Allied Health Workforce and Services Workshop Summary (2011) / Chapter Skim
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7 The Future of Team-Based Care
7 The Future of Team-Based Care
Pages 49-62
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From page 49... ...
Joan Rogers, professor of occupational therapy, psychiatry, and nursing at the University of Pittsburgh, looked at the rehabilitation team as a model of team-based care. Jean Moore, director of the Center for Health Workforce Studies at the State University of New York at Albany School of Public Health, discussed the scope-of-practice issues that inevitably arise when considering who can do what in medicine.
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From page 50... ...
The Association of Schools of Allied Health Professions and professional associations are beginning to establish requirements for interprofessional education and practice. "The confluence is coming together so that it might last." Interprofessional education is also becoming globalized, said Lyons, with many European countries involved.
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From page 51... ...
On the very day of the workshop, IPEC released its national core competencies for interprofessional collaborative practice at the National Press Club in Washington, DC (AACOM, 2011) , which Lyons termed a "major advance." The Association of Schools of Allied Health Professions also has been focused on interprofessional education.
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From page 52... ...
The underlying philosophy is that students in the health professions need to understand that good chronic illness care requires expert interprofessional teams, and that professionals need to understand each other's roles in the health care team. To practice patientcentered care, students must understand the patient's perspective.
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From page 53... ...
Rehabilitation Teams and Geriatrics Historically, the rehabilitation team was among the first in which allied health professionals made a contribution to team care. The team included occupational, physical, and recreational therapists, speech-language pathologists, and the patients along with physicians, nurses, and social workers.
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From page 54... ...
As with the rehabilitation studies, this provides evidence of the relationship between team functioning and patient outcomes, but in this case the findings extend to primary care. Team Care and Health Care Reform Experience with rehabilitation teams can make several contributions to health care reform, said Rogers.
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From page 55... ...
Rehabilitation teams that include allied health workers have a wealth of practical experience related to self-management of daily activities despite disease. Team functioning can be enhanced through the inclusion of health educators, who can develop patient education materials that meet the standards of health literacy.
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From page 56... ...
The Potential of Telerehabilitation Just as telehealth is extending medical services over land and sea, so, too, telerehabilitation can greatly extend rehabilitation services, Rogers observed. Telerehabilitation is projected to increase accessibility, improve continuity of care, and decrease costs.
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From page 57... ...
The virtual health care team holds promise for including allied health professionals in the primary care team as these emerge in medical homes and accountable care organizations. Rogers concluded by addressing role competencies.
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From page 58... ...
For example, scope of practice for auxiliary personnel is sometimes found under the delegation authority of other health professionals. These variations have important implications for cost, quality, and access to services.
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From page 59... ...
Being certified requires meeting stringent standards, including 2 years of experience in the health profession, 1,000 hours of practical experience providing diabetes education, and passing a certification exam. Certified diabetes educators may head a team with other professionals and support personnel in the delivery of diabetes services.
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From page 60... ...
At the national level, proposals have been made to provide uniform standards for educating and certifying health professionals in particular areas, such as those who administer radiation. A number of health professions have developed model practice acts, including national uniform scopes of practice to guide state legislatures.
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From page 61... ...
I am not sure we always think about those things together." Roy Swift said that the American National Standards Institute would encourage a national effort to look at national competencies related to practice areas, regardless of profession. "There is no career pattern or laddering in health care," he said.
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