1. Interprofessional Collaboration and Stroke Best Practice
Janine Theben,
Problem: keeping stakeholders up to date on what programs and resources were available to stroke patients throughout the region with changing program AND changing staff as well as community partners developing more and more therapuetic recreation programs appropriate for stroke clients.

2. “Interactions amongst team members are pivotal to team success and positive patient outcomes in stroke survivor care and rehabilitation” (Johnson et al., 2015)
Why?
Stroke expertise
Shared care plan
Patient goals set across several disciplines (shared goals, eveyone is on the ‘same page’)
Quicker identification of barrier or issues related to medical or discharge planning

3. From the Interprofessional Competency Framework Collaboration (2010 )
From Canadian Stroke Best Practice
- Role Clarification
Interproffesional communication
Team functioning
Patient/family/community-centered care
Collaborative leadership
Interproffesional conflict resolution
Dedicated interproffesional stroke team with broad expertise
Daily/weekly patient care rounds with interproffesional stroke team to conduct case reviews, discuss pt. management issues, family concerns or needs, discharge planning or transitions
Staff members have interest in stroke care; participation in continuing education and training; early engagement in rehabilitative process
Screening completed by Interprofessional team members (for dysphagia, cognition, depression etc.)
Interdisciplinary rehabilitation assessment, treatment or review from staff with stroke experience
Family members and informal caregivers should have early and active involvement
The Interprofessional team follows evidence based practices
Case coordination approach with regular team communication

4. Comment elements across the care continuum
Services should be provided by a specialized Interprofessional team with stroke expertise (acute, rehab, OP/Community)
Regular team communication
Include stroke survivor, family and caregiver in management, goal setting and transition planning
Recommendations for Acute Care
Core interproffesional team should consist of: physicians, nurses, OT, PT, SLP, Social work, clinical Nutrionist (dietary)
Access to pharmacist, discharge planner or case manager, neuro psychologist, palliative care specialist, recreational and vocational therapies, spiritual care providers
Recommendations for Rehab
The core rehabilitation team should include physiatrists, other physicians with expertise/core training in stroke rehabilitation, OT, PT, SLP, Nurses, Social Work, Dietician. The patient and family are also considered part of the core team.
Additional team members include rec therapy, psychologists, voc. therapy, education therapists kinesiology's, rehabilitation therapy assistants, pharmacy, neuropsychology, palliative care specialists, therapy assistants, spiritual care providers, peer supporters and stroke recovery group liaisons.
Same for OP/Community Rehab

5. Learning Objectives for Stroke Care
What is it?
The Core Competency Framework aims to provide health care professionals working in stroke care with a clear, comprehensive way to achieve the core competencies needed for evidenced based stroke care
Why?
A key components of Stroke Unit Care is that the core interprofessional team should consist of healthcare professionals with stroke expertise
What does this have to do with interprofessional collaboration?
A common learning objectives for each discipline is:
Be able to discuss and compare the roles of other disciplines involved in the care of stroke survivors within the context of an interprofessional model of care
Link to Core Competency Framework and Toolkit

8. Take home message
“ An effective Interprofessional team has members who cooperate rather than compete with one another, and put the interests of the patient first” (Johnson, 2015).