Dr. Rathee, E. & Dr. Riedford, K. Month 20XX Interprofessional Training and Patient Care Delivery Model- University of Southern Indiana​ Dr. Rathee, E. & Dr. Riedford, K.

Background-Need for Integrated Training More than 50% of Indiana’s counties lack access to mental health care (Bowen Report, 2017) 68 counties, 45 of which are rural, meet the minimum qualifications for health professions shortage area designation (HRSA, 2017). These shortage areas affect 2,669,719 Indiana citizens. The need to integrate primary care and mental health in rural and underserved areas of Southwestern Indiana, Southeastern Illinois, and Northern Kentucky is very well recognized

The Integrated Care Model One way to meet the mentioned need  This model is also a great way to promote interprofessional collaboration  In Spring of 2017, the University of Southern Indiana (USI) received an Advanced Nursing Education (ANE) Grant from Health Resources and Services Administration (HRSA) to implement Primary Care Mental Health Integrated (PCMHI) Project.   With the help of USI’s academic-practice partnerships, the PCMHI Project had been implemented in four outpatient clinics in underserved areas of Gibson, Posey, Vanderburgh, and Warrick counties.  Two out of these clinics are primary care clinics and other two are mental health clinics 

Purpose   Reviewing the current progress of PCMHI Project

Objectives To learn about current student progress in USI’s ANE PCMHI Project To learn about current patient progress in USI’s ANE PCMHI Project

Procedures The PCMHI Project incorporates USI’s graduate level nurse practitioner students from various specialties, social work students, and a registered pharmacist to form interprofessional education and practice (IPEP) teams. The IPEP teams collaborate to develop integrated patient care plans, which prepares them for future practice roles in interprofessional care settings

Two Mental Health Clinics: PCMHI Project Sites Total Four Sites Two Mental Health Clinics: Mental Health Clinic # 1 Mental Health Clinic # 2

PCMHI Project Sites Cont. Total Four Sites Cont. Two Primary Care Clinics: Primary Care Clinic # 1 Primary Care Clinic # 2

Project Teams

Project Teams Activities

Results-Student Outcomes: Spring/2017 - Spring/2018 Total number of students- 29 Discipline: MSN (including FNP, PMHNP, AGPCNP)- 13 MSW- 10 Post-Master- 6 Mean age- 34 years Race- 96.5% white Caucasian Geographic- 75.86% rural Students reported improved communication and collaboration skills  Students reported enhanced confidence in approaching interdisciplinary colleagues RE: patient care matters Recruitment of one of the PMHNP students by one of the primary care clinics to address mental health needs of their patient population

Results-Student Outcomes Cont. Fall/2018 to date Total Number of students- 19 MSN (including FNP & PMHNP)-11 MSW + BSW- 8 Rest in Progress

Results-Patient Outcomes: Spring/2017 - Spring/2018 Total number of patients- 44 No show rate: Spring/2017- 50% Fall/2017-32.67% Spring/2018-23.4% Most common diagnoses: Depression, Anxiety, Bipolar, Hypertension, Diabetes-II, Nephropathy, & PTSD

Results-Patient Outcomes Cont. Spring/2017 - Spring/2018 Cont. Sociodemographic Information: Average age- 49.5 years Gender- 69.77% Female & 30.23% Male Race- Majority (81.4%) were White Caucasian Education Level- Majority (72.09%) had some level of college education Insurance type- Majority (76.74%) had either Medicare/ Medicaid/ Both income level- Majority (72.09%) had annual income of < 20,000$ Employment- Majority (78.57%) were unemployed Other Information: Significant weight reduction in one of the long-standing obese patients Identification and establishment of much needed primary care referrals for Mental Health patients and vice versa Increased patient education

Results-Patient Outcomes Cont. Fall/2018 to date Total number of patients that participated in this project as of October/2018- 70 (including 26 repeat patients) Rest in Progress

Training in interprofessional setting will only enhance the clinical competence of future health care workforce, which in turn will enhance patient outcomes. Improved patient outcomes reduce cost burden, which is among the utmost priorities of current health care system. The importance of IPEP teams in enhancing students’ interprofessional learning and patient outcomes is inevitable. Hopefully, the IPEP teams introduced by USI’s PCMHI Project will be the training model of choice for quality-care oriented health care institutes. Conclusion

Questions?????

Ekta Rathee- errathee@usi.edu Thank YOU !!!!!!! Ekta Rathee- errathee@usi.edu