The Health Mentors Program (HMP) Year One Overview [insert date here] Goals for Today’s Session Why Interprofessional Education? Why health mentors? Review logistics for Health Mentor Program Start to learn about roles of healthcare team members Get to know your interprofessional team Understand ICF terms and prepare for your first Health Mentor meeting Why Interprofessional Education (IPE)? The Quality Chasm—Institute of Medicine, 2001 “Safety and quality problems exist because of system problems…browbeating health professionals to just try harder is not the answer” “Quality problems are occurring in the hands of health professionals highly dedicated to doing a good job, but working within a system that does not adequately prepare…or support them…to achieve the best for their patients.” Institute of Medicine, 2003 “Once in practice, health professionals are asked to work in interdisciplinary teams, often to support those with chronic conditions, yet they are not educated together or trained in team-based skills.” Health professionals are well meaning, but often do not use a common language and misunderstand each other is not simply about being “nice”—effective teamwork requires training and practice Teamwork IOM Recommendations, 2003 To reduce the Quality Chasm: “All health professionals should be educated to deliver patient-centered care as members of an interdisciplinary team, emphasizing evidence-based practice, quality improvement approaches, and informatics.” What is IPE? “When students from two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes.” (WHO, 2010) IPE is now a part of accreditation standards IPE Core Competencies, May 2011 Developed by American Association of Colleges 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 Why do we need IPE? To Prepare for Collaborative Practice IP Collaborative Practice: “When multiple health workers from different professional backgrounds work together with patients, families, carers [sic], and communities to deliver the highest quality of care” (WHO, 2010) Improves patient outcomes!!! Increases patient and provider satisfaction Decreases costs Why Health Mentors? Health Mentors Program helps students to: • Learn, as a team, what patients need and how to work together for and with them • Learn from each other about the point of view and expertise of our variety of professional colleagues • Develop an understanding from the patient’s perspective of what it is like to live with chronic conditions Why Health Mentors? Patient-Centered Care Our common goal is to improve the health, wellbeing and function of our future patients Only our patients know what is really important to them, and how the system (and we) impact them – for better or for worse! Why Health Mentors? Understanding Roles Understanding healthcare roles takes time and effort We recognize that you may not know all of the details of your own roles yet, let alone those of other disciplines But, you do know why you entered your profession— start here! As you learn more about your chosen profession over the next few years, you will able to share your growing knowledge and expertise with your teammates. Understanding Roles, cont. By the end of this program, we hope that you will: Have an appreciation that you do not work in isolation Understand that you do not need to or cannot possibly know everything and that other team members can support your care of patients Have a beginning knowledge about other professions’ roles and training that you can apply in future care settings Recognize that roles will continue to change as healthcare changes and put ongoing effort into understanding these changes Practice using a common language across disciplines HMP Logistics Each module is centered on an interprofessional team visit with your health mentor Your team will visit with your Health Mentor: 2 times this year [insert year here] 2 times next year [insert year here] All modules are followed by team and individual assignments as well as facultyfacilitated IPE small group sessions HMP Logistics Modules are required parts of your coursework Course information is available online through [insert location here] Your Health Mentor contact information and date for your first pre-arranged mentor visit on campus is posted on your Team Wiki Site 1: Administrative Information Navigating HMP on Pulse Log onto Pulse Click [insert location here] Left Menu Bar options: Announcements Faculty & Staff information Y1 HMP Orientation Module 1 curriculum [insert semester and year here] Module 2 curriculum [insert semester and year here] Team Wikis Team Survey Student Leaders Team Wikis Each team has access to 2 team wiki sites: Site 1 (Administrative Information) includes: Team Contact Information Health Mentor Information Meeting Date/Time/Location information Site 2 (Team Assignments) includes: Submit your team assignments here If you are not sure how to navigate a WIKI, please see the wiki demo. [insert location here] Who are our Health Mentors? Community-based volunteers who are living and coping with one or more chronic health conditions or impairments. Examples: Hypertension Diabetes Mellitus Spinal Cord Injury Cerebral Palsy Coronary Artery Disease Roles and Responsibilities of Students Dress in professional attire and wear your name badge when meeting your health mentor (no white coat necessary) Be respectful of your Health Mentor’s time and privacy. If Health Mentors do not want to answer any specific questions, that is OK They are volunteer “teachers” not patients Roles and Responsibilities of Students Student Liaison: Each team will designate a student liaison later today who will serve as the point person of communication between the team and the Health Mentor Liaison should contact health mentor before each scheduled visit to confirm meeting time, location, and details of visit Roles and Responsibilities of Students Remember you are NOT yet a licensed professional If your health mentor asks you questions about their diagnosis or care, ALWAYS refer them to their own healthcare professionals Roles and Responsibilities of Mentors Health Mentors have agreed to complete all 4 visits with your team over 2 years Health Mentors should NOT ask students to answer health-related questions or provide them with health care Health Mentors should be respectful of students’ privacy and time If any concerns about your mentors arise, please contact HMP staff immediately Roles and Responsibilities of Health Mentors Health Mentors should contact faculty if they have any questions or concerns about the program Health Mentors should notify us if health or other reasons make them unable to continue in the program - we will match you with a new Health Mentor! Year One Timeline Module Topic Scheduled Mentor Visit and IPE session time Assignment Due Date/ Small Group Session 1 Obtaining a Comprehensive Life and Health History [insert dates here] [insert date here] [insert time here] 2 Preparing a Wellness Plan [insert dates here] [insert date here] [insert time here] Module 1: Life and Health History (insert semester and year ) Meet on pre-arranged date with team and Health Mentor Obtain comprehensive life and health history from your Health Mentor Complete the following assignments on [insert date] [insert time] Comprehensive Life and Health History Form (Wiki) ICF grid (Wiki) Self and Peer Evaluations (Pulse) Present and discuss Comprehensive Health History during interprofessional small group session on [insert time] Module 2: Wellness Plan (insert semester and year) Meet on pre-arranged date with team including Health Mentor Complete the following assignments on [insert date and time]: Evidence-Based Wellness Plan (Wiki) Updating ICF Grid (Wiki) Team Performance Scale (Pulse) Present and discuss Wellness Plan during interprofessional small group session on [insert date] Online IPE Small Group Sessions As a team, you may choose to participate in online interprofessional discussion groups, instead of face-to-face sessions, in November and March If your entire team would prefer to opt-in to these online discussion groups for this year, email [insert contact information] by [insert date]. Space is limited for the online discussion groups, but we will try our best to accommodate your teams’ request Program Evaluation and Feedback After orientation and at the end of each semester, we will solicit your feedback through formal program evaluations Please be sure to complete these surveys and to let us know what is working and what is not, so we can continue to improve the program Course Contact Information [insert name], [insert job title] [insert name], [insert job title] Email: [insert email address] Email: [insert email address] EMAILS Please be sure to put your Team Number in the subject heading of your email Why do we need a common language? Introduction to ICF Words have different meanings for different people “Functional problem” Without a common language, this term can refer to multiple different items – such as osteoarthritis, knee pain, inability to walk, trouble getting to the doctors office, etc “Trauma” For some, trauma means damage to tissues at the cellular level or from an accident; for others, it represents emotional trauma or abuse, etc. People use different words for a similar concept IADLs (Instrumental Activities of Daily Living,) Participation, Roles… All refer to involvement in life situations, but use often varies by discipline Patient, Client, Mentor, Participant… All refer to the same person, but use often varies by discipline World Health Organization WHO created the International Classification of Functioning, Disability, and Health (ICF) to serve as a common language for clinicians and researchers ICF serves as a companion to the International Classification of Diseases (ICD) World Health Organization. Towards a Common Language for Functioning, Disability and Health (ICF Beginner’s Guide) Available at http://www.who.int/classifications/icf/training/icfbeginnersguide.pdf.Accessed June 11, 2010. WHO International Classification of Functioning, Disability and Health ICF Health Conditions (disease or disorder) (Impairment of) Body function and structures Participation Activity (Limitation) Environmental Factors (Restriction) Personal Factors (Strengths and Weaknesses) Using the ICF Framework • Some students have already had a lecture on this topic and are familiar with these terms • They have used this framework to organize patient information • Team members can look to each other for explanation and guidance ICF Case Study- Lily ICF Right hemiparesis Dysphagia Aphasia Visual field cut Impaired cognition Health Conditions Body function Activity and structures Can’t eat Can’t cook Can’t walk Can’t communicate wants and needs Environmental Bathroom on 2nd floor Factors Husband Lots of family nearby Health Insurance Left brain stroke Matriarch Wife Homemaker Participation Can’t attend church Can’t shop or drive Personal Factors Determination Faith Independent Likes Control ICF Health Conditions (disease or disorder) (Impairment of) Body function and structures Participation Activity (Limitation) (Restriction) Personal Factors Environmental Factors (Strengths and Weaknesses) = Quality of Life Impact of Health Conditions Body Function and Structure level Activity level Participation level Environment including people and structures Person’s adjustment to everything changing in the person’s world Conclusion Why Interprofessional Education? IPE is central to the future delivery of high quality, team based, patient-centered care Why health mentors? To begin to understand person-centered care and roles/expertise of team members Why do we need a common language? To understand each other and communicate more effectively for our patients What is the ICF framework? A system to organize concepts across disciplines and to promote team based, patient-centered care ICF Case Study Each team will now review the ICF case and answer questions ICF Case Study: Answers ICF 1. Rheumatoid Arthritis Health Conditions Body function Participation Activity and structures 3. Carrying the baby Parent 2. Pain in her hands (a specific activity she Single mom (impairment of immune has carrying out) system causing inflammation of joint linings) Environmental Personal Factors Factors 5. Lack of family support (social 4. Resourcefulness & environmental factor) Determination and Manual transmission of car (physical Motivation environmental factor)
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