No Mission no Margin: Funding Interprofessional Education and

Collaborative Practice (IPECP) Programs Moderators:

Frances Vlasses, PhD, RN, NEA-BC, ANEF, FAAN Aaron Michelfelder, M.D., FAAFP, FAAMA

Loyola University Chicago

Panelists: Margaret Faut Callahan, CRNA, PhD, FNAP, FAAN, Loyola University Chicago

Heather Hageman, MBA, Washington University Medical Center

April D. Newton, PT, DPT, FNAP, Rosalind Franklin University

David Pole, PhD, MPH, Saint Louis University

Anna Ratka, Ph.D., Pharm.D., RPh, CPE, Chicago State University

Lynne Sinclair, MA (Ad Ed), BSc(PT), University of Toronto

Presenter Introductions

Topic Introduction

• No margin no mission? Or no mission no margin?

• Objectives: • To analyze the IPECP funding approaches taken at 6 different institutions with

successful IPECP programs • To explore IPECP funding opportunities that can be applied back to attendees’

own institutions • To generate funding innovations for IPECP activities through the collective

wisdom of the panelists and participants

Session Outline

• Overview • Panelists will highlight one focused area from each program • Audience participation

• Will hand out cards • Some questions and comments will be addressed during session • If not enough, will personally answer or address your questions and

comments

6 Institutions

• Similarities: • Defined Administrative Structure • Funding comes from multiple sources

• University • Individual schools • Partners such as hospitals • Grants

• Unique: • University of Toronto: Revenue generating programs • Rosalind Franklin University: Philanthropy • Chicago State University: Predominantly indirect funding

Margaret Faut Callahan, CRNA, PhD, FNAP, FAAN

L O Y O L A U N I V E R S I T Y C H I C A G O • H E A L T H S C I E N C E S D I V I S I O N • I - T I E

LOYOLA I-TIE STRUCTURE

President

Health Sciences Division Provost

Nursing School Dean

Associate Provost for Educational Resources

Medical School Dean

I-TIE Leadership

I-TIE Ambassadors I-TIE Working Group: Faculty Development I-TIE Working

Group: Communications

I-TIE Working Group:

Curriculum

I-TIE Working Group:

Interprofessional Practice

I-TIE Working Group: Research

Scholarship

IPEP Student Group

L O Y O L A U N I V E R S I T Y C H I C A G O • H E A L T H S C I E N C E S D I V I S I O N • I - T I E

I-TIE AMBASSADORS School of Nursing Elizabeth Burkhart, PhD, RN, MPH, ANEF Jorgia Connor, PhD, RN Patti Friend, PhD, APN/AOCN-BC Diana Hackbarth, RN, PhD, FAAN Leann Horsley, PhD, RN, CHSE Audrey Klopp, PhD, RN, NHA Joanne Kouba, PhD, RDN Janet McCarthy, MSN, MBA Kimberly Oosterhouse, PhD, RN, CCRN Sue Penckofer, PhD, RN, FAAN MaryMargaret Sharp-Pucci, EdD, MPH Lisa Skemp, PhD, RN, FGSA, FAAN Sandi Tenfelde, PhD, RN, ANP/WHNP-BC Fran Vlasses, PhD, RN, NEA-BC, ANEF, FAAN School of Medicine Eva Bading, MD Mary Boyle, MD Amy Buchanan, MD Alexandra Bullough. MBChB, FRCA, MD Phillip De Christopher, MD, PhD, FCAP, FASCP Nathan Derhammer, MD Bruce Gaynes, OD, PharmD Gregory Gruener, MD Kelli Hutchens, MD Omer Iqbal, MD Adam Kabaker, MD, FACS

Suzanne Kavic, MD Theresa Kristopaitis, MD Stephen MacLeod, BDS, MD, FACS Jessica McIntyre, MD Edwin Meresh, MD, MPH, APA Aaron Michelfelder, MD, FAAFP, FAAMA Keith Muccino, SJ, MD Amy Murray, MD Theodote Pontikes, MD Trent Reed, DO Michael Schneck, MD, FAHA, FAAN, FACP Elizabeth Schulwolf, MD Jerold Stirling, MD, FAAP David Yoo, MD Loyola University Health System Sandy Brehm, MBA Laura De La Pena, MSN, RNC Susan Finn, RN, MSN, CPNP Bridget Gaughan, MS, APN, ANP-BC Allison Grupski, PhD Karen Mowinski, APN Caren Perlmuter, MA, LNHA Evelyn Segal, PhD Chad Whelan, MD School of Social Work Michael Dentato, PhD

HSD University Ministry John DiMucci, MA Virginia McCarthy, MDiv HSD University Library Gail Hendler, MLS Kristen Reid, MSI HSD Educational Design &Technology Amy Hoyt, Med Stacey Zurek, MS, PhD Institute for Bioethics and Health Policy Mark Kuczewski, PhD Kayhan Parsi, PhD, JD Public Health Sciences Amy Luke, PhD Center for Simulation Donna Quinones, CHSE Viva Siddall, PhD Hines VA Frances Weaver, PhD

L O Y O L A U N I V E R S I T Y C H I C A G O • H E A L T H S C I E N C E S D I V I S I O N • I - T I E

I-TIE GRANT OPTIMIZATION

4.9 Million in

4 years

ICARE Graduate Interprofessional

Education

NEPRQ Integrating Behavioral

Health in Primary Care

National Center for

Interprofessional Education and

Practice

SBIRT Training students and

health professionals to

address substance Abuse

ICAREPATH Primary Care

Model Redesign

L O Y O L A U N I V E R S I T Y C H I C A G O • H E A L T H S C I E N C E S D I V I S I O N • I - T I E

LOYOLA: THREE CAMPUSES, ONE VISION

Heather Hageman, MBA

Budget

• Each institution = 1/3 of overhead (plus in-kind) • Activities funded proportionately by # learners (CIPE

runs activities, not courses) • Faculty mostly volunteer with exceptions within

institutions

Budget Considerations

• Start-Up Issues o Documentation of all institutional contributions (in-kind) o Infrastructure resources: educational technology, additional

human resources

• Longer Term o Support/Protected time for faculty o Investment in clinical sites o Mandate to obtain outside funding

April D. Newton, PT, DPT, FNAP Rosalind Franklin University

Rosalind Franklin University of Medicine and Science

RFUMS MISSION To serve the population through the

interprofessional education of health and biomedical professionals and the discovery of

knowledge dedicated to improving the wellness of its people.

INSTITUTE MISSION To advance innovative interprofessional education, practice and research with the

university and community partners, for the advancement of health outcomes.

Interprofessionalism From the Top (2002) Board of Trustees

Leadership – Dr. K. Michael Welch, MB, ChB, FRCP (2002) University Interprofessional Curricula Schedule & Courses (2004)

DeWitt C. Baldwin Institute for Interprofessional Education (2014) Interprofessional Healthcare Workforce Institute (2017)

Interprofessional Community Clinic (ICC)

FUNDING • Student Organization (ICI) • Student Fundraising

• Annual Dance for Diabetes • Annual Discovery Dash • Annual ICC Gala

• Grants • Donations

OPERATIONS • Interprofessional Clinic Initiative (ICI) –

student organization conducts behind the scenes operation of the “Student-run” pro bono clinic

• Student Leadership • Interprofessional Executive Officer Board • Interprofessional Panel (70+ students)

• Located at the Rosalind Franklin University Health Clinics

• ICC Faculty Advisory Board

David Pole, PhD, MPH Saint Louis University

Saint Louis University

(~80 fac)

Undergraduate Conceptual Framework of SLU Minor in Interprofessional Practice (IPP)

(Concentration in IPP:4 courses/9 credits. Minor in IP Practice 7 courses/16 credits)

*Concentration in IP Practice David Pole/Irma Ruebling 5/23/14 ** Five SLU IPE Domains include: Interprofessional Practice, Patient-Centered Care, Wellness, Patient Safety & Quality, and Social Justice

IPE 1100*: Introduction to IP Practice - Roles and Responsibilities of Health Professions; Collaboration Skills, Teams and Teamwork, and SLU IPE Domains**

IPE 3500*: IPCP in the context of the health care system and health promotion

IPE 4200*: IPCP in context of individual patient care (caring response) decision making

IPE 4900*: IPCP in context of community/population health, HP/DP , Comm Practicum

IPE 4905: IPCP in context of the clinical care team, Clinical Practicum

ORES 2320: IPCP in context research, IP care and impact on patient care/outcomes

The IPE and IPCP principles and skills introduced in IPE 1100 are then applied in the various contexts where health professions work together to accomplish the Triple Aim…

HCE 2010: Foundations of Clinical Health Care Ethics

1 Cr./ Conc

3 Cr./ Conc

3 Cr./ Minor

3 Cr./ Conc

2 Cr./ Conc

2 Cr./ Minor

2 Cr./ Minor

ipe.slu.edu

Article: Teaching the Art of Collaborative Practice Sidebar: IPTS Course https://www.chausa.org/publications/health-progress/article/september-october-2017/teaching-the-art-of-collaborative-practice

David Pole, PhD, MPH Fred Rottnek, MD, MAHCM (Dr. Rottnek, Guest Editor plus Lead Article)

Graduate IPE Courses Interprofessional Team Seminar Course PS/QI Courses

IPCP and Quality Improvement Towards the Quadruple Aim

• Utilize the Institute for Healthcare Improvement basic certificate modules on PS/QI – Interest Group AY 2014-15, Into curriculum AY 2015-16 – Combine skills sessions with SOM (1&2), BSN Seniors, and PA students – Complete before MS3 clinical experiences, so can participate in clinic – MS4 QI Electives – IHI Basic Certificate now required by ACGME for all Interns

• Quality & Patient Safety Steering Committee for SLUCare – IPE Staff to project support, Bridge to Clinical IPCP, Education Support for

Clinical Practices & Strategic Initiatives – Integrate team and provider well-being & Trauma Informed Communities

Anna Ratka, Ph.D., Pharm.D., RPh, CPE Chicago State University

Chicago State University – College of Pharmacy

• IPE/P Program • Goal: embed in 4-yr didactic and experiential curriculum • completed 1st year of implementation (1 volunteer leader) • based on collaborative partnerships

• Loyola University Chicago - simulations • CSU College of Health Sciences - service activities

• Financing – indirect funds • Partnership access to resources & programs available at

the Loyola University Chicago I-TIE • adopted the American Heart Association

Check.Change.Control™ program • currently assessing existing experiential training sites for

IPE/P suitability

Chicago State University – College of Pharmacy

• IPE/P Outcomes

Loyola University Chicago - simulations • monthly day-long training; medical, nursing, pharmacy • student self-assessments very positive & constructive • faculty analyze data & apply ‘lessons learned’

CSU College of Health Sciences - service activities • added IPE component to American Heart Association

Check.Change.Control™ program • AHA happy with this innovation; provide resources & help • five interprofessional teams of students lead by faculty • screenings & education on heart health on CSU campus • Spring 2018: bi-weekly, two days/week, two times/day

Lynne Sinclair, MA (Ad Ed), BSc(PT)

University of Toronto

27

U of Toronto Centre for IPE and Faculty Development

• Jointly governed and funded by University and Hospitals • Interfaculty Curriculum Committee (Leads from all 11

programs) charged with engagement and implementation across both academia and practice sites

• IPE Faculty Development ehpic™ (Educating Health Professionals in Interprofessional Care) developed in 2005 as a certificate program – revenue generation

• Collaborative Change Leadership™ (CCL) Program developed in 2009 as a certificate program

© University of Toronto ehpic™ 2017

© University of Toronto ehpic™ 2017

U of Toronto Centre for IPE and Clinical Partnerships

*Associate Director (part-time in-kind) *Network of IPE/C Leads from 18 hospital partners (in-kind)

Q&A and Discussion