Workshop #9: i-Care: A Team-Based Approach to Meeting the Needs of the Underserved with Chronic Conditions
University of Colorado
Nexus Innovation Network
Nursing Education Practice, Quality and Retention
Presentation:
i-CARE: A Team-Based Approach to Meeting the Needs of the Underserved with Chronic Conditions
Presenters:
Amy Barton, Gail Armstrong & Nicole Jackson
Topic:
Access to Care
Overview:
The i-CARE project at Sheridan Health Services, a federally-qualified, nurse-managed community health center and faculty practice of the University of Colorado College of Nursing, serves a low-income population in the Denver metropolitan area. The intent of this project is to improve health care outcomes concerning self-management of chronic conditions among community members who participate in the intervention. In this model, three care teams provide collaborative practice group visit opportunities for patients: Pediatric Care Team, the Adult Care Team, and the Senior Care Team. The teams are nurse-led and consist of a nurse practitioner, physician, pharmacist and behavioral health specialist. Student learners from a variety of disciplines are incorporated into the care teams. The Pediatric Care Team focuses on obesity, asthma, and substance use and abuse. The Adult Care Team focuses on diabetes and chronic pain management. The Senior Care team focuses on geriatric syndromes and chronic disease management.
Workshop participants will experience Liberating Structures as the active learning strategy. Liberating Structures (LS) are a series of microstructures that allow participants to actively contribute innovative solutions in a fun and creative way. The origins of LS are within complexity science, which fits well with interprofessional care and education. Features of LS include that they are simple, inclusive, expert-free, results-focused, fun, rapid cycling, innovative, adaptable, and self-spreading. The top ten ideas are discussed with the group and will be submitted to the National Center Resource Center.
Learner Objectives:
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Describe the implementation of team-based care in a nurse-led federally qualified health center;
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Identify challenges of interprofessional care and education in meeting the needs of underserved chronically ill patients;
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Generate actionable ideas to facilitate spread and sustainability of interprofessional care and education to meet the needs of underserved chronically ill patients’
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Sort challenges of interprofessional care and education into four categories: simple, complicated, complex, and chaotic, using the Agreement and Certainty Matrix.
References:
http://www.liberatingstructures.com
http://www.liberatingstructures.com/27-agreement-certainty-matrix/
http://www.liberatingstructures.com/12-2510-crowd-sourcing/