Transcript Studio Pop - University of Kansas Medical Center

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
IPTC Practicalities
 Currently,
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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.
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OT students will be with us on Wed PM.
When possible, PT participates Fri AM.
Psychology intern is with us on Wednesdays.
Law is available by consult every day by calling
8-3731 for outpatient and inpatient services.
IPTC Practicalities
Monday
Tuesday
Wednesday
Thursday
Friday
8AM-12PM
IPTC: 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-5PM
NO IPTC
Studio Pop
MOB Large
Conference Room
IPTC: M3/6P/OT
MOB Small
Conference Room
NO IPTC
NO IPTC
* 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.
IPTC Practicalities

Faculty
 Medicine: Jana Zaudke MD, MA
Hannah Maxfield MD, Sarah Marks MD
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Nursing: Christina Phillips DNP
Pharmacy: James Kleoppel MS, PharmD,
Sarah Shrader PharmD
Physical Therapy: Stephen Jernigan PT, PhD
Occupational Therapy: Dory Sabata OTD
Law: Katie Cronin BSW, JD
Psychology: Wendi Born PhD
IPTC Practicalities:
Before the Encounter
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Remember to –
Bring your laptop to IPTC
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To access Epic using your web browser, go to:

http://access.kumed.com

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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

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Download Citrix to access O2 and patient information.
Do not double-click on the patient name until AFTER the patient
has arrived to the clinic
Huddle with your team BEFORE the encounter
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.
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.
The team demonstrated empathy to the patient.
Everyone on the team contributed to
communicating the plan (including education) to
the patient.
The team negotiated a treatment plan with the
patient.
The team was respectful to all profession’s ideas.
The team communicated to the patient in terms
they could understand.
If needed, the team utilized conflict resolution to
achieve team consensus with patient care plan.
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.
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).
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).
IPTC Practicalities:
After the Encounter
SBAR
SITUATION
-Describe significant findings and complaints
-Provide pertinent info from ROS and PE
-Present today’s prioritized problem list
BACKGROUND
-Provide brief history of the patient
-Discuss pertinent labs, tests, meds, etc.
ASSESSMENT
-Provide assessment for each problem on prioritized
problem list
RECOMMENDATION
-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
IPTC Practicalities:
After the Encounter
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Write a note for every encounter
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Include profession specific input from your team
members in your note
Document the following items within the Doc Flowsheets,
“Self-Management Counseling” tab
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Document patient education
Document referrals to Medical-Legal Partnership, Mental Health
professional, etc.
Document the names and professions of the students on your
team
IPTC Practicalities
 Visit
us at:
http://medicine.kumc.edu/school-ofmedicine/family-medicine/for-patients/iptclinic.html
 Here’s a link to a video made and
produced by nursing students who
participated in IPTC Spring 2012.
 http://youtu.be/sOFoeFxX7YE
 Follow
us on Twitter @IPTClinic
Thank you for
your attention!