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

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Presentation on theme: "A Framework That Fits Enhancing Interdisciplinary Collaboration in Primary Health Care (EICP) Initiative Principles & Framework."— Presentation transcript:

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

2 EICP Initiative 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

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

4 EICP Steering Committee 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

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

6 Interdisciplinary Collaboration “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

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

8 Purpose of the EICP 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.)

9 Deliverables Consultations Research Principles Framework Tool Kit

10 Evidence Based 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)

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

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

13 − Principle− Patient/Client Engagement 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

14 − Principle − Population Health Approach 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, while meeting the needs of individual patients/clients

15 − Principle − Best Possible Care and Services 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

16 − Principle − Access 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

17 − Principle − Trust and respect 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

18 − Principle − Effective Communication 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

19 What is a Framework? 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

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

21 −Framework− Health Human Resources 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

22 −Framework− Funding 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

23 −Framework− Liability 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.

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

25 −Framework− Information & Communications Technology 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

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

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

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

29 −Framework− Planning & Evaluation 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

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

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

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


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