From A to Z: Using TeamSTEPPS Resources as an Effective Foundation for Meeting IPEC Competencies TeamSTEPPS in IPP (T-IPP ) Educator Briefing Laura Goliat, DNP, MSN, RN, FNP-BC Patricia Sharpnack, DNP, RN, CNE, NEA-BC, ANEF Mary Trosclair, MN, RN Mod 3 05.2 Page 2 Objectives To recognize and value the importance of teams in healthcare To define teams, IPE, IPT, IPCP To identify the 4 competency domains as defined by the Interprofessional Education Collaborative Expert Panel (IPEC) To demonstrate ways in which faculty can integrate TeamSTEPPS resources as an effective foundation for meeting IPEC competencies ICE BREAKER EXERCISE Mod 3 05.2 Page 3 Mod 3 05.2 Page 4 TeamSTEPPS 06.1 1
Food for Thought Teams When I was in medical school I spent hundreds of hours looking into a microscope a skill I never needed to know or ever use. Yet, I didn t have a single class that taught me communication and teamwork skills something I need every day I walk into the hospital. Pronovost & Vohr Excellent teams are not born, they are made. Anonymous A team may be defined as a small number of people with complementary skills who are committed to a common purpose, performance goals and approach for which they hold themselves mutually accountable (Katzenbach & Smith, 1994) Group Think: Provide an example of an effective team. What are characteristics of an effective team? Mod 3 05.2 Page 5 Mod 3 05.2 Page 6 Effective Teams: Start Your Engines! Teamwork in Healthcare Effective teamwork among healthcare professionals is directly associated with delivering high quality and safe patient care. (Barnsteiner, Disch, Hall, Mayer, & Moore, 2007) People make fewer errors when they work in teams. (IOM (2000). To Err is Human: Building a Safer Health System. Pg. 173.) Mod 3 05.2 Page 7 Mod 3 05.2 Page 8 TeamSTEPPS 06.1 2
IOM Educational Mandates Five Core Competencies in Health Professions Education: Graduates must possess competence in: 1) Delivering patient-centered care 2) Working as members of interdisciplinary teams 3) Engaging in evidence-based practice 4) Applying quality improvement approaches to practice 5) Using informatics technology IOM Reports Interprofessional Teamwork and IOM Core Competencies (IOM (2003). Health Professions Education: A Bridge to Quality). Mod 3 05.2 Page 9 Mod 3 05.2 Page 10 Teams= Culture of Safety Healthcare Professional Teams Credentialing Mandates Policy, curricular, accreditation changes for team preparation are at various stages AAMC/ACGME AACOM ADEA AACP ASPH AANC Mod 3 05.2 Page 11 Mod 3 05.2 Page 12 TeamSTEPPS 06.1 3
Nursing Education Criteria for Institutional Standards Nursing Education Team Leadership Care Coordination Team Efforts Key Roles: Team Members and Team Leaders Patient-Centered Care Teamwork & Collaboration Evidence Based Practice Quality Improvement Safety Informatics (IOM (2010). The Future of Nursing: Leading Change, Advancing Health) Mod 3 05.2 Page 13 Mod 3 05.2 Page 14 Nursing Education Program Outcomes Baccalaureate Programs: Essential VI: Interprofessional and Collaboration for Improving Patient Health Outcomes Embedded teamwork concepts in curricula enable the nurse graduate to enter the workplace with baseline team competency and confidence for interactions and communication skills that will improve practice. Nursing Education Credentialing Mandates Doctorate, Masters, Baccalaureate, and Associate Degree Programs: The curriculum and instructional processes must reflect educational theory, interprofessional collaboration, research, and current standards of practice. AACN (2008). The for Baccalaureate Education for Professional Nursing Practice Mod 3 05.2 Page 15 ACEN (2013).Accreditation Commission for Education in Nursing. Accreditation Manual Mod 3 05.2 Page 16 TeamSTEPPS 06.1 4
Health Professions Education Teamwork training for interprofessional collaborative practice in health professions education has lagged dramatically behind changes in practice,. Goal of IPE To prepare all healthcare professions students for deliberatively working together with the common goal of building a safer and better patientcentered and community/population oriented U.S. health care Interprofessional Education Collaborative Expert Panel (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Mod 3 05.2 Page 17 Mod 3 05.2 Page 18 The Road to Interprofessional Collaborative Practice Health Professions Education Interprofessional Education Interprofessional Teamwork Interprofessional Collaborative Practice (Kasperski, 2000: IPEC, 2011) Interprofessional Education Collaborative Expert Panel (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Mod 3 05.2 Page 19 Mod 3 05.2 Page 20 TeamSTEPPS 06.1 5
TeamSTEPPS and IPP = TeamSTEPPS as a basis for Interprofessional Collaborative Practice Collaborative Practice Leadership Mutual Support Situation Monitoring Team Structure TeamSTEPPS Mod 3 05.2 Page 21 Mod 3 05.2 Page 22 Level I: Beginning Application Roles/Responsibilities Teams and Teamwork TeamSTEPPS : Introduction Team Structure Mod 3 05.2 Page 23 Mod 3 05.2 Page 24 TeamSTEPPS 06.1 6
Level II: Intermediate Application Interprofessional TeamSTEPPS : Situation Monitoring Mutual Support Level III: Advanced Application Values/Ethics for IPP Leadership Leadership & Leadership & Situation Monitoring Leadership & Mutual Support Mod 3 05.2 Page 25 Mod 3 05.2 Page 26 Level I Level II Crosswalk IPEC TS Course Application Roles/Responsibilities Teams/Teamwork Interprofessional Intro Team Structure What Do We Need to Make This Work? Create a sense of urgency Administrative and team support Allocation of resources Sustainability Measurements: quality improvement Level III Values/Ethics Leadership Team Structure Bridges, et al (2011). Interprofessional Collaboration: Three Best Practice Models of IPE Mod 3 05.2 Page 27 Mod 3 05.2 Page 28 TeamSTEPPS 06.1 7
Group Exercise Summary Crosswalk Lessons Learned Next Steps Mod 3 05.2 Page 29 Mod 3 05.2 Page 30 What If. Models for IPE Tulane/Charity School of Nursing (DCC) University of Florida University of Washington Rosalind Franklin University of Medicine St. Louis University University of Minnesota Mod 3 05.2 Page 31 Mod 3 05.2 Page 32 TeamSTEPPS 06.1 8
Thank You! Mod 3 05.2 Page 33 TeamSTEPPS 06.1 9