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A Framework That Fits
Enhancing InterdisciplinaryCollaboration in Primary Health Care (EICP)
Initiative
Principles & Framework
www.eicp-acis.ca
EICP Initiative
• Enhancing Interdisciplinary Collaboration in Primary Health Care (EICP)
• $6.5M Contribution Agreement from Health Canada’s Primary Health Care Transition Fund (PHCTF)
• Led by ten national health care associations
www.eicp-acis.ca
Health professionals- all on the same page
Canadian Coalition on Enhancing Preventative Practices of Health Professionals
www.eicp-acis.ca
EICP Steering Committee
• Canadian Association of Occupational Therapists
• Canadian Association of Social Workers• Canadian Association of Speech-Language
Pathologists and Audiologists• Canadian Medical Association• Canadian Nurses Association• Canadian Pharmacists Association
www.eicp-acis.ca
EICP Steering Committee
• Canadian Physiotherapy Association
• Canadian Psychological Association
• College of Family Physicians of Canada
• Dietitians of Canada
• Canadian Coalition on Enhancing Preventative Practices of Health Professionals
www.eicp-acis.ca
Interdisciplinary Collaboration
• “Interdisciplinary collaboration refers to the positive interaction of two or more health professionals, who bring their unique skills and knowledge to assist patients/clients and families with their health decisions.”
—(Canadian Association of Occupational Therapists (CAOT), 2005
www.eicp-acis.ca
Interdisciplinary Collaboration
The right service,
provided at the right time,
in the right place,
by the right professional
www.eicp-acis.ca
Purpose of the EICP
• To develop the regulated health professions’ shared vision of interdisciplinary collaboration (IDC) in primary health care (PHC)
• To develop support for fundamental and effective change in PHC in Canada that reflects this shared vision
• To help sustain this change at the association and the individual practitioner levels in cooperation with other partners (i.e. governments, providers, public etc.)
www.eicp-acis.ca
Deliverables
• Consultations• Research• Principles • Framework• Tool Kit
www.eicp-acis.ca
Evidence Based
• Small group consultations (public, providers, government officials)
• Regional workshops (providers, experts, government officials)
• Analysis of workbooks completed by providers and policy-makers
• Two Leaders’ Forums (providers, experts, government officials)
• Five Barrier/Enabling Task Forces (providers, experts, government officials)
• Five full research reports (literature reviews)
www.eicp-acis.ca
What are Principles?
• Reflect shared values for interdisciplinary collaboration (IDC)
• Guide current and future decision about policies, programs and services
www.eicp-acis.ca
EICP Principles
• Patient/client engagement
• Population health approach
• Best possible care and services
• Access
• Trust and respect
• Effective communication
www.eicp-acis.ca
− Principle− Patient/Client Engagement
• Patients/clients the priority focus• Patients/clients involved in decision-making
& management of their own health care• Professionals work together to optimize the
physical, cognitive & mental health & wellness of their patients/clients
• Privacy & confidentiality are paramount
www.eicp-acis.ca
− Principle − Population Health Approach
• Set priorities, establish strategies & make investments in action to improve the health of the population
• Assess needs and health problems present in a community
• Needs are addressed in a holistic fashion across the continuum of care
• Programs & services are tailored to address health determinants, while meeting the needs of individual patients/clients
www.eicp-acis.ca
− Principle − Best Possible Care and Services
• Research results are basis for quality standards & treatment decisions
• Continuous evaluation to measure health outcomes, ensure accountability, track performance & assure quality
• Commitment to continuous improvement
www.eicp-acis.ca
− Principle − Access
• The right service, provided at the right time, in the right place & by the right professional
• Geographic barriers are minimized• Services available close to where people live,
work & learn• Respect for age, income, gender, culture,
language, religion & lifestyle factors/ differences
www.eicp-acis.ca
− Principle − Trust and respect
• Key to interdisciplinary collaboration• Each profession brings its own set of
knowledge & skills • Supports shared decision-making, creativity
& innovation • Professionals learn from each other &
understand the competencies of peers • Direct benefit to patients/clients
www.eicp-acis.ca
− Principle − Effective Communication
• Both at the organizational & interpersonal levels
• Active listening and effective communication required with patients/clients & with colleagues
• Professionals & systems support team information-sharing and decision-making
www.eicp-acis.ca
What is a Framework?
• Built on the foundation principles
• Composed of structural elements required to sustain IDC
• Describes characteristics of a systemic approach and the elements need to support the operation of PHC
• Elements are interrelated
www.eicp-acis.ca
EICP Framework Elements
• Health Human Resources• Funding• Liability• Regulation• Information and Communications
Technology• Management and Leadership• Planning and Evaluation
www.eicp-acis.ca
−Framework− Health Human Resources
• Must address the availability, education & distribution of health human resources (HHR)
• Maximize the skill sets & competencies of all professionals
• Help address the work–life balance issues & working conditions overall
• Clearly articulated roles & responsibilities for each team member
www.eicp-acis.ca
−Framework− Funding
• Create a positive incentives through innovative funding models
• Payment methods (e.g. fee-for-service, salary, capitation or various blended mechanisms) can facilitate/promote IDC
• Align funding with EICP Principles for IDC• Adequate and reliable funding needed to
support IDC
www.eicp-acis.ca
−Framework− Liability
• Two directions required:– integrated approach to liability insurance that
links the various systems now in place & supports principles of IDC (e.g. recognizes shared decision-making)
– clear legislated scopes of practice for each health discipline
• Patient safety and risk management are priorities• Alleviate worry about liability so focus is on the
patient/client• Education program for judicial/legal community
about collaborative practice.
www.eicp-acis.ca
−Framework− Regulation
• Regulatory colleges must embrace & support IDC
• Give regulators of various professional disciplines the mechanisms to work together
www.eicp-acis.ca
−Framework− Information & Communications Technology
• Sharing information critical to quality care & basis of collaboration
• Linked to improved continuity of care, service delivery, & reduction of adverse events
• Provides timely access to up-to-date information
• Learning & adapting to technologies is a key challenge
www.eicp-acis.ca
−Framework− Information& Communication Technology
• An interoperable, private and secure EHR will be fundamental to the ability of teams to collaborate
www.eicp-acis.ca
−Framework− Management & Leadership
• Leaders must be committed to a vision for collaborative primary health care
• Build on “best practices”• Build skills in communication, change
management, teamwork & leadership
www.eicp-acis.ca
−Framework− Management & Leadership
• Strong administrative support • Appropriate governance structures • IDC takes time & resources
www.eicp-acis.ca
−Framework− Planning & Evaluation
• Does IDC deliver? • Ultimate goal = measuring outcomes (health, team &
organization) of IDC• Strong centralized administrative support is required • Based on the characteristics & needs of the
population served • Evaluation frameworks & assessment tools are
being developed• Frameworks and tools • Benchmarking
www.eicp-acis.ca
Get Involved
• EICP web site at www.eicp-acis.ca• Register with our Guestbook to receive
updates and our e-newsletter• Talk to your professional association about
how to get involved
www.eicp-acis.ca
Change Management
• Where are we, as professions, in collaborative, interdisciplinary care?
www.eicp-acis.ca
Toolkit
• Lexicon• What tools (practical & policy) would help
you facilitate the adoption of IDC practices in primary health care?
www.eicp-acis.ca