University of Kentucky: Interprofessional Care Across Transitions for Stroke Patients

Member since:  April 2014

Intervention: Interprofessional Care Across Transitions for Stroke Patients

Partners:

  • University of Kentucky (UK)
  • Cardinal Hill Rehabilitation Hospital
  • Home health and outpatient agencies

Occupations represented: Students and professionals including physical therapy, occupational therapy, speech and language pathology, dietary, nursing, pharmacy, psychology, medicine, case management, and social workers.

Overview:  The simulation phase will demonstrate the importance of interprofessional collaborative practice and guide providers and students on how to become effective team members. Providers from both acute care and acute rehabilitation will work together to create and test the interprofessional transition of care tool (KCATS tool). This tool will then be piloted in care transitions across levels of care including:  

  • Acute care to post-acute care;
  • Post-acute care to community; and
  • Acute care to community.

Outcome measures will include assessment of the simulation itself, interprofessional collaboration using the interprofessional collaborator assessment rubric, and clinical and patient outcomes. In addition hospital and clinical data will be monitored after implementation of the KCATS tool to include:  tracking length of stay, functional independence, complications and medical errors, readmissions, patient and provider satisfaction, and cost of care.

Intervention study question:

  • What is the effect of an interprofessional team-based transition of care tool on outcomes for patients with stroke? 
State: 
Kentucky
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