OPHA, October 14, 2013 Interprofessional Collaborative Access - - PowerPoint PPT Presentation

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opha october 14 2013 interprofessional collaborative
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OPHA, October 14, 2013 Interprofessional Collaborative Access - - PowerPoint PPT Presentation

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Peggy Wros, PhD, RN, facilitator Nic Bookman, MPH Katherine Bradley, PhD, RN Launa Rae Mathews, MS, RN, COHN-S OPHA, October 14, 2013 Interprofessional Collaborative Access Network (I-CAN) History of the Neighborhoods Necessity is the Mother

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Peggy Wros, PhD, RN, facilitator Nic Bookman, MPH Katherine Bradley, PhD, RN Launa Rae Mathews, MS, RN, COHN-S

OPHA, October 14, 2013

Interprofessional Collaborative Access Network (I-CAN)

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History of the Neighborhoods

Necessity is the Mother of invention February 2007: OCNE grant application Spring 2007: SW Portland Neighborhood 1 year grant-funded pilot

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Other Neighborhoods: Portland

Spring 2007: SW Portland Spring 2008: SE Portland Spring 2009: Old Town Portland Spring 2011: Mt. Angel Winter 2012: Rockwood/Gresham

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I-CAN

  • 3-year, $1.5 million award from the Health

Resources and Services Administration (HRSA)

  • Improves access to health care services for the

uninsured, isolated, or medically vulnerable

  • Aligns with the OHSU Interprofessional Initiative
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Purpose of I-CAN

  • Expand partnerships between OHSU,

neighborhood clinics, and community service agencies.

  • Create a collaborative model for clinical practice

and interprofessional education.

  • Address Triple Aim goals: Improve outcomes,

reduce cost, increase satisfaction

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I-CAN Academic Partners

  • OHSU School of Nursing
  • OHSU School of Medicine
  • OHSU Global Health Center
  • OHSU/OUS College of Pharmacy
  • OHSU School of Dentistry
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I-CAN Year 1 Community Partners

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I-CAN Year 2 Community Partners

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I-CAN Year 3 Community Partners

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Specific I-CAN Goals

  • 1. Develop collaborative interprofessional

practice and education partnerships.

  • 3. Improve health outcomes and satisfaction.
  • 3. Build capacity for leading interprofessional

teams.

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Interprofessional Collaborative Practice (IPCP) 10 Core Competencies

  • Professional knowledge

and skills

  • Reasoning and

judgment

  • Evidence-based

practice and research

  • Lifelong learning
  • Communication
  • Professionalism and

ethics

  • Interprofessional

teamwork

  • Safety and quality

improvement

  • Systems
  • Client/patient centered

care

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I-CAN In the Press

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I-CAN Grant Team

  • Peggy Wros, Project Director
  • Launa Rae Mathews, Project Manager
  • Heather Voss, Project Co-manager
  • Katherine Bradley, Evaluator
  • Tanya Ostrogorsky, Evaluator
  • Nic Bookman, Evaluation Coordinator
  • Jennifer Boyd, Provost’s Office Project Associate
  • Patrick Brunett, School of Medicine Liaison
  • Juancho Ramirez, College of Pharmacy Liaison
  • Jill Mason, School of Dentistry Liaison
  • Mary Anna Gordon, IPCP Educator
  • Valerie Palmer, iCHEE Coordinator
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The I-CAN Project: Neighborhood Connections

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I-CAN: Care Management with Interprofessional Student Teams

“WELCOME” to the Neighborhood!

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I-CAN: Neighborhood Collaborative Academic Practice Partnership

Neighborhood

  • 1. Community agencies
  • 2. Residents
  • 3. Student care management teams
  • 4. Faculty in Residence (FIR)
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I-CAN Project: NCAPP – Old Town

Neighborhood and people who live there NCAPP

Health Care Service Provider Community Service Agencies Academic Partner

Central City Concern Macdonald Center Neighborhood House

OHSU (SON, SOM, SOD, College of Pharmacy)

OHSU Global Health (iCHEE)

Neighborhood Collaborative for Academic Practice Partnerships (NCAPP)

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I-CAN: Starting Year 1 in Old Town

Exploring innovative ways to improve health Building partner networks Learning about interprofessional collaborative practice (IPCP)

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I-CAN Project: Care Management (CM) and Follow Up

CM clients from NCAPP Agency I-CAN Project and FIR I-CAN Project Student Care Management Teams Client home visits I-CAN Project Individual-focused “huddles” with NCAPP agency NCAPP Population- Based Care Discussion and Action Plan

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I-CAN: Neighborhood Residents Relationship building

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I-CAN: Individual and Population-Based Interventions

Learning to “ZOOM”

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I-CAN: Student Care Management Teams

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I-CAN: Faculty in Residence

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I-CAN Project: Acknowledgements NCAPP Agency Liaisons

Old Town Portland – Central City Concern, Chuck Sve – Macdonald Center, Kristrun Grondal & Sarah Knuth – Neighborhood House, Donna Trilli West Medford – Family Nurturing Center, Mary Curtis-Gramely, Beth Jaffee-Stafford – La Clinica, Traci Fossen – St. Vincent de Paul, Socorro Holloway SE Portland – Asian Health & Service Center, Christine Lau – Lutheran Community Services NW, Pierre Morin – Richmond Clinic, Erin Kirk

NCAPP: Neighborhood Collaborative for Academic Practice Partnerships

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The I-CAN Project: Incorporation of Technology

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I-CAN Incorporation of Technology

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I-CAN Incorporation of Technology

Data Collection

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I-CAN Incorporation of Technology

Remote Interpreters

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I-CAN Incorporation of Technology

Health Education

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I-CAN Incorporation of Technology

Security

Device Network Folder

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I-CAN Incorporation of Technology

Security

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I-CAN Incorporation of Technology

Challenges

  • Onboarding of students as research staff.
  • Uniformity of training.
  • Dedicated Citrix environment and settings.
  • Cellular connectivity in Old Town.
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The I-CAN Project: Laying the Evaluation Framework

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I-CAN Project: External Factors

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I-CAN Project: Assumptions about IPE Models

  • Strengthen capacity
  • Link health &

community services

  • Reduce health

disparities

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I-CAN Project: Evaluation Inputs

Client Student Teams Community Partners Academic Partners Grant Team

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I-CAN Project: Client Outcomes

Short Medium Long

Improve Health Literacy Increase Life Management Skills Improve Access Improve Satisfaction Improve Health Outcomes Improve Quality of Life

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I-CAN Project: Student Learning Outcomes

Short Medium

Challenges facing the underserved Working in interprofessional teams Understanding community health systems Providing interprofessional care to underserved populations

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I-CAN Project: Community Outcomes

Short Medium Long

Improve networks & resources Increase collaboration Established navigation resources Improve community care coordination resources

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I-CAN Project: Academic Partner Outcomes

Short Medium

Build faculty interprofessional partnerships Increase collaboration between academic & community partners

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I-CAN Project: Grant Team Outcomes

Short Medium Long

Logistic and process coordination Effective data collection Robust partner engagement Care coordination systems New IPE models for community health systems

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I-CAN Project: Aggregate Health Outcomes

Hospital utilization ED utilization EMS 911 callouts Insured rates

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I-CAN Project: Chuck Sve, L.Ac. (Central City)

“We believe that training students to work in interprofessional teams, with complicated patients, is a worthwhile investment for our future in healthcare. We ask that students bring enthusiasm, open minds, and a spirit of learning, as that benefits us all. We invite you to use your time here to grow into the compassionate, resourceful, and collaborative practitioners of the future.”

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This project is supported by funds from the Bureau of Health Professions (BHPr), Health Resources and Services Administration (HRSA), Department of Health and Human Services (DHHS) under grant number UD7HP25057 and title “Interprofessional Care Access Network” for $1,485,394. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by the BHPr, HRSA, DHHS or the U.S. Government.

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