1. Interprofessional Education Hotspotting: A Community-based Approach for Addressing Health and Health Care Utilization
UNIVERSITY OF UTAH FACULTY AND STAFF ADVISORS
Timothy Farrell, MD Associate Professor, Director of Interprofessional Education, School of Medicine, VA SLC Geriatric Research, Education, and Clinical Center
Sara Hart, PhD, RN,  Associate Professor, Director of Student & Community Engagement College of Nursing
Marilyn Luptak, PhD, MSW Associate Professor, Chair of MSW Aging Concentration College of Social Work Osman Sanyer, MD Associate Professor School of Medicine
Kyle Turner, PharmD, Assistant Professor, College of Pharmacy
UNIVERSITY OF UTAH STUDENT HOTSPOTTERS
Sara Dunham, 4th year medical student
FeliAnne Hipol, public health doctoral student
Mike Newman, public health doctoral student

2. Objectives
Describe Hotspotting as a method for intervening with patients who have highly complex needs.
Consider approaches for using Values-driven Outcomes Data to identify individuals who may benefit from a Hotspotting intervention.
Identify appropriate educational outcomes for Interprofessional Education (IPE) teams participating in an IPE Hotspotting Immersion.
Describe the processes and challenges of creating and implementing IPE Hotspotting teams.
Discuss the benefits of successful Hotspotting for patients, health professions students and health care delivery systems.

3. Project Goals A rigorous and sustainable IPE Hotspotting Immersion:
building IPE Competencies with knowledge and skills for effective systems-based practice
addressing drivers of health and healthcare utilization for vulnerable populations in our community
improving health and wellness of individuals with highly complex needs
reducing total costs of care for high utilizers of health care.

4. Background
Hotspotting refers to collaborative work of interprofessional teams seeking to use local data to gain insight and intervene in the root causes of high healthcare utilization and poor health outcomes for selected patients and populations.
The Housing First Model provides chronically homeless individuals with permanent supportive housing first, and voluntary, flexible, wrap-around social services, substance abuse treatment, education, and employment.

5. Participants
Public Health, Medicine, Nursing, Social Work, and Pharmacy students
Housing First Residents
Focused and intensive multidisciplinary care coordination and care management with individuals who have highly complex medical and behavioral health needs
Health Sciences Faculty, Social Work Faculty and Community Case Managers

6. Camden Coalition Interprofessional Student Hotspotting Learning Collaborative
Teams receive in-depth training to:
support patient wellness
identify and address social and structural determinants of health
improve the coordination of health care and social services.
lead and participate in effective teams

7. Teams: Interprofessional & Multi-sectoral
ACADEMIC PARTNERS
COMMUNITY PARTNERS
College of Nursing
Undergraduate Nursing
College of Social Work
MSW Aging
School of Medicine
Undergraduate Medicine
PhD Public Health
College of Pharmacy
PharmD
College of Health
Camden Coalition for Health
The Housing Authority of the County of Salt Lake
4th Street Clinic
Homeless Health Clinic
University of Utah Health Care
Enterprise Date Warehouse
Community-based Clinics

8. Educational Outcomes & Student Value-added
Teams learned to support patient wellness, identify and address social and structural determinants of health and improve the coordination of health care and social services.
IPE Hotspotting Teams received in-depth training via the Camden Coalition:
systems-based practice
trauma-informed care
social and structural correlates of health
team building
communication
advocacy

9. Educational Outcomes: KSAs
KNOWLEDGE
Systems resources
Health policy
Health care financing
Population health
Public health systems
Health care economics
Social context of health
Social determinants of health
Roles & responsibilities
SKILLS
Patient and community advocacy
Team-based care
Coordination of care
Systems change
Systems interactions
Community needs/resources
Interprofessional communication
ATTITUDES
Cost-benefit consideration
Social justice and equity
Mutual respect and shared values
Patient/population-centered care
Shared accountability

10. Value: Data and Models Enterprise Data Warehouse
participant eligibility determined by health care utilization data
Measuring Total Costs of Care as an Outcome
cost and claims data opportunities and challenges
Testing Hotspotting as value-added education
Informing new value-based models of care

11. CHALLENGES & OPPORTUNITIES
Learning/Understanding Each Other: health care providers, social service providers, and housing providers speak different languages and are regulated by different governing bodies
Participant Vulnerability: unique, dynamic and highly complex health and social needs of participants
Academic Hurdles: cross-curricula coordination, student recruitment and sustaining student/faculty engagement
Navigating Legal Consent and HIPAA: working across the health sciences and health system requirements while ensuring participant safety and consent.

12. Discussion Team Formation Using Health System Data
Curricular v. extra curricular
Student experiences with team forming and working with participants
Using Health System Data
Sources and access
Participant eligibility
Outcomes measures
Curriculum and Content
Camden Hotspotting Collaborative
Localizing and making it uniquely Utah
Looking Forward
Hotspotting & IPE
System synergies