Elena Reyes, PhD, Associate Professor & Director of Behavioral Medicine, Florida State University College of Medicine, Regional Director Southwest Florida
Latino Health Forum 2014
Anna Ratzliff, MD, PhD, Associate Director for Education, Division of Integrated Care & Public Health Department of Psychiatry & Behavioral Sciences, University of Washington
Latino Health Forum 2014
The current healthcare system separates physical, mental, and chemical dependency services, focuses on volume over quality, and costs are rising without improved outcomes. A better system would integrate services, emphasize coordinated and high-quality care over service volume, and reduce costs through effective services. The Healthier Washington initiative aims to build this better system through measures like accountable communities of health that bring together regional stakeholders, integrating physical and behavioral healthcare, and using data and payment reforms to incentivize value-based care focused on the whole person. The ultimate goals are better health, better care, and lower costs for Washington residents.
The document discusses AltaMed's Patient Centered Medical Home (PCMH) model and its Program of All-Inclusive Care for the Elderly (PACE).
AltaMed uses a team-based care coordination approach in its PCMH model, with teams including nurses, health coaches, behavioral health specialists, pharmacists and others supporting primary care providers. For its PACE program, AltaMed provides comprehensive medical and social services to elderly patients to allow them to remain in their communities. Data shows AltaMed's PACE program achieves lower costs, utilization and mortality compared to other models through its integrated care approach.
This document outlines research priorities related to improving health systems and community care. It identifies priorities such as exploring how other jurisdictions have organized health systems to improve outcomes and reduce costs, ensuring the needs of vulnerable populations are met, and redesigning mental health and addiction services to improve access and outcomes. Other priorities include exploring models of integrated health and social services, enhancing care transitions between settings and sectors, developing housing support options, expanding self-management support, and redesigning community care and payment systems to improve care coordination and reduce system utilization.
Elena Reyes, PhD, Associate Professor & Director of Behavioral Medicine, Florida State University College of Medicine, Regional Director Southwest Florida
Latino Health Forum 2014
Anna Ratzliff, MD, PhD, Associate Director for Education, Division of Integrated Care & Public Health Department of Psychiatry & Behavioral Sciences, University of Washington
Latino Health Forum 2014
The current healthcare system separates physical, mental, and chemical dependency services, focuses on volume over quality, and costs are rising without improved outcomes. A better system would integrate services, emphasize coordinated and high-quality care over service volume, and reduce costs through effective services. The Healthier Washington initiative aims to build this better system through measures like accountable communities of health that bring together regional stakeholders, integrating physical and behavioral healthcare, and using data and payment reforms to incentivize value-based care focused on the whole person. The ultimate goals are better health, better care, and lower costs for Washington residents.
The document discusses AltaMed's Patient Centered Medical Home (PCMH) model and its Program of All-Inclusive Care for the Elderly (PACE).
AltaMed uses a team-based care coordination approach in its PCMH model, with teams including nurses, health coaches, behavioral health specialists, pharmacists and others supporting primary care providers. For its PACE program, AltaMed provides comprehensive medical and social services to elderly patients to allow them to remain in their communities. Data shows AltaMed's PACE program achieves lower costs, utilization and mortality compared to other models through its integrated care approach.
This document outlines research priorities related to improving health systems and community care. It identifies priorities such as exploring how other jurisdictions have organized health systems to improve outcomes and reduce costs, ensuring the needs of vulnerable populations are met, and redesigning mental health and addiction services to improve access and outcomes. Other priorities include exploring models of integrated health and social services, enhancing care transitions between settings and sectors, developing housing support options, expanding self-management support, and redesigning community care and payment systems to improve care coordination and reduce system utilization.
PIHCI programmatic grants webinar (en) for circulationAlexandra Enns
These are the slides from CIHR’s webinar providing information for the upcoming PIHCI Network Programmatic Grant funding opportunity.
The complete instructions are on ResearchNet: https://www.researchnet-recherchenet.ca/rnr16/vwOpprtntyDtls.do?prog=2734&view=currentOpps&org=CIHR&type=EXACT&resultCount=25&sort=program&next=1&all=1&masterList=true
This document discusses equity and access to healthcare. It defines equity as services being accessible based on need rather than ability to pay or location. Access is defined as the ability to get healthcare of a specified quality and cost. The principles of equity are equal access and utilization for equal need, and equal quality of care for all. Inequities in access are due to issues with legislative frameworks, organizational operations, and resource constraints. Relevant groups facing inequities include those defined by income, social class, geography, education, ethnicity, and gender.
This document discusses several global issues facing the nursing profession and outlines the work of the Global Advisory Panel on the Future of Nursing (GAPFON). It identifies key challenges related to an aging nursing workforce, nurse migration, nursing's public image, demonstrating the cost-effectiveness of nursing, and preparing for disasters and climate change. It then provides details on GAPFON's formation, members, strategy to establish a global nursing vision through regional meetings, and plans to create a summary document and strategic action plans to address issues in leadership, policy, practice, and education.
1. The document discusses key elements of access and equity in healthcare, including definitions of access, dimensions of access, and barriers to access.
2. It also outlines steps that can be taken to promote health equity, such as identifying how health disparities affect groups and showing respect for all people.
3. The use of healthcare technology is described, noting that technology aims to provide better care, achieve health equity, improve recording of data and healthcare delivery. Areas of health technology include diagnostic imaging, medical devices, and transplantation services.
The document summarizes a team's proposal on universal access to primary health care. The team details their coordinator, members, and contact information. It then discusses definitions of primary health care, principles of PHC, services offered at health centers, strategies to improve quality PHC according to WHO, requirements for universal access, and proposed solutions focusing on patient-provider relationships and comprehensive, equitable care.
Patient Engagement Presentation - MPN Network Forum April 18, 2017Alexandra Enns
April 18, 2017
In April we held a Network Forum on engaging policymakers and patients/public effectively and appropriately. We would like to give a warm thanks to both Carolyn Shimmin, Patient Engagement expert of CHI's Knowledge Translation team, and Marcia Thomson, Assistant Deputy Minister of Manitoba Health, Seniors and Active Living for their presentations. Below you can see Carolyn's presentation - to see more of her work on patient engagement and to learn more about knowledge translation at CHI, please check out the blog Knowledge Nudge here. If you would like more information, helpful tools or advice about patient/public engagement in research, please contact Carolyn Shimmin at cshimmin@exchange.hsc.mb.ca
Availability, accessibility,acceptibility in health serviceGargi Sinha
health sociology, health for all, barriers to health care, culture and health , availability of health service , accessibility of health service, acceptability of health service, public health,
June 27/2017 - SPOR-PIHCI Network presentations from the pre-CAHSPR conference day in Toronto, Ontario
Sharing Practical Advances in Research Knowledge-
Translating Findings to Action from PIHCIN Research
Primary health care is the first level of contact between individuals and the health system, providing essential care for common health problems. It aims to provide universally accessible care that is scientifically sound, socially appropriate, and prioritizes those most in need. Evidence shows primary care-oriented systems lead to better health outcomes, lower costs, and greater equity. The document proposes a holistic ecosystem approach that incorporates contributions from all stakeholders to make primary health care centers more attractive and effective in underserved rural areas. It suggests training local students and providing incentives to work in these areas, as well as leveraging technology and public-private partnerships to expand access to primary care.
Building the Health Workforce as We Transform the Delivery System, presented by Mary D. Naylor, PhD, RN, Marian S. Ware Professor in Gerontology, University of Pennsylvania School of Nursing
3. January 24 Group Discussion: Impact of Nursing History for 2011 Nursing Practice 43-70
Contemporary Trends Impacting Nursing and Health Care (2) 71-84
The document summarizes recent health care reforms in Washington state. It discusses the expansion of Medicaid, challenges in accessing care, and the state's plan to transform the health care system by 2020. The goals are to pay providers based on the value and outcomes of care instead of volume, better integrate physical and behavioral health, and empower communities to improve health. Key steps taken include legislation supporting purchasing reform and integrated whole-person care, and establishing Accountable Communities of Health to drive regional health improvements.
Jennifer Rayner - 2015 CACHC Conference Presentationcachc
This document discusses challenges with collecting and using data from community health centers (CHCs) to demonstrate their impact and value. It outlines how CHCs in Canada have worked to standardize key data elements and develop evaluation frameworks to facilitate collective reporting. While electronic medical records (EMRs) were not initially designed for team-based care, CHCs are finding ways to extract meaningful data to show outcomes. Standardized data allows for comparisons between primary care models and analysis of issues like health equity. Continued collaboration ensures CHCs can effectively measure and communicate their success in improving population health.
Challenges and Opportunities in Nursing in Canadaanne spencer
This document discusses challenges and opportunities in nursing in Canada. It outlines the agenda which includes an overview of Canadian nursing, challenges and opportunities, and a focus on documenting nursing in a digital age. Some key challenges discussed are chronic understaffing, political restructuring, and issues around licensure and scope of practice. Opportunities mentioned include nursing leadership, a national nursing report card, and nursing informatics. The remainder of the document focuses on documenting nursing data in electronic health records, including standards like C-HOBIC and requirements for capturing and analyzing nursing data.
The document discusses key drivers shaping the changing role of nurses in community health services, including political ideology and NHS policies. It examines the Five Year Forward View and its focus on prevention, empowering patients, efficiency and new models of care. In response, nursing leadership published the "10 Commitments" focusing on areas like population health, prevention, self-management support, and using technology to enhance practice and outcomes. The role of nurses is expanding to support these policy priorities around long-term condition management in the community.
Candace Imison, Director of Healthcare Systems at the Nuffield Trust, presents on how we need the right workforce to transform the delivery system in healthcare.
Nursing administration in India faces several challenges including a shortage of nurses, low nurse-to-population ratios, and underpaid nursing staff. Current trends in nursing administration include increasing population diversity, rapid technological advances, globalization, a focus on quality care and evidence-based practices, and expanding telehealth. Nursing education must also adapt to these changes by offering more online courses and strengthening nursing research. Addressing issues like staffing, salaries, harassment, and providing continuing education can help overcome challenges in nursing administration in India.
An Evironmental Scan of Interprofessional Collaborative Practice and EducationEvan C. Marlatt
This document summarizes an environmental scan of interprofessional collaborative practice and education conducted by Evan C. Marlatt. It begins by thanking the committee members and providing background on interprofessional education and collaborative practice. The research question aims to understand how healthcare programs are aligned with the WHO framework. Surveys were conducted to assess interprofessional education and practice at an academic health sciences campus. The results provide insight into educator mechanisms, curricula, institutional support, working culture, and environmental factors related to interprofessional collaboration. Challenges and implications for further ensuring interprofessional efforts are operationalized are discussed.
Understanding the value and contribution of nurses and midwives to public health in the UK - presentation at the Faculty of Public Health annual conference 2016
Population Health Management PresentationCANorfolk
The document discusses population health management (PHM) and its role in supporting integrated care systems (ICS) in the UK. Key points:
- ICSs will be established everywhere by 2021 to integrate primary/specialist care, physical/mental health, and health/social care.
- PHM solutions will help ICSs understand health needs and match NHS services accordingly through data analysis.
- PHM aims to improve population health through proactive, data-driven care that prevents illness and reduces health inequalities.
Nursing has long included an educational component, with patient teaching recognized as a core nursing function. The nurse educator role has evolved in several ways, such as through the establishment of standards and mandates requiring patient education. While nurses face barriers to effective teaching like lack of time, their role as educator extends beyond patient teaching to include students, staff and the public. Ongoing issues involve ensuring education is tailored to diverse learners and coordinated between healthcare teams.
Nursing has long included an educational role in patient care. Major developments established patient education standards and recognized teaching as a nursing function. Current trends emphasize empowering patients through self-management education and preparing nurses for evolving health education roles. However, barriers like lack of time challenge effective teaching. Ongoing research aims to improve teaching methods and evaluate educational outcomes.
PIHCI programmatic grants webinar (en) for circulationAlexandra Enns
These are the slides from CIHR’s webinar providing information for the upcoming PIHCI Network Programmatic Grant funding opportunity.
The complete instructions are on ResearchNet: https://www.researchnet-recherchenet.ca/rnr16/vwOpprtntyDtls.do?prog=2734&view=currentOpps&org=CIHR&type=EXACT&resultCount=25&sort=program&next=1&all=1&masterList=true
This document discusses equity and access to healthcare. It defines equity as services being accessible based on need rather than ability to pay or location. Access is defined as the ability to get healthcare of a specified quality and cost. The principles of equity are equal access and utilization for equal need, and equal quality of care for all. Inequities in access are due to issues with legislative frameworks, organizational operations, and resource constraints. Relevant groups facing inequities include those defined by income, social class, geography, education, ethnicity, and gender.
This document discusses several global issues facing the nursing profession and outlines the work of the Global Advisory Panel on the Future of Nursing (GAPFON). It identifies key challenges related to an aging nursing workforce, nurse migration, nursing's public image, demonstrating the cost-effectiveness of nursing, and preparing for disasters and climate change. It then provides details on GAPFON's formation, members, strategy to establish a global nursing vision through regional meetings, and plans to create a summary document and strategic action plans to address issues in leadership, policy, practice, and education.
1. The document discusses key elements of access and equity in healthcare, including definitions of access, dimensions of access, and barriers to access.
2. It also outlines steps that can be taken to promote health equity, such as identifying how health disparities affect groups and showing respect for all people.
3. The use of healthcare technology is described, noting that technology aims to provide better care, achieve health equity, improve recording of data and healthcare delivery. Areas of health technology include diagnostic imaging, medical devices, and transplantation services.
The document summarizes a team's proposal on universal access to primary health care. The team details their coordinator, members, and contact information. It then discusses definitions of primary health care, principles of PHC, services offered at health centers, strategies to improve quality PHC according to WHO, requirements for universal access, and proposed solutions focusing on patient-provider relationships and comprehensive, equitable care.
Patient Engagement Presentation - MPN Network Forum April 18, 2017Alexandra Enns
April 18, 2017
In April we held a Network Forum on engaging policymakers and patients/public effectively and appropriately. We would like to give a warm thanks to both Carolyn Shimmin, Patient Engagement expert of CHI's Knowledge Translation team, and Marcia Thomson, Assistant Deputy Minister of Manitoba Health, Seniors and Active Living for their presentations. Below you can see Carolyn's presentation - to see more of her work on patient engagement and to learn more about knowledge translation at CHI, please check out the blog Knowledge Nudge here. If you would like more information, helpful tools or advice about patient/public engagement in research, please contact Carolyn Shimmin at cshimmin@exchange.hsc.mb.ca
Availability, accessibility,acceptibility in health serviceGargi Sinha
health sociology, health for all, barriers to health care, culture and health , availability of health service , accessibility of health service, acceptability of health service, public health,
June 27/2017 - SPOR-PIHCI Network presentations from the pre-CAHSPR conference day in Toronto, Ontario
Sharing Practical Advances in Research Knowledge-
Translating Findings to Action from PIHCIN Research
Primary health care is the first level of contact between individuals and the health system, providing essential care for common health problems. It aims to provide universally accessible care that is scientifically sound, socially appropriate, and prioritizes those most in need. Evidence shows primary care-oriented systems lead to better health outcomes, lower costs, and greater equity. The document proposes a holistic ecosystem approach that incorporates contributions from all stakeholders to make primary health care centers more attractive and effective in underserved rural areas. It suggests training local students and providing incentives to work in these areas, as well as leveraging technology and public-private partnerships to expand access to primary care.
Building the Health Workforce as We Transform the Delivery System, presented by Mary D. Naylor, PhD, RN, Marian S. Ware Professor in Gerontology, University of Pennsylvania School of Nursing
3. January 24 Group Discussion: Impact of Nursing History for 2011 Nursing Practice 43-70
Contemporary Trends Impacting Nursing and Health Care (2) 71-84
The document summarizes recent health care reforms in Washington state. It discusses the expansion of Medicaid, challenges in accessing care, and the state's plan to transform the health care system by 2020. The goals are to pay providers based on the value and outcomes of care instead of volume, better integrate physical and behavioral health, and empower communities to improve health. Key steps taken include legislation supporting purchasing reform and integrated whole-person care, and establishing Accountable Communities of Health to drive regional health improvements.
Jennifer Rayner - 2015 CACHC Conference Presentationcachc
This document discusses challenges with collecting and using data from community health centers (CHCs) to demonstrate their impact and value. It outlines how CHCs in Canada have worked to standardize key data elements and develop evaluation frameworks to facilitate collective reporting. While electronic medical records (EMRs) were not initially designed for team-based care, CHCs are finding ways to extract meaningful data to show outcomes. Standardized data allows for comparisons between primary care models and analysis of issues like health equity. Continued collaboration ensures CHCs can effectively measure and communicate their success in improving population health.
Challenges and Opportunities in Nursing in Canadaanne spencer
This document discusses challenges and opportunities in nursing in Canada. It outlines the agenda which includes an overview of Canadian nursing, challenges and opportunities, and a focus on documenting nursing in a digital age. Some key challenges discussed are chronic understaffing, political restructuring, and issues around licensure and scope of practice. Opportunities mentioned include nursing leadership, a national nursing report card, and nursing informatics. The remainder of the document focuses on documenting nursing data in electronic health records, including standards like C-HOBIC and requirements for capturing and analyzing nursing data.
The document discusses key drivers shaping the changing role of nurses in community health services, including political ideology and NHS policies. It examines the Five Year Forward View and its focus on prevention, empowering patients, efficiency and new models of care. In response, nursing leadership published the "10 Commitments" focusing on areas like population health, prevention, self-management support, and using technology to enhance practice and outcomes. The role of nurses is expanding to support these policy priorities around long-term condition management in the community.
Candace Imison, Director of Healthcare Systems at the Nuffield Trust, presents on how we need the right workforce to transform the delivery system in healthcare.
Nursing administration in India faces several challenges including a shortage of nurses, low nurse-to-population ratios, and underpaid nursing staff. Current trends in nursing administration include increasing population diversity, rapid technological advances, globalization, a focus on quality care and evidence-based practices, and expanding telehealth. Nursing education must also adapt to these changes by offering more online courses and strengthening nursing research. Addressing issues like staffing, salaries, harassment, and providing continuing education can help overcome challenges in nursing administration in India.
An Evironmental Scan of Interprofessional Collaborative Practice and EducationEvan C. Marlatt
This document summarizes an environmental scan of interprofessional collaborative practice and education conducted by Evan C. Marlatt. It begins by thanking the committee members and providing background on interprofessional education and collaborative practice. The research question aims to understand how healthcare programs are aligned with the WHO framework. Surveys were conducted to assess interprofessional education and practice at an academic health sciences campus. The results provide insight into educator mechanisms, curricula, institutional support, working culture, and environmental factors related to interprofessional collaboration. Challenges and implications for further ensuring interprofessional efforts are operationalized are discussed.
Understanding the value and contribution of nurses and midwives to public health in the UK - presentation at the Faculty of Public Health annual conference 2016
Population Health Management PresentationCANorfolk
The document discusses population health management (PHM) and its role in supporting integrated care systems (ICS) in the UK. Key points:
- ICSs will be established everywhere by 2021 to integrate primary/specialist care, physical/mental health, and health/social care.
- PHM solutions will help ICSs understand health needs and match NHS services accordingly through data analysis.
- PHM aims to improve population health through proactive, data-driven care that prevents illness and reduces health inequalities.
Nursing has long included an educational component, with patient teaching recognized as a core nursing function. The nurse educator role has evolved in several ways, such as through the establishment of standards and mandates requiring patient education. While nurses face barriers to effective teaching like lack of time, their role as educator extends beyond patient teaching to include students, staff and the public. Ongoing issues involve ensuring education is tailored to diverse learners and coordinated between healthcare teams.
Nursing has long included an educational role in patient care. Major developments established patient education standards and recognized teaching as a nursing function. Current trends emphasize empowering patients through self-management education and preparing nurses for evolving health education roles. However, barriers like lack of time challenge effective teaching. Ongoing research aims to improve teaching methods and evaluate educational outcomes.
This document describes an interprofessional learning collaboration between universities and the NHS in the UK. It aims to introduce interprofessional education into undergraduate health and social care programs to improve team-based care. Students from 11 professions complete 3 interprofessional learning units that include classroom and practice-based components. They learn in small interprofessional groups, conducting projects on real issues. Evaluation found the experience improved students' understanding of teamwork, roles, and interprofessional practice. Many student projects were subsequently implemented in practice settings. The collaboration aims to develop healthcare graduates prepared to work collaboratively in team-based care models.
This document discusses developing interprofessional education. It begins with an agenda for a presentation on IPE that includes background, content, faculty development, and challenges/opportunities. Objectives are provided related to IPE competencies, learning experiences, and assessment. Reasons for IPE include improving healthcare and addressing issues identified in reports. Definitions of interprofessional education and practice are given. National reports calling for IPE are summarized. Paradigm shifts in healthcare are noted. Competencies, premises, content selection, teaching methods, and assessment are discussed for developing an IPE program.
The document discusses frameworks and recommendations for advancing interprofessional education and collaborative practice. It proposes adopting a common language for key terms. It advocates for educating health professionals in collaborative patient-centered care and supporting collaborative practice models that improve outcomes. The document recommends exploring policy initiatives, using change management strategies, addressing diversity issues, and building upon current initiatives to facilitate the development and implementation of interprofessional education and collaborative patient-centered practice.
The document discusses frameworks and recommendations for advancing interprofessional education and collaborative practice. It proposes adopting a common language for key terms. It advocates for educating health professionals in collaborative patient-centered care and supporting collaborative practice models that improve outcomes. The document recommends exploring policy initiatives, using change management strategies, addressing diversity issues, and building upon current initiatives to facilitate the development and implementation of interprofessional education and collaborative patient-centered practice.
Lydia Otoo
Walden University
July 28,2019
Recommending an Evidence-Based
Practice Change
Organization Description and Readiness for Change
Description of Healthcare Organization
The healthcare organization at which the change is proposed is a nursing home taking care of the elderly
The culture of the Nursing home is driven by the need to deliver quality nursing care to patients
The culture of change movement is aimed at transitioning the nursing home from an institution to homes for residents aimed at improving quality of care and overall quality of life for residents.
The organization is ready for change, has all infrastructure and needed resources needed to implement change, whereas staff are also supportive of change process.
2
The healthcare organization at which the change is proposed is a nursing home taking care of the elderly
The culture of the Nursing home is driven by the need to deliver quality nursing care to patients
The culture of change movement is aimed at transitioning the nursing home from an institution to homes for residents aimed at improving quality of care and overall quality of life for residents (Ellis,2019) .
The organization is ready for change, has all infrastructure and needed resources needed to implement change, whereas staff are also supportive of change process.
Current Problem & Opportunity for Change
Nursing home operates in a restrictive setting, where standardized approach to care is applied
Opportunity for change is application of personalized care to meet individual needs of patients.
Circumstances surrounding need for change: Only standardized approach to care is implemented, thus individual needs of patients are not being met
Scope of the Issue: Health providers and elderly patients are affected
Risks associated with Change: Possibility of resistance by stakeholders, limitation of resources needed in implementation and change in scope
3
Problem: Nursing home operates in a restrictive setting, where standardized approach to care is applied
Opportunity for change is application of personalized care to meet individual needs of patients.
Circumstances surrounding need for change: Only standardized approach to care is implemented, thus individual needs of patients are not being met
Scope of the Issue: Health providers and elderly patients are affected
Risks associated with Change: Possibility of resistance by stakeholders, limitation of resources needed in implementation and change in scope (Mackey & Bassendowski, 2017).
Evidence Based Idea
Evidence based for changed that has been proposed is providing patient-centered care for elderly patients at the nursing home
EBP approach to patient centered care has been extensively researched
Patient-centered care is based on value based care to address specific needs of patients
Alignment of patient-centered care and value based care is needed to improve overall wellbeing of patients
Patient centered care to ...
The document summarizes the recommendations of an External Reference Group (ERG) appointed to develop a blueprint for a proposed new medical school at the Nelson Mandela Metropolitan University in South Africa. The ERG recommends a set of 14 principles focused on social accountability, community engagement, producing competent clinicians, and educational excellence. It proposes 4 degree programs including a Bachelor of Clinical Medical Practice and a graduate-entry Bachelor of Medicine and Bachelor of Surgery. The ERG report was well-received and the university has started integrating some courses and planning for the proposed programs.
The document discusses various clinical teaching methods in nursing. It begins by outlining the general and specific objectives of the seminar on clinical teaching methods. It then defines key terms and introduces different clinical teaching models like the teaching model, preceptor model, and CTA model. The document also describes the components and purpose of nursing care plans, and explains the phases of bedside clinics in detail. Finally, it lists some commonly used clinical teaching methods in nursing like nursing care plans, case studies, bedside clinics, rounds, process recording, and group/individual conferences.
Supporting and developing patient safety collaboratives - Phil Duncan and Fiona Thow, Patient safety collaborative delivery leads, NHS Improving Quality
Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
This document discusses the formation and activities of the Qatar Interprofessional Health Council (QIHC), which aims to embed interprofessional education and practice in Qatar's healthcare system. It provides background on Qatar's population and healthcare facilities. The QIHC membership includes representatives from Qatar's academic health programs and healthcare facilities. It outlines the QIHC's vision, strategic objectives, and a 3-phase interprofessional education model funded by a QNRF grant to develop, implement and evaluate shared core competencies across disciplines through faculty training, student modules and collaborative learning activities.
This document discusses utilizing evidence-based practice (EBP) for quality improvement in healthcare. It states that EBP and quality improvement are complementary, with EBP justifying clinical decisions and quality improvement implementing evidence into practice. The document identifies some misconceptions around EBP and suggests ways to address them, such as developing the right organizational culture that embraces EBP, providing education to nurses on EBP, employing models/frameworks, and taking an interprofessional approach. It emphasizes that EBP should be a pillar across all healthcare settings to help standardize practices and reduce variation in care outcomes.
This document discusses the scope of nursing research which encompasses clinical research, health systems and outcomes research, nursing administration, and nursing education research. It provides examples of topics studied within each domain such as evaluating models of healthcare delivery and assessing the effectiveness of educational programs. Nursing research aims to enhance health outcomes, improve patient safety and healthcare quality, and address healthcare access and costs issues particularly for vulnerable populations.
Capacity building in health and social careDOCMANProject
This document discusses capacity building in health and social care. It defines capacity building as an ongoing process to empower organizations to better meet their missions and goals through skills development, problem solving, and change implementation. Capacity building is necessary because existing systems are struggling to meet demands of aging populations with complex needs. It can be achieved through various approaches like organizational development, partnerships, community organizing, and staff training. The document provides examples of capacity building initiatives and argues that leadership plays an important role in facilitating organizational change.
Different models of collaboration between nursing service andTHANUJA MATHEW
This document discusses different models of collaboration between nursing education and service. It describes several models including:
1) The clinical school of nursing model which brings academic staff into hospitals to foster exchange between clinical and academic nursing.
2) The dedicated education unit which uses staff nurses as clinical instructors for students on designated hospital units.
3) Research joint appointments where researchers have roles in both educational and clinical settings to improve nursing practice through research.
The document provides details on several other models and discusses the benefits of collaborative partnerships between nursing education and healthcare services.
The document discusses the need for professionalism in nursing. It defines professionalism as providing quality patient care while upholding values like accountability, respect and integrity. Professionalism plays an important role in meeting health systems' goals. Nurses can develop professionalism through skills like conflict resolution, critical thinking, and adaptability. Demonstrating professionalism improves patient care, team communication, and the overall clinical environment. The modern knowledge required of nursing requires higher skills and education to ensure quality healthcare.
Similar to Interprofessional Education: Transforming Care through Teamwork - Adriana Perez (20)
This document discusses challenges and opportunities for Latinx students in post-secondary education in Washington State. It shows that for every 100 Latinx students, only 16 will attain a bachelor's degree, compared to 36 of white students. Barriers include lack of college readiness, limited financial aid, and institutional racism. The document proposes strategies like early intervention programs, community college transfer pathways, expanding ethnic studies, and using a transdisciplinary teaching approach focused on authentic family and community engagement.
This document discusses diversity in healthcare and medical education. It provides demographic data on underrepresented racial and ethnic minority populations in the US, Washington state, and in medical education pipelines. Charts show the percentages of various racial/ethnic groups in the US population, medical school applicants/matriculants, graduate medical education programs, and medical school faculty. The document also outlines programs and strategies to increase diversity in medical education, such as improving pre-health pathways, reducing financial barriers, enhancing learning environments, and developing inclusive curricula and mentorship programs.
The document discusses Seattle Public Schools' commitment to eliminating opportunity gaps and ensuring excellence in education for all students. It notes that Latinx and African American male students have lower rates of meeting standards in 3rd grade English Language Arts. Addressing obstacles keeping some Latinx students from success is a priority. The district focuses on allocating resources through a racial equity framework, culturally responsive instruction, supportive environments, partnering with families and communities, and making commitments to eliminate achievement gaps. Initiatives include culturally responsive professional development, a teacher leadership cadre, and building leadership teams focused on racial equity. Community-based workgroups with representatives from education, health, housing and other sectors collaborate to identify root causes of inequities and foster
This document discusses how race has been socially constructed and pathologized over time, leading to health disparities for Latino communities. It covers how defining race in terms of hierarchies and characterizations has negatively impacted health outcomes and health care delivery for Latinos. The presentation calls for moving from recognizing health disparities to achieving health justice and building solidarity with Black communities by addressing the social determinants of health and oppressive policies like immigration that exacerbate health issues.
This document summarizes a presentation given by Dr. Efrain Talamantes on culture and resilience in Latino health, past, present, and future. The presentation discusses how cultural strengths can be leveraged to improve health equity for Latinos. It outlines five strategies for making health equity a priority in healthcare organizations: making it a leader-driven priority, developing supportive structures and processes, taking actions to address social determinants of health, confronting institutional racism, and partnering with community organizations. The presentation then explores how personal experiences with language barriers, low income, and lack of resources can build qualities needed in healthcare providers today, like being bilingual and culturally competent.
This document summarizes key policies and events related to Mexican immigration to the United States from the early 20th century to recent years. It outlines increasing restrictions on immigration through U.S. laws from 1903 to 1924. It then examines Mexican immigration and migration patterns from 1900-1930, the Great Depression and mass deportations, and the Bracero program from 1942-1964. The document also discusses immigration reform and control acts of 1986 and 1996, as well as more recent changes including DACA.
This document contains information about Latino veterans in Washington state. It states that there are approximately 552,000 veterans, 65,000 active duty troops, and 18,000 reservists in Washington state. Of those, 27,000 veterans and 115,000 family members are Latino. It also lists benefits available to veterans and their families from the VA as well as additional benefits and programs provided by Washington state for veterans.
This document discusses building pathways to improve Latinx health through mindful change and calls to action. It describes Dr. Victoria Breckwich Vasquez's work promoting preventive health services and training at Sea Mar Community Health Centers. It also discusses occupational health and safety concerns around sexual harassment of farmworkers. The document outlines a presentation and discussions around prioritizing Latinx health issues and identifying individual and collaborative actions across different levels of impact. The overall goal is to motivate and inspire community members to join calls to action to improve Latinx health.
This document provides an overview of a presentation given on the trauma caused by immigration fear and enforcement in Latino communities. The presentation discusses how immigration policy changes have increased fear and stress in Latino communities, negatively impacting mental and physical health. It also outlines a clinical approach used at school-based health centers that aims to address the needs of immigrant youth through comprehensive primary care, mental health services, and legal support. The approach emphasizes trauma-informed care, cultural humility, and resilience.
The document summarizes key principles and concepts from several sources related to community health and engagement:
1) It discusses the World Health Organization's definition of health as a state of complete physical, mental and social well-being, not just the absence of disease.
2) It emphasizes that communities are key to improving health outcomes and should be actively involved in research, advocacy and determining solutions.
3) Creating healthier communities requires addressing social and environmental factors where people live, not just clinical care, and harnessing the strengths of community members.
This document discusses how community health workers (CHWs), also known as promotores, can help address social determinants of health and improve health outcomes. It outlines the roles and characteristics of CHWs, including that they are trusted community members who can help increase access to services, provide health education and social support, and advocate for patients and communities. The document also presents examples of how health systems and clinics are utilizing CHWs, and argues that their use can help decrease emergency room visits and hospitalizations while improving health and patient satisfaction.
This document discusses the Latino physician crisis in California. It notes that while Latinos comprise nearly 40% of California's population, they make up only 11.6% of the state's MD graduates. There is currently a shortage of over 54,000 Latino physicians in the state. At the current rate of around 110 Latino MD graduates per year, it would take nearly 500 years to close this gap. The document advocates for data-driven, strategic, and agile policy solutions that consider equity and demography. It suggests short-term solutions like loan repayment programs and weighting language proficiency in admissions. Long-term solutions proposed include new medical schools and programs focused on increasing the number of Latino physicians.
This document summarizes care coordination services for at-risk pregnant women and new mothers in Pierce County. It outlines 20 pathways or types of support available, including medical, social, and family planning services. Care coordination is provided through several agencies using a centralized intake process. The document also notes that infant mortality rates are higher in Pierce County than the state average, and twice as high for African American and American Indian populations. The goal is to reduce health inequities by coordinating support services.
This document summarizes Healthier Washington's Medicaid Transformation initiatives. It discusses three interconnected initiatives: Accountable Communities of Health, Long-Term Services and Supports, and Foundational Community Support Services. The Accountable Communities of Health involve 9 regional organizations working in areas like care coordination, opioid use reduction, and chronic disease management. The initiatives aim to address health inequities by improving access to services. Moving forward the focus will be on implementing projects, evaluating outcomes, and building sustainable partnerships.
The document summarizes Washington State's Healthier Washington initiative, which aims to transform Medicaid (Apple Health) delivery over five years through three main strategies:
1) Integrating physical and behavioral healthcare and moving to value-based payments through Accountable Communities of Health.
2) Providing long-term services and supports to delay need for intensive care.
3) Supporting housing and employment through Medicaid benefits.
A major focus is applying an equity lens to reduce disparities and address social determinants of health like housing, by engaging communities and considering equity in project selection. The goals are better health outcomes while saving costs through a smarter, transformed system.
This document discusses community partnerships between educational institutions to develop workforce pipelines for the Latino community. It outlines existing relationships between Everett Community College, University of Washington Bothell, and the Latino Education Training Institute. It then describes two key projects - the UW Bothell Summer Latinx Intern Project and a pathway from Medical Assistant to Health Studies - that were created through cross-institutional collaboration. The document concludes that shared core values, relationships, determination, courage, and trust were what made this important work possible.
This document discusses the health needs and challenges facing the LGBTQ Latinx community. It notes that LGBTQ Latinx individuals often face greater barriers to healthcare access and worse health outcomes compared to heterosexual white individuals. They have higher rates of being uninsured, delaying or not seeking care, and delaying or not filling prescriptions. They also have higher rates of HIV diagnoses. The document attributes these disparities to social factors like discrimination, immigration status barriers, and lack of supportive environments. It emphasizes the importance of healthcare providers creating inclusive spaces for LGBTQ Latinx patients and considering their unique needs and experiences.
This document describes a study that examined the sexual health of Latinx LGBTQ women in Seattle through qualitative interviews. It discusses the background and public health significance of focusing on this population, which faces health disparities. It outlines the theoretical framework of intersectional feminism that guided the research. Interviews were conducted using a semi-structured protocol and template analysis was used to analyze the data. Key themes identified included that participants' sexual identities and behaviors were shaped by social and cultural contexts, they lacked sexual health knowledge, valued taking care of their sexual health, and behaviors varied. The document concludes by discussing potential public health strategies to improve healthcare access for LGBTQ populations.
The document discusses Latino health equity and innovative approaches. It notes that social and economic factors account for 40% of health determinants. Statistics are provided showing Latinos in Washington state have lower life expectancy, higher child poverty rates, and less home ownership compared to other groups. The document defines health equity as conditions that give everyone the opportunity to reach their best health by addressing inequities. It discusses how inequities differ from health disparities and provides data showing quality of care and insurance coverage disparities exist along racial/ethnic lines. The need for multilevel action at the individual, community, and system levels is discussed to promote equity and social justice.
Co-Chairs, Val J. Lowe, MD, and Cyrus A. Raji, MD, PhD, prepared useful Practice Aids pertaining to Alzheimer’s disease for this CME/AAPA activity titled “Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neuroradiology in Diagnosis and Treatment.” For the full presentation, downloadable Practice Aids, and complete CME/AAPA information, and to apply for credit, please visit us at https://bit.ly/3PvVY25. CME/AAPA credit will be available until June 28, 2025.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
low birth weight presentation. Low birth weight (LBW) infant is defined as the one whose birth weight is less than 2500g irrespective of their gestational age. Premature birth and low birth weight(LBW) is still a serious problem in newborn. Causing high morbidity and mortality rate worldwide. The nursing care provide to low birth weight babies is crucial in promoting their overall health and development. Through careful assessment, diagnosis,, planning, and evaluation plays a vital role in ensuring these vulnerable infants receive the specialize care they need. In India every third of the infant weight less than 2500g.
Birth period, socioeconomical status, nutritional and intrauterine environment are the factors influencing low birth weight
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)MuskanShingari
Statistics- Statistics is the science of collecting, organizing, presenting, analyzing and interpreting numerical data to assist in making more effective decisions.
A statistics is a measure which is used to estimate the population parameter
Parameters-It is used to describe the properties of an entire population.
Examples-Measures of central tendency Dispersion, Variance, Standard Deviation (SD), Absolute Error, Mean Absolute Error (MAE), Eigen Value
DECLARATION OF HELSINKI - History and principlesanaghabharat01
This SlideShare presentation provides a comprehensive overview of the Declaration of Helsinki, a foundational document outlining ethical guidelines for conducting medical research involving human subjects.
Nano-gold for Cancer Therapy chemistry investigatory projectSIVAVINAYAKPK
chemistry investigatory project
The development of nanogold-based cancer therapy could revolutionize oncology by providing a more targeted, less invasive treatment option. This project contributes to the growing body of research aimed at harnessing nanotechnology for medical applications, paving the way for future clinical trials and potential commercial applications.
Cancer remains one of the leading causes of death worldwide, prompting the need for innovative treatment methods. Nanotechnology offers promising new approaches, including the use of gold nanoparticles (nanogold) for targeted cancer therapy. Nanogold particles possess unique physical and chemical properties that make them suitable for drug delivery, imaging, and photothermal therapy.
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdfRahul Sen
Time-lapse embryo monitoring is an advanced imaging technique used in IVF to continuously observe embryo development. It captures high-resolution images at regular intervals, allowing embryologists to select the most viable embryos for transfer based on detailed growth patterns. This technology enhances embryo selection, potentially increasing pregnancy success rates.
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdfrightmanforbloodline
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
Interprofessional Education: Transforming Care through Teamwork - Adriana Perez
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. 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. 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
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. 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. 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. 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. 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. Exemplar
• Interprofessional Approaches to
Healthy Aging
– Broad-based coalitions
– Scenarios aligning interprofessional
education and collaborative practice
– Team based competencies
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. Barriers
• Unprepared faculty
• Differences across schools and
students
• Structural barriers
• Limited research
• Unsupportive training environments
15. Traditional Education Systems
• Underscore a hierarchy
• Discourage the challenge of authority
• Discourage the acknowledgement of
error
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. 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).
Editor's Notes
The first IOM report called To Err is Human was actually released in 2000 and focused on a specific type of quality problem, mostly medical errors – in 2001 the final report called Crossing the Quality Chasm: A New Health System for the 21st Century, is a call to action for improvement in the American health care delivery as a whole
system due to multifaceted changes that include an increase in chronic disease, growing evidence-based and technological innovations, a rising number of clinical practice teams, complex delivery arrangements, and the different relationships established between patient and clinicians.
In 2002 (June 17-18) over 150 leaders and experts from health professions education, regulation, policy, advocacy, quality, and industry attended the Health Professions Education Summit to discuss and help the committee develop strategies for restructuring clinical education to be consistent with the principles of the 21st century health system.
Our health and health care system face enormous challenges: an aging and sicker population, millions more insured, a primary care provider shortage, lack of preventive care and skyrocketing costs. The system itself suffers from fragmentation and an emphasis on quantity of tests versus quality of diagnosis and treatment and prevention. The good news is that this scenario means that policy-makers, health care systems, opinion leaders, payers, and consumers are open to change like never before.
The roadmap for our campaign is the Institute of Medicine’s 2011 landmark report on the Future of Nursing: Leading Change, Advancing Health.
As you may know, the IOM has produced many reports alerting the public about the various ways we need to change our health care system, but few reports have received as much attention as this one. It is one of the most viewed online reports in IOM history and ranked “most read” in 2011 and 2012.
In basic terms, the report guides our areas of focus that I’ll discuss momentarily. The bottom line is that the experts behind this report believe that nursing must be prepared for health system transformation—and nurses must help to lead and shape this change.
Studies have demonstrated how effective coordination and communication among health professionals can enhance the quality and safety of patient care. Health professionals working collaboratively as integrated teams draw on individual and collective skills and experience across disciplines. Integration of health service delivery better leverages the assets of health care and public health professionals. They seek input and respect the contributions of everyone involved. That allows each person to practice at a higher level. The inevitable result is better health outcomes, including higher levels of satisfaction of services received and improved wellness and preventive care.
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. The goal of these efforts is to develop knowledge, skills and attitudes that result in interprofessional team behaviors and competence. Ideally, interprofessional education is incorporated throughout the entire curriculum in a vertically and horizontally integrated fashion
Besides the controversial health insurance mandate, there are many programs that are a part of the ACA. One program in particular is the Coordinating Center for Interprofessional Education and Collaborative Practice
More people will be insured under the ACA, so one of the first things we have to address is how can we expand access to care? The ACA is also changing how we pay for care, introducing new reimbursement models and financial incentives. These payment changes are in turn driving changes in how we organize care, demanding better coordination between different health care settings and providers. For example, at a system level, we’re creating accountable care organizations; at a clinical level we’re implementing patient-centered medical homes. Interprofessional team-based care is a key feature of these new delivery models.
This is where IPE becomes important. We need to ensure our health professionals are trained to work effectively in these new delivery systems. That means training health professions students and trainees in a different way and in different models—teaching them what it means to work together and giving them practical experience in clinical settings where interprofessional practice is happening. In this way, IPE is very much aligned with our national strategy to create a better health system.
Macy and three other foundations (John A. Hartford, Robert Wood Johnson and Gordon & Betty Moore) have jointly pledged $8.6 million in grants to support the center. We’re very excited about the relationship with the four foundations and how committed they are to the success of the center.
To meet these enormous challenges, we need to expand our system’s focus and capacity. That means rethinking how we utilize resources. We are literally at the dawn of a new era in health with a transformation of our system well underway. We refer to it here as a transformation toward patient-centered care, or person-centered care. Whatever terminology you use, the goals are the same: 1. Improve quality; 2. Reduce costs and improve our return on investment; and, 3. Improve health outcomes. This is all good news for the people and populations we serve. It means making sure that coordinated health services are consistently provided in all settings, when and where patients need it, including at home and in the community.
Besides the controversial health insurance mandate, there are many programs that are a part of the ACA. One program in particular is the Coordinating Center for Interprofessional Education and Collaborative Practice
More people will be insured under the ACA, so one of the first things we have to address is how can we expand access to care? The ACA is also changing how we pay for care, introducing new reimbursement models and financial incentives. These payment changes are in turn driving changes in how we organize care, demanding better coordination between different health care settings and providers. For example, at a system level, we’re creating accountable care organizations; at a clinical level we’re implementing patient-centered medical homes. Interprofessional team-based care is a key feature of these new delivery models.
This is where IPE becomes important. We need to ensure our health professionals are trained to work effectively in these new delivery systems. That means training health professions students and trainees in a different way and in different models—teaching them what it means to work together and giving them practical experience in clinical settings where interprofessional practice is happening. In this way, IPE is very much aligned with our national strategy to create a better health system.
Macy and three other foundations (John A. Hartford, Robert Wood Johnson and Gordon & Betty Moore) have jointly pledged $8.6 million in grants to support the center. We’re very excited about the relationship with the four foundations and how committed they are to the success of the center.
2 other studies found…
In addition to formal curriculum, the culture or “hidden curriculum” is important (these include academic and practice educational settings)
Current educational systems underscore a hierarchy, discourage the challenge of authority as well as the acknowledgement of error, all of which prevent effective teamwork that can promote quality of care and patient safety (IOM, 2001).
Despite these norms, the American Council on Pharmaceutical Education (1997), the Accreditation Council for Graduate Medical Education (2002), and the National League for Nursing Accreditation Commission (2002) all have established competencies that focus on interdisciplinary team practice, and interpersonal and communication skills.
Recognizing for any major change to occur, attention needs to be focused on the stakeholders for implementation.
Institutional leaders often provide creative leadership to address scheduling and other countless structural issues that are a barrier to interdisciplinary education
Students might already feel overloaded and might not see the value of the experience on their certification
We also wanted to include health facilities as it is these entities that employ the graduates from ASU programs. The training would begin in the academic arena but needs to be carried forth in the work environment.
Because some faculty might view this as time intensive and might not be adequately prepared to teach in an interdisciplinary setting, and to teach skills necessary to foster joint decision-making
Schools have philosophical and cognitive style differences and there are demographic/sociological differences across student bodies and faculty – fears that professional identity and power may be diluted through an interdisciplinary focus and of course no clear consensus on when to incorporate interdisciplinary education into the curricula
Structural barriers – separate housed professional schools and clinical arenas where students get hands on experience, separate faculty, school calendars, and different points of entry into the profession
Limited research conducted which leads to maintenance of the status quo
Even when there is interdisciplinary curricula or teaching, students generally are trained in didactic settings that do not employ interdisciplinary teams
In addition to formal curriculum, the culture or “hidden curriculum” is important (these include academic and practice educational settings)
Current educational systems underscore a hierarchy, discourage the challenge of authority as well as the acknowledgement of error, all of which prevent effective teamwork that can promote quality of care and patient safety (IOM, 2001).
Despite these norms, the American Council on Pharmaceutical Education (1997), the Accreditation Council for Graduate Medical Education (2002), and the National League for Nursing Accreditation Commission (2002) all have established competencies that focus on interdisciplinary team practice, and interpersonal and communication skills.
We recognize that it may be time intensive to initiate this interdisciplinary experience and faculty may be less included to participate because of this. We would encourage the identification of appropriate incentives for teaching, training faculty, and providing role models in both the academic and clinical settings
Grant funding could be sought to provide funding for the development, implementations and evaluation of this interdisciplinary experience. Grant funding would also allow for the conduct and dissemination of research focused on the effects of interdisciplinary education on the quality of patient care and costs to health care.
First, it’s important to note that the literature search focused on interdisciplinary education is not only minimal (In 2001 Cooper et al reported that most studies 47% have been published in the UK) , it is also complicated by the inconsistent and multiple terminologies used to describe health professionals working in team settings – multidisciplinary (working in parallel from disciplinary specific bases to address common problems, interdisciplinary/interprofessional (working jointly but still from disciplinary specific) and transdisciplinary (working jointly but sharing a conceptual framework that draws together concepts, theories, and approaches from parent disciplines. Shared learning, collaborative learning
One goal of Interdisciplinary education is to tear down the walls that separate health professionals.
Simple rules for the 21st Century Health Care System
10 Rules
Current approach: preference is given to professional roles over the system
New rule: cooperation among clinicians is a priority