janet shanedling, phd• graduate certificate program to provide skills to implement evidence-based...

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

The National Center for Interprofessional Practice and Education: Tools and

Resources for MCH Initiatives

Janet Shanedling, PhD

AUCD Joint Interdisciplinary Training Planning Meeting

January 24, 2015

© 2013 Regents of the University of Minnesota, All Rights Reserved

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

Our Goal

To provide the leadership, evidence and resources needed to guide the nation on the use of interprofessional education and collaborative practice (IPECP) as a way to enhance the experience of health care, improve population health, and reduce the overall cost of care.

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

Our Strategies • Co-create and evaluate IPECP models that

reconnect education and collaborative practice in Nexus sites across the U.S. and show the impact of this work on the Triple Aim.

• Strengthen and increase the availability of evidence about the effectiveness of IPECP in achieving the Triple Aim.

• Lead and facilitate the national dialogue among stakeholders in education and health care about the effectiveness of IPECP in achieving the Triple Aim.

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

Our vision for health

© 2013 Regents of the University of Minnesota, All Rights Reserved

• Improving quality of experience for patients, families, communities and learners • Sharing responsibility for achieving health outcomes and improving education • Reducing cost and adding value in health care delivery and education

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

The Need for the Nexus

1. Connect education and practice in vision, leadership, strategy, structure, and ‘on the ground’ practice

2. Provide credible evidence for education and practice models that affect Triple Aim outcomes.

3. Support IPECP leaders and advocates with a shared vision at local and national levels to focus on transforming systems

4. Improve IPECP training and clinical experiences to prepare future and current health professionals.

Based on Courageous Conversations, funded by Robert Wood Johnson Foundation, 2013-2014.

Practice and education leaders across the country confirm the need to:

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

Why is Interprofessional Education and/or Collaborative Practice Important?

• Significant implementation of interprofessional curricula at educational institutions nationwide

• Disconnect between practice and education • Non-aligned accreditation standards, creating disincentives • Potential overproduction of health professionals as a result of

call for workforce shortages • Mismatch with what transforming health care sector actually

needs (e.g., diversity, primary care, teams, distribution) • Growing recognition that education needs to focus not just on

curriculum change, but on the Triple Aim, stimulated by the National Center

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

So, how can the National Center partner with you?

• Nexus Innovations Incubator Network

• The National Center Data Repository (NCDR)

• Resource Exchange and Online Community

• Tools and training

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

The Nexus Innovations Incubator Network: Models and Evidence

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

A Diversity of IPECP Sites

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

A Diversity of IPECP Research

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

Community University Health Care Center • Does interprofessional collaborative care lead to

improved outcomes for at-risk children and their families, specifically asthma-related conditions

• FQHC/healthcare home serving culturally and linguistically diverse community overwhelmingly at or below poverty line

• Resident and student team from mental health, social work, pharmacy, nursing, dentistry, and medicine

• Outcomes: well-child check-ups, immunizations, controlled asthma, improvement in child mental illnesses, ED visits, progress toward goals

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

Transdisciplinary Childhood Obesity Prevention

• Graduate certificate program to provide skills to implement evidence-based approaches to childhood obesity prevention within community-outreach format

• Funded with a USDA Agricultural and Food Research Initiative grant

• Students from Nutrition, Exercise Science, Nursing, Counseling, and Plant Science, and Journalism majors

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

Do the models of interprofessional education and collaborative practice. . .

• Improve health outcomes (Triple Aim) on individual and population levels?

• Result in improvement in educational outcomes? • Identify ecological/environmental factors essential for

achieving health outcomes? • Identify factors essential for sustainability of the transformed

process of care? • Identify changes needed in policy, accreditation, credentialing,

and licensing? • Establish the causal connection between health outcomes,

education and collaborative practice?

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

Members of the Incubator Network implement Nexus initiatives that. . . • Integrate clinical practice and education • Create interventions targeted to Triple Aim outcomes • Include interprofessional teams with students/residents • Engage patients, families, communities • Engage one or more practice sites with committed

leadership • Identify local environment/ecological success factors • Share project data with National Center • Have potential to be transportable and scalable

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

So, here’s what we’ve learned about developing a Nexus. . .

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

ASPPH Findings Successful IPE and collaboration are enabled by: • Champions among the leadership • Embedding full-time faculty in the community dedicated to IPE • IPE committee to guide the work • Inviting community members into the schools to teach • Requiring IPE for faculty and/or students • Using needs assessments to match community concerns with

university expertise and student interests • Starting small and paring down ambitions • Embedding learning when opportunities arise, wherever

possible

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

The Resource Exchange at nexusipe.org

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

Resources • Measurement Instruments • Webinars • Access to experts (for example,

community moderators or incubator members)

• Training • Guidance on promoting

scholarly work • Innovative IPECP tools

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

Join the Nexus/Interprofessional Education and Collaborative Practice Community

Create a profile: www.nexusipe.org

Add a resource: www.nexusipe.org/resource-exchange

Start a conversation: www.nexusipe.org/forum

Go social: www.twitter.com/nexusipe

The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. The National Center is also funded in part by the Josiah Macy Jr. Foundation, the Robert Wood Johnson Foundation and the Gordon and Betty Moore Foundation. © 2014 Regents of the University of Minnesota, All Rights Reserved

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

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