Care in hospital settings is all about the care which is provided in the hospital to the patient. The word patient comes from the Latin word patiens, originally meant “one who suffers”. Care in hospital is the attention or watchful oversight and attentive assistance or treatment for the increasing proportion of population and with the shift in disease patterns from acute illnesses to chronic...
Interprofessional Collaborative Practice Education: Values, Communication & Tools
Presented by Shelley Cohen Konrad & Jennifer Morton
University of New England
Maine Family Medicine
Care in hospital settings is all about the care which is provided in the hospital to the patient. The word patient comes from the Latin word patiens, originally meant “one who suffers”. Care in hospital is the attention or watchful oversight and attentive assistance or treatment for the increasing proportion of population and with the shift in disease patterns from acute illnesses to chronic...
Interprofessional Collaborative Practice Education: Values, Communication & Tools
Presented by Shelley Cohen Konrad & Jennifer Morton
University of New England
Maine Family Medicine
This presentation was given for the staff of King Fahad Medical City in Riyadh, 11-14 May, 2016 Its content included: Professionalism: Approaches and Dimensions of professionalism Doctor’s Professional Relationships and Duties Saudi Code of Ethics for Medical Practitioners Conflict of Interests (COI)
DISCLAIMER: This presentation is based on the Professionalism and Ethics Handbook for Residents Citation: Hussein GM, Kasule OH, Al-Kaabba AF. Professionalism and Ethics Handbook for Residents. Ware J, Kattan T, editors. Riyadh, Saudi Arabia 2015
The Philippine Board of Ophthalmology embarks on a difficult task of mandating teaching of ethics and professionalism for residency Training Programs in Ophthalmology in the country. This is the first lecture in that conference defining both ethics and medical professionalism.
Palliative care is an approach to care which improves the quality of life of patients and their families facing the problem associated with life-threatening illness.
Through palliative care, we change the role of a patient into a whole human being.
Through palliative care, we transform the stages leading to death into times filled with life
A presentation, describes basics of Clinical Governance
What do we have in common
as Medical Doctors/Medical
Practitioners?
1. We are technical experts in our fields
2. We are leaders
3. We are managers
4. We are accountable for the patient care and health services
5. We are change agents
6. We are respected highly in the community
7. We are responsive
8. We are good communicators and negotiators
9. We are kind and empathic
10. We are decent and disciplined
Clinical Governance is a strategic framework for the development of high quality healthcare
"A framework through which organizations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish" – NHS, UK
“clinical governance is a way of making sure that everyone who passes through health system is well cared for”
or
System that enable staff to work in the best possible way
+
Staff performing to the highest possible standards
Seven pillars of Clinical Governance
Patient and public involvement (PPI)
Risk management
Staffing and staff management
Education and training
Clinical effectiveness & Research
Using clinical information & IT
Clinical audit
Patient and public involvement
Ensuring services meet the need of the patients
Patient and public feedback is used to improve services
Patients and the public are involved in the development of services and the monitoring of treatment outcomes
Risk management
Complying with protocols
Learning from mistakes and near-misses
Reporting adverse events
Assessing the risks – probability of occurrence, impact
Promoting blame free culture
Staffing and staff management
Appropriate recruitment and management of staff
Ensuring that underperformance is identified and addressed
Encouraging staff retention by motivating and developing staff
Providing good working conditions
Education and Training
Providing appropriate support available to enable staff to be competent in doing their jobs and to develop their skills so that they are up to date
Professional development needs to continue through lifelong learning
Clinical effectiveness & Research
Clinical effectiveness implies ensuring that everything we do is designed to provide the best outcomes for patients
Clinical audit
Clinical audit is a quality improvement cycle that involves measurement of the effectiveness of healthcare against agreed and proven standards for high quality, and taking action to bring practice in line with these standards so as to improve the quality of care and health outcomes
Clinical audit is a systematic process of looking at your practice and asking:
What should we be doing?
Are we doing it?
If not, how can we improve?
Professionalism is the buzzword and used in all discussions of Medical Ethics and Health Professional Ethics.Over the last decade, health professional associations are embracing Professionalism to oppose financial motives of the for-profit corporate players from interfering with the fiduciary relationship between Provider and the Client.
Humorous cartoons have been added to provide non-offensive mild punches and aid critical self-reflection..
This presentation was given for the staff of King Fahad Medical City in Riyadh, 11-14 May, 2016 Its content included: Professionalism: Approaches and Dimensions of professionalism Doctor’s Professional Relationships and Duties Saudi Code of Ethics for Medical Practitioners Conflict of Interests (COI)
DISCLAIMER: This presentation is based on the Professionalism and Ethics Handbook for Residents Citation: Hussein GM, Kasule OH, Al-Kaabba AF. Professionalism and Ethics Handbook for Residents. Ware J, Kattan T, editors. Riyadh, Saudi Arabia 2015
The Philippine Board of Ophthalmology embarks on a difficult task of mandating teaching of ethics and professionalism for residency Training Programs in Ophthalmology in the country. This is the first lecture in that conference defining both ethics and medical professionalism.
Palliative care is an approach to care which improves the quality of life of patients and their families facing the problem associated with life-threatening illness.
Through palliative care, we change the role of a patient into a whole human being.
Through palliative care, we transform the stages leading to death into times filled with life
A presentation, describes basics of Clinical Governance
What do we have in common
as Medical Doctors/Medical
Practitioners?
1. We are technical experts in our fields
2. We are leaders
3. We are managers
4. We are accountable for the patient care and health services
5. We are change agents
6. We are respected highly in the community
7. We are responsive
8. We are good communicators and negotiators
9. We are kind and empathic
10. We are decent and disciplined
Clinical Governance is a strategic framework for the development of high quality healthcare
"A framework through which organizations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish" – NHS, UK
“clinical governance is a way of making sure that everyone who passes through health system is well cared for”
or
System that enable staff to work in the best possible way
+
Staff performing to the highest possible standards
Seven pillars of Clinical Governance
Patient and public involvement (PPI)
Risk management
Staffing and staff management
Education and training
Clinical effectiveness & Research
Using clinical information & IT
Clinical audit
Patient and public involvement
Ensuring services meet the need of the patients
Patient and public feedback is used to improve services
Patients and the public are involved in the development of services and the monitoring of treatment outcomes
Risk management
Complying with protocols
Learning from mistakes and near-misses
Reporting adverse events
Assessing the risks – probability of occurrence, impact
Promoting blame free culture
Staffing and staff management
Appropriate recruitment and management of staff
Ensuring that underperformance is identified and addressed
Encouraging staff retention by motivating and developing staff
Providing good working conditions
Education and Training
Providing appropriate support available to enable staff to be competent in doing their jobs and to develop their skills so that they are up to date
Professional development needs to continue through lifelong learning
Clinical effectiveness & Research
Clinical effectiveness implies ensuring that everything we do is designed to provide the best outcomes for patients
Clinical audit
Clinical audit is a quality improvement cycle that involves measurement of the effectiveness of healthcare against agreed and proven standards for high quality, and taking action to bring practice in line with these standards so as to improve the quality of care and health outcomes
Clinical audit is a systematic process of looking at your practice and asking:
What should we be doing?
Are we doing it?
If not, how can we improve?
Professionalism is the buzzword and used in all discussions of Medical Ethics and Health Professional Ethics.Over the last decade, health professional associations are embracing Professionalism to oppose financial motives of the for-profit corporate players from interfering with the fiduciary relationship between Provider and the Client.
Humorous cartoons have been added to provide non-offensive mild punches and aid critical self-reflection..
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 ...
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
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
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- 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
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Interprofessional Education: Transforming Care through Team Work - Adriana Perez
1. PPLLEENNAARRYY SSEESSSSIIOONN
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TTrraannssffoorrmmiinngg CCaarree tthhrroouugghh
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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