A Workshop Series of the Institute of Medicine
Global Forum on Innovation in Health Professional Education
(IHPE Global Forum)
Workshop I: Interprofessional Education for Collaboration:
Learning How to Improve Health from Interprofessional
Models Across the Continuum of Education to Practice
August 29–30, 2012
The Keck Center of The National Academies
500 Fifth Street, NW
Washington, DC 20001
• To engage in forward-looking dialogue around the importance of aligning health professional education with the needs of clinical practice, consumers, and the health care delivery system;
• To explore the opportunity for shared decision making, distributed leadership, and team-based care, amongst other interprofessional education (IPE) and practice innovations, to fundamentally change health professions curriculums, pedagogy, culture, human resources, and assessment and evaluation metrics; and
• To discuss how innovations in IPE will impact patient and population health as identified through the “triple aim” of better health, higher quality, and lower cost.
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A Workshop Agendas A Workshop Series of the Institute of Medicine Global Forum on Innovation in Health Professional Education (IHPE Global Forum) Workshop I: Interprofessional Education for Collaboration: Learning How to Improve Health from Interprofessional Models Across the Continuum of Education to Practice August 29–30, 2012 The Keck Center of The National Academies 500 Fifth Street, NW Washington, DC 20001 Room 100 Workshop Objectives: • To engage in forward-looking dialogue around the importance of aligning health professional education with the needs of clinical practice, consumers, and the health care delivery system; • To explore the opportunity for shared decision making, distrib- uted leadership, and team-based care, amongst other interprofes- sional education (IPE) and practice innovations, to fundamentally change health professions curriculums, pedagogy, culture, human resources, and assessment and evaluation metrics; and • To discuss how innovations in IPE will impact patient and popula- tion health as identified through the “triple aim” of better health, higher quality, and lower cost. 97
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98 INTERPROFESSIONAL EDUCATION FOR COLLABORATION DAY 1: AUGUST 29, 2012 9:00 a.m. Welcome and Introductions Scott Reeves, Workshop Planning Committee Co-Chair Lucinda Maine, Workshop Planning Committee Co-Chair 9:15 a.m. Why Focus on IPE as a Key Health Professions Education Innovation? Objective: To frame the importance of better alignment between health professions education and the needs for better health, better care, and lower costs. George Thibault, Josiah Macy Jr. Foundation Q&A 10:00 a.m. Panel Discussion: Making the Case for the Integration of Practice Redesign and Education Reform Objectives: To offer a variety of perspectives about how health professions education for shared decision making, distributed leadership, and team-based care can improve health delivery systems’ positive impact on individual and population health outcomes; and to examine to what extent health professional education is currently meeting these kinds of practice needs. Moderator: Matt Wynia, Institute for Ethics, American Medical Association Panelists: • nterprofessional practice: Craig Jones, Vermont I Blueprint for Health • ducation reform: Barbara Brandt, University of E Minnesota Academic Health Center • tudent: Sandeep Kishore, Young Professionals S Chronic Disease Working Group Respondents: • atient perspective: Rosemary Gibson, Author, Wall P of Silence, Archives of Internal Medicine • mployer perspective: Paul Grundy, IBM E Healthcare Transformation Q&A 12:00 p.m. LUNCH
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APPENDIX A 99 1:00 p.m. White Paper Presentation Objective: To lay the foundation for the small-group discussions around actualizing educational reform relevant to practice in the five areas for innovation— curriculum, pedagogy, metrics, culture, and resources— using elements of the triple aim as the outcome focus. Lucinda Maine, Co-Chair Q&A 2:00 p.m. Small-Group Breakout Sessions Instructions Lucinda Maine, Co-Chair Using an appreciative inquiry approach, address the following questions: • hat are the strengths and opportunities in using W IPE to improve practice through better health, better care, better access, or lower costs? • sing curricular redesign, pedagogical innovation, U culture, metrics, and human resources, how do we drive IPE competencies (and beyond?) toward the outcomes captured in the triple aims (better health, higher quality, lower cost)? Additional guidance: • ould discuss these IPE questions focusing on any C educational stage along the learning continuum from undergraduate/prelicensure to continuing education. • an consider non-professionals insofar as C professionals learn to interact with non- professionals as part of the team as well as other professionals. • rovide specific examples of places where IPE P educational innovations in the five areas are designed to impact health, care, access, or costs. 2:30 p.m. Break into Small Groups Objectives: To explore opportunities for improving health, care, access, or lower costs through the use of IPE in the areas of curricular innovations, pedagogic innovations, cultural elements, human resources for health, and metrics that positively impact the triple aim; to identify exemplars and best practices that are already applying such innovations; and to identify
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100 INTERPROFESSIONAL EDUCATION FOR COLLABORATION gaps where IPE could be used to achieve better health, care, or access or lower costs, but where it is not yet being applied, and brainstorm strategies for promoting implementation in these areas. 1. Better health • roup leader: Pamela Jeffries, Johns Hopkins G University School of Nursing Assistance by Harrison Spencer, Workshop Planning Committee member 2. etter care (higher quality using teamwork and shared B decision making) • roup leader: Lorna Lynn, American Board of G Internal Medicine Assistance by Brenda Zierler, Workshop Planning Committee member 3. nhanced access (enhanced access to education of E patients/populations as learners and educators of team-based, collaborative care) • roup leader: Sally Okun, PatientsLikeMe G Assistance by Mattie Schmitt, Workshop Planning Committee member 4. Lower cost • roup leader: Thomas Feeley, MD Anderson G Cancer Center Assistance by George Thibault, Workshop Planning Committee member 4:00 p.m. BREAK (reconvene in large group) 4:30 p.m. Debriefing of Small-Group Session Moderator: Scott Reeves, Co-Chair 4:45 p.m. Canadian Interprofessional Health Leadership Collaborative Objective: To provide a case study from the Global Forum’s Canadian Interprofessional Health Leadership Collaborative describing how IPE is being linked to practice. Linking Health Professions Education to Practice: Canadian Successes and Lessons Learned • arita Verma, Co-Lead, Canadian Interprofessional S Health Leadership Collaborative
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APPENDIX A 101 • aria Tassone, Co-Lead, Canadian M Interprofessional Health Leadership Collaborative Q&A 5:30 p.m. ADJOURN DAY 2: AUGUST 30, 2012 8:00 a.m. Breakfast and Report by Three Regional Collaboratives in India, Uganda, and South Africa Moderator: Patrick Kelley, Director of Board on Global Health • Sanjay Zodpey, India Collaborative • Nelson Sewankambo, Uganda Collaborative • Marietjie de Villiers, South Africa Collaborative Q & A panel discussion 9:00 a.m. Recap of Day 1 Scott Reeves, Co-Chair 9:15 a.m. Small-Group Report Back Moderator: Patricia Hinton Walker, Uniformed Services University of the Health Sciences • amela Jeffries, Johns Hopkins University School of P Nursing • orna Lynn, American Board of Internal Medicine L • ally Okun, PatientsLikeMe S • homas Feeley, MD Anderson Cancer Center T Q & A panel discussion with small-group leaders 10:00 a.m. BREAK 10:15 a.m. Reflection Panel Objectives: To reflect on the Day 1 discussions in an effort to identify principles of effective IPE and gaps that inhibit effective IPE, and to provide insight from different perspectives on how to better link health professional education with practice moving forward, including what currently is working to further this goal and what the priority areas for investment might be.
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102 INTERPROFESSIONAL EDUCATION FOR COLLABORATION Moderator: Brenda Zierler, University of Washington • atient perspective: Brigid Vaughan P • mployer of health workers: Marilyn Chow, Kaiser E Permanente • hilanthropy: Gillian Barclay, Aetna Foundation P • opulation health: John Finnegan, University of P Minnesota Q & A panel discussion 11:45 a.m. Closing Address Social accountability in medical education: An Australian rural and remote perspective Paul Worley, Dean of the School of Medicine at Flinders University, Australia 12:15 p.m. Summative Comments and the Way Forward Moderator: Scott Reeves, Co-Chair • aryjoan Ladden, Robert Wood Johnson M Foundation, Forum member • an De Maeseneer, Workshop II planning committee J member • attie Schmitt, Workshop I and II planning M committee member Open forum discussion 1:00 p.m. LUNCH/ADJOURN
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APPENDIX A 103 Workshop II: Interprofessional Education for Collaboration: Learning How to Improve Health from Interprofessional Models Across the Continuum of Education to Practice November 29–30, 2012 The Keck Center of The National Academies 500 Fifth Street, NW Washington, DC 20001 Room 100 Workshop Objectives: • To derive principles and lessons learned from sustained and exem- plar IPE models across the continuum of education; • To identify and examine academic/practice partnerships that dem- onstrate purposeful modeling to advance team-based education and collaborative practice; and • To learn from IPE exemplars across the education/practice con- tinuum that link to better health, higher quality, and improved value for individuals and populations. DAY 1: NOVEMBER 29, 2012 8:00 a.m. Breakfast 8:30 a.m. Welcome and Introductions Introduction by Afaf Meleis, IHPE Global Forum Co-Chair • ucinda Maine, Workshop II Co-Chair L • cott Reeves, Workshop II Co-Chair S 8:40 a.m. Opening Address Introduction by Jordan Cohen, IHPE Global Forum Co-Chair • amuel Thier, Professor Emeritus, Health Care S Policy and Medicine, Harvard Medical School 9:10 a.m. New National Coordinating Center (NCC) for IPE and IPP-University of Minnesota • arbara Brandt, NCC Director B
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104 INTERPROFESSIONAL EDUCATION FOR COLLABORATION 9:35 a.m. IPE as an Educational Innovation: Overview of Principles and Lessons Learned Objectives: To derive principles and lessons learned about initiation and sustainability of IPE and how IPE success is measured. Moderator: Hugh Barr, President of the U.K. Centre for the Advancement of Interprofessional Education (CAIPE) • niversity of Colorado U o Mark Earnest, Director, Interprofessional Education • urtin University, Perth, Australia C o Dawn Forman, Professor of Interprofessional Education and Clinical Director (via video conference) • inköping University, Sweden L o Margaretha Wilhelmsson, Vice Director of Study, Faculty of Health Science 10:45 a.m. BREAK 11:15 a.m. IPE as an Educational Innovation: Principles and Lessons Learned for Linking IPE to Educational and Practice Outcomes Objectives: To learn from IPE exemplars that strive to link to better health, higher quality, and improved value for individuals and populations and how IPE success is measured. Moderator: John Tegzes, Director of IPE, Western University of Health Sciences • aiser Permanente Colorado Region, Department K of Pharmacy o Dennis Helling, Executive Director, Pharmacy Operations & Therapeutics • niversity of Missouri U o Carla Dyer, Faculty Lead on IPE • hent University, Belgium G o De Maeseneer, Head, Department of Family Jan Medicine and Primary Health Care • homas Jefferson University T o Elizabeth Speakman, Co-Director, Jefferson Interprofessional Education Center
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APPENDIX A 105 12:30 p.m. LUNCH 1:15 p.m. Student Session: Learning from the Learners Objective: To gain a better understanding of how students view IPE and what aspects of IPE/IPP do or do not resonate with them as learners. What is it like to go through an IPE curriculum? What is your perspective on IPE—what resonates and what does not? Moderator: Mohammed Ali, Assistant Professor at Emory’s Hubert Department of Global Health and member of the Young Professionals Chronic Disease Network (YP-CDN) • tudent 1: Erin Abu-Rish, Multidisciplinary S Predoctoral Clinical Research Training Program Trainee, University of Washington School of Nursing • tudent 2: Edward Thomas Lewis, Resident S Physician, Department of Psychiatry, Medical University of South Carolina • tudent 3: Jenny Wong, College of Pharmacy, S University of Minnesota • tudent 4: Angella Namwase, 2nd Year Bachelor S of Nursing Student, Makerere University (via video conference) Q & A panel discussion 2:15 p.m. Move to Small-Group Room Assignment 2:25 p.m. Small-Group Breakouts Objective: To further examine dimensions of successful relationships between education and practice across the interprofessional education continuum. Group 1: What are the local, institutional, and national factors driving the initiation of collaborative partnerships between interprofessional education and practice? Leader: Warren Newton, Vice Dean of Education for University of North Carolina School of Medicine, Family Medicine
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106 INTERPROFESSIONAL EDUCATION FOR COLLABORATION Group 2: What makes collaboration between education and practice for IPE successful and sustainable (support your conclusions with exemplars across the continuum of education from classroom to practice)? Leader: Donna Meyer, President, National Organization for Associate Degree Nursing Group 3: How should the outcomes of interprofessional education be measured/assessed assuming the ultimate goal is better health, higher quality, and improved value for individual patients and populations? Leader: Eric Holmboe, Chief Medical Officer and Senior Vice President, American Board of Internal Medicine Group 4: How does one get buy-in from leadership when initiating or sustaining IPE/IPP (including linking education and practice from either perspective)? Leader: Hugh Barr, President of the U.K. Centre for the Advancement of Interprofessional Education (CAIPE) 4:00 p.m. Return to Main Room 4:15 p.m. Debriefing with entire group (discuss general issues that arose during the small-group sessions) Moderator: Lucinda Maine, Workshop II Co-Chair 4:40 p.m. Canadian Collaborative • ollaborative Representatives: Sarita Verma and C Maria Tassone, Co-Leads 5:00 p.m. ADJOURN DAY 2: NOVEMBER 30, 2012 8:00 a.m. Breakfast and Report by Two Country Collaboratives Moderator: Patrick Kelley, IOM Director, Board on Global Health • ose Nabirye, Makerere University, Uganda R • tefanus Snyman, Stellenbosch University, South S Africa
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APPENDIX A 107 9:00 a.m. Leaders of the Small Groups Report Back Moderator: Geraldine Polly Bednash, American Association of Colleges of Nursing • & A panel discussion with small-group leaders Q 9:30 a.m. BREAK 9:50 a.m. Practice Session: Integrating Students into Interprofessional Practice Objective: To identify opportunities and challenges for student placements and projects in team-based models. How might academia and practice work together to create viable models for placing students across the educational continuum in high-functioning, interprofessional teams? Moderator: Malcolm Cox, Chief Academic Affiliations Officer, U.S. Department of Veterans Affairs • avid Collier, Director, Pediatric Healthy Weight D Research and Treatment Center, Department of Pediatrics, Brody School of Medicine at East Carolina University • teven Chen, Associate Professor of Clinical S Pharmacy serving in University of Southern California (USC) safety-net clinics 10:50 a.m. “STRETCH YOUR LEGS” BREAK 11:00 a.m. Learning from “Exemplar” Academic/Practice Partnerships Objective: To identify and examine academic/practice partnerships that demonstrate purposeful modeling to advance team-based education and collaborative practice. Moderator: Lisa Lehmann, Director, Center for Bioethics, Brigham & Women’s Hospital, Associate Professor of Medicine and Medical Ethics, Harvard Medical School • athryn Rugen, Nurse Consultant, Veterans Affairs K Centers of Excellence in Primary Care Education • alentina Brashers, Professor of Nursing and V Attending Physician in Internal Medicine, University of Virginia
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108 INTERPROFESSIONAL EDUCATION FOR COLLABORATION 12:00 p.m. Keynote Introduction by Harrison Spencer, Association of Schools and Programs of Public Health • ames Lloyd Michener, Professor and Chair of the J Department of Community and Family Medicine, Duke University Medical Center 12:30 p.m. Summary and Assessment • artha Gaines, Associate Dean for Academic M Affairs and Experiential Learning; Director of Center for Patient Partnership, University of Wisconsin 1:00 p.m. LUNCH/ADJOURN