Family-Centered Care: Exemplars from Interprofessional ......Family-Centered Care: Exemplars from...
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Family-Centered Care:Exemplars from Interprofessional Team Experiences
• Claudia Grauf-Grounds, PhD, Licensed Marriage & Family Therapist, Professor Emerita, Seattle Pacific University, Seattle, WA
• Alan Lorenz, MD, Physician, Rochester Institute of Technology, Rochester, NY
• Mary Talen, PhD, Licensed Psychologist, Director Primary Care Behavioral Health, Northwestern Family Medicine Residency, Chicago, IL
• Tina Schermer Sellers, PhD, Licensed Marriage & Family Therapist, Associate Professor, Seattle Pacific University, Seattle, WA
Session # A3a
CFHA 20th Annual ConferenceOctober 18-20, 2018 ∙ Rochester, New York
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Faculty Disclosure
The presenters of this session have NOT had any
relevant financial relationships during the past 12
months.
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Conference Resources
Slides and handouts shared in advance by our Conference Presenters are available on the CFHA website at http://www.cfha.net/?page=Resources_2018
Slides and handouts are also available on the mobile app.
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Learning Objectives
At the conclusion of this session, the participant will be able to:
• Describe how interprofessional teams can improve clinical outcomes
• Identify how interprofessional teams can be used throughout the lifespan
• Build bridges with other professionals to increase effective care
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Learning Assessment
A learning assessment is required for CE credit.
A question and answer period will be conducted
at the end of this presentation.
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Working & playing as a team: some research
Huddle and re-huddle…..
Start young…..
Know your distinct skills and knowledge…..
Be flexible on “who” calls the plays (flexible leadership)....
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Outcomes when teams work well
More “wins”…a patient/family collaborates more with care
Less “injuries”.....less provider burn-out
Less frustration...complex issues managed better
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Exemplar 1: Well Child Check-ups
• Well-child check-ups were designed for inoculating children against physical disease
• Challenged with inoculating children and families with the "antibodies" for psycho/social/emotional risks.
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Standard vs. Upgraded Protocols
Standard Well Child Exams
• Immunizations
• Monitor physical growth
• Early detection of disease,
• Safety and injury prevention (e.g. poison, locks, car seats)
• Anticipatory guidance: eating, sleeping, discipline
WCC-Updated• Biopsychosocial Assessments
• AGES and STAGES (ASQ)
• A: Affection: • Reading, singing, rocking, playing• Self-soothing strategies, emotional regulation
• B: Behavior Management: • Tantrums, Self-control/emotional regulation • Toilet Training
• C: Cognitive: Developmental Teaching• 30 Million Words• Developmental toys-games
• Parental regulation-engagement
• Community Context (violence, resources)
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Video: Integrating Bio-Medical-Psycho-social
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Work flow and Team members
Check-In: ASQ
Well Child Assessment
Exam
Parent-child Developmen
tal interaction
Provider-Behavioral
Health-Parent
Referrals and Follow-
up
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Exemplar 2: A university student
Does this have special meaning for you?
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Normal Exam
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Danger
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Normal Schedule
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Regular Exam Room
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Patient provides verbal consent to be interviewed and examined by psychological professional in training
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Introductions
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Cold/Warm/Hot Handoffs
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Exemplar 3: Cancer & end-of-life care
- Beliefs of patient made it
impossible for MD to provide
end of life care
- Advancing condition added
urgency
- Need of community and
family added urgency
- MedFT asked to solve the
“problem”
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CFHA: Spring training for professionalsWhat we have learned here
Adequate preparation and sharing expectations
Doing introductions all around...it’s all about relationship!
Offering feedback
Staying aware of inherent power differentials, and maintaining a flexible hierarchy
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Q & A
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1. Fiscella, K. & McDaniel, S.H. (2017). The complexity, diversity and science of primary care teams. American Psychologist 73(4), 451-467.
2. Brown, J.B., Hutchison, B., Ryan, B.L., Thorpe, C., & Markle, E.K.R. (2015). Measuring Teamwork in Primary Care: Triangulation of Qualitative and Quantitative Data. Family Systems & Health, 33(3), 193-202.
3. Dongen, J.J., Habets, I.G.J., Beurskens, A., & Bokhoven, M.A. (2017). Successful participation of patients in interprofessional team meetings: A qualitative study. Health Expectations, 20(4), 724-733.
4. Ulrich, B., & Crider, N.M. (2017). Using teams to improved outcomes and performance. Nephrology Nursing Journal, 44(2), 141-151.
References
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References5. Cote, G., Lauzon, C., & Kyd-Stirckland, B. (2008). Environmental scan of interprofessional collaborative practice initiatives. Journal of interprofessional care. 22(5), 449-460.
6. Abrahamsen, C., Norgaard, B., Drabord, E. & Nielsen, D. (2017). Reflections on two years after establishing an orthogeriatric unit: a focus group study of healthcare professionals’ expectations and experiences. BMC Health Services Research, 17, 1-9.
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Session Evaluation
Use the CFHA mobile app to complete the
evaluation for this session.
Thank you!