Interprofessional Teaching Clinic Practicalities

Brought to you by:KU SOM Dept. of Family Medicine

KU School of PharmacyKU School of Nursing

KU School of Health ProfessionsKU School of Law

IPTC Practicalities Currently, IPTC runs 6 half days a week.

Pharmacy and Medicine are together everyday. Nursing, Pharmacy and Medicine see

patients together 2 of the 6 half-days. OT students will be with us on Wed PM. When possible, PT participates Fri AM. Psychology intern is with us on Wednesdays. Law is available by consult every day by calling

8-3731 for outpatient and inpatient services.

IPTC Practicalities

* Location may change if MOB Large Conference Room is unavailable. If that’s the case, we will be next door in MOB Small Conference Room.

  Monday Tuesday Wednesday Thursday Friday

8AM-12PM IPTC: M3/6P MOB Large Conference Room

IPTC: M3/6P/N4MOB Large Conference Room

IPTC: M3/6P/N4MOB Large Conference Room

IPTC: M3/6PMOB Small Conference Room

IPTC: M3/6P/PTMOB Large Conference Room

1PM-5PM NO IPTC Studio PopMOB Large Conference Room

IPTC: M3/6P/OTMOB Small Conference Room

NO IPTC NO IPTC

IPTC Practicalities Faculty

Medicine: Jana Zaudke MD, MA Hannah Maxfield MD, Sarah Marks MD Nursing: Christina Phillips DNP Pharmacy: James Kleoppel MS, PharmD, Sarah Shrader PharmD Physical Therapy: Stephen Jernigan PT, PhD Occupational Therapy: Dory Sabata OTD Law: Katie Cronin BSW, JD Psychology: Wendi Born PhD

IPTC Practicalities: Before the Encounter Remember to – Bring your laptop to IPTC

To access Epic using your web browser, go to: http://access.kumed.com

Download Citrix to access O2 and patient information.

Review the patient chart with your interprofessional team Click on the patient’s name on the provider schedule and

choose ‘Review’ from the toolbar directly above the schedule Do not double-click on the patient name until AFTER the patient

has arrived to the clinic

Huddle with your team BEFORE the encounter

IPTC Practicalities: During the Encounter

Interprofessional Patient-Centered Communication

Each team member introduced self to patient.

Each team member explained professional role to patient.

The team explained the “team-based” visit.

The team set expectations at the beginning of the visit with the patient.

The team elicited the patient’s perspective throughout the visit.

The team demonstrated empathy to the patient.

The team negotiated a treatment plan with the patient.

The team communicated to the patient in terms they could understand.

Interprofessional Team-Based Communication

During the Huddle before the encounter, the team pre-determined roles/tasks for each team member.

Everyone on the team contributed to the patient interview.The team was organized in their approach during the patient encounter.

During the Huddle after the encounter, everyone on team contributed to developing patient care plan.

Everyone on the team contributed to communicating the plan (including education) to the patient.

The team was respectful to all profession’s ideas.If needed, the team utilized conflict resolution to achieve team consensus with patient care plan.

IPTC Practicalities: During the Encounter

 

Interview and HistoryInterview addressed 1. Chief Complaint

  1. History of Present Illness

  1. Past Medical History

  1. Family History

  1. Social History

  1. Review of Systems

Patient Interviewed regarding medication reconciliation.Patient interviewed regarding health maintenance (e.g., smoking status, immunizations).Patient interviewed regarding self-care of chronic diseases (e.g., home blood glucose/pressure monitoring, diet, exercise).Patient assessed for adherence to treatment plan (e.g., meds, lifestyle changes).Physical exam was performed.  

IPTC Practicalities: During the Encounter

 

Collaborative Patient Care PlanTeam addressed concern for health literacy. 

Team addressed need for patient education.  

Team developed appropriate clinical care plan (e.g., labs, diagnostic tests, medications, referrals).

IPTC Practicalities: After the Encounter Remember to – Huddle with your team AFTER the encounter Involve all professions during the presentation of the

patient to the faculty preceptor(s) Consider using the SBAR to organize the team, the

presentation and the plan prior to presenting to the faculty preceptor(s).

IPTC Practicalities: After the Encounter

SBAR

SITUATION-Describe significant findings and complaints-Provide pertinent info from ROS and PE-Present today’s prioritized problem list

BACKGROUND-Provide brief history of the patient-Discuss pertinent labs, tests, meds, etc.

ASSESSMENT-Provide assessment for each problem on prioritized problem list

RECOMMENDATION-Provide plan for each problem on prioritized problem list-Discuss prioritized patient education and communication needs-Deliver plan for follow up and what patient education needs for the next visit

IPTC Practicalities:After the Encounter Write a note for every encounter

Include profession specific input from your team members in your note

Document the following items within the Doc Flowsheets, “Self-Management Counseling” tab Document patient education Document referrals to Medical-Legal Partnership, Mental Health

professional, etc. Document the names and professions of the students on your

team

IPTC Practicalities Visit us at:http://medicine.kumc.edu/school-of-medicine/family-medicine/for-patients/ipt-clinic.html Here’s a link to a video made and

produced by nursing students who participated in IPTC Spring 2012.

http://youtu.be/sOFoeFxX7YE Follow us on Twitter @IPTClinic

Thank you for your attention!