1. 1 Amina in the Nexus: A Shared Vision A look at team-based care The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. The National Center is also funded in part by the Josiah Macy Jr. Foundation, the Robert Wood Johnson Foundation and the Gordon and Betty Moore Foundation. © 2014 Regents of the University of Minnesota, All Rights Reserved

2. 2 Current State of Health Care The need for transformative change in the U.S. health care system is well documented $2.6 trillion was spent in 2011 An estimated $750 billion was wasted on treatments that didn’t improve health 50 percent of patients with a chronic condition reported that information about their diagnosis and treatment was not available when needed One-third of adults say the U.S. health care system is broken The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. The National Center is also funded in part by the Josiah Macy Jr. Foundation, the Robert Wood Johnson Foundation and the Gordon and Betty Moore Foundation. © 2014 Regents of the University of Minnesota, All Rights Reserved Source: Institute of Medicine of the National Academies: “What’s Possible for Health Care?”

3. 3 It’s Not Just a Delivery Problem Health professions education is highly expensive, inefficient and produces outcomes not aligned with the needs of patients and communities Students learn technical competence, but little about other professions – people they will be expected to collaborate with Many students are not prepared for the realities of caring for patients upon graduation, resulting in costly retraining The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. The National Center is also funded in part by the Josiah Macy Jr. Foundation, the Robert Wood Johnson Foundation and the Gordon and Betty Moore Foundation. © 2014 Regents of the University of Minnesota, All Rights Reserved

4. 4 Many delivery systems and education systems don’t communicate. The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. The National Center is also funded in part by the Josiah Macy Jr. Foundation, the Robert Wood Johnson Foundation and the Gordon and Betty Moore Foundation. © 2014 Regents of the University of Minnesota, All Rights Reserved

5. 5 Meet Amina She is a Somali immigrant in an urban American city She lives with juvenile-onset diabetes She is a single mother doing the best she can to manage her health and the health of her family The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. The National Center is also funded in part by the Josiah Macy Jr. Foundation, the Robert Wood Johnson Foundation and the Gordon and Betty Moore Foundation. © 2014 Regents of the University of Minnesota, All Rights Reserved

6. 6 Amina’s Current Realities She doesn’t check her blood glucose regularly and rations insulin to save money She is challenged to find caregivers that accept Medicaid and relies on a local clinic Language barriers prevent her from keeping and making her clinic appointments The clinic has limited hours, which means she uses the emergency department for routine care She puts the care of her family first and her health second The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. The National Center is also funded in part by the Josiah Macy Jr. Foundation, the Robert Wood Johnson Foundation and the Gordon and Betty Moore Foundation. © 2014 Regents of the University of Minnesota, All Rights Reserved

7. 7 What Happens When Amina Visits the Clinic? Her appointments are poorly coordinated so an interpreter is not always available She interacts with unfamiliar providers – including students – who ask her the same questions Clinic staff are busy managing the requirements for students from different health disciplines so they can’t focus solely on patient care Many students arrive at the clinic unprepared to help treat a patient like Amina Without better collaboration between health care delivery systems and health professions education, this is the best care Amina is likely to find The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. The National Center is also funded in part by the Josiah Macy Jr. Foundation, the Robert Wood Johnson Foundation and the Gordon and Betty Moore Foundation. © 2014 Regents of the University of Minnesota, All Rights Reserved

8. 8 A New Opportunity Health professions education and health practice systems both face a revolutionary moment Practice systems and the education entities that train health professionals cannot succeed until they respond to the new imperative summarized in the Triple Aim of: Enhancing the patient experience, Improving population health, and Reducing cost The Triple Aim framework was developed by the Institute for Healthcare Improvement in Cambridge, Massachusetts (www.ihi.org). The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. The National Center is also funded in part by the Josiah Macy Jr. Foundation, the Robert Wood Johnson Foundation and the Gordon and Betty Moore Foundation. © 2014 Regents of the University of Minnesota, All Rights Reserved

9. 9 There must be shared responsibility for the patient. Let’s work together! Let’s learn together! The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. The National Center is also funded in part by the Josiah Macy Jr. Foundation, the Robert Wood Johnson Foundation and the Gordon and Betty Moore Foundation. © 2014 Regents of the University of Minnesota, All Rights Reserved

10. 10 Building a Nexus A “Nexus” brings together health professions education and health care delivery systems – creating a partnership that: Helps improve the experience of both patients and students, Creates shared responsibility for improving population health, health professions education, and Reduces the cost of both delivery and education. The Nexus is the bridge to working and learning together. The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. The National Center is also funded in part by the Josiah Macy Jr. Foundation, the Robert Wood Johnson Foundation and the Gordon and Betty Moore Foundation. © 2014 Regents of the University of Minnesota, All Rights Reserved

11. 11 In The Nexus, Amina’s Experience Is Different The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. The National Center is also funded in part by the Josiah Macy Jr. Foundation, the Robert Wood Johnson Foundation and the Gordon and Betty Moore Foundation. © 2014 Regents of the University of Minnesota, All Rights Reserved

12. 12 How Amina’s Care is Different In the Nexus Amina is an active participant, not an observer Technology makes it possible for Amina to get care and support when she needs it The local university and clinic work together to create an environment where students work as a team and are ready to address the complexities of Amina’s care Everyone is committed to keeping Amina healthy because it improves her life, her family and the community The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. The National Center is also funded in part by the Josiah Macy Jr. Foundation, the Robert Wood Johnson Foundation and the Gordon and Betty Moore Foundation. © 2014 Regents of the University of Minnesota, All Rights Reserved

13. 13 Making Amina’s Story a Reality The National Center for Interprofessional Practice and Education is providing the leadership, evidence and resources needed to show that using high-functioning, interprofessional teams is an effective health care delivery model Through applied research and partnerships across the country, the National Center is collecting and sharing information that increases the availability of evidence about the potential of interprofessional education and collaborative practice in achieving the Triple Aim. The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. The National Center is also funded in part by the Josiah Macy Jr. Foundation, the Robert Wood Johnson Foundation and the Gordon and Betty Moore Foundation. © 2014 Regents of the University of Minnesota, All Rights Reserved

14. 14 How We’ll Get There By growing a community of individuals who share our belief that a Nexus can transform the future. Join us! Create a profile: www.nexusipe.orgwww.nexusipe.org Add a resource: www.nexusipe.org/resource-exchangewww.nexusipe.org/resource-exchange Start a conversation: www.nexusipe.org/forumwww.nexusipe.org/forum Go social: www.twitter.com/nexusipewww.twitter.com/nexusipe The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. The National Center is also funded in part by the Josiah Macy Jr. Foundation, the Robert Wood Johnson Foundation and the Gordon and Betty Moore Foundation. © 2014 Regents of the University of Minnesota, All Rights Reserved

15. 15 Learn More About Amina Amina’s story was shared in a Journal of Interprofessional Care article by Drs. Mark Earnest and Barbara Brandt, which was commissioned by the Josiah Macy Jr. Foundation. This article, and other resources about interprofessional education and collaborative practice, can be found at www.nexusipe.org/amina. www.nexusipe.org/amina Content in this presentation is based on the publication: Earnest M, Brandt B. Aligning practice redesign and interprofessional education to advance triple aim outcomes. Journal of Interprofessional Care. 2014; 28(6):497-500. E-pub 2014 Jul 16. Commissioned by The Josiah Macy Jr. Foundation, for the conference: Transforming Patient Care: Aligning Interprofessional Education with Clinical Practice Redesign, January 2013. The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. The National Center is also funded in part by the Josiah Macy Jr. Foundation, the Robert Wood Johnson Foundation and the Gordon and Betty Moore Foundation. © 2014 Regents of the University of Minnesota, All Rights Reserved