Resources for Clinicians

Here you’ll find tools and resources to assist you in getting the most out of your interprofessional efforts — and achieve the best outcomes in education and patient care.

Getting started

These worksheets will help you start developing interprofessional education and practice:

Tools you can use

Agency for Healthcare Research and Quality: Ready-to-use training materials and a training curriculum, TeamSTEPPS, to help you create a game plan for bettering communication, tightening teamwork and optimizing patient outcomes. Many of the resources are offered at little to no cost.

University of Washington Team Training Toolkit: This toolkit will give you the right tools for teaching teamwork and communication in a simulated environment.

CATCH-ON Readiness Assessment: The Health Resources and Services Administration’s Geriatrics Workforce Enhancement Program at Rush, called CATCH-ON,  or Collaborative Action Team training for Community Health — Older adult Network, provides meaningful support for clinics to deliver more comprehensive care for older adults with multiple chronic conditions and Alzheimer’s Disease and Related Dementias. Through surveys and focus groups, the CATCH-ON consultation team works with each partner clinic to assess the resources they have, their clinic priorities and readiness for change in taking on care innovations that incorporate interprofessional evidence-based programs for their older adult patients. After completing the surveys and focus groups, the CATCH-ON consultation team provides team recommendations and works collaboratively with the clinic on the development of a clinic/community-centered implementation plan and implementation support to enact the plan.

The Bridge Model is a person-centered, social work-led, interdisciplinary model of transitional care that emphasizes collaboration among hospitals and community-based providers in order to ensure a seamless continuum of health and community care across settings when a patient transitions home from the hospital. Bridge has been developed through a collaborative process by Rush and five non-hospital partners across the state of Illinois, ensuring it is adaptable to various care settings and with a variety of populations. Bridge Care coordinators engage interprofessional providers through a variety of approaches, including through care continuity calls that bring together a patient’s inpatient, outpatient, and community-based providers (e.g. PCP, specialists, therapists, direct care workers) for short but impactful calls to ensure open communication amongst providers and clarify the patient’s care plan. Bridge has demonstrated a reduction in hospital readmission rates and an increase in PCP follow-up rates after a hospitalization.

The Ambulatory Integration of the Medical and Social, or AIMS, model, is a care management and consultation model developed at Rush University Medical Center. AIMS embeds a social worker within ambulatory care (primary and specialty care) clinics within the Rush system to assess the needs of complex patients and then provide risk-focused case management and goal guided by a standardized protocol. The AIMS social worker assists people with any biopsychosocial and functional issues impacting their medical care plan adherence or physical condition, which often includes collaborating with the patient’s primary care provider, specialists (e.g. pulmonologist) and therapists (e.g. occupational therapist). AIMS has shown promise for reducing acute care utilization (hospitalization rates, emergency department visits and hospital readmission rates) for older adults with multiple chronic conditions and has been used for practices when securing NCQA Patient-Centered Medical Home certification. AIMS was recently accepted to the Nexus Innovations Network housed at the National Center for Interprofessional Practice and Education, a notable recognition of the importance of examining the role social workers play in interprofessional care teams.

The Activation and Coordination Team, or ACT, is an interprofessional care coordination model that focuses on patient complexity and social determinants of health for high-risk adults who receive Medicaid coverage through the Medical Home Network and who receive primary care services at Rush. ACT offers varying “doses” of care coordination based on a systematic allocation process that assigns patients to a care path based on their assessed risk, in which the patient is supported by an RN and/or a social worker depending on the level of medical and social complexity. A study to evaluate the impact of ACT and to assess the participating patients’ experience is underway in 2016-17. To learn more about ACT, email Robyn Golden.

Resources, groups and institutions

Department of Interprofessional Continuing Education: Here, faculty and clinicians at Rush help you develop and deliver accredited continuing education across nine different clinical professions.

World Health Organization: With the publication of the World Health Report in 2006, the WHO became a leading proponent of interprofessional education and practice.

National Center for Interprofessional Practice and Education: This public-private partnership hosted by the University of Minnesota identifies ways to use interprofessional practice and education to improve health, enhance patient care and control costs.

Interprofessional Education Collaborative: A network of health education organizations representing various health care constituencies working to tighten collaboration and interprofessional efforts.

Centre for the Advancement of Interprofessional Education: Looking to network internationally? This United Kingdom-based group helps promote and develop interprofessional education and collaborates with like-minded organizations.

National Coalition on Care Coordination: The National Coalition on Care Coordinationm, or N3C, is a national work group that provides a space for interprofessional practitioners and policymakers to discuss policy and practice development related to care coordination and developing partnerships between health care entities and community-based organizations.

Journals, reports and articles

The New York Times, March 16, 2013. Theresa Brown. Healing the Hospital Hierarchy: Conflict between nurses and physicians can have costly consequences for patients. This article underscores the importance of successful interprofessionalism.

IPEC Core Competencies: A report of an expert panel calling on education to move beyond profession-specific learning and embrace engagement across disciplines.

Journal of Interprofessional Care: You’ll find the latest research and developments in interprofessional education and practice in this peer-reviewed journal.