1. Core Competencies for Interprofessional Collaborative Practice and Care Coordination
Madeline H. Schmitt PhD, RN, FAAN
Professor Emerita
University of Rochester School of Nursing

2. IPEC and the Core Competencies Expert Panel
Six national health professions education associations (AACN, AACOM, AACP, AAMC, ADEA, ASPH) formed a working group (IPEC) in 2009 to develop a framework of joint activities to support patient-centered team-based care, promote delivery reform, and foster interprofessional learning experiences
Jointly implement an Expert Panel in early 2010

3. IPEC Charge to Expert Panel
Recommend common core competencies relevant across the professions to address the essential preparation of clinicians for interprofessional collaborative practice
Recommend learning experiences and educational strategies for achieving the competencies and related objectives

4. Expert Panel Process Full panel face-to-face
day long meeting
Full panel conference calls
Four work groups define & write specific competencies
Iterative integration
& refinement

5. Interprofessional Education and Interprofessional Collaboration
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)
IPC
When multiple health workers from different professional backgrounds work together with patients, families, careers, and communities to deliver the highest quality of care (WHO, 2010) 5

6. Professional & Interprofessional Competency
Behavioral demonstrations of an integrated set of knowledge, skills, and attitudes that define the domains of work of a specific health profession applied in specific care contexts
Interprofessional Competency
Behavioral demonstrations of an integrated set of knowledge, skills and attitudes for working together across the professions, with other health care workers, and with patients/families/ communities/populations to improve health outcomes in specific care contexts 6

7. IOM 5 Core Competencies, adapted to IPEC Expert Panel Work Provide
Patient-
Centered
Care
Utilize
Informatics
Work in
Interprofessional
Teams
“Core
Competencies”
Employ Evidence-
Based
Practice
Apply
Quality
Improvement

8. IP Competencies: General Criteria
Patient, Population & Relationship-centered
Process-oriented
“Common” language
Applicable across practice settings
across professions
Relevant to the learning continuum
Outcome driven [performance]
Relevant to IOM goals for improvement:
patient-centered, efficiency, effectiveness, safety, timeliness, and equity

9. Core Competencies: Four Domains Roles/ Values/ Responsibilities Ethics
Work in IP
Teams 
Core
Competencies
Teamwork
Processes
Communication

10. VALUES/ETHICS Overall Competency
Work with individuals of other professions
to maintain a climate of mutual respect
and shared values

11. VALUES/ETHICS Example competencies
Place the interests of patients and populations at the center of IP health care delivery
Respect the unique cultures, values, roles/responsibilities and expertise of other health professions

12. ROLES & RESPONSIBILITIES Overall Competency
Use the knowledge of one’s own role
and those of other professions
to appropriately assess and address
the health care needs of the patients
and populations served

13. ROLES & RESPONSIBILITIES Example Competencies
Recognize one’s limitations in skills, knowledge and abilities
Engage diverse health care professionals who complement one’s own professional expertise, as well as associated resources, to develop strategies to meet specific patient care needs

14. INTERPROFESSIONAL COMMUNICATION Overall Competency
Communicate with patients, families, communities and other health professionals
in a responsive and responsible manner
that supports a team approach
to the maintenance of health
and treatment of disease

15. INTERPROFESSIONAL COMMUNICATION Example Competencies
Organize and communicate information with patients, families and health care team members in a form that is understandable, avoiding discipline-specific terminology when possible
Give timely, sensitive, instructive feedback to others about their performance on the team, and respond respectfully as a team member to feedback from others

16. INTERPROFESSIONAL TEAMWORK & TEAM-BASED CARE Overall Competency
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,
efficient, effective, and equitable

17. INTERPROFESSIONAL TEAMWORK & TEAM-BASED CARE Example Competencies
Integrate the knowledge and experience of other professions-appropriate to the specific care situation-to inform care decisions, while respecting patient and community values and priorities/preferences for care
Use process improvement strategies to increase effectiveness of interprofessional teamwork and team-based care

18. Emphasis of Core Competency Framework
Focus is on individual competencies for working together
Not focused on common or unique clinical or broader [e.g., systems, QI] knowledge bases
Builds on professional competencies
Principles extend to non-professional team members
Report available for downloading at

19. HRSA Invitational Conference February 16-17, 2011
Co-sponsored by Josiah Macy Jr. Foundation, Robert Wood Johnson Foundation, and American Board of Internal Medicine Foundation, along with HRSA and IPEC
Two goals-vetting core competencies
Developing action plans for next steps
Report available for downloading at

20. Core Competencies and Care Coordination
Competences underpin three core processes of teamwork and team-based care:
Cooperation
Coordination [within as well as across settings]
Collaboration

21. Linking core competencies and care coordination
“Care coordination” is a person-centered, assessment-based, interdisciplinary approach to integrating health care and social support services in a cost-effective manner in which an individual’s needs and preferences are assessed, a comprehensive care plan is developed, and services are managed and monitored by an evidence-based process which typically involves a designated lead care coordinator.”
Bold=core competency Blue=specific to care coordination fx or role

22. Definition contains: Values->Patient/person/family centered;
Roles->all team members, care coordinator [vs coordination function]
Communication->between team and care coordinator
Teamwork->interdisciplinary, comprehensive assessment and planning process

23. Effective care coordination requires action at all levels#
National organizations [standards],
Federal gov’t [monitoring system-level performance],
State [tracking system performance],
Regional/community [tracking system performance],
Practice [allocate/manage care coordination function, integrate care, monitor performance],
Family [expectations, preferences, coordination role and skill development, feedback]
#Antonelli, McAllister, & Popp (2009). Making care coordination a critical component of the pediatric health system: A multidisciplinary framework. The Commonwealth Fund. Publication No Retrieved May 17, 2011 from

24. Collaborating Across Borders III Tucson, AZ November 19-21, 2011
See