Transcript Studio Pop - University of Kansas Medical Center

Orientation
to the
Interprofessional
Teaching Clinic
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
KU Department of Psychology
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.
IPTC Orientation
 Currently,

IPTC runs 6 half days a week.
Pharmacy and Medicine are together
everyday.
 Other






professions include:
Nursing
OT
PT
Psychology
Law
Health Information Management
IPTC Orientation
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/Psy
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/N4/Psy
MOB Large
Conference Room
IPTC:
M3/6P/OT/Psy
MOB Small
Conference Room
NO IPTC
NO IPTC
IPTC Workflow
START
HERE
Use Doc
Flowsheet, “SelfManagement”
tab.
Embed in note
through
SmartPhrase
.selfmanagement
Return to the
patient’s
room with
team and
preceptor(s)
Form an IP
team, and
assign yourselves
to a patient.
IP
Team
Huddle
IP Team
Doc and
Debrief
Review chart
TOGETHER and
determine roles/
responsibilities.
IP Patient
Encounter
IP
Team
IP Patient
Encounter
Huddle
Present to
IP
Preceptor(s)
Involve all
professions in
the
presentation,
if possible.
Communicate
in a patientcentered
manner as a
team.
Develop
Assessment
and Plan as a
team.
IPTC Orientation

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
IPTC Orientation:
Before the Encounter


Remember to –
Bring your laptop to IPTC

To access Epic using your web browser, go to:

https://access.kumed.com


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


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 Orientation:
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 Orientation:
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 Orientation:
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 Orientation:
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 Orientation:
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 Orientation:
After the Encounter

The medical student writes a note for every
encounter, AND the entire team participates in
the following key steps.

‘Doc and Debrief’

Document the following items within the Doc Flowsheets,
“Self-Management Counseling” tab




Patient education and counseling
Synchronous and asynchronous referrals
The professions on the team seeing the patient today
After documentation is completed within the Doc
Flowsheet, please use the SmartPhrase
.selfmanagement to embed the text within the
note.
IPTC Orientation:
After the Encounter

‘Doc and Debrief’ (cont.)
 Document
profession-specific
recommendations in the medical student’s
note.
 Include the names of the students who
participated in the patient’s care today at the
bottom of the note along side the medical
student’s name.
IPTC Orientation:
After the Encounter
IPTC Orientation
 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
Thank you for
your attention!