sliding scale’ of client need for collaboration “Building and sustaining training in WA” Of the 17 teams surveyed in the WA CTN study: Fifteen (15) felt that the collaboration description best described the MAIN approach of their team. However, 12 considered that all three team approaches were applied according to the particular needs of the clients. Teams described that the three team approaches were in operation at any one time as a ‘sliding scale’ depending on the needs, complexity and circumstances of the client. Do your team’s clients’ needs range from simple to complex? Or are they all complex and needing total collaboration for each case? Collaboration Cooperation Coordination More

Examples of Team Approach Variation Varied client group: Midwest Sub-Acute Care Inter-professional Learning (SAC IPL) Program “Building and sustaining training in WA” Complex client focus: Women and Newborn Drug and Alcohol Service (WANDAS)

2. Team Management Structure Teams operate at one of three different levels of management structure. Sustainability of the interprofessional model increases as teams develop type three structures. Type One – a spirit of cooperation that is personally driven Type Two – proactive processes and agreements although informal (not strategically planned) Type Three – systematic process and written agreements supporting teamwork Adapted from the PROSE-model in Vyt, A. (2008) Interprofessional and transdisciplinary teamwork in health care. Diabetes/ Metabolism Research and Reviews Vol 24. Accessed 15/8/14 “Building and sustaining training in WA”

3. Team Processes Team processes are driven by the team approach needed by clients and supported by the type of management structure in place. Processes supporting collaboration commonly described by interprofessional teams include: Meetings Clinical planning meetings with or without client involvement Planning/improvement meetings to enhance the team functioning Holistic protocols Assessments e.g. Subacute Rehabilitation tool, SAFER Treatment pathways Specified Roles Key worker/Coordinator roles Communication & Structures Coordinated notes Central appointments “Building and sustaining training in WA”

Take Action: Explore your teamwork Describe your current team’s approach/ management/ processes. Do a quick Teamwork Checklist  Recommended “Does your team demonstrate interprofessional competencies?” Explore in more depth using an analysis tool  IP-Compass ©  CPAT © “Building and sustaining training in WA” More

Make a Plan Are there elements of your current practice that could be strengthened to improve client outcomes and enhance opportunities for IP learning?  We are pretty good at teamwork and already plan to keep improving.  We are working hard on our teamwork and will progress some of the tools reviewed here to improve our teamwork.  We need help to shape our service area’s understanding of interprofessional practice. “Building and sustaining training in WA” More

Four Quadrants of Design This concludes the Opportunity module. We suggest working through Competencies next by selecting that module when you return to the toolkit home page. “Building and sustaining training in WA” Module: Opportunity Are we a team that can offer IP learning experiences? Module: Opportunity Are we a team that can offer IP learning experiences? Module: Competencies What competencies could we offer and how? Module: Competencies What competencies could we offer and how? Module: Capacity What type of placement can we offer? Module: Capacity What type of placement can we offer? Module: Preparation What is our action plan and what support is available? Module: Preparation What is our action plan and what support is available?

Midwest Sub-Acute Care Interprofessional Learning (SAC IPL) Program One team professional undertakes a holistic assessment of the client from a single entry point referral process, exploring client goals and assessing the need for other health professionals/services. This clinician undertakes case management, care coordination, and treatment (in collaboration with other professionals as needed) for the client. The team collaborates and discusses client goals and client care during weekly multidisciplinary team meetings, as well as engaging in regular team in-services for continual upskilling across all professional areas of knowledge. The team focuses on the client’s goal/ desired outcomes, not a profession specific goal. The complexity of a client’s needs dictates the level of interprofessional collaboration that occurs. “Building and sustaining training in WA” More

Women and Newborn Drug and Alcohol Service (WANDAS) WANDAS provides high quality care with a committed team that shares different insights to ensure “wrap around care for both mother and baby”. The result is improved outcomes for both mother and baby. The team approach supports team members being able to debrief and to be kept safe in their delivery of services. WANDAS initiates involvement with the mother as early in the pregnancy as possible, and follow up continues to six months after the birth of the child. WANDAS routinely cares for women with highly complex medical, social and psychiatric conditions, and services all require a collaborative focus on the needs of the mother and baby. “Building and sustaining training in WA” More

Interprofessional Collaborative Organization Map and Preparedness Assessment © Kathryn Parker and Ivy Oandasan, “IP-COMPASS is a quality improvement framework to help clinical settings become better prepared to provide intentional interprofessional learning experiences”(p4) It is designed to help teams create an environment that supports interprofessional learning. See a Sample Page Access the Assessment “Building and sustaining training in WA”

IP-Compass © Sample Page “Building and sustaining training in WA”

See a sample page Learn more and request a copy CPAT: Collaborative Practice Assessment Tool (CPAT )© Mission, Meaningful Purpose & Goals General Relationships Team Leadership; General Role Responsibilities, Autonomy Communication and Information Exchange Community Linkages and Coordination of Care Decision-making and Conflict Management Patient Involvement “Building and sustaining training in WA” More The CPAT survey includes 56 items across eight domains including:

CPAT© Sample Page “Building and sustaining training in WA”

Building Momentum for Change Curtin University Leadership Program The introductory rationale provides a starting point for a healthcare team to explore the need for change in practice. The Leadership Program is available to be used to facilitate organisational change. Interprofessional Learning Resource Centre The McMaster University IPL Resource Centre provides a guided six step approach to increasing an organisation’s interprofessional practice in a Canadian context. This opening clip provides a quick outline of the program’s intent. “Building and sustaining training in WA” More