1. Implementation of Curriculum-wide IPE for Pharmacy and Nursing Students at a Small Private College Based on TeamSTEPPS® Melanie Symoniak, Pharm.D., BCPS Kylene Abraham, DNP, APRN, RNC-OB

2. Acknowledgements Anthony Corigliano, RPh Jill Lavigne, Ph.D., MS, MPH Karen Parker, DNP, RN, FNP-C Tammy Roman, Ed.D, MSN, RN, CNE Charlene Smith, DNS, MSEd, WHNP, RN-BC, CNE, ANEF

3. Learning Objectives Discuss accreditation standards or recommendations for IPE within pharmacy and nursing programs Describe advantages of using TeamSTEPPS® for IPE Identify barriers to implementing IPE via TeamSTEPPS® across the curriculum 3

4. Pharmacy Curriculum Standards Accreditation Council for Pharmacy Education –Standard 11: Interprofessional Education (IPE). The curriculum prepares all students to provide entry-level, patient-centered care in a variety of practice settings as a contributing member of an interprofessional team. In the aggregate, team exposure includes prescribers as well as other healthcare professionals. –Key elements: Interprofessional team dynamics Interprofessional team education Interprofessional team practice ACPE. “Standards 2016” https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf

5. Pharmacy Curriculum Standards Interprofessional team dynamics – “…articulating the values and ethics that underpin interprofessional practice, engaging in effective interprofessional communication, including conflict resolution and documentation skills, and honoring interprofessional roles and responsibilities.” ACPE. “Standards 2016” https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf

6. Pharmacy Curriculum Standards Interprofessional team education – “… opportunities to learn about, from, and with other members of the interprofessional healthcare team.” “…students gain an understanding of the abilities, competencies, and scope of practice of team members.” ACPE. “Standards 2016” https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf

7. Pharmacy Curriculum Standards Interprofessional team practice – “… participate as healthcare team member in providing direct patient care and engaging in shared therapeutic decision- making.” “…including face-to-face interactions that are designed to advance interprofessional team effectiveness” ACPE. “Standards 2016” https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf

8. Pharmacy Curriculum Standards Accreditation Council for Pharmacy Education –Standard 18: Faculty and Staff – Quantitative Factors 18.1 Sufficient faculty – “the college or school has a sufficient number of faculty members to effectively address the following programmatic needs: –Intraprofessional and interprofessional collaboration…” ACPE. “Standards 2016” https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf

9. Nursing Curriculum Recommendations American Association of colleges of Nursing (ACCN) –Essential VI Interprofessional Communication and Collaboration for Improving Patient Health Outcomes. The baccalaureate program prepares the graduate to: Compare/contrast the roles and perspectives of the nursing profession with other care professionals on the healthcare team (i.e., scope of discipline, education and licensure requirements). AACN. http://www.aacn.nche.edu/publications/order-form/baccalaureate-essentials. 2008.

10. Nursing Curriculum Recommendations Use inter and intraprofessional communication and collaborative skills to deliver evidence- based, patient-centered care. Incorporate effective communication techniques, including negotiation and conflict resolution to produce positive professional working relationships. AACN. http://www.aacn.nche.edu/publications/order-form/baccalaureate-essentials. 2008.

11. Nursing Curriculum Recommendations Contribute the unique nursing perspective to interprofessional teams to optimize patient outcomes. Demonstrate appropriate teambuilding and collaborative strategies when working with interprofessional teams. Advocate for high quality and safe patient care as a member of the interprofessional team. AACN. http://www.aacn.nche.edu/publications/order-form/baccalaureate-essentials. 2008.

12. Other Professional Standards & IPE What are the standards/recommendations for your program? IPE ThemesHealth Professional Schools DentistryMedicineNursingPharmacyPublic Health Social Work IP commun- ication XXXXXX Appreciation of others’ roles XX Collaboration and teamwork XXXXX IP learningXXX

13. Resources that Support IPE Institute of Medicine (IOM) –To Err is Human: Building A Safer Health System, 1999 –Health Professions Education, A Bridge to Quality, 2003 –The Future of Nursing: Leading Change, Advancing Health, 2010 –Global Forum on Innovation in Health Professional Education, 2012

14. Resources that Support IPE World Health Organization (WHO): Framework for action on interprofessional education and collaborative practice, 2010 Lancet Commission Report, Health Professionals for a New Century: Transforming Education to Strengthen Health Systems in an Interdependent World, 2010 Interprofessional Education Collaborative: Core Competencies for Interprofessional Collaborative Practice, 2011

15. Our Timeline Established an interprofessional faculty committee Set goals –Based on standards/recommendations Brainstormed IPE opportunities Obtained administrative approval Trained our faculty Integrated TeamSTEPPS® into curricula Collected outcomes –Revise as needed 15

16. Joint Goals Based on Standards Incorporate IPE into the pre-experiential curriculum so that students will be able to –Identify the impact of using teamwork on patient safety –Improve communication using effective strategies and tools –Improve ability to deal effectively with conflict –Increase understanding of interprofessional team skills and responsibilities

17. TeamSTEPPS® Agency for Healthcare Research and Quality (AHRQ) program Developed with the Department of Defense’s Patient Safety Program teamstepps.ahrq.gov

18. TeamSTEPPS® & IPE “An evidence-based teamwork system to improve communication and teamwork skills among health care professionals” “A source for ready-to-use materials and a training curriculum to successfully integrate teamwork principles into all areas of your health care system” teamstepps.ahrq.gov

19. TeamSTEPPS® http://www.ahrq.gov/professionals/education/curriculum- tools/teamstepps/instructor/videos/ts_Huddle_ER/huddleE R-400-300.htmlhttp://www.ahrq.gov/professionals/education/curriculum- tools/teamstepps/instructor/videos/ts_Huddle_ER/huddleE R-400-300.html teamstepps.ahrq.gov

20. Incorporation into the Curriculum Doctorate of Pharmacy program –Graduation requirement –Not associated with a particular course –Required for all practice faculty Bachelors of Science in Nursing program –Program requirement –Associated with a particular course –Requirement for clinical adjunct faculty

21. Online prep work 4-hour on site training –Learning side-by- side in groups –Co-presented modules –Summary video –Friday/Satruday Online post work

22. Activity Sessions

23. Use of Technology Online learning platform –Prework module Embedded survey of TeamSTEPPS® Learning Benchmarks and Teamwork Attitudes Questionnaire tools –Faculty biographies –Postwork module Embedded survey of above Course evaluation

24. Student Feedback First session –Better communication –Use of tools in practice –More likely to speak up –Improved comfort in working with teams –Repetition from other coursework –Scheduling Second session –Effective communication –Use of tools in practice –More prepared to deal with conflict –Improved self-awareness –Improved team awareness –Scheduling –Not enough small group activities

25. Curriculum supports IPE standards/recommendations Master Training is free and convenient Complete program that is customizable and FREE! Interactive Clinically focused Materials appeal to different learning styles Students get continuing education credit Community partner requirement for employment Why TeamSTEPPS®?

26. Challenges We Faced Logistical challenges –Scheduling –Space/location –100% participation –Place into a course –Level of student –Budget Faculty challenges –Scheduling –Funding to travel for training –Non-credit teaching –Duplication of content from other courses Student challenges –Scheduling –Place in curriculum

27. Strategies &Tips for Success Administrative support –Use the professional standards/recommendations Involve passionate faculty –Model interprofessional collaboration Ready and relevant curriculum –Consider TeamSTEPPS® Continuous quality improvement –Brief, huddle, and debrief!

28. Our Team Dr. Abraham Professor Corigliano Dr. Lavigne Dr. Parker Dr. Roman Dr. Smith Dr. Symoniak

29. Implementation of Curriculum-wide IPE for Pharmacy and Nursing Students at a Small Private College Based on TeamSTEPPS® Melanie Symoniak, Pharm.D., BCPS Kylene Abraham, DNP, APRN, RNC-OB Questions?

30. References Accreditation Council for Pharmacy Education. Standards 2016. https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf. Accessed 5 Mar 2015. https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf American Association of Colleges of Nursing. The essentials of baccalaureate education for professional nursing practice. http://www.aacn.nche.edu/education-resources/BaccEssentials08.pdf. Accessed 5 Mar 2015. http://www.aacn.nche.edu/education-resources/BaccEssentials08.pdf Agency for Healthcare Research and Quality. TeamSTEPPS®: National Implementation. http://teamstepps.ahrq.gov/about-2cl_3.htm. Accessed 9 Mar 2015.http://teamstepps.ahrq.gov/about-2cl_3.htm 30