Improving outcomes in adults with diabetes through an interprofessional collaborative practice program.
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| Title: | Improving outcomes in adults with diabetes through an interprofessional collaborative practice program. |
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| Authors: | Nagelkerk, Jean (AUTHOR), Thompson, Margaret E. (AUTHOR), Bouthillier, Michael (AUTHOR), Tompkins, Amy (AUTHOR), Baer, Lawrence J. (AUTHOR), Trytko, Jeff (AUTHOR), Booth, Andrew (AUTHOR), Stevens, Adam (AUTHOR), Groeneveld, Kayleah (AUTHOR) |
| Source: | Journal of Interprofessional Care. Jan2018, Vol. 32 Issue 1, p4-13. 10p. |
| Subjects: | Treatment of diabetes, Lipid analysis, Allied health personnel, Behavior modification, Blood pressure, Blood sugar, Communication, Dental care, People with diabetes, Documentation, Eye care, Foot care, Glycosylated hemoglobin, Interdisciplinary education, Interprofessional relations, Research methodology, Evaluation of medical care, Meetings, Probability theory, Professions, Students, Teams in the workplace, Teaching methods, Body mass index, Pre-tests & post-tests, Hospital rounds, Descriptive statistics, Medication reconciliation |
| Geographic Terms: | Midwest (U.S.) |
| Abstract: | In 2014, the Midwest Interprofessional Practice, Education and Research Center partnered with a Federally Qualified Health Center (FQHC) to implement an interprofessional collaborative practice (IPCP) education program to improve the health of adult patients with diabetes and to improve practice efficiency. This partnership included integrating an interprofessional team of students with the practice team. Twenty-five students and 20 staff engaged in the IPCP program, which included completion of educational modules on IPCP and implementation of daily huddles, focus patient visits, phone calls, team-based case presentations, medication reconciliation, and student-led group diabetes education classes. This study used a sequential mixed methods design. Tools used for collecting data from staff and students included demographic forms, the Interdisciplinary Education Perception Scale (IEPS), the Entry-level Interprofessional Questionnaire, the Collaborative Practice Assessment Tool, and pre/post module knowledge tests completed at baseline and at one-year post implementation. Patient clinical indicators included HgbA1c, glucose, lipid panel laboratory assessments, body mass index, blood pressure, and documentation of annual dental, foot, and eye examinations. Practice efficiency was measured by the average number of patients seen per provider per hour. Both students and staff showed significant knowledge gains in IPCP on Team Dynamics and Tips for Behavioural Changes knowledge tests (p < .05). Patients who had an HgbA1c of ≥ 7% significantly decreased their HgbA1c (p < .05) and glucose (p < .01). However, BMI and annual dental and eye examinations did not improve. Providers demonstrated an increase in the number of patients seen per hour. This IPCP intervention showed improvement in practice efficiencies and select patient outcomes in a family practice clinic. [ABSTRACT FROM PUBLISHER] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | In 2014, the Midwest Interprofessional Practice, Education and Research Center partnered with a Federally Qualified Health Center (FQHC) to implement an interprofessional collaborative practice (IPCP) education program to improve the health of adult patients with diabetes and to improve practice efficiency. This partnership included integrating an interprofessional team of students with the practice team. Twenty-five students and 20 staff engaged in the IPCP program, which included completion of educational modules on IPCP and implementation of daily huddles, focus patient visits, phone calls, team-based case presentations, medication reconciliation, and student-led group diabetes education classes. This study used a sequential mixed methods design. Tools used for collecting data from staff and students included demographic forms, the Interdisciplinary Education Perception Scale (IEPS), the Entry-level Interprofessional Questionnaire, the Collaborative Practice Assessment Tool, and pre/post module knowledge tests completed at baseline and at one-year post implementation. Patient clinical indicators included HgbA1c, glucose, lipid panel laboratory assessments, body mass index, blood pressure, and documentation of annual dental, foot, and eye examinations. Practice efficiency was measured by the average number of patients seen per provider per hour. Both students and staff showed significant knowledge gains in IPCP on Team Dynamics and Tips for Behavioural Changes knowledge tests (p < .05). Patients who had an HgbA1c of ≥ 7% significantly decreased their HgbA1c (p < .05) and glucose (p < .01). However, BMI and annual dental and eye examinations did not improve. Providers demonstrated an increase in the number of patients seen per hour. This IPCP intervention showed improvement in practice efficiencies and select patient outcomes in a family practice clinic. [ABSTRACT FROM PUBLISHER] |
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| ISSN: | 13561820 |
| DOI: | 10.1080/13561820.2017.1372395 |
