advancing collaborative care teams
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Add in Pictogram (Character Line). Advancing Collaborative Care Teams. A Guide for Teams and Facilitators. Presentation Objectives. To define collaborative care and its importance to patient outcomes and team effectiveness - PowerPoint PPT PresentationTRANSCRIPT
Advancing Collaborative Care Teams
A Guide for Teams and Facilitators
Add in Pictogram (Character Line)
Presentation Objectives
• To define collaborative care and its importance to patient outcomes and team effectiveness
• To discuss the core competencies/indicators of high performing collaborative care teams
• To frame this work within the current WRHA context• To describe the “Advancing Collaborative Care
Teams” Program
Defining Collaborative Care• Collaborative Care in healthcare occurs when
multiple health providers from different professions provide comprehensive services by working with people, their families, care providers and communities to deliver the highest quality of care across settings
Curran V, Sargeant J, Hollett A. Evaluation of an interprofessional continuingprofessional development initiative in primary health care. J Contin Educ Health Prof 2007 Fall;27(4):241-252.
Terminology
Interprofessional vs Multi Disciplinary
Why Collaborative Care?Evidence continues to emerge that links Collaborative Care to:
• Improved quality, safety, and outcomes of care
• Higher client, family and provider satisfaction
• Enhanced system efficiency and effectiveness
Curran V, Sargeant J, Hollett A. Evaluation of an interprofessional continuing professional development initiative in primaryhealth care. J Contin Educ Health Prof 2007 Fall;27(4):241-252.
Ovretveit J. Does clinical coordination improve quality and save money? The Health Foundation June 2011.
Reeves S, Goldman J, Sawatzky-Girling B, Burton A. CIHC Library: Knowledge transfer & exchange in interprofessionaleducation: Synthesizing the evidence to foster evidence-based decision-making. Available at: http://www.cihc.ca/library/handle/10296/326?mode=full&submit_simple=Show+full+item+record. Accessed 5/17/2012, 2012.
WRHA Key Accomplishments• Regional guiding principles and shared definitions • Embedding IPE and collaborative care into the WRHA
strategic priorities• Strong partnerships with the University of Manitoba
health sciences faculties• Adoption of the Canadian Interprofessional Health
Collaborative (CIHC) National Interprofessional Competency Framework
WRHA Key Accomplishments• Inclusion of interprofessional practice competency
statements in regional job descriptions• Regional EHPCC (Educating Health Professionals in
Collaborative Care) training• Online resource toolkit (www.wrha.mb.ca/collaborate)
But what is missing….With growing emphasis within the WRHA on the need to enhance team effectiveness, a standardized, evidence informed program aimed at improving and evaluating interprofessional collaborative care team performance is required.
This program must be agile enough to apply to different types of teams practicing in diverse settings across the care continuum.
Creating a culture of evidence use by healthcare leaders
EXTRA PROGRAMEXTRA PROGRAM
Executive Training for Research Application
Kathleen KlaasenPaul KomendaSusan Bowman
EXTRA PROGRAMEXTRA PROGRAMApplying Research in Solving the Problem:
1. Stakeholder Consultation
2. Scoping Literature Review
3. Region Wide Survey
4. Focus Groups
Expert Opinion
Systematic Review
Market Research
Qualitative Research
Eight Indicators of Effective, High Performing Teams
Indicators:
1. The team has identified a standardized way to measure team performance. Team performance indicators are monitored regularly and guide team decision making.
2. Care is organized based on the goals of patients (as opposed to the needs of health care providers).
Indicators:
3. Team members have dedicated time for team development activities.
4. There is shared space in the environment for teams to work/socialize together.
Indicators:
5. The team has a defined team role statement and team goals.
6. Processes are in place for interprofessional care planning (discharge rounds, care conferences, care rounds).
Indicators:
7. Team composition and roles are defined by the needs of patients, scope of service, and the goal of optimizing scope of practice of health providers.
8. Standard operating procedures/clear role statements for all team members exist and minimize unnecessary duplication of service.
Advancing Collaborative Care Teams ProgramSteps Pre Wk
1Wk2-3
Wk4-5
Wk6-7
Wk8
Wk20
Wk32
Determine Team/Organization Readiness
Initial Meeting with Team Leadership
Team Orientation Session
Team Self-Assessment – 8 Indicators
More Detailed Team Self-Assessment
Team Observation/Documentation Review
Balanced Score Card/Debriefing
Develop Action Plan
Follow- Up Sessions
Team & Organizational Readiness
Initial Meeting with Team Leaders
Defining the Team
Team Orientation
Team Self Assessment
Team Observation
Team De-brief
Balanced Score Card
Action Items Template
Indicator Identified Area for
Improvement
Actions Required
Targeted Completion
Dates
Assigned Team
Members
Progress/Comments
Follow-up Sessions
Set regular “check-ins” with the team (e.g. 3 months, 6 months) to:
• Review progress on the Collaborative Care Action Plan
• Celebrate successes
• Review and revise timelines, goals, priorities, etc. as required
• Ensure continued focus on advancing collaborative care