1. 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.
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CFHA 18th Annual Conference
October 13-15, 2016  Charlotte, NC U.S.A.
Collaborative Family Healthcare Association 12th Annual Conference

2. 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

3. 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

4. Bibliography / Reference
American Psychological Association. (2015). Competencies for Psychology Practice in Primary Care. Retrieved from
TeamSTEPPS®: Strategies and Tools to Enhance Performance and Patient Safety. (March 2016) Agency for Healthcare Research and Quality, Rockville, MD.
Mayo Clinic Shared Decision Making National Resource Center. (2016). 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
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

5. Bibliography / Reference
Canadian Interprofessional Health Collaborative (2010). A national interprofessional competency framework. Retrieved from
Interprofessional Education Collaborative (2016). Core competencies for interprofessional practice: 2016 update. Washington, DC: Author. Retrieved from 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

6. 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

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

8. “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.”

9. Down the Rabbit Hole

10. 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…

11. “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.”

12. 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?

13. 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.”

14. 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

15. 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
“Like Alice, sometimes you find yourself going down the rabbit hole on an adventure into the unknown. When you’re curious, anything is possible!”

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

17. 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

18. 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

19. 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

20. 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.

21. 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.

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

24. 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

25. Managing Differences & Similarities
Creating Connections + Identifying Behavioral Anchors

26. 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

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

28. 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.

29. 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

30. 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

31. “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.’”

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

33. Results:

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

35. Questions?

36. For Further Information
Lesley Manson, PsyD, Arizona State University, Doctor of Behavioral Health, Assistant Chair of Integrated Initiatives, Consultant for PCBH
Phone: (602)
Liz Harrell, DNP, PMHNP-BC, Program Director for the Student Health Outreach for Wellness (SHOW) Community Initiative, Arizona State University

37. 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