Add in Pictogram (Character Line)
Advancing Collaborative Care
Teams
A Guide for Teams and Facilitators
Presentation Objectives
• To define collaborative care and its importance to
patient outcomes and team effectiveness
• To discuss the core competencies/indicators of high
performing collaborative care teams
• To frame this work within the current WRHA context
• To describe the “Advancing Collaborative Care
Teams” Program
Defining Collaborative Care
• Collaborative Care in healthcare occurs when
multiple health providers from different
professions provide comprehensive services
by working with people, their families, care
providers and communities to deliver the
highest quality of care across settings
Curran V, Sargeant J, Hollett A. Evaluation of an interprofessional continuing
professional development initiative in primary health care. J Contin Educ Health Prof 2007 Fall;27(4):241-252.
Terminology
Interprofessional vs Multi Disciplinary
Why Collaborative Care?
Evidence continues to emerge that links Collaborative Care to:
• Improved quality, safety, and outcomes of care
• Higher client, family and provider satisfaction
• Enhanced system efficiency and effectiveness
Curran V, Sargeant J, Hollett A. Evaluation of an interprofessional continuing professional development initiative in primary
health care. J Contin Educ Health Prof 2007 Fall;27(4):241-252.
Ovretveit J. Does clinical coordination improve quality and save money? The Health Foundation June 2011.
Reeves S, Goldman J, Sawatzky-Girling B, Burton A. CIHC Library: Knowledge transfer & exchange in interprofessional
education: Synthesizing the evidence to foster evidence-based decision-making. Available at:
http://www.cihc.ca/library/handle/10296/326?mode=full&submit_simple=Show+full+item+record. Accessed 5/17/2012, 2012.
WRHA Key Accomplishments
• Regional guiding principles and shared definitions
• Embedding IPE and collaborative care into the WRHA
strategic priorities
• Strong partnerships with the University of Manitoba
health sciences faculties
• Adoption of the Canadian Interprofessional Health
Collaborative (CIHC) National Interprofessional
Competency Framework
WRHA Key Accomplishments
• Inclusion of interprofessional practice competency
statements in regional job descriptions
• Regional EHPCC (Educating Health Professionals in
Collaborative Care) training
• Online resource toolkit (www.wrha.mb.ca/collaborate)
But what is missing….
With growing emphasis within the
WRHA on the need to enhance team
effectiveness, a standardized,
evidence informed program aimed
at improving and evaluating
interprofessional collaborative care
team performance is required.
This program must be agile enough
to apply to different types of teams
practicing in diverse settings across
the care continuum.
EXTRA PROGRAM
Executive Training for Research Application
Creating a culture of evidence use
by healthcare leaders
Kathleen Klaasen
Paul Komenda
Susan Bowman
EXTRA PROGRAM
Applying Research in Solving the Problem:
Expert
Opinion
1. Stakeholder Consultation
2. Scoping Literature Review
3. Region Wide Survey
4. Focus Groups
Systematic
Review
Market
Research
Qualitative
Research
Eight Indicators of Effective, High
Performing Teams
Indicators:
1. The team has identified a standardized way to
measure team performance. Team performance
indicators are monitored regularly and guide team
decision making.
2. Care is organized based on the goals of patients (as
opposed to the needs of health care providers).
Indicators:
3. Team members have dedicated time for team
development activities.
4. There is shared space in the environment for teams
to work/socialize together.
Indicators:
5. The team has a defined team role statement and
team goals.
6. Processes are in place for interprofessional care
planning (discharge rounds, care conferences, care
rounds).
Indicators:
7. Team composition and roles are defined by the
needs of patients, scope of service, and the goal of
optimizing scope of practice of health providers.
8. Standard operating procedures/clear role
statements for all team members exist and minimize
unnecessary duplication of service.
Advancing Collaborative Care Teams Program
Steps
Determine Team/Organization Readiness
Initial Meeting with Team Leadership
Team Orientation Session
Team Self-Assessment – 8 Indicators
More Detailed Team Self-Assessment
Team Observation/Documentation Review
Balanced Score Card/Debriefing
Develop Action Plan
Follow- Up Sessions
Pre
Wk Wk Wk Wk Wk Wk Wk
1
2-3 4-5 6-7 8
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Team & Organizational Readiness
Initial Meeting with Team Leaders
Defining the Team
Team Orientation
Team Self Assessment
Team Observation
Team De-brief
Balanced Score Card
Action Items Template
Indicator
Identified Area
for
Improvement
Actions
Required
Targeted
Completion
Dates
Assigned
Team
Members
Progress/
Comments
Follow-up Sessions
Set regular “check-ins” with the team (e.g. 3 months, 6 months) to:
• Review progress on the Collaborative Care Action Plan
• Celebrate successes
• Review and revise timelines, goals, priorities, etc. as required
• Ensure continued focus on advancing collaborative care