Electronic Community of Practice: Seamless Interprofessional Learning and Practice towards Patient Centred Care
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Electronic Community of Practice: Seamless Interprofessional Learning and Practice towards Patient Centred Care

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Electronic Community of Practice: Seamless Interprofessional Learning and Practice towards Patient Centred Care. Ho K. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

Electronic Community of Practice: Seamless Interprofessional Learning and Practice towards Patient Centred Care. Ho K. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

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  • 1. electronic Community of Practice: Supporting Interprofessional Learning & Practice WoHIT eHealth 2010 Barcelona March 15-18, 2010 Kendall Ho, Executive Director, TEKTIC Director, eHealth Strategy Office Associate Professor of Emergency Medicine University of British Columbia, Canada
  • 2. Greetings from Vancouver, Canada
  • 3. What makes a GREAT piano? • Purity of each note • Depth/warmth • Connectivity/Harmony between notes
  • 4. Health Professionals & Patient Centred Care
  • 5. Health Teams Advantages Challenges • Complementary skills • Shared understanding? • Coordinated pt care • Duplication of care • Increase compliance • Conflicting advice • Avoid adverse events • Care gaps: errors • Mutual consultations • “Turf wars” • Time saving • Increased time spent
  • 6. Learning together?
  • 7. Electronic Community of Practice (eCOP)? • Social learning and shared sociocultural practices when people who share common goals interact* • Newcomers enter and acquire sociocultural practices of a community* • Enabled by I.T. *Rogoff, Lave, Wanger
  • 8. What eCoP is *NOT*… • Team: structured, tasks (vs informal) • Task force: timed (vs evolution) • Board: top down (vs “grassroots”) • Assembly line: sequenced (vs flexible) • Orchestra: restricted by size or talents (vs growth and mentorship)
  • 9. eCoP: Components Synchronous: Asynchronous: •Videoconferencing •Multimedia posting •Interactive sessions •Blogs •Live chats •Discussion boards •WebEx, Elluminate, Tanberg… •Wiki-documents
  • 10. B.C. Statistics B.C. Spain 944,736 km2 499,542 km2 4.2 M pop’n 46 M pop’n ~175,000 ~9,000 MDs MDs
  • 11. Challenges: Medications Use • Large number of new medications • MDs: keeping up is difficult • Time to learn: premium • Commercial detailing: double edge Useful, new “evidence based information” Knowledge vs “sell”
  • 12. Technology Enabled AD using information and communication technologies (e.g. Internet, computer, personal digital assistants) to conduct AD.
  • 13. Key Findings OVERALL TEAD & AD • Majority: • MDs: Lack AD experience Equally effective • MDs: AD: personal interaction unbiased, tailored drug info TEAD/AD: 49 vs 81 min • PharmDs: TEAD + webcam 1st BOTH Enjoyed MD interactions • PharmDs • Gain practice insights AD: read MDs’ reactions AD/TEAD: same content • Form eCoP Medication prescribing Evidence based medicine Just in time information
  • 14. Challenge: Emergency • Best practices vs urban/rural variations • Complex & dynamic practice contexts • Interprofessional collaboration vital Health administrators/policy makers Health professionals
  • 15. Translating CPG into Practice: E2E through IHI *EB *EB *EB order Agreed Optimal patient CPG inquiries sets indicators outcome *EB = Evidence Based Result IHI Improvement Process model People E2E Communities of Practice
  • 16. E2E: Results • 40 EDs: MDs, nurses, administrators • 3 learning forums • Identify priority topics: Sepsis Triage • Develop joint measurement indicators • Grant: rigorous evaluation x 3 years
  • 17. eCoP: Conditions for Success • Mutual respect of community members • Flexibility and adaptability • Accountability • Ability to table and deal with conflicts • Sharing successes and mistakes
  • 18. Communal Learning: eCoP • Through health vision, togetherness • Through evaluation, mutual understanding • Through collaboration, transformative change
  • 19. Contact Information eHealth Strategy Office Faculty of Medicine, UBC, Vancouver, Canada MISSION: IT to enable education, service, research and knowledge translation Kendall Ho: Director & Associate Professor, Emergency Medicine Kendall.Ho@ubc.ca www.eHealth.med.ubc.ca Facebook: Kendall Ho