University of Colorado: Adult Diabetes Management
This intervention project centers on care of approximately 120 diabetic adults via an interprofessional care team. Most of the individuals in this patient cohort have experienced uncontrolled Type 2 diabetes. Self-management education and a group visit model are components of the intervention. The care team also incorporates shared decision making models that include the patient in decisions. Better preventive care and enhanced self-management are intended outcomes, and pre-intervention data were collected through the health system’s 2014 quality care indicators.
South Dakota Nexus: Promoting Quality Conversations about Advance Care Planning in South Dakota through Interprofessional Teams
In order to meet South Dakota’s need for a unified approach towards Advance Care Planning (ACP), the University of South Dakota’s (USD) Department of Nursing assembled an interprofessional, collaborative network of health professionals to pilot an ACP process. The ultimate goal is to implement a process statewide. The project starts by training learners in USD’s School of Health Science as “First Steps Facilitators,” based on the model pioneered by the Gunderson Respecting Choices® program. Following initial implementation of the training in Sioux Falls, ACP Facilitator training will be integrated into USD’s Health Sciences’ curriculum at USD campuses throughout the state. Trained facilitators will implement the approach to ACP at a number of intervention sites in Vermillion, South Dakota. The community was chosen because it has a hospital, a senior center, and a nursing home that already partner with USD as part of the health sciences curriculum. If the intervention has positive results, it will be scaled up to a state-wide level. A pre-post design will be used to assess the impact of the unified approach to ACP on the state.
Indiana University Health Interprofessional Collaborative Practice Model
The Accountable Care Unit (ACU) model encompasses unit-based clinical triads that consist of the RN, MD, and care manager, who use team-based care; relational coordination with shared goals, shared knowledge and mutual respect; unit-based leadership and management; patient centered workflow that incorporates daily clinical triad “huddles” on individual patient concerns, RN/MD collaborative rounding, and safe handoffs; and data-driven unit-based decision making.
Indiana University: The Bloomington Nexus Project
The Bloomington Nexus project creates a translational model for improving transitional care for patients who have been discharged from acute care.
South Dakota Nexus: Transdisciplinary Obesity Prevention
This project focuses on changes among graduate students regarding attitudes and skills that impact their capabilities for addressing population health. Surveys and other assessment tools will be used to measure changes over time. Using a transdisciplinary team of experts in childhood obesity, students will be introduced to the interrelationship of topics presented in the Social Ecological Model (SEM) for Nutrition and Physical Activity Decisions.
University of Pittsburgh: Non-physician Led, Interprofessional Teams in a Trauma Clinic
Advanced practice providers (APPs) are joined by licensed professionals and students from physical therapy, occupational therapy, speech language pathology, audiology, nutritional counseling and rehabilitation counseling to develop comprehensive care plans and provide patient care.
University of Kentucky: Interprofessional Care Across Transitions for Stroke Patients
The UK Colleges of Health Sciences, Medicine, Nursing, Pharmacy and Public Health are collaborating on an interprofessional simulation Intervention to improve care for stroke patients. The simulation phase will demonstrate the importance of interprofessional collaborative practice and guide providers and students on how to become effective team members.
University of Colorado: An Interprofessional Curriculum to Improve Quality and Safety
This educational intervention is intended to drive clinical change. The curriculum focuses on patient safety, creating a "just culture," patient experience and continuous quality improvement (QI). Interprofessional student teams, together with the interprofessional faculty QI teams, identify gaps in the transitions of care between care units.