1. Welcome Team Health Clinical EducationConsultation Forum24 August 2011

2. Forum Aims To consult with key stakeholders on Team Health’s four programs To consult on ways to better prepare pre and new clinical graduates for work in the NSW public health system To consult on ways to improve the development of interprofessional collaborative practice (ICP) or team-based care To identify any gaps and to highlight opportunities for existing programs that aim to foster teamwork, collaboration and communication

3. Danielle Byers & Rob Wilkins Team HealthProgram CoordinatorsClinical Education and Training Institute

4. What are we trying to do? To improve teamwork, communication and collaboration for safer patient-centred care, and better staff experiences Why are we trying to do this? Increased staff motivation, well-being and retention Decrease in staff turnover Increased patient and carer satisfaction Increased patient safety Increase in appropriate use of specialist clinical resources Reductions in patient mortality and critical incidents Increase in access to and coordination of health services

5. What do we mean by Team Work? Interprofessional Education (IPE) Occasions when two or more professions learn from, with and about each other to improve collaboration and the quality of care Interprofessional Practice (IPP) Occurs when two or more professions work together as a team with a common purpose, commitment and mutual respect (Freeth et al, 2005).

6. The global context Global Evidence World Health Organisation Framework for Action on Interprofessional Education and Collaborative Practice International IPL Journals Research 2 x Cochrane Collaboration Literature Reviews on IPL and professional practice & health care outcomes Grey Literature Significant national investments: Canada, UK U.S. and South Africa

7. Interprofessional core competencies http://www.cihc.ca/

8. What is the literature saying?

9. Put simply, the education of health professionals in the 21st Century must focus less on memorising and transmitting facts and more on promotion of the reasoning and communication skills that will enable the professional to be an effective partner, facilitator, adviser and advocate. The Lancet - December 2010 Julio Frenk et al. Health Professionals for a new century Transforming education to strengthen health systems in an Interdependent world. The Lancet v 376 Dec 2010

10. The local context Garling Report Special Commission of Inquiry into Acute Care Services in NSW Public Hospitals ….I recommend that an Institute of Clinical Education and training be established with a broad mandate to take charge of the training of a new generation of clinicians in interdisciplinary team-based treatment of patients….

11. This first report from the Bureau of Health Information shows clearly that patients are calling out for improvements and that improvement in staff teamwork, between doctors and nurses, is the action most likely to change a fair or poor patient care experience to an excellent one. The patient perspective… Patients who felt their quality of care was excellent were likely to have experienced excellence in staff teamwork. Bureau of Health Information. (May 2010) Insights into Care: Patients Perspectives onNSW Public Hospitals

12. What works? Multi-faceted strategies e-Learning modules across professional groups On-site coaching, debriefing and facilitation Curriculum that structures formal and informal interactions and is designed to facilitate enquiry Clinical placements and particularly rural clinical placements Champions in both health and education sectors Interdisciplinary program governance Links with other programs (Established international movement)

13. What we learned from our last Consultation in June 2011 Directors of Workforce Development & Clinical Governance Managers of Learning and Development and Clinical Redesign Clinical Excellence Commission, Bureau of Health Information, Agency for Clinical Innovation and NSW Health Department Representatives

14. What we learned from our last Consultation in June 2011 Continue to engage with LHDs from program inception Coordinate and promote efforts with the CEC, ACI and BHI Need to address organisational barriers that hamper team-based approaches Localised sub-committees for the governance of education and training be established in LHDs and report to LHD Boards

15. What we learned from our last Consultation in June 2011 Need to map and build on what’s already out there (Universities, LHDs, proprietary programs) Ensure curriculum is clinically-relevant and clinically-based (ie work determines the curriculum or case studies used) Consult with senior clinicians and educators involved with teaching, learning and supervision

16. Team Health:Conceptual Model

17. Team Health: Deliverables

18. Team Health: Partnerships Strategy CETI & BHI

19. any questions? Learning & Teaching Program Coordinators Rob Wilkins9844 6564Danielle Byers9844 6527