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1 Interdisciplinary Collaboration for Elder Care.

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Presentation on theme: "1 Interdisciplinary Collaboration for Elder Care."— Presentation transcript:

1 1 Interdisciplinary Collaboration for Elder Care

2 2 Objectives  Define collaboration and the need for an interdisciplinary approach to geriatric care.  Describe the types of teams and stages of team development  Differentiate education and skills among different professionals on geriatric healthcare teams

3 3 Objectives  Define the principles of successful teamwork, interdisciplinary collaboration, and steps in the care- planning process.  Discuss the concept of team conflict and conflict management skills.

4 4 Collaboration is……  shared planning, decision-making, responsibility, and accountability  Importance of collaboration:  Complexity of chronic and acute problems too complex be managed by one provider  Increases likelihood that issues will be addressed  Increases coordination of care  More efficient care delivery

5 5 Types of Teams  Unidisciplinary Team: same discipline  Multidisciplinary Team: different discipline; members independently develop plan; fixed roles; members are consulted about plan of care; MD assumes leadership  Interdisciplinary Team: different disciplines; flexible roles, collaborative, and synergistic; partners in designing care plan; situational leadership

6 6 Stage of Team Development  Forming  Forming – creation stage; testing group norms; define boundaries; polite but untrusting; understanding roles  Storming  Storming – confronting stage; friction; jockeying for position; test out each other  Norming  Norming – interdependence; establish norms and patterns; constructive expression of ideas and opinions; heading in the right direction  Performing  Performing – develop solutions; interests are shared; will work together

7 7 Education and Overlapping Skills  Team members bring unique sets of skills from their discipline  The team looks at medical, psychological, emotional, social, economic, living conditions, and nursing issues and interventions ELEMENTS OF TEAMWORK:  Coordination of services  Shared responsibility  Communication  Mutual accountability

8 8 Interdisciplinary Collaboration

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10 10 Effective Meetings Structure 1. Agenda 2. Timeline 3. Roles are defined: Leader or Facilitator Timekeeper Recorder

11 11 Team Rules…stay on target Attendance and timeliness Prepare materials ahead of time Handling disruptions Contributing to / participating in discussion Appropriate ways to manage conflict Acknowledge other professionals’ roles Share information with respect and cooperation Confidentiality of team discussions Agreement that team goals represents all participants’ views

12 12

13 13 OVERARCHING TEAM GOALS: Patient’s: Family’s: Team’s: Problem Expected Outcome Impact on Health and Quality of Life Strengths / Resources Plan (Who/What /When) Includes gathering more information

14 14 Activity: Care-Planning Process Case Scenario: Ms. J Questions:  What team members need to be involved in this case?  What are Ms. J’s most important health issues, and who should be involved in managing these issues?  Develop a management plan for Ms. J.

15 15 Team Outcomes  Problems identified and discussed; patient and family preferences considered  Medication management and lower cost  Focused on critical problems and set appropriate goals  Social Worker – applying for Medicaid and community services available  Financially feasible medication plan

16 16 Team Process Evaluation  Negotiate team priorities  Agreed to specific assignments  Clear roles  Stay engaged; group input; no SILO mentality  Specific disciplines provided expert opinions  Follow up plan – Measurable

17 17 Team Conflict Defined… …competitive or opposing action of incompatibles; mental struggle; opposing needs, drives, wishes, internal and external demands

18 18 When do conflicts occur? When any team member….  Feels pressure from group to assume a role  Allocated roles are constraining / inhibiting development  Feels that sanctions imposed to induce him or her to maintain a role; are not fair / commensurate  Cannot develop acquired capabilities in assigned role  Wishes to go beyond definition of role

19 19 Viewpoints on Conflict  Competitive – one must win  Compromising – middle position; all parties give a little to gain  Collaborative – need of both / all are met  Accommodating – avoidance; accommodating

20 20 Team Communication  Actively listen  Define the problem  Ask open questions  Clarify responses  Paraphrase and Reframe

21 21 Conflict Management  Attack the problem, not the person.  Focus on what can be done  Encourage different points of view  Express feelings without blaming  Accept ownership  Listen to understand the other person's point of view  Respect the other person's point of view.  Solve the problem while building the relationship.

22 22 Questions?

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