Developing Interprofessional Education

In Indonesia Health Care Team

Developing Interprofessional Education
In Indonesia Health Care Team
Irawan Yusuf
Faculty of Medicine Hasanuddin University
INTRODUCTION
What is Interprofessional Education (IPE)
When students from two or more professions learn
about, from and with each other to enable effective
collaboration and improve health outcomes (WHO,
2010).
What is interprofessional collaboration (IPC)
When multiple health workers from different professional
backgrounds work together with patients, families, and
communities to deliver the highest quality of care (WHO,
2010).
What is Interprofessional Education (IPE)
When students from two or more professions learn
about, from and with each other to enable effective
collaboration and improve health outcomes (WHO,
2010).
What is interprofessional collaboration (IPC)
When multiple health workers from different professional
backgrounds work together with patients, families, and
communities to deliver the highest quality of care (WHO,
2010).
INTRODUCTION
Why interprofessional education?
Patients and community have complex health needs;
healthcare professionals working in interprofessional teams can
best communicate and address these complex and challenging
needs;
This approach may allow sharing of expertise and perspectives.
In Indonesia, the evidence shows, however, that the health
professionals do not collaborate well together.
Fundamental premise of IPE
If health professions students learn together at the beginning of
and throughout their training they will be better prepared to
deliver and integrated model of collaborative care after entering
practice.
Why interprofessional education?
Patients and community have complex health needs;
healthcare professionals working in interprofessional teams can
best communicate and address these complex and challenging
needs;
This approach may allow sharing of expertise and perspectives.
In Indonesia, the evidence shows, however, that the health
professionals do not collaborate well together.
Fundamental premise of IPE
If health professions students learn together at the beginning of
and throughout their training they will be better prepared to
deliver and integrated model of collaborative care after entering
practice.
Its no longer enough for health workers
to be professional. In the current complex
and global climate, health workers also
need to be interprofessional
Its no longer enough for health workers
to be professional. In the current complex
and global climate, health workers also
need to be interprofessional
Three types of professional competencies
Common
Competencies
Interprofessional
Collaborative
Competencies
Individual
Professional
Competencies
INTERPROFESSIONAL CORE COMPETENCY
Values/Ethics for Interprofessional Practice
Roles/Responsibilities
Interprofessional Communication
Teams and Teamwork
Values/Ethics for Interprofessional Practice
Roles/Responsibilities
Interprofessional Communication
Teams and Teamwork
Area and Component of competecies
No AREA OF COMPETENCIES COMPONENTS OF COMPETECIES
1 Values/Ethics for
Interprofessional Practice
-Place the interests of patients and communities at the center of
IP health care delivery.
-Respect the dignity and privacy of patients.
- Embrace the cultural diversity and individual differences.
-Respect the unique cultures, values, roles/responsibilities, and
expertise of other health profession.
2 Roles/Responsibilities -Communicate ones roles and responsibilities clearly to patients,
families, and other professionals.
-Recognize ones limitations in skills, knowledge, and abilities.
- Explain the roles and responsibilities of other care providers and
how the team works together to provide care
-Engage in CPD and CID to enhance team performance.
-Use unique and complementary abilities of all members of the
team to optimize patient care.
2 Roles/Responsibilities -Communicate ones roles and responsibilities clearly to patients,
families, and other professionals.
-Recognize ones limitations in skills, knowledge, and abilities.
- Explain the roles and responsibilities of other care providers and
how the team works together to provide care
-Engage in CPD and CID to enhance team performance.
-Use unique and complementary abilities of all members of the
team to optimize patient care.
Area and Component of competecies
No AREA OF COMPETENCIES COMPONENTS OF COMPETECIES
3 Interprofessional
Communication
-Choose effective communication tools and techniques to
facilitate discussions and interactions to enhance teamwork.
-Express ones knowledge and opinions to team members
involved in patient care with confident, clarity, and respect
-Listen actively, and encourage ideas and opinions of other team
members.
-Communicate consistently the inportance of teamwork in patient-
center and community-focused care.
-Choose effective communication tools and techniques to
facilitate discussions and interactions to enhance teamwork.
-Express ones knowledge and opinions to team members
involved in patient care with confident, clarity, and respect
-Listen actively, and encourage ideas and opinions of other team
members.
-Communicate consistently the inportance of teamwork in patient-
center and community-focused care.
4 Teams and Teamwork -Describe the process of team development and the roles and
practices of effective team.
-Engage other professionals- appropriate to specific care situation
in shared patient-centered problem solving.
- Share accountability with other professions, patients and
communities for outcome relevant to prevention and health care.
- Apply leadership practices that support collaborative practices.
- Perform effectively on teams and in different teams roles in a
variety of setting.
BENEFITS OF IPE
Improve access to health care,
Enhance patient safety,
Reduce lengths of hospital stay,
Improve quality of life for patients and families,
Facilitate recruitment and retention of health care
professionals.
Improved health outcome
Improve access to health care,
Enhance patient safety,
Reduce lengths of hospital stay,
Improve quality of life for patients and families,
Facilitate recruitment and retention of health care
professionals.
Improved health outcome
Improved
Health
Outcome
HEALTH AND EDUCATION SYSTEM
Collaborative
Practice
Collaborative
Practice Ready
Strengthened
Health System
Optimal
Health
Services
NATIONAL CONTEXT
Health and Education
System
Inter-
professional
Education
NATIONAL HEALTH NEEDS
Fragmented
Health System
Present and
Future Health
Workforce
Health
Workforce
Collaborative
Practice Ready
Optimal
Health
Services
Two Best Practice Models of IPE
Community-based experience
Interprofessional patient-based experience
Community-based experience
Interprofessional patient-based experience
Two Best Practice Models of IPE
Community-based experience
Students from medicine, nursing, public health,
physiotherapy and pharmacy work together for 2 months
in primary care facilities;
They learned about how health care system works, how
their knowledge was used to help the meet the needs of
community and how they better understand them as a
result of this activity;
How they work as a teamwork.
Community-based experience
Students from medicine, nursing, public health,
physiotherapy and pharmacy work together for 2 months
in primary care facilities;
They learned about how health care system works, how
their knowledge was used to help the meet the needs of
community and how they better understand them as a
result of this activity;
How they work as a teamwork.
Two Best Practice Models of IPE
Interprofessional patient-based experience
Students from medicine, nursing, public health,
physiotherapy and pharmacy collaborate to provide
urgent care to patients;
The cases involve the most prevalent diseases in
population that need interprofessional care;
The objectives of case-based are both formative and
summative, allowing participants to practice the
competencies.
Interprofessional patient-based experience
Students from medicine, nursing, public health,
physiotherapy and pharmacy collaborate to provide
urgent care to patients;
The cases involve the most prevalent diseases in
population that need interprofessional care;
The objectives of case-based are both formative and
summative, allowing participants to practice the
competencies.
HOW TO INTEGRATE IPE INTO THE HEALTH
EDUCATION SYSTEM
Develop guiding principles to inform the health
professional institutions to development of
standards, criteria and evaluation/assessment
methods of IPE.
Resources that help them to better understand the
context of interprofessional collaborations.
Include IPC in the standard of competency.
Translate it to educational program or curriculum.
Included into accreditation instrument.
Develop guiding principles to inform the health
professional institutions to development of
standards, criteria and evaluation/assessment
methods of IPE.
Resources that help them to better understand the
context of interprofessional collaborations.
Include IPC in the standard of competency.
Translate it to educational program or curriculum.
Included into accreditation instrument.
tudent centred tudent centred
SS
PP
II
CC
roblem roblem/Patients /Patients based based
ntegrated ntegrated
ommunity based ommunity based
CC
EE
SS
ommunity based ommunity based
lective driven lective driven
ystematic ystematic
COMMON BARRIERS TO IPE
Organizational barriers
Barriers at the team level
Barriers faced by individual team members
OVERCOMING BARRIERS TO IPE
Understanding the philosophy of IPC and patient
care;
Learn about other professions;
Respect others skills adn knbowledge;
Develop trust between members;
Establish a system for IPC in the healthcare
institutions;
Be willing to work continuously on overcoming
barriers.
Understanding the philosophy of IPC and patient
care;
Learn about other professions;
Respect others skills adn knbowledge;
Develop trust between members;
Establish a system for IPC in the healthcare
institutions;
Be willing to work continuously on overcoming
barriers.
CONLUSION
Interprofessional education... is an opportunity to
not only change the way that we think about
educating future health workers, but is an
opportunity to step back and reconsider the
traditional means of healthcare delivery. I think that
what were talking about is not just a change in
educational practices, but a change in the culture of
medicine and health-care.
Interprofessional education... is an opportunity to
not only change the way that we think about
educating future health workers, but is an
opportunity to step back and reconsider the
traditional means of healthcare delivery. I think that
what were talking about is not just a change in
educational practices, but a change in the culture of
medicine and health-care.
THE SIGNIFICANT PROBLEMS WE FACE CANNOT BE SOLVED THE SIGNIFICANT PROBLEMS WE FACE CANNOT BE SOLVED
AT AT THE SAME LEVEL OF THINKING WE WERE AT WHEN WE THE SAME LEVEL OF THINKING WE WERE AT WHEN WE
CREATED THEM CREATED THEM Albert Einstein Albert Einstein
IF MOST OF YOUR PEOPLE KEEP DOING WHAT WORKED IN
THE PAST YOURE PROFESSION GOING TO FAIL
THANK YOU THANK YOU