1. 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.

2. 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

3. 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 

4. Purpose  
Reviewing the current progress of PCMHI Project

5. 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

6. 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

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

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

9. Project Teams

10. Project Teams Activities

11. Results-Student Outcomes:
Spring/ 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 % 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

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

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

14. Results-Patient Outcomes Cont.
Spring/ Spring/2018 Cont.
Sociodemographic Information:
Average age years
Gender % 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

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

16. 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

17. Questions?????

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