Breaking Down Silos: An Interprofessional Transitions of Care Simulation
In clinical environments, learners often separate into profession specific settings, mirroring the unfortunate reality of a fragmented health care system. While health professionals assume responsibility for serving the same patients, they do so in separate spaces, often without the shared tools necessary to provide coordinated care. In short, patients transition care settings, but health care practitioners do not. To provide patient-centered care across practice settings, learners must re-imagine team-based care. A team of interprofessional instructors at the University of Wisconsin-Madison collaborated to design, implement and assess a transitions of care (TOC) simulation, that included Bachelor of Science in Nursing (BSN), Doctor of Pharmacy (PharmD), and Doctor of Nursing Practice (DNP) learners. The TOC simulation aimed to bridge the hospital, community pharmacy and primary care silos in which each practices by engaging learners from each setting in shared problem solving. The simulation experience used a blended learning approach, in which technology enabled teams of interprofessional learners to visualize, reflect upon, and apply a root cause analysis approach to actively discuss the care of a patient as they transitioned care settings. Through this experience, learners were able to expand their vision of team-based care across the full spectrum of transitions of care. It also facilitated shared understanding of quality care barriers each profession faces within unique practice settings.
The workshop will discuss how a conceptual framework (Kirkpatrick’s Expanded Outcomes Typology) was used to develop a mixed methods assessment plan providing formative feedback on the simulation learning experience. Outcome data stratified by levels of Kirkpatrick’s framework will be presented to demonstrate achievement of learning outcomes, and to explore methods for optimizing the learning environment in future iterations.
After attending the workshop participants will be able to…
1) Apply technology platforms to engage interprofessional learners across disconnected care settings in shared problem solving.
2) Design a multidimensional evaluation plan that enables continuous quality improvement of interprofessional simulation learning experiences.
3) Adapt interprofessional simulations to a variety of learning environments (in-person, blended, online learning).
In support of improving patient care, this activity is planned and implemented by The National Center for Interprofessional Practice and Education. The National Center for Interprofessional Practice and Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
As a Jointly Accredited Provider, the National Center is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. The National Center maintains responsibility for this course. Social workers completing this course receive continuing education credits.
This activity was planned by and for the healthcare team, and learners will receive Interprofessional Continuing Education (IPCE) credit for learning and change.
- Physicians: This activity will be designated for CME AMA PRA Category 1 Credit(s)TM through ACCME.
- Physician Assistants: NCCPA accepts AMA PRA Category 1 Credit(s)™ from organizations accredited by ACCME or a recognized state medical society.
- Nurses: This activity will be designated for CNE nursing contact hours through ANCC.
- Pharmacists and Pharmacy Technicians: This activity will be designated for CPE contact hours (CEUs) through ACPE.
- Social Workers: This activity will be designated for social work continuing education credits through ASWB.
- All health professionals: This activity was planned by and for the healthcare team, and learners will receive Interprofessional Continuing Education (IPCE) credit for learning and change.