Advancing Collaborative Care Teams

A Guide for Teams and Facilitators

Add in Pictogram (Character Line)

Presentation Objectives

• To define collaborative care and its importance to patient outcomes and team effectiveness

• To discuss the core competencies/indicators of high performing collaborative care teams

• To frame this work within the current WRHA context• To describe the “Advancing Collaborative Care

Teams” Program

Defining Collaborative Care• Collaborative Care in healthcare occurs when

multiple health providers from different professions provide comprehensive services by working with people, their families, care providers and communities to deliver the highest quality of care across settings

Curran V, Sargeant J, Hollett A. Evaluation of an interprofessional continuingprofessional development initiative in primary health care. J Contin Educ Health Prof 2007 Fall;27(4):241-252.

Terminology

Interprofessional vs Multi Disciplinary

Why Collaborative Care?Evidence continues to emerge that links Collaborative Care to:

• Improved quality, safety, and outcomes of care

• Higher client, family and provider satisfaction

• Enhanced system efficiency and effectiveness

Curran V, Sargeant J, Hollett A. Evaluation of an interprofessional continuing professional development initiative in primaryhealth care. J Contin Educ Health Prof 2007 Fall;27(4):241-252.

Ovretveit J. Does clinical coordination improve quality and save money? The Health Foundation June 2011.

Reeves S, Goldman J, Sawatzky-Girling B, Burton A. CIHC Library: Knowledge transfer & exchange in interprofessionaleducation: Synthesizing the evidence to foster evidence-based decision-making. Available at: http://www.cihc.ca/library/handle/10296/326?mode=full&submit_simple=Show+full+item+record. Accessed 5/17/2012, 2012.

WRHA Key Accomplishments• Regional guiding principles and shared definitions • Embedding IPE and collaborative care into the WRHA

strategic priorities• Strong partnerships with the University of Manitoba

health sciences faculties• Adoption of the Canadian Interprofessional Health

Collaborative (CIHC) National Interprofessional Competency Framework

WRHA Key Accomplishments• Inclusion of interprofessional practice competency

statements in regional job descriptions• Regional EHPCC (Educating Health Professionals in

Collaborative Care) training• Online resource toolkit (www.wrha.mb.ca/collaborate)

But what is missing….With growing emphasis within the WRHA on the need to enhance team effectiveness, a standardized, evidence informed program aimed at improving and evaluating interprofessional collaborative care team performance is required.

This program must be agile enough to apply to different types of teams practicing in diverse settings across the care continuum.

Creating a culture of evidence use by healthcare leaders

EXTRA PROGRAMEXTRA PROGRAM

Executive Training for Research Application

Kathleen KlaasenPaul KomendaSusan Bowman

EXTRA PROGRAMEXTRA PROGRAMApplying Research in Solving the Problem:

1. Stakeholder Consultation

2. Scoping Literature Review

3. Region Wide Survey

4. Focus Groups

Expert Opinion

Systematic Review

Market Research

Qualitative Research

Eight Indicators of Effective, High Performing Teams

Indicators:

1. The team has identified a standardized way to measure team performance. Team performance indicators are monitored regularly and guide team decision making.

2. Care is organized based on the goals of patients (as opposed to the needs of health care providers).

Indicators:

3. Team members have dedicated time for team development activities.

4. There is shared space in the environment for teams to work/socialize together.

Indicators:

5. The team has a defined team role statement and team goals.

6. Processes are in place for interprofessional care planning (discharge rounds, care conferences, care rounds).

Indicators:

7. Team composition and roles are defined by the needs of patients, scope of service, and the goal of optimizing scope of practice of health providers.

8. Standard operating procedures/clear role statements for all team members exist and minimize unnecessary duplication of service.

Advancing Collaborative Care Teams ProgramSteps Pre Wk

1Wk2-3

Wk4-5

Wk6-7

Wk8

Wk20

Wk32

Determine Team/Organization Readiness

Initial Meeting with Team Leadership

Team Orientation Session

Team Self-Assessment – 8 Indicators

More Detailed Team Self-Assessment

Team Observation/Documentation Review

Balanced Score Card/Debriefing

Develop Action Plan

Follow- Up Sessions

Team & Organizational Readiness

Initial Meeting with Team Leaders

Defining the Team

Team Orientation

Team Self Assessment

Team Observation

Team De-brief

Balanced Score Card

Action Items Template

Indicator Identified Area for

Improvement

Actions Required

Targeted Completion

Dates

Assigned Team

Members

Progress/Comments

Follow-up Sessions

Set regular “check-ins” with the team (e.g. 3 months, 6 months) to:

• Review progress on the Collaborative Care Action Plan

• Celebrate successes

• Review and revise timelines, goals, priorities, etc. as required

• Ensure continued focus on advancing collaborative care