Interprofessional Education Sarah Abrams P harm D March 15 th , 2013 Faculty Development Program

1. Interprofessional EducationSarah Abrams PharmDMarch 15th, 2013Faculty Development Program

2. What is IPE? • “When students from two or more professions learn about, from, and with each other to enable effective collaboration and improve health outcomes” (WHO, 2010) • IPE is not: • Learning from a healthcare professional other than pharmacist • Students from two professions in the same class • Must contain opportunity for collaboration and reflection Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington D.C.: Interprofessional Education Collaborative.

3. What is IPC? • Interprofessional Collaborative Practice • “When multiple health workers from different professional backgrounds work together with patients, families, carers, and communities to deliver the highest quality of care” (WHO, 2010) HEALTHY AMERICA Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington D.C.: Interprofessional Education Collaborative.

4. Why now? • Health care reform • Coverage expansion to 30 million MORE Americans • Fee-for-service model  paid for performance • Accountable Care Organizations • Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients. • Patient Centered Medical Home • AAFP, AAP, ACP, AOP Joint Principles of a PCMH • Principles 2-7 interprofessional collaboration • The Triple Aim • Better health, better health care, lower cost Dentzer S. Pharmacy's Role in the Transformation of the Health Care System. In: American Pharmacist's Association Annual Meeting March 1-4, 2013; Los Angeles, CA

5. Do we have to? • YES! • “Interprofessional” is mentioned 22 times in the 2011 ACPE Accreditation Standards • Guideline 1.6 • “The college or school’s values should include a stated commitment to a culture that in general, respects and . . . promotes development of interprofessional learning and collaborative practice in didactic and experiential education.”

6. We Are Not Alone • American Association of Colleges of Nursing • Expectations are woven into “Essentials” for all level nursing degrees • Baccalaureate • Master’s • Doctoral • Teamwork and team-based competencies Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington D.C.: Interprofessional Education Collaborative.

7. We Are Not Alone • Association of American Medical Colleges viewing it as an important “horizon” issue • Accreditation Council on Graduate Medical Education • Outcomes Project as a model for competency • Areas emphasize IPC • Survey showed formal training with non-physicians • Resident satisfaction • Lower depression, anxiety, sleepiness, and reports of mistakes Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington D.C.: Interprofessional Education Collaborative.

8. Interprofessionality “ the process by which professionals reflect on and develop ways of practicing that provides an integrated and cohesive answer to the needs of the client/family/population . . .[I]t involves continuous interaction and knowledge sharing between professionals, organized to solve or explore a variety of education and care issues all while seeking to optimize the patient’s participation . . . interprofessionality requires a paradigm shift, since interprofessional practice has unique characteristics in terms of values, codes of conduct, and ways of working. These characteristics must be elucidated” D'Amour and Oaandason J. Int Care 2005; 19:18-20

9. Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington D.C.: Interprofessional Education Collaborative.

10. Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington D.C.: Interprofessional Education Collaborative.

11. Need for Competency Before Now

12. Three Types of Professional Competencies More than one profession but, not all Specialties Skills needed to be able to work together Adapted from: Barr, H., Koppel, I., Reeves, S., Hammrick, M., & Freeth, D. (2005) Effective Interprofessional Education: Argument, assumption, and evidence. Oxford: Blackwell Publishshing.

13. Interprofessional Competency Domains

14. Values/Ethics for Interprofessional Practice • General Competency Statement • Work with individuals of other professions to maintain a climate of mutual respect and shared values. Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington D.C.: Interprofessional Education Collaborative.

15. Roles/Responsibilities • General Competency Statement • Use the knowledge of one’s own role and those of other professions to appropriately assess and address the healthcare needs of the patients and populations served Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington D.C.: Interprofessional Education Collaborative.

16. Interprofessional Communication • General Competency Statement • Communicate with patients, families, communities, and other health professionals in a responsive responsible manner that supports a team approach to the maintenance of health and the treatment of disease. Respect Communication Informatics Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington D.C.: Interprofessional Education Collaborative.

17. Teams and Teamwork • General Competency Statement • Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles to plan and deliver patient/population-centered care that is safe, timely, effective, and equitable. Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington D.C.: Interprofessional Education Collaborative.

18. What Should We Do With these Competencies? • Link these competencies to activities • IPE should be woven throughout didactic and experiential curriculum • Assess achievement of competencies • Examples • The Jefferson Health Mentors Program • University of Washington- All Professions Training Day • University of Connecticut- Urban Health Scholars Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington D.C.: Interprofessional Education Collaborative.

19. Barriers for IPE at PCSP • Collaborators • Rural South Carolina • Not at a large medical teaching facility • Practical Issues • Scheduling • Space • Assessment Issues • No framework for assessing competencies • Lack of Regulation

20. The Proposed Plan • Interprofessional Education Certificate Program • Mandatory to graduate • Core and Elective Components • Core elements in P1-P3 years • In conjunction with • Lander University School of Nursing • Edward Via College of Osteopathic Medicine (VCOM) • Other potential partners

21. Proposed Required Workshop Schedule

22. Elective Opportunities • Mission Trips • Community Service Events • Institute for Healthcare Improvement (IHI) events • Professional Meetings

23. PCSP and Lander Nursing IPE Event • Held at Lander University • February 25thfrom 6:00- 8:30 PM • Approximately 115 students • 80 nursing • 35 pharmacy • Clinical faculty from both programs

24. PCSP and Lander Nursing IPE Event • 6:00 PM • Students were seated dispersing the two professions • Asked/answered • Where are you from? • Why did you choose nursing/pharmacy? • Three words that describe your profession. • 6:30 Presentation of the “wordles”

27. PCSP and Lander Nursing IPE Event • 6:50 • Nursing skit • What is happening inside a nurses head when providing care • 7:15 • Pharmacy video • Hospital pharmacist duties • 7:40 • Round-table discussions

28. Round Table Discussion Questions • What are the possible advanced certifications/credentials/residencies? • What is the most common misconception about your career? • What professional organizations exist that advocate for your profession? • Since beginning your professional education, what has surprised you most about your profession’s role in health care? • In an ideal world, how would you be practicing your profession? • What are a few ways in which nurses make the jobs of pharmacist easier? • What are a few ways in which pharmacists make the jobs of nurses easier?

29. PCSP and Lander Nursing IPE Event • 8:00 PM • Q&A with faculty panel • Ashley Lee BSN, MSN • Leisa M. IgleheartBSN, MSN, B.A • Erica Sisiam BSN • Robbie South D.H. Ed., A.T., BSN, A.D.N • Kathryn Freeland PharmD, BCPP • Kate Moore PharmD, BCPS, BCACP • Sarah Abrams PharmD

30. PCSP and Lander Nursing IPE Event Positive Negative • Students immediately began networking • Successful participation • Faculty learned as well • “Fluffy” • Lacked assessment • Time