Interprofessional Health care Teams Where do you fit in?

reflections

In 2001, The Institute of Medicine (IOM) defined patient-centered care as "providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions."

Patient

Interprofessional Health care Team “Today's patients have complex health needs and typically require more than one discipline to address issues regarding their health status” (1). “In 2001 a recommendation by the Institute of Medicine Committee on Quality of Health Care in America suggested that healthcare professionals working in interprofessional teams can best communicate and address these complex and challenging needs” (1, 2).  This interprofessional approach may allow sharing of expertise and perspectives to form a common goal of restoring or maintaining an individual's health and improving outcomes while combining resources (1, 3). 1. Lumague M, Morgan A, Mak D, Hanna M, Kwong J, Cameron C, et al. Interprofessional education: the student perspective. J Interprof Care. 2008;20:246–53. [PubMed] 2. Institute of Medicine Committee on Quality of Health Care in America, editor. Crossing the Quality Chasm: a new health system for the 21st century. Washington, DC: National Academy Press; 2001.[PubMed] 3. Barker K, Oandasan I. Interprofessional care review with medical residents: lessons learned, tensions aired – a pilot study. J Interprof Care. 2005;19:207–14. [PubMed]

Interprofessional Health Care Team Defined “interprofessional collaboration is a ‘partnership between a team of health providers and a client in a participatory collaborative and coordinated approach to shared decision making around health and social issues”  Canadian Interprofessional Health Collaborative, “process which includes communication and decision-making, enabling a synergistic influence of grouped knowledge and skills” (7). 7. Kasperski M. Toronto, ON: Ontario College of Family Physicians; 2000. Implementation strategies: ‘Collaboration in primary care – family doctors and nurse practitioners delivering shared care’ Available from: http://www.cfpc.ca/English/CFPC/CLFM/bibnursing/default.asp?s=1 (cited 22 March 2010)

Essential Elements of COllaboration Responsibility Accountability Coordination Communication Cooperation Assertiveness Autonomy Mutual trust and respect

Traits that enhance Effectiveness Focus of members should be on needs of the patient/client rather than on individual contributions of members Members seeing their roles as important to the team team members must respect, understand roles, and recognize contributions of their members Open communication collaboration requires both depending on others and contributing one’s own ideas toward solving a common problem Existence of autonomy Equality of resources

Team threats role ambiguity role conflict role overload.

Team challenges What do you THINK?????? the process of team formation is time consuming and requires matching of schedules of the different team members collaboration requires communication between team members, which takes time away from patient appointments in busy practices; • a comprehensive approach to health care may lead to increased use of limited services and resources; and • a successful team requires on-going conflict resolution and goal re-assessment; failure of these tasks may impair health care delivery;

poor interprofessional collaboration can have a negative impact on the quality of patient care 

When? Teams the problems are complex enough to require more than one set of skills or knowledge the amount of skills or knowledge is too great for one provider assembling a group of professionals will enhance the solution to the problems team-members can communicate on an equal basis all providers are willing to sacrifice some professional autonomy in working together for a common goal

Why? Teams https://www.med.mun.ca/getdoc/601a16b5-7a06-4447-8840-60af3fa494cd/Interprofessional- Health-Care-Teams.aspx

Multidisciplinary Individual discipline-specific assessments of a specific developmental area Discipline-specific treatments Discipline-specific goals and objectives

Interdisciplinary Team discipline specific assessments Cooperative treatments; however each team member continues to be primarily responsible for their area of expertise Discipline specific goals and objective with input and awareness from all team members

Transdisciplinary/Primary Service Provider Research supports this model as the ideal model for learning in infants and young children Development is viewed as an integrated process Generally Team Discipline Specific Evaluation Cooperative goal writing and treatment plan development among all team members (including families) Primary service provider Main person providing early intervention services Typically chosen based on child’s greatest area of need Should regularly be re-evaluated and possibly changed NOT intended to be a cost-saving method

the basis of primary health care is communication with patient/client, a central principle shared by all health professionals

references 1. Lumague M, Morgan A, Mak D, Hanna M, Kwong J, Cameron C, et al. Interprofessional education: the student perspective. J Interprof Care. 2008;20:246–53. [PubMed] 2. Institute of Medicine Committee on Quality of Health Care in America, editor. Crossing the Quality Chasm: a new health system for the 21st century. Washington, DC: National Academy Press; 2001.[PubMed] 3. Barker K, Oandasan I. Interprofessional care review with medical residents: lessons learned, tensions aired – a pilot study. J Interprof Care. 2005;19:207–14. [PubMed] 7. Kasperski M. Toronto, ON: Ontario College of Family Physicians; 2000. Implementation strategies: ‘Collaboration in primary care – family doctors and nurse practitioners delivering shared care’ Available from: http://www.cfpc.ca/English/CFPC/CLFM/bibnursing/default.asp?s=1 (cited 22 March 2010) https://www.med.mun.ca/getdoc/601a16b5-7a06-4447-8840-60af3fa494cd/Interprofessional-Health-Care- Teams.aspx

Jigsaw Activity

debrief

Discussion board

Questions?????????