Interprofessional Education and Competencies October 8, 2014 Chloe Fonacier, Malia Ka’io, Charna Underwood Handout Given...

What is interprofessional education? “Interprofessional education occurs when students from two or more professions learn about, from, and with each other to enable effective collaboration & improve health outcomes. Once students understand how to work interprofessionally, they are ready to enter the workplace as a member of the collaborative practice team. This is... a key step in moving health systems from fragmentation to a position of strength. ” Source: World Health Organization (WHO). (2010). Framework for action on interprofessional education & collaborative practice. Geneva: World Health Organization.

Benefits: ACA, New Incentive $$$ Improve Health Care Improve Care Experience Lower the Cost of Care $$$ Collaboration with other Health Professionals Team Building, Leadership Skills Strengthened partnership voice Gained broader perspective Increases level of trust Benefits/Challenges Change professional training to meet the demands of the New Health Care system! Challenges: Funding Concerns Time Communication, Clarity, jargon Competing Priorities Authority positions, Territorial Issues Resistance to Change

The ACA (Title V, Subtitle D - Enhancing Health Care Workforce Education & Training) is promoting IPE for many medical professions: ● General medicine (5301) ● Direct care workers (5302) ● Traditional & Alt Dentistry (5303/4) ● Gerontology (5305) ● Mental & behavioral health (5306) ● Cultural competency & disabilities (5307) ● Nurses (5308/9) What does the ACA have to do with IPE and Competencies?

(Title V, Subtitle D, a, 1, G) The grant/contract can focus on planning, development, and operation of programs that provide training in new competencies including (but not limited to): 1.Providing training to professionals relevant to care through patient-centered medical homes 2.Developing tools and curricula relevant to patient- centered medical homes 3.Providing continuing education to professionals relevant to patient-centered medical homes ACA & IPE Cont.

The purpose of this center is to provide an infrastructure for: ● Leadership ● Expertise ● Support to enhance coordination and capacity building of IPECP among health professions in the U.S. - particularly in medically underserved areas (HRSA.gov/grants/apply/assistance/interprofessional) Coordinating Center for IPE & Collaborative Practice Grant

Supports schools & healthcare facilities: 1.Innovative program coordination 2.Scholarly activities 3.Analytic data collection efforts Raises the visibility of: 1.High-quality 2.Coordinated 3.Team-based care Creates better well-informed care because of IPE & best practice models How will this grant support IPE & Collaboration?

So what does this mean for social work? 1.Increased collaboration with & respect for other professions in practice 2.Clients will receive better care 3.Continuing education is important 4.Follow the code of ethics 5.Professionalism a.What is my job? What is not my job? b.What are my colleagues’ jobs?

Highlighting the Different Roles of the Medical Comprehensive Team

● Taking patient’s drug history ● Do physical examination ● Determine patient’s diagnosis ● Prescribe drugs ● Monitor patient’s reaction to the drugs ● Modify drugs and dosages if needed Medical Doctor

● Excellent communication skills when listening to the physical needs of the patient and informing the family of what is going on ● Providing every patient with the best comfort care depending on the patient’s wishes, especially in their last stages of life ● Flexible to working long days and nights, sometimes even overtime ● Pays great attention to detail, when reading the patient’s chart, following the correct care procedures, and administering the correct medicine ● Nurses balance needs of patient, while also able to keep Doctors informed of patients ongoing condition ● Physically capable to continually lift/move patients, stay standing for long periods of time, awake and alert at all times ● Keep calm and collected especially during unexpected emergency situations ● Able to problem solve quickly, whether that may be with challenging situations involving the patient, the Doctor, other medical staff, or the family Registered Nurse

● Giving medication as prescribed by a physician ● Taking vital signs, such as blood pressure, temperature, and weight ● Basic wound care including cleaning and bandaging injured areas ● Giving injections of medication ● Immunizations ● Taking medical histories ● Entering information into computer systems ●Managing IVs ●Ensuring patients and their families understand release instructions ●Supervising CNAs (Certified Nursing Assistants) ●Monitoring fluid and food intake and output ●Moving patients safely Licensed Practitioner Nurse

● Analyze patient’s mental health and give them appropriate treatment ● Can admit patients to hospitals ● Prescribe medicine or recommend therapy ● Talk to patients to give them diagnoses of their mental condition ● Assess patients treatment to medication ● Psychiatrists practicing in their own clinic manage themselves, but those in hospitals report to a supervisor Psychiatrist

● Counsel ● Medical Care Planning ● Financial Assistance ● Mental Health Assessment ● Patient’s Advocate ● Legal Assistance Social Worker

What we think happens...

But the reality is...

Activity Time... Competencies Mahalo! It is no longer enough for health workers to be professional. In the current global climate, health workers also need to be interprofessional. (WHO, 2010, p. 36) Common Competencies I nterprofessional Collaborative Competencies Individual Professional Competencies