All Together Better Health VII- Plenary Session- Advancing Interprofessionalism in the United States
As healthcare systems in the United States grapple with a rapidly changing healthcare environment, leaders explore new models of care to improve quality and reduce costs. This panel will discuss how U.S. health systems are adopting interprofessional care models and creating feedback to modernize education and training programs.
This plenary session features:
Identifying ethical issues from the perspective of the registered nurse
A review of the formal ethics consultations performed at a rural academic medical center during 2006 revealed that only 5 of 72 consultations were initiated by nurses. A descriptive exploratory convenience study used a 3-item survey to collect information from registered nurses who provide direct patient care at the rural academic medical center.
Outcomes of interprofessional collaboration for hospitalized cancer patients
This study aims to evaluate the effect of the intensity of interprofessional collaboration on hospitalized cancer patients. We conducted a cross-sectional study of 312 patients to examine the effects of intensity of interprofessional collaboration (low vs high intensity collaboration) on patient satisfaction, uncertainty, pain management, and length of stay. Data on the intensity of interprofessional collaboration, patient satisfaction, and uncertainty were collected from professionals and patients using valid and reliable instruments.
Methods for evaluating practice change toward a patient-centered medical home
PURPOSE: Understanding the transformation of primary care practices to patient-centered medical homes (PCMHs) requires making sense of the change process, multilevel outcomes, and context. We describe the methods used to evaluate the country's first national demonstration project of the PCMH concept, with an emphasis on the quantitative measures and lessons for multimethod evaluation approaches.
The triple aim: Care, health, and cost
Improving the U.S. health care system requires simultaneous pursuit of three aims: improving the experience of care, improving the health of populations, and reducing per capita costs of health care. Preconditions for this include the enrollment of an identified population, a commitment to universality for its members, and the existence of an organization (an "integrator") that accepts responsibility for all three aims for that population.
Progress and Promise: Profiles in Interprofessional Health Training to Deliver Patient-Centered Primary Care
The publication highlights how seven programs from California, Illinois, New Mexico, North Carolina, Oklahoma, South Carolina, Texas and Virginia train a variety of health care professionals to work together as teams in patient-centered medical homes.
The Volume-to-Value Revolution
This inaugural report of the Oliver Wyman Health Innovation Center (OWHIC) explores the future of healthcare between now and 2025. It offers an overview of three major waves of innovation that over the next decade will bring us to a new patient-centered and value-based approach to healthcare delivery.
Role Clarification Processes for Better Integration of Nurse Practitioners into Primary Healthcare Teams: A Multiple-Case Study
Role clarity is a crucial issue for effective interprofessional collaboration. Poorly defined roles can become a source of conflict in clinical teams and reduce the effectiveness of care and services delivered to the population. Our objective in this paper is to outline processes for clarifying professional roles when a new role is introduced into clinical teams, that of the primary healthcare nurse practitioner (PHCNP).
Renewed focus in the United States links interprofessional education with redesigning health care
No scholars and practitioners are more aware of the research and debate about interprofessional education (IPE) and interprofessional collaborative care (IPCC) than the readers of the Journal of Interprofessional Care. Since the 1970s, interest in IPE and IPCC in the United States (U.S.) has been characterized by peaks and lows as the major issues in health care have shifted. So, it is exciting to describe what may be a new window of opportunity in the U.S. to fully develop and test this evolving concept that, for so long, has been an exception rather than the “norm”.
Commentary: Reshaping Physician Education
Fragmented care delivery is the product of an outdated approach to medical education.
