To improve teamwork, communication and collaboration for safer patient-centred care, and better staff experiences

1. Welcome Team Health Consultation17 June 2011

2. Forum Aims To consult with key stakeholders on Team Health’s four program areas To jointly establish a model of local governance to support Team Health’s implementation To identify resources (human, technological and other) required for local and sustained implementation of Team Health activities To identify existing educational resources or programs that could be used to promote teamwork, communication and collaboration.

3. Rob Wilkins & Danielle ByersProgram CoordinatorsClinical Education and Training Institute

4. What are we trying to do? To improve teamwork, communication and collaboration for safer patient-centred care, and better staff experiences Why are we trying to do this? Increased staff motivation, well-being and retention Decrease in staff turnover Increased patient and carer satisfaction Increased patient safety Increase in appropriate use of specialist clinical resources Reductions in patient mortality and critical incidents Increase in access to and coordination of health services

5. What do we mean by Team Work? Interprofessional Education (IPE) Occasions when two or more professions learn from, with and about each other to improve collaboration and the quality of care Interprofessional Practice (IPP) Occurs when two or more professions work together as a team with a common purpose, commitment and mutual respect (Freeth et al, 2005).

6. The global context Global Evidence World Health Organisation Framework for Action on Interprofessional Education and Collaborative Practice International IPL Journals Research 2 x Cochrane Collaboration Literature Reviews on IPL and professional practice & health care outcomes Grey Literature Significant national investments: Canada, UK U.S. and South Africa

7. Interprofessional core competencies http://www.cihc.ca/

8. What is the literature saying?

9. Put simply, the education of health professionals in the 21st Century must focus less on memorising and transmitting facts and more on promotion of the reasoning and communication skills that will enable the professional to be an effective partner, facilitator, adviser and advocate. The Lancet - December 2010 Julio Frenk et al. Health Professionals for a new century Transforming education to strengthen health systems in an Interdependent world. The Lancet v 376 Dec 2010

10. The local context Garling Report Special Commission of Inquiry into Acute Care Services in NSW Public Hospitals ….I recommend that an Institute of Clinical Education and training be established with a broad mandate to take charge of the training of a new generation of clinicians in interdisciplinary team-based treatment of patients….

11. This first report from the Bureau of Health Information shows clearly that patients are calling out for improvements and that improvement in staff teamwork, between doctors and nurses, is the action most likely to change a fair or poor patient care experience to an excellent one. The patient perspective… Patients who felt their quality of care was excellent were likely to have experienced excellence in staff teamwork. Bureau of Health Information. (May 2010) Insights into Care: Patients Perspectives onNSW Public Hospitals

12. What works? Multi-faceted strategies e-Learning modules across professional groups On-site coaching, debriefing and facilitation Curriculum that structures formal and informal interactions and is designed to facilitate enquiry Clinical placements and particularly rural clinical placements Champions in both health and education sectors Interdisciplinary program governance Links with other programs (Established international movement)

13. Team Health:Conceptual Model

14. Team Health: Deliverables

15. Team Health: Partnerships Strategy CETI & BHI

16. any questions? Learning & Teaching Program Coordinators Rob Wilkins9844 6564Danielle Byers9844 6527