1. Orientation to the Interprofessional Teaching Clinic Brought to you by: KU SOM Dept. of Family Medicine KU School of Pharmacy KU School of Nursing KU School of Health Professions KU School of Law KU Department of Psychology

2. What is IPE? World Health Organization defines Interprofessional Education (IPE): “ When students from two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes. Once students understand how to work interprofessionally, they are ready to enter the workplace as a member of the collaborative practice team. This is a key step in moving health systems from fragmentation to a position of strength.” 1 1 World Health Organization (WHO). Framework for action on interprofessional education & collaborative practice. Geneva: World Health Organization. 2010.

3. IPTC Orientation  Currently, IPTC runs 6 half days a week.  Pharmacy and Medicine are together everyday.  Other professions include:  Nursing  OT  PT  Psychology  Law  Health Information Management

4. IPTC Orientation MondayTuesdayWednesdayThursdayFriday 8AM-12PMIPTC: M3/6P MOB Large Conference Room IPTC: M3/6P/N4 MOB Large Conference Room IPTC: M3/6P/N4/Psy MOB Large Conference Room IPTC: M3/6P/Psy MOB Small Conference Room IPTC: M3/6P/PT MOB Large Conference Room 1PM-5PMNO IPTCStudio Pop MOB Large Conference Room IPTC: M3/6P/OT/Psy MOB Small Conference Room NO IPTC

5. IP Team Huddle IP Patient Encounter IP Team Huddle Present to IP Preceptor(s) IP Patient Encounter IP Team Doc and Debrief Review chart TOGETHER and determine roles/ responsibilities. Communicate in a patient- centered manner as a team. Develop Assessment and Plan as a team. Involve all professions in the presentation, if possible. Return to the patient’s room with team and preceptor(s) Use Doc Flowsheet, “Self- Management” tab. Embed in note through SmartPhrase.selfmanagement Form an IP team, and assign yourselves to a patient. START HERE IPTC Workflow

6. IPTC Orientation  Faculty  Medicine : Jana Zaudke MD, MA Hannah Maxfield MD, Sarah Marks MD  Nursing : Christina Phillips DNP  Pharmacy : James Kleoppel MS, PharmD, Sarah Shrader PharmD  Physical Therapy : Stephen Jernigan PT, PhD  Occupational Therapy : Dory Sabata OTD, Jane Cox OTD  Medical-Legal Partnership : Katie Cronin BSW, JD, Dana Pugh JD  Clinical Psychology : Wendi Born PhD  Heath Information Management : Lauren Pulino RHIA

7. IPTC Orientation: Before the Encounter  Remember to –  Bring your laptop to IPTC  To access Epic using your web browser, go to:  https://access.kumed.com https://access.kumed.com  Download Citrix to access O2 and patient information.  Review the patient chart with your interprofessional team  Click on the patient’s name on the provider schedule and choose ‘Review’ from the toolbar directly above the schedule  Do not double-click on the patient name until AFTER the patient has arrived to the clinic  Huddle with your team BEFORE the encounter

8. IPTC Orientation: During the Encounter Interprofessional Patient-Centered Communication Each team member introduced self to patient. Each team member explained professional role to patient. The team explained the “team-based” visit. The team set expectations at the beginning of the visit with the patient. The team elicited the patient’s perspective throughout the visit. The team demonstrated empathy to the patient. The team negotiated a treatment plan with the patient. The team communicated to the patient in terms they could understand. Interprofessional Team-Based Communication During the Huddle before the encounter, the team pre-determined roles/tasks for each team member. Everyone on the team contributed to the patient interview. The team was organized in their approach during the patient encounter. During the Huddle after the encounter, everyone on team contributed to developing patient care plan. Everyone on the team contributed to communicating the plan (including education) to the patient. The team was respectful to all profession’s ideas. If needed, the team utilized conflict resolution to achieve team consensus with patient care plan.

9. IPTC Orientation: During the Encounter Interview and History Interview addressed 1. Chief Complaint 1.History of Present Illness 1.Past Medical History 1.Family History 1.Social History 1.Review of Systems Patient Interviewed regarding medication reconciliation. Patient interviewed regarding health maintenance (e.g., smoking status, immunizations). Patient interviewed regarding self-care of chronic diseases (e.g., home blood glucose/pressure monitoring, diet, exercise). Patient assessed for adherence to treatment plan (e.g., meds, lifestyle changes). Physical exam was performed.

10. IPTC Orientation: During the Encounter Collaborative Patient Care Plan Team addressed concern for health literacy. Team addressed need for patient education. Team developed appropriate clinical care plan (e.g., labs, diagnostic tests, medications, referrals).

11. IPTC Orientation: After the Encounter  Remember to –  Huddle with your team AFTER the encounter  Involve all professions during the presentation of the patient to the faculty preceptor(s)  Consider using the SBAR to organize the team, the presentation and the plan prior to presenting to the faculty preceptor(s).

12. IPTC Orientation: After the Encounter SBAR S ITUATION -Describe significant findings and complaints -Provide pertinent info from ROS and PE -Present today’s prioritized problem list B ACKGROUND -Provide brief history of the patient -Discuss pertinent labs, tests, meds, etc. A SSESSMENT -Provide assessment for each problem on prioritized problem list R ECOMMENDATION -Provide plan for each problem on prioritized problem list -Discuss prioritized patient education and communication needs -Deliver plan for follow up and what patient education needs for the next visit

13. IPTC Orientation: After the Encounter  The medical student writes a note for every encounter, AND the entire team participates in the following key steps.  ‘Doc and Debrief’  Document the following items within the Doc Flowsheets, “Self-Management Counseling” tab  Patient education and counseling  Synchronous and asynchronous referrals  The professions on the team seeing the patient today  After documentation is completed within the Doc Flowsheet, please use the SmartPhrase.selfmanagement to embed the text within the note.

14. IPTC Orientation: After the Encounter  ‘Doc and Debrief’ (cont.)  Document profession-specific recommendations in the medical student’s note.  Include the names of the students who participated in the patient’s care today at the bottom of the note along side the medical student’s name.

15. IPTC Orientation: After the Encounter

16. IPTC Orientation  Visit us at: http://medicine.kumc.edu/school-of- medicine/family-medicine/for-patients/ipt- clinic.html  Here’s a link to a video made and produced by nursing students who participated in IPTC Spring 2012.  http://youtu.be/sOFoeFxX7YE http://youtu.be/sOFoeFxX7YE

17. Thank you for your attention!