Establishing Transdisciplinary Professionalism for Improving Health Outcomes Workshop Summary (2014) / Chapter Skim
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6 Making It Real
6 Making It Real
Pages 55-68
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From page 55... ...
Each group looked at the issue of transdisciplinary professionalism from a different perspective. The perspectives were as follows: • Group 1: Patient and Community Roles • Group 2: Accountability and Leadership • Group 3: Health and Well-Being • Group 4: Economic and Physical Infrastructure The groups were assigned leaders who facilitated discussions on the basis of case studies that enabled an exchange of ideas and experiences from a multidisciplinary perspective.
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From page 56... ...
The views are then described in greater detail in the sections below. HOLDING HEALTH PROFESSIONALS ACCOUNTABLE BY PATIENTS AND SOCIETY Patient and Community Roles in Transdisciplinary Professionalism Meg Gaines from the Center for Patient Partnerships at the University of Wisconsin Law School provided comments on her group's discussions on the patient and community roles in transdisciplinary professionalism.
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patients, understanding of • Ethical boards enterprise legal and society challenges faced • An agreed-on accountability) can hold by all players system of • Understanding each other • Conversations at reimbursement and acceptance accountable a local level • Educating society of cultural for their about health care differences collective and navigating the actions system • The courts • Moving away from a blaming culture • Patient comfort with teams • Media/consumer advertising • Communication • Knowing the team and each of its members • Involvement of nonhealth workers and professionals • Consideration of power dynamics (hard to hold a supervisor accountable)
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placing blame and legal barriers) professions • Considering • Addressing • Mutual • Considering power moral hierarchy respect among dynamics (hard to distress (e.g., and/or professions (early hold a supervisor collaborative power within professional accountable)
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ego demonstrating letting them lead/ • Involving patients • Understanding explicit guide the team) and society in the the role of other attributes • Integrating faculty development of health care of a well from different health care systems professionals functioning professions • Creating a structure • Self-awareness team • Shifting education that considers the and self-care • Shared values and training whole person and • Health and • A shared so they are not the individual well-being language experiential and parts (intergroup • Respectful and • Team interprofessional identity)
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Many changes would need to be considered, including moving away from a culture of individual blame, enhancing communication, and helping individuals understand how the complexities of the health care system work. Health and Well-Being in Transdisciplinary Professionalism In setting the stage for her breakout group on health and well- eing, b Mary Jo Kreitzer from the Center for Spirituality and Healing at the University of Minnesota reported reviewing case studies that framed two issues.
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From page 61... ...
HOLDING HEALTH PROFESSIONALS ACCOUNTABLE TO EACH OTHER Patient and Community Roles in Transdisciplinary Professionalism In considering whether diverse health professionals could hold each other accountable for decisions made collaboratively, Gaines emphasized the need to shift from a culture of blame to a culture of safety and mutuality. She cautioned, however, that organizational, legal, and financial barriers could impede such a shift.
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From page 62... ...
Health and Well-Being in Transdisciplinary Professionalism In addressing the second question, that is, whether diverse health professionals could hold each other accountable for decisions made collaboratively, Kreitzer reflected on her group's discussion. She raised the issue of reframing the question to ask whether the collective, which includes individuals, can be held accountable for decisions that are made collaboratively.
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From page 63... ...
Economic, Physical, and Social Infrastructure for Transdisciplinary Professionalism Chimonas reported for her group that when holding other health professionals accountable, hierarchy or power would be a major factor. A nother key element would be the ability to reach consensus.
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A main challenge to implementing transdisciplinary professionalism in the workplace is the reimbursement system that focuses on individual diseases and procedures while transdisciplinary professionalism embraces a holistic approach to the individual. Health and Well-Being in Transdisciplinary Professionalism In looking at the third question of measurable attributes, Kreitzer brought up a discussion from her breakout group that stressed the importance of education and training.
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Matthew Wynia, co-chair of the workshop planning committee, agreed and added that what he likes about using Consumer Reports is that its leadership understands innovation. Holding focus groups to gather information is not the same as convening leaders who can turn conversation into action.
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This would open opportunities for people to think differently about how they are allowed and encouraged to build a uthentic partnerships with community stakeholders. LOOKING FORWARD A tremendous gap cited throughout the workshop is the paucity of effective role models that demonstrate the positive attributes of a healer that was cited by Sylvia Cruess; the effective team communication that was noted by Susan McDaniel; and the balanced living that was brought up by Juanita Bezuidenhout.
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From page 67... ...
This, he believes, means integrating the patient's values into the clinical processes. From the patient and caretaker perspective, Judith Miller Jones thought a social contract is not necessarily about making the medical decisions herself but about being part of the team that makes the decisions together.
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