A Framework That Fits

1. A Framework That Fits Enhancing InterdisciplinaryCollaboration in Primary Health Care (EICP) Initiative Principles & Framework

2. Enhancing Interdisciplinary Collaboration in Primary Health Care (EICP) $6.5M Contribution Agreement from Health Canada’s Primary Health Care Transition Fund (PHCTF) Led by ten national health care associations EICP Initiative

3. Health professionals- all on the same page Canadian Coalition on Enhancing Preventative Practices of Health Professionals

4. Canadian Association of Occupational Therapists Canadian Association of Social Workers Canadian Association of Speech-Language Pathologists and Audiologists Canadian Medical Association Canadian Nurses Association Canadian Pharmacists Association EICP Steering Committee

5. Canadian Physiotherapy Association Canadian Psychological Association College of Family Physicians of Canada Dietitians of Canada Canadian Coalition on Enhancing Preventative Practices of Health Professionals EICP Steering Committee

6. “Interdisciplinary collaboration refers to the positive interaction of two or more health professionals, who bring their unique skills and knowledge to assist patients/clients and families with their health decisions.” —(Canadian Association of Occupational Therapists (CAOT), 2005 Interdisciplinary Collaboration

7. The right service, provided at the right time, in the right place, by the right professional Interdisciplinary Collaboration

8. To develop the regulated health professions’ shared vision of interdisciplinary collaboration (IDC) in primary health care (PHC) To develop support for fundamental and effective change in PHC in Canada that reflects this shared vision To help sustain this change at the association and the individual practitioner levels in cooperation with other partners (i.e. governments, providers, public etc.) Purpose of the EICP

9. Consultations Research Principles Framework Tool Kit Deliverables

10. Small group consultations (public, providers, government officials) Regional workshops (providers, experts, government officials) Analysis of workbooks completed by providers and policy-makers Two Leaders’ Forums (providers, experts, government officials) Five Barrier/Enabling Task Forces (providers, experts, government officials) Five full research reports (literature reviews) Evidence Based

11. Reflect shared values for interdisciplinary collaboration (IDC) Guide current and future decision about policies, programs and services What are Principles?

12. Patient/client engagement Population health approach Best possible care and services Access Trust and respect Effective communication EICP Principles

13. Patients/clients the priority focus Patients/clients involved in decision-making & management of their own health care Professionals work together to optimize the physical, cognitive & mental health & wellness of their patients/clients Privacy & confidentiality are paramount − Principle− Patient/Client Engagement

14. Set priorities, establish strategies & make investments in action to improve the health of the population Assess needs and health problems present in a community  Needs are addressed in a holistic fashion across the continuum of care Programs & services are tailored to address health determinants, whilemeeting the needs of individual patients/clients − Principle −Population Health Approach

15. Research results are basis for quality standards & treatment decisions Continuous evaluation to measure health outcomes, ensure accountability, track performance & assure quality Commitment to continuous improvement − Principle −Best Possible Care and Services

16. The right service, provided at the right time, in the right place & by the right professional Geographic barriers are minimized Services available close to where people live, work & learn Respect for age, income, gender, culture, language, religion & lifestyle factors/ differences − Principle −Access

17. Key to interdisciplinary collaboration Each profession brings its own set of knowledge & skills Supports shared decision-making, creativity & innovation Professionals learn from each other & understand the competencies of peers Direct benefit to patients/clients − Principle −Trust and respect

18. Both at the organizational & interpersonal levels Active listening and effective communication required with patients/clients & with colleagues Professionals & systems support team information-sharing and decision-making − Principle −Effective Communication

19. Built on the foundation principles Composed of structural elements required to sustain IDC Describes characteristics of a systemic approach and the elements need to support the operation of PHC Elements are interrelated What is a Framework?

20. Health Human Resources Funding Liability Regulation Information and Communications Technology Management and Leadership Planning and Evaluation EICP Framework Elements

21. Must address the availability, education & distribution of health human resources (HHR) Maximize the skill sets & competencies of all professionals Help address the work–life balance issues & working conditions overall Clearly articulated roles & responsibilities for each team member −Framework−Health Human Resources

22. Create a positive incentives through innovative funding models Payment methods (e.g. fee-for-service, salary, capitation or various blended mechanisms) can facilitate/promote IDC Align funding with EICP Principles for IDC Adequate and reliable funding needed to support IDC −Framework−Funding

23. Two directions required: integrated approach to liability insurance that links the various systems now in place & supports principles of IDC (e.g. recognizes shared decision-making) clear legislated scopes of practice for each health discipline Patient safety and risk management are priorities Alleviate worry about liability so focus is on the patient/client Education program for judicial/legal community about collaborative practice. −Framework−Liability

24. Regulatory colleges must embrace & support IDC Give regulators of various professional disciplines the mechanisms to work together −Framework−Regulation

25. Sharing information critical to quality care & basis of collaboration Linked to improved continuity of care, service delivery, & reduction of adverse events Provides timely access to up-to-date information Learning & adapting to technologies is a key challenge −Framework−Information & Communications Technology

26. An interoperable, private and secure EHR will be fundamental to the ability of teams to collaborate −Framework−Information& Communication Technology

27. Leaders must be committed to a vision for collaborative primary health care Build on “best practices” Build skills in communication, change management, teamwork & leadership −Framework−Management & Leadership

28. Strong administrative support Appropriate governance structures IDC takes time & resources −Framework−Management & Leadership

29. Does IDC deliver? Ultimate goal = measuring outcomes (health, team & organization) of IDC Strong centralized administrative support is required Based on the characteristics & needs of the population served Evaluation frameworks & assessment tools are being developed Frameworks and tools Benchmarking −Framework−Planning & Evaluation

30. EICP web site at www.eicp-acis.ca Register with our Guestbook to receive updates and our e-newsletter Talk to your professional association about how to get involved Get Involved

31. Where are we, as professions, in collaborative, interdisciplinary care? Change Management

32. Lexicon What tools (practical & policy) would help you facilitate the adoption of IDC practices in primary health care? Toolkit