Session # C7 Aligning Core Competencies for Interprofessional Collaborative Practice with the SAMHSA-HRSA Standard Framework for Levels of Integrated Healthcare for Integrated Care Teamwork Training Lesley Manson, PsyD, Arizona State University, Doctor of Behavioral Health, Assistant Chair of Integrated Initiatives Liz Harrell, DNP, PMHNP-BC, Program Director for the Student Health Outreach for Wellness (SHOW) Community Initiative, Arizona State University Please insert the assigned session number (track letter, period number), i.e., A2a Please insert the TITLE of your presentation. List EACH PRESENTER who will ATTEND the CFHA Conference to make this presentation. You may acknowledge other authors who are not attending the Conference in subsequent slides. CFHA 18th Annual Conference October 13-15, 2016  Charlotte, NC U.S.A. Collaborative Family Healthcare Association 12th Annual Conference

Faculty Disclosure The presenters of this session have NOT had any relevant financial relationships during the past 12 months. You must include ONE of the statements above for this session. CFHA requires that your presentation be FREE FROM COMMERCIAL BIAS. Educational materials that are a part of a continuing education activity such as slides, abstracts and handouts CANNOT contain any advertising or product‐group message. The content or format of a continuing education activity or its related materials must promote improvements or quality in health care and not a specific propriety business interest of a commercial interest. Presentations must give a balanced view of therapeutic options. Use of generic names will contribute to this impartiality. If the educational material or content includes trade names, where available trade names for products of multiple commercial entities should be used, not just trade names from a single commercial entity. Faculty must be responsible for the scientific integrity of their presentations. Any information regarding commercial products/services must be based on scientific (evidence‐based) methods generally accepted by the medical community. Collaborative Family Healthcare Association 12th Annual Conference

Learning Objectives At the conclusion of this session, the participant will be able to: Summarize how interprofessional team trainings enhance practice skills and assist in meeting the triple (and quadruple) aim. Critique and appraise the benefits of aligning IPE Core Competencies for Interprofessional Collaborative Practice with the SAMHSA-HRSA Standard Framework for Levels of Integrated Healthcare to enhance integrated care team based functioning. Identify key elements of interprofessional training to enhance teamwork skills within integrated care settings. Include the behavioral learning objectives you identified for this session Collaborative Family Healthcare Association 12th Annual Conference

Bibliography / Reference American Psychological Association. (2015). Competencies for Psychology Practice in Primary Care. Retrieved from http://www.apa.org/ed/resources/competencies-practice.pdf. TeamSTEPPS®: Strategies and Tools to Enhance Performance and Patient Safety. (March 2016) Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/education/curriculum-tools/teamstepps/index.html Mayo Clinic Shared Decision Making National Resource Center. (2016). http:// shareddecisions.mayoclinic.org/  Interprofessional Education Collaborative Expert Panel (2011). Core competencies for interprofessional practice: Report of an expert panel. Washington, DC: Interprofessional Education Collaborative. Retrieved from http://www.aacn.nche.edu/education-resources/ipecreport.pdf Continuing education approval now requires that each presentation include five references within the last 5 years. Please list at least FIVE (5) references for this presentation that are no older than 5 years. Without these references, your session may NOT be approved for CE credit. Collaborative Family Healthcare Association 12th Annual Conference

Bibliography / Reference Canadian Interprofessional Health Collaborative (2010). A national interprofessional competency framework. Retrieved from http://www.cihc.ca/files/CIHC_IPCompetencies_Feb1210.pdf Interprofessional Education Collaborative (2016). Core competencies for interprofessional practice: 2016 update. Washington, DC: Author. Retrieved from https://ipecollaborative.org/uploads/IPEC-2016-Updated-Core- Competencies-Report__final_release_.PDF University of Toronto (2008). Advancing the interprofessional education curriculum. Toronto, Canada: Author. Heath B, Wise Romero P, and Reynolds K. A Review and Proposed Standard Framework for Levels of Integrated Healthcare. Washington, D.C.SAMHSA-HRSA Center for Integrated Health Solutions. March 2013

Learning Assessment A learning assessment is required for CE credit. A question and answer period will be conducted at the end of this presentation. Please incorporate audience interaction through a brief Question & Answer period during or at the conclusion of your presentation. This component MUST be done in lieu of a written pre- or post-test based on your learning objectives to satisfy accreditation requirements. Collaborative Family Healthcare Association 12th Annual Conference

Teamwork Training in Integrated Care Navigating the Nexus in Real-Time Aligning core competencies and developing interprofessional trainings SECTION I © 2016

“You're entirely bonkers. But I'll tell you a secret “You're entirely bonkers. But I'll tell you a secret. All the best people are.”

Down the Rabbit Hole

Ah, that's the great puzzle.” “Who in the world am I? Ah, that's the great puzzle.” Who is our audience? -Providers (all), administrators, staff, patients/community, funders…

“One day Alice came to a fork in the road and saw a Cheshire cat in a tree. Which road do I take? she asked. Where do you want to go? was his response. I don’t know, Alice answered. Then said the cat, it doesn’t matter. If you don’t know where you are going, any road will get you there.”

Goals and Objectives Which one(s) or all do we choose? Subject Matter Experts Innovation Workforce Development Leadership Quadruple Aim Academic Quality Evidence Based Marketing Enhancing Local and National Embedding Interdisciplinary / Interprofessional Research Which one(s) or all do we choose?

Ongoing Considerations in Wonderland Contracting Entity Payers Internal Instructional Learner Trainers Outcome Tracking Applied Outcomes Review/Reinforce “It would be so nice if something made sense for a change.”

Overview: Train-the-Trainer Session 1 Introduction to Team Training Integrated Communication Tools and Techniques Session 2 Team Practices, Priorities and Proficiencies in Integrated Care Session 3 Integrated Challenges: Managing Team Dynamics and Change Session 4 Reflection and Evaluation in Integrated Practice

Falling into place Once we identified motivations and goals for integrated care, we identified core competencies and behavioral metrics.  Like Alice, sometimes you find yourself going down the rabbit hole on an adventure into the unknown. When you are curious, anything is possible! This http://ideastoinspire.org/rabbit-hole/ “Like Alice, sometimes you find yourself going down the rabbit hole on an adventure into the unknown. When you’re curious, anything is possible!” http://www.victorianweb.org/art/illustration/tenniel/alice/1.4.html

“Everyone has won, and all must have prizes.” Developing a win-win is challenging. Strive for Win-Win

Caucus-Race and Long Tale Adopt .... More Team Collaboration Distribute Adapt Deliver Refine Pilot Negotiate Design - Pilot- Refine – Deliver – Adapt - Distribute - Adopt Process TEAM MEETINGS Respect Project management Review- Adapt - Adopt Feedback Alignment Goal review Timelines Clarity FOCUS GROUPS Development Needs Assessment Training Verbiage Delivery – Adapt - Adopt Design Team Collaboration... Answer the Call to the Adventure Listen and Learn

Design  Pilot  Refine  Deliver  Adapt  Distribute  Adopt TEAM MEETINGS Respect Project management Review- Adapt - Adopt Feedback Alignment Goal review Timelines Clarity FOCUS GROUPS Development Feedback Needs Assessment Training Verbiage Delivery – Adapt – Adopt

IPEC Competencies – Integrated Care Competencies Values/Ethics for Interprofessional Practice Competency Roles/Responsibilities Competency Teams and Teamwork Competency Interprofessional Communication Competency Quadruple Aim IPEC Competencies – Integrated Care Competencies Comparing  Categorizing  Aligning Four Core Competencies (IPEC®, 2016): Competency 1: Work with individuals of other professions to maintain a climate of mutual respect and shared values (Values/Ethics for Interprofessional Practice). Competency 2: Use the knowledge of one’s own role and those of other professions to appropriately assess and address the health care needs of patients and to promote and advance the health of populations. (Roles/Responsibilities) Competency 3: Communicate with patients, families, communities, and professionals in health and other fields in a responsive and responsible manner that supports a team approach to the promotion and maintenance of health and the prevention and treatment of disease. (Interprofessional Communication) Competency 4: Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles to plan, deliver, and evaluate patient/population-centered care and population health programs and policies that are safe, timely, efficient, effective, and equitable. (Teams and Teamwork) Compare  Categorize  Align  Integrate

Interprofessional Collaboration Competencies Values/Ethics for Interprofessional Practice (VE): Work with individuals of other professions to maintain a climate of mutual respect and shared values. Roles/Responsibilities (RR): Use the knowledge of one’s own role and those of other professions to appropriately assess and address the health care needs of patients and to promote and advance the health of populations.

Interprofessional Collaboration Competencies Interprofessional Communication (CC): Communicate with patients, families, communities, and professionals in health and other fields in a responsive and responsible manner that supports a team approach to the promotion and maintenance of health and the prevention and treatment of disease. Teams and Teamwork (TT): Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles to plan, deliver, and evaluate patient/population- centered care and population health programs and policies that are safe, timely, efficient, effective, and equitable.

Key Elements of IPEC Enhancing teamwork skills within integrated care settings:

Integrated Care Competencies American Psychological Association Marriage and Family Therapy Core Competencies Core Competencies for Integrated Behavioral and Primary Care (SAMHSA-HRSA) Advanced Clinical Social Work Practice in Integrated Healthcare Eugene S. Farley, Jr. Health Policy Center Competencies for BHP in Integrated Care The Academy Integrating BH and PC (AHRQ) Collaborative Family Healthcare Association 12th Annual Conference

Managing Differences & Similarities Creating Connections + Identifying Behavioral Anchors

Standard Framework for Levels of Integrated Healthcare Heath B, Wise Romero P, and Reynolds K. A Review and Proposed Standard Framework for Levels of Integrated Healthcare. Washington, D.C.SAMHSA-HRSA Center for Integrated Health Solutions. March 2013

Critique & Appraise: Aligning IPE Core Competencies with Integrated Care Competencies to enhance integrated care team based functioning. Critique Appraise

Copyright © 2016 The Arizona Board of Regents for and on behalf of Arizona State University, All Rights Reserved. Framework Adapted and Developed from: Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington, D.C.: Interprofessional Education Collaborative and from Heath, B., Wise Romero, P., and Reynolds, K.A. (March 2013). A standard framework for levels of integrated healthcare. Washington, D.C. SAMHSA-HRSA Center for Integrated Health Solutions.

Align: Healthcare Aims http://www.ihi.org Improved person experience to care Reduced healthcare costs Improved population health Improved healthcare team member experience of healthcare delivery

Aligning Together for Aim Interprofessional team trainings enhance practice skills in meeting the quadruple aim: Shared Communication and Language Huddles & Team Meetings Effective Teams Interprofessional Integrated Goal Setting Conflict Resolution/Management Integrated Plans of Care Values/Ethics Shared Metrics

“But I don't want to go among mad people, said Alice “But I don't want to go among mad people, said Alice. 'Oh, you can't help that,' said the cat. 'We're all mad here.’”

“I can't go back to yesterday - because I was a different person then

Results:

Results: “One of the secrets of life is that all that is really worth the doing is what we do for others.”

Questions?

For Further Information Lesley Manson, PsyD, Arizona State University, Doctor of Behavioral Health, Assistant Chair of Integrated Initiatives, Consultant for PCBH Email: lesley.manson@asu.edu Phone: (602) 496-6790 Liz Harrell, DNP, PMHNP-BC, Program Director for the Student Health Outreach for Wellness (SHOW) Community Initiative, Arizona State University Email: lizharrell@asu.edu http://www.ebbemunk.dk/alice/alice3.html

Session Evaluation Please complete and return the evaluation form before leaving this session. Thank you! This should be the last slide of your presentation Collaborative Family Healthcare Association 12th Annual Conference