Interprofessional Care Conferences for High-Risk Primary Care Patients

Weppner, William G.; Davis, Kermit G.; Sordahl, Jeffrey; Willis, J; Fisher, Amber; Brotman, Adam; Tivis, Rick; Gordon, T L; Smith, C. Scott

doi:10.1097/acm.0000000000001151

Cited by 21 publications

(22 citation statements)

References 6 publications

(4 reference statements)

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“…treatment skills to prepare residents for practice. Family medicine residents and other learners can develop and practice these skills through interprofessional care conferences, [12][13][14] which have been shown to improve patient care. 15,16 The purpose of this study was to evaluate the residents' learning about treatment of SMI from the care conference experience.…”

Section: Discussionmentioning

confidence: 99%

“…The care conference model was adapted from the EFECT (Elicit the narrative of illness, Facilitate a group meeting, Evidence-based gap analysis, Care plan, Track changes) framework for interprofessional education in the patient-centered medical home 12 and the Veterans Affairs Patient-Aligned Care Team Interprofessional Care Update (PACT-ICU) model. 13,14 The care conference process is described in detail in Tables 1 and 2, including care team members and their roles.…”

Section: Care Conferencementioning

confidence: 99%

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Impact of Interprofessional Care Conferences Across Primary Care and Mental Health Organizations on Family Medicine Resident Learning

Hager

Albee

O’Donnell

et al. 2021

Fam Med

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Background and Objectives: Patients with severe mental illness often lack care coordination between primary care and mental health providers which can negatively impact patient outcomes. Team-based care is integral in the effective management of patients with multiple comorbidities, with the family physician central in coordinating holistic care. Family medicine residency programs must provide models of effective interprofessional collaboration and mental health treatment to prepare residents to navigate an evolving health care landscape. The objective of this study was to evaluate family medicine residents’ learning about providing holistic care with an interprofessional team and medication safety monitoring from the interprofessional cross-organizational care conference experience. Methods: To bridge care and cultivate the necessary skills, a family medicine clinic and mental health clinic implemented monthly interprofessional care conferences to coordinate care for their shared patients during 2019. Residents who participated in the care conference each (n=11) completed a retrospective pre/postsurvey (11/11=100% response rate) to gather perceptions of what they learned from the interprofessional care conference experience. Results: After participating in the care conference, all residents agreed they understood the elements that must be considered to provide holistic patient care, were confident conducting medication safety monitoring for their patients taking second-generation antipsychotics (eg, lipids, A1C, ECG), and agreed the care conference helped them develop a more comprehensive patient-centered care plan. Additionally, they all intend to work collaboratively across professions in the future. Conclusions: Interprofessional and cross-organizational care conferences create an authentic learning environment that enhances family medicine residents’ understanding and confidence in providing collaborative and holistic care for patients with severe and persistent mental illness.

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Section: Discussionmentioning

confidence: 99%

Section: Care Conferencementioning

confidence: 99%

Impact of Interprofessional Care Conferences Across Primary Care and Mental Health Organizations on Family Medicine Resident Learning

Hager

Albee

O’Donnell

et al. 2021

Fam Med

View full text Add to dashboard Cite

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“…In these conferences, trainees identified patients with high risk and codeveloped proactive care plans with specific action items assigned to trainees of different disciplines. 40,43 Another site innovation, the initiative to minimize pharmaceutical risk in older veterans, targeted older patients on more than 10 medications with a group visit run by a trainee facilitator, followed by a clinic visit that included comprehensive medication reconciliation. 44 One site developed a novel NP residency program, consisting of a full-time 12-month clinical training position that bridged NP training to professional practice.…”

Section: Discussionmentioning

confidence: 99%

Association of a Multisite Interprofessional Education Initiative With Quality of Primary Care

et al. 2019

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Key PointsQuestionIs the implementation of an interprofessional education initiative in US Department of Veterans Affairs primary care clinics associated with changes in quality of care?FindingsIn this study using difference-in-differences analysis of Department of Veterans Affairs electronic health record data, patients cared for by resident clinicians who participated in a large, multisite, interprofessional education quality improvement initiative had modestly improved quality of care compared with patients cared for by resident clinicians at similar, nonparticipating Department of Veterans Affairs teaching clinics.MeaningIn this study, interprofessional education in primary care was associated with improvements in quality of care.

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“…An interdisciplinary case conference provides additional benefits: attendees decide on and verify their plans for the patient's treatment and support, and they share their strategies for handling particularly difficult cases. The goal of the interdisciplinary approach is to make better decisions regarding how to treat patients and improve their prognosis (5). Although differences in knowledge among professionals could lead to communication barriers (6), an interdisciplinary conference may have potentially positive effects on care coordination and disease management (7).…”

Section: Introductionmentioning

confidence: 99%

Psychological Case Conference Following the Death of a Patient With Neuromuscular Disease: A Source of Emotional Support for Participating Medical Staff

Fujino

Matsumura

Saitô

et al. 2019

Journal of Patient Experience

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Healthcare professionals involved in the treatment and care of patients with intractable diseases, such as muscular dystrophy, increasingly encounter situations that can elicit emotional distress for them as well as the patients. Therefore, medical professionals also need support. This article describes a psychological case conference of multidisciplinary professionals involved in the treatment of a deceased patient with Duchenne muscular dystrophy. The conference aimed to support medical professionals in reflecting on and sharing their thoughts, feelings, and conflicts. Such a practice could support medical professionals in reflecting patients’ thoughts and sharing their personal experiences with other staff members, which may alleviate emotional and personal conflicts. Reflecting on their interactions and dealings with patients serves this supportive function. Psychological case conferences for medical staff may serve as an opportunity for participants to feel emotionally supported and may perhaps help prevent burnout.

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Interprofessional Care Conferences for High-Risk Primary Care Patients

Abstract: Further assessment of change in trainee behavior related to interprofessional team care, patient-level outcomes (e.g., quality of care and utilization), and factors facilitating dissemination of the model to other academic clinic settings is necessary.

Cited by 21 publications

References 6 publications

Impact of Interprofessional Care Conferences Across Primary Care and Mental Health Organizations on Family Medicine Resident Learning

Impact of Interprofessional Care Conferences Across Primary Care and Mental Health Organizations on Family Medicine Resident Learning

Association of a Multisite Interprofessional Education Initiative With Quality of Primary Care

Psychological Case Conference Following the Death of a Patient With Neuromuscular Disease: A Source of Emotional Support for Participating Medical Staff

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