1. Rising to the Challenge of Embracing Diversity in PracticeThrough Interprofessional Collaborative CareNovember 8, 2014 Cynthia Arndell, MD, FACP Justina Trott, MD, FACP carndell@salud.unm.edu jtrott@unm.edu

2. Objectives: • Define interprofessional collaborative practice (IPC) • Discuss the attributes of an effective team • Describe ways to improve IPC in your current practice setting

3. Introductions • Your name/title • What setting do you practice in currently? Think, pair, share: (turn to your neighbor and discuss the questions below): • Who are the members of your healthcare team? • How well does your team work together in delivering patient-centered care?

4. What does interprofessional collaborative practice mean to you?

5. Interprofessional Collaborative Practice Multiple health workers from different backgrounds work together with patients, families, caregivers and communities to deliver the highest quality of care World Health Organization, 2010

6. What is the evidence? • Editorial: Bridging the Quality Chasm: Interprofessional Teams to the Rescue? Weinstein, R.S. et al, Corrected Proof. Published online, February 11, 2013 • Improved Patient Outcomes, Zwarenstein et al, JIC Supplement 1:2005 • Improved Cost Efficiency, D’Amour et al 2005 & Rogowskiet al 2001 • Improved Health Professional Satisfaction, Cohen & Bailey 1997 • Improved Work Places, Shamian & El-Jardali 2007

7. “A team of experts does not make an expert team” Salas et al. Toward understanding of team performance and training. In Swezey, Salas, eds. Teams: Their training and performance. Norwood, NJ Ablex, 1992:3-29.

8. Teamwork at Its’ Best Recall the best healthcare team you were ever part of…

9. Consider the following • What were the circumstances? • Who were the team members, i.e., nurse, social worker, MD, patient case manager? • What were the patient outcomes, i.e., why was it a success story? • What were the characteristics/qualities of the team members that made it an effective, collaborative team?

10. The Reality: Barriers to IPC • Organizational structures/ culture • Power imbalances and role socialization―how disciplines communicate with other disciplines and transfer behaviors and attitudes • System challenges―funding and reimbursement, patient documentation, physical structures

11. What are the 1 – 3 things you could do differently to make your practice more collaborative?

12. Consider the following: • What are some behaviors you recognize within yourself that could be changed? • Within your organization, what are the most effective ways of making the types of changes you want to make? • Who should involved be in making these changes? • How can you gain support for the changes among organizational leaders? From managers? From front-line care providers? From other staff? • Whose expertise can you draw on from the broader community as you make these changes?

13. Take Home Points Advancing IPC requires a cultural paradigm shift which begins with you There is enough evidence to ACT NOW EVERYONE is a stakeholder and has a role to play Garner the support of staff, administrators, community agencies Establish protocol for integrating IPC into practice and tools to measure success

14. Interprofessional Collaborative Care Resources • IP-COMPASS –MedEdPORTAL publication: Parker K, McGuire M, Oandasan I, Zorzi R. The Interprofessional Collaborative Organization Map and Preparedness Assessment Tool (IP-COMPASS). MedEdPORTAL; 2012.: www.mededportal.org/publication/9257<http://www.mededportal. org/publication/9257 • Josiah Macy foundation: www.macyfoundation.org • National Center for Interprofessional Practice and Education: http://www.ahceducation.umn.edu/national-center-for-interprofessional-practice-and-education/index.htm • Interprofessional Education Collaborative Core Competencies: http://www.aacn.nche.edu/education-resources/ipecreport.pdf • World Health Organization: http://www.who.int/hrh/education/en/