Interprofessional
Teaching Clinic
Practicalities
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
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 Practicalities
 Currently,

IPTC runs 6 half days a week.
Pharmacy and Medicine are together
everyday.
 Nursing,
Pharmacy and Medicine see patients
together 2 of the 6 half-days.

OT, PT, Psychology, Law and HIM
IPTC Practicalities
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/N4
MOB Large
Conference Room
IPTC: M3/6P
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/OT
MOB Small
Conference Room
NO IPTC
NO IPTC
•
•
Location may change if MOB Large Conference Room is unavailable. If that’s the
case, we will be next door in MOB Small Conference Room.
HIM students will be joining us on 3/10/14, 3/24/14, 3/31/14 and 4/7/14.
IPTC Practicalities

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 Practicalities:
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 Practicalities:
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 Practicalities:
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 Practicalities:
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 Practicalities:
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 Practicalities:
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 Practicalities:
After the Encounter

Write a note for every encounter


Include profession specific input from your team
members in your note
Document the following items within the Doc Flowsheets,
“Self-Management Counseling” tab



Document patient education
Document referrals to Medical-Legal Partnership, Mental Health
professional, etc.
Document the names and professions of the students on your
team
IPTC Practicalities:
After the Encounter
IPTC Practicalities
 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
 Follow
us on Twitter @IPTClinic
What is Studio Pop?
 What


is Studio Pop?
Studio – space and time for process and
product
Pop – thinking about the patient population
 When?
Tuesday afternoons from 1-4 PM
 Where? MOB Large Conference Room
What are ‘Pop Tarts’?
 Activities

are called ‘Pop Tarts’
Reflective writing
 Each
profession’s faculty will prompt students
to complete two reflections.


Both will be submitted via Blackboard within the
‘Studio Pop’ course.
Debriefing and Conversations
 Crucial
Conversations and Conflict Resolution
 Viewing of the film, Unnatural Causes, and
small group discussion
What are ‘Pop Tarts’?
 High


and Low Fidelity Simulations
Interprofessional Standardized Patient
encounter – Jack Newman, Visit # 1 and #2
Medical Error Simulation
 Hot
Spotting Home Visits
 Intensive Primary Care Visits
Studio Pop
 Week

1 – January 14th (Zaudke/Kleoppel)
IPE SP, “Jack Newman: Visit #1”
 Week
2 – January 21st
(Zaudke/Marks/Phillips)

Orientation and Introductions
 What
is IPE and IPP?
 Who is on your team?

Working in Interprofessional Teams – how it is
going?
Studio Pop
 Week
3 – January 28th
(Zaudke/Marks/Phillips/Kleoppel)


Debrief on the week
Film, ‘Unnatural Causes’ and Small Group
Discussions
 Week
4 – February 4th
(Zaudke/Marks/Phillips/Kleoppel/Cox)


Debrief on the week
‘Crucial Conversations’
Studio Pop
 Week
5 – February 11th
(Zaudke/Phillips/Kleoppel)

IPE SP “Jack Newman: Visit # 2”
 Week
6 – February 18th
(Zaudke/Marks/Phillips/Kleoppel)

Hot Spotting Home Visits
 Pharmacy,
Nursing and Medicine
Studio Pop

Week 7 – February 25th
(Zaudke/Marks/Phillips/Kleoppel/Cox)

Hot Spotting Home Visits
 Pharmacy,
Therapy
Nursing, and Occupational
Thank you for
your attention!