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Interprofessional Education: Transforming Care through Team Work - Adriana Perez

Adriana Perez, PhD, ANP-BC, Assistant Professor & Southwest Borderlands Scholar, Arizona State University College of Nursing

Latino Health Forum 2014

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Interprofessional Education: Transforming Care through Team Work - Adriana Perez

  1. 1. PPLLEENNAARRYY SSEESSSSIIOONN IInntteerrpprrooffeessssiioonnaall EEdduuccaattiioonn:: TTrraannssffoorrmmiinngg CCaarree tthhrroouugghh TTeeaamm WWoorrkk AAddrriiaannaa PPeerreezz,, PPhhDD,, AANNPP--BBCC ASSISTANT PROFESSOR & SOUTHWEST BORDERLANDS SCHOLAR CO-DIRECTOR, HARTFORD CENTER OF GERONTOLOGICAL NURSING EXCELLENCE
  2. 2. HHiissttoorriiccaall CCoonntteexxtt • Crossing the Quality Chasm: A New Health System for the 21st Century (IOM Report, 2001) – More than 70 peer-reviewed publications documented serious health outcomes from 1990-2000 – Cooperation among clinician should be a priority
  3. 3. Health Professions Education: A Bridge to Quality (IOM Report, 2003) • Students and working professionals to develop and maintain proficiency – Delivering patient-centered care – Working as part of interdisciplinary teams – Practicing evidenced-based medicine – Focusing on quality improvement and – Using information technology
  4. 4. Health Care System Challenges
  5. 5. Institute of Medicine Report High-quality, patient-centered health care for all will require a transformation of the health care delivery system
  6. 6. Interprofessional Collaboration
  7. 7. Interprofessional Education • “Occasion when two or more professionals learn with, from and about one another to facilitate collaboration in practice” (CAIPE, 1997, p. 3) • Interprofessional education involves educators and learners from 2 or more health professions and their foundational disciplines who jointly create and foster a collaborative learning environment (CAIPE, GITT, IOM)
  8. 8. A New Era in Health & Health Care • With the passage of the Affordable Care Act (ACA) there is new incentive to advance interprofessional practice.
  9. 9. Exemplar • Comprehensive Geriatric Education Program (HRSA) – Overall efforts aimed at developing future leaders in gerontology and improving outcomes in geriatric care. • Nursing • Social work • Physical therapy
  10. 10. Desired Outcomes • Positively influence the attitudes and perceptions of students by reducing negative stereotypes to help overcome barriers to collaboration • Common curricula in education can result in the development of common concepts, values, perspectives and language, which, in turn will provide a frame of reference for collaborative practice
  11. 11. Evidence • Limited research has been conducted on interdisciplinary education • Systematic review (2007) found: – Positive changes in knowledge, skills, attitudes, and beliefs – Impact on quality health care
  12. 12. Exemplar • Interprofessional Approaches to Healthy Aging – Broad-based coalitions – Scenarios aligning interprofessional education and collaborative practice – Team based competencies
  13. 13. Stakeholders • Buy in from Dean of each college • Support from Associate Dean for Academic Affairs for each college • Program Directors/Block Directors • Support of faculty to be involved • Student acceptance of interdisciplinary experience • Health facilities
  14. 14. Barriers • Unprepared faculty • Differences across schools and students • Structural barriers • Limited research • Unsupportive training environments
  15. 15. Traditional Education Systems • Underscore a hierarchy • Discourage the challenge of authority • Discourage the acknowledgement of error
  16. 16. Key Messages • Identify Interprofessional Education as an institutional goal • Identify administrative & faculty champions • Establish relationships with other universities & health care programs • Consider faculty development and recognition program • Long-term sustainability, including funding resources • Consider who is missing as part of the health care team
  17. 17. Conclusion • Health professionals must be educated in a multidisciplinary environment that will enhance communication and collaboration. • Benefits include a greater potential for solving complex problems compared to any one profession acting alone. (IOM, 2001).