1. Interprofessional Teaching Clinic Practicalities Brought to you by: KU SOM Dept. of Family Medicine KU School of Pharmacy KU School of Nursing KU School of Health Professions KU School of Law

2. What is IPE? World Health Organization defines Interprofessional Education (IPE): “ When students from two or more professions learn about, from and with each other to enable effective collaboration and 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.” 1 1 World Health Organization (WHO). Framework for action on interprofessional education & collaborative practice. Geneva: World Health Organization. 2010.

3. IPTC Practicalities  Currently, IPTC runs 6 half days a week.  Pharmacy and Medicine are together everyday.  Nursing, Pharmacy and Medicine see patients together 2 of the 6 half-days.  OT, PT, Psychology, Law and HIM

4. IPTC Practicalities Location may change if MOB Large Conference Room is unavailable. If that’s the case, we will be next door in MOB Small Conference Room. HIM students will be joining us on 3/10/14, 3/24/14, 3/31/14 and 4/7/14. MondayTuesdayWednesdayThursdayFriday 8AM-12PMIPTC: M3/6P* MOB Large Conference Room IPTC: M3/6P/N4 MOB Large Conference Room IPTC: M3/6P/N4 MOB Large Conference Room IPTC: M3/6P MOB Small Conference Room IPTC: M3/6P/PT MOB Large Conference Room 1PM-5PMNO IPTCStudio Pop MOB Large Conference Room IPTC: M3/6P/OT MOB Small Conference Room NO IPTC

5. IPTC Practicalities  Faculty  Medicine : Jana Zaudke MD, MA Hannah Maxfield MD, Sarah Marks MD  Nursing : Christina Phillips DNP  Pharmacy : James Kleoppel MS, PharmD, Sarah Shrader PharmD  Physical Therapy : Stephen Jernigan PT, PhD  Occupational Therapy : Dory Sabata OTD, Jane Cox OTD  Medical-Legal Partnership : Katie Cronin BSW, JD, Dana Pugh JD  Clinical Psychology : Wendi Born PhD  Heath Information Management : Lauren Pulino RHIA

6. IPTC Practicalities: Before the Encounter  Remember to –  Bring your laptop to IPTC  To access Epic using your web browser, go to:  https://access.kumed.com https://access.kumed.com  Download Citrix to access O2 and patient information.  Review the patient chart with your interprofessional team  Click on the patient’s name on the provider schedule and choose ‘Review’ from the toolbar directly above the schedule  Do not double-click on the patient name until AFTER the patient has arrived to the clinic  Huddle with your team BEFORE the encounter

7. IPTC Practicalities: During the Encounter Interprofessional Patient-Centered Communication Each team member introduced self to patient. Each team member explained professional role to patient. The team explained the “team-based” visit. The team set expectations at the beginning of the visit with the patient. The team elicited the patient’s perspective throughout the visit. The team demonstrated empathy to the patient. The team negotiated a treatment plan with the patient. The team communicated to the patient in terms they could understand. Interprofessional Team-Based Communication During the Huddle before the encounter, the team pre-determined roles/tasks for each team member. Everyone on the team contributed to the patient interview. The team was organized in their approach during the patient encounter. During the Huddle after the encounter, everyone on team contributed to developing patient care plan. Everyone on the team contributed to communicating the plan (including education) to the patient. The team was respectful to all profession’s ideas. If needed, the team utilized conflict resolution to achieve team consensus with patient care plan.

8. IPTC Practicalities: During the Encounter Interview and History Interview addressed 1. Chief Complaint 1.History of Present Illness 1.Past Medical History 1.Family History 1.Social History 1.Review of Systems Patient Interviewed regarding medication reconciliation. Patient interviewed regarding health maintenance (e.g., smoking status, immunizations). Patient interviewed regarding self-care of chronic diseases (e.g., home blood glucose/pressure monitoring, diet, exercise). Patient assessed for adherence to treatment plan (e.g., meds, lifestyle changes). Physical exam was performed.

9. IPTC Practicalities: During the Encounter Collaborative Patient Care Plan Team addressed concern for health literacy. Team addressed need for patient education. Team developed appropriate clinical care plan (e.g., labs, diagnostic tests, medications, referrals).

10. IPTC Practicalities: After the Encounter  Remember to –  Huddle with your team AFTER the encounter  Involve all professions during the presentation of the patient to the faculty preceptor(s)  Consider using the SBAR to organize the team, the presentation and the plan prior to presenting to the faculty preceptor(s).

11. IPTC Practicalities: After the Encounter SBAR S ITUATION -Describe significant findings and complaints -Provide pertinent info from ROS and PE -Present today’s prioritized problem list B ACKGROUND -Provide brief history of the patient -Discuss pertinent labs, tests, meds, etc. A SSESSMENT -Provide assessment for each problem on prioritized problem list R ECOMMENDATION -Provide plan for each problem on prioritized problem list -Discuss prioritized patient education and communication needs -Deliver plan for follow up and what patient education needs for the next visit

12. IPTC Practicalities: After the Encounter  Write a note for every encounter  Include profession specific input from your team members in your note  Document the following items within the Doc Flowsheets, “Self-Management Counseling” tab  Document patient education  Document referrals to Medical-Legal Partnership, Mental Health professional, etc.  Document the names and professions of the students on your team

13. IPTC Practicalities: After the Encounter

14. IPTC Practicalities  Visit us at: http://medicine.kumc.edu/school-of- medicine/family-medicine/for-patients/ipt- clinic.html  Here’s a link to a video made and produced by nursing students who participated in IPTC Spring 2012.  http://youtu.be/sOFoeFxX7YE http://youtu.be/sOFoeFxX7YE  Follow us on Twitter @IPTClinic

15. What is Studio Pop?  What is Studio Pop?  Studio – space and time for process and product  Pop – thinking about the patient population  When? Tuesday afternoons from 1-4 PM  Where? MOB Large Conference Room

16. What are ‘Pop Tarts’?  Activities are called ‘Pop Tarts’  Reflective writing  Each profession’s faculty will prompt students to complete two reflections.  Both will be submitted via Blackboard within the ‘Studio Pop’ course.  Debriefing and Conversations  Crucial Conversations and Conflict Resolution  Viewing of the film, Unnatural Causes, and small group discussion

17. What are ‘Pop Tarts’?  High and Low Fidelity Simulations  Interprofessional Standardized Patient encounter – Jack Newman, Visit # 1 and #2  Medical Error Simulation  Hot Spotting Home Visits  Intensive Primary Care Visits

18. Studio Pop  Week 1 – January 14 th (Zaudke/Kleoppel)  IPE SP, “Jack Newman: Visit #1”  Week 2 – January 21 st (Zaudke/Marks/Phillips)  Orientation and Introductions  What is IPE and IPP?  Who is on your team?  Working in Interprofessional Teams – how it is going?

19. Studio Pop  Week 3 – January 28 th (Zaudke/Marks/Phillips/Kleoppel)  Debrief on the week  Film, ‘Unnatural Causes’ and Small Group Discussions  Week 4 – February 4 th (Zaudke/Marks/Phillips/Kleoppel/Cox)  Debrief on the week  ‘Crucial Conversations’

20. Studio Pop  Week 5 – February 11 th (Zaudke/Phillips/Kleoppel)  IPE SP “Jack Newman: Visit # 2”  Week 6 – February 18 th (Zaudke/Marks/Phillips/Kleoppel)  Hot Spotting Home Visits  Pharmacy, Nursing and Medicine

21. Studio Pop  Week 7 – February 25 th (Zaudke/Marks/Phillips/Kleoppel/Cox)  Hot Spotting Home Visits  Pharmacy, Nursing, and Occupational Therapy

22. Thank you for your attention!