Core Competencies for Interprofessional Practice

Transcription

1 MSVP Sync: Transforming Healthcare Leadership Conference Core Competencies for Interprofessional Practice Sharon K. Lanning, DDS Associate Professor Department of Periodontics VCU, Center for Interprofessional Education and Collaborative Practice

2 Disclosure Slide The following person have no proprietary, financial or other personal interest of any nature or kind in any product, service and/or company that will be discussed or considered during the program/presentation. Dr. Sharon K. Lanning Speaker

3 Objectives Upon completion of this presentation, participants will be able to Explain the intent and purpose of the Core Competencies for Interprofessional Practice State the organizations that participated in the development of the Core Competencies for Interprofessional Practice Describe the four domains of the Core Competencies for Interprofessional Practice Apply the Core Competencies for Interprofessional Practice to their own work

4 Healthcare System Challenges Fragmentation High Costs Healthcare Disparities Primary Care Shortage Aging and Sicker Population Interprofessional Education Collaborative, 2011

5 Fragmentation Lack of integration among providers System rewards volume, not value Lower quality care and higher costs Interprofessional Education Collaborative, 2011

6 Interprofessional Collaboration IOM Report, 2010 High-quality, patientcentered healthcare for all will require a transformation of the health care delivery system Education Leadership Access to Care Workforce Interprofessional Education Collaborative, 2011

7 Six Leading Health Education Associations Unite to Form a New Organization Focused on Interprofessional Education and Practice Washington Post, 2011 American College of Nursing American Association of Colleges of Osteopathic Medicine American Association of Colleges of Pharmacy American Dental Education Association Association of American Medical Colleges Association of Schools of Public Health

8 IPEC Core Competencies Expert Panel Charges 1. Recommend common core competencies relevant across the professions to address the essential preparation of clinicians for interprofessional collaborative practice 2. Recommend learning experiences and educational strategies for achieving the competencies and related objectives Interprofessional Education Collaborative, 2011

9 Professional & Interprofessional Competency Behavioral demonstrations of an... Professional Competency integrated set of knowledge, skills, and attitudes defining the domains of work of a specific health profession in specific care contexts Interprofessional Competency integrated set of knowledge, skills and attitudes for working together across the professions, with other health care workers, and with patients, families, communities, in specific care contexts Interprofessional Education Collaborative, 2011

10 Utilize Informatics Employ Evidence- Based Practice IOM 5 Core Competencies, adapted to IPEC Expert Panel Work Work in Interprofessional Teams Core Competencies Provide Patient- Centered Care Apply Quality Improvement Interprofessional Education Collaborative, 2011

11 IPEC Competencies: General Criteria Patient, population and relationship-centered Process-oriented Common language Applicable across practice settings Applicable across professions Relevant to the learning continuum Outcome driven Relevant to the IOM goals for improvement patient-centered, efficiency, effectiveness, safety, timeliness, and equity

12 Core Competencies: Four Domains Interprofessional Education Collaborative, 2011

13 IPEC Core Competency Domains Work with individuals of other professions to maintain a climate of mutual respect and shared values. Use the knowledge of one s own role and those of other professions to appropriately assess and address the healthcare needs of the patients and populations served. Communicate with patients, families, communities, and other health professionals in a responsive and responsible manner that supports a team approach to the maintenance of health and the treatment of disease. Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles to plan and deliver patient- /population-centered care that is safe, timely, efficient, effective, and equitable. Interprofessional Education Collaborative, 2011

14 IPEC Core Competencies Expert Panel Charges 1. Recommend common core competencies relevant across the professions to address the essential preparation of clinicians for interprofessional collaborative practice 2. Recommend learning experiences and educational strategies for achieving the competencies and related objectives Interprofessional Education Collaborative, 2011

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16 A Developmental Approach Dreyfus Benner (and beyond) Novice Advanced Beginner Competent Proficient Expert New to area but motivated to learn more Learning basic steps in area; needs supervision Able to perform in area without supervision Able to perform in area across contexts Able to perform intuitively across contexts My daughter wants to make ice cream. My daughter can make ice cream with a recipe and my help. My daughter can make vanilla ice cream by herself. My daughter can make different kinds of ice cream by herself. My daughter creates new ways of making ice cream.

17 Novice Competent Proficient Expert Advanced Beginner Recognize the value of shared problem solving Teams Domain Know principles of effective teams Engage in shared problem solving Adapt within a team framework Know the roles & responsibilities of your profession Roles & Responsibilities Domain Understand the perspectives of others (listening) Express views with clarity Communication Domain Know the roles and responsibilities of other professions Recognize your personal & professional limitations Form team goals Voice conflicting opinions Give feedback (individual & team) Fulfill your role & responsibilities on teams Use strategies to overcome your personal limitations Resolve conflict successfully Respond to feedback (individual & team) Solve problems interprofessionally Lead & follow in context Using QI methods to improve team performance Change systems of care to leverage interprofessional teams Integrative Domain

18 Conceptual Framework Practitioners Context-Specific Experiences Advanced Learners Profession-Specific Experiences Early Learners Foundational Experiences Pre-Curricular Experiences

19 Interprofessional Collaborative Practice improves as practitioners develop Dual Identity Professional Identity Socialization towards one s own chosen profession; belonging to a profession Interprofessional Identity Socialization towards team ; belonging to the healthcare community, team, unit, etc. Mitchell et al., 2011 Caricati et al., 2015

20 Professional Socialization Process Khalili, 2013

21 Interprofessional Socialization Framework: Development of Dual Identity Khalili, 2013

22 IPE Strategies A focus on breaking down misperceptions, prejudices, and stereotypes among healthcare professionals Workshops Individual or team reflections/debriefs Survey instruments Interprofessional socialization and valuing scale (King, 2010) Individual-collectivism scale (Wagner, 1995) Dual identity scale Healthcare stereotype scale (Carpenter, 1995) and multi-ethnic identity measure (Phinney, 1992)

23 Interprofessional Collaborative Practice Developing Knowledge, Skills and Attitudes Professional & Interprofessional Sharon K. Lanning, DDS