Orientation to the

Interprofessional Teaching Clinic

Brought to you by:KU SOM Dept. of Family Medicine

KU School of PharmacyKU School of Nursing

KU School of Health ProfessionsKU School of Law

KU Department of Psychology

What is IPE?World Health Organization definesInterprofessional 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: M3/6PMOB Large Conference Room

IPTC: M3/6P/N4MOB Large Conference Room

IPTC: M3/6P/N4/PsyMOB Large Conference Room

IPTC: M3/6P/PsyMOB Small Conference Room

IPTC: M3/6P/PTMOB Large Conference Room

1PM-5PM NO IPTC Studio PopMOB Large Conference Room

IPTC: M3/6P/OT/PsyMOB Small Conference Room

NO IPTC NO IPTC

Review chart TOGETHER and determine roles/responsibilities.

Communicate in a patient-

centered manner as a

team.

Develop Assessment

and Plan as a team.

Involve all professions in

the presentation,

if possible.

Return to the patient’s

room with team and

preceptor(s)

Use Doc Flowsheet, “Self-

Management” tab.

Embed in note through

SmartPhrase .selfmanagement

Form an IP team, and

assign yourselves to a

patient.

START

HERE

IPTC Workflow

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

Download Citrix to access O2 and patient information.

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 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.

The team demonstrated empathy to the patient.

The team negotiated a treatment plan with the patient.

The team communicated to the patient in terms they could understand.

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.

Everyone on the team contributed to communicating the plan (including education) to the patient.

The team was respectful to all profession’s ideas.If needed, the team utilized conflict resolution to achieve team consensus with patient care plan.

IPTC Orientation: During the Encounter

 

Interview and HistoryInterview 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 PlanTeam 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-of-medicine/family-medicine/for-patients/ipt-clinic.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!