Geriatric Assessment Interdisciplinary Team (GAIT) Implemented by: ● AHEC West ● Eastern Shore Area Health Education Center Funded by a grant from the: ● University System of Maryland to ● The Geriatrics and Gerontology Education and

Research Program GGEAR), ● The Graduate School, University of Maryland, Baltimore

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Geriatric Assessment Interdisciplinary Team (GAIT) Projects

➢ Unique learning experience for health care students throughout the University System of Maryland

➢ Objectives: ❖Geriatrics ❖ Interdisciplinary Teamwork ❖Rural Healthcare

➢ One or two-day training program ➢ Hosted by various health care facilities ➢ Coordinated by Area Health Education Centers

(AHECs)

Aging Maryland

2010 2020 2030 2040

Maryland 18.6% 22.8% 25.8% 24.5%

Projections of the 60+ Population

http://www.aging.maryland.gov/Statistics.html!3

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AS MARYLANDERS LIVE LONGER, THEY WILL POSE UNIQUE CHALLENGES FOR THE HEALTHCARE SYSTEM:

Geriatric care can be complex and time intensive, and many medical, psychosocial, and functional challenges must be addressed simultaneously ….to be effective, it must be carefully coordinated.

The Partnership for Health in Aging (PHA), a loose coalition of more than 30 organizations representing healthcare professionals who care for older adults supported by the American Geriatrics Society, identified

Interprofessional Training in geriatrics as a priority area in addressing

the geriatrics workforce shortage

2008 Institute of Medicine report, Retooling for An Aging America: Building the Health Care Workforce

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Source: Canadian Interprofessional Health Collaborative (CIHC)

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“We have good evidence that health care delivered in teams is more efficient and more effective, yet we continue to educate our health professionals in silos.

To meet the public’s needs, health professions educators must teach and model collaborative practice and team-based models of care. While some health professions schools are making these changes, it’s not happening fast enough or broadly enough.

By putting forward these core competencies, we hope to accelerate efforts to transform health professions education in the United States.”

George E. Thibault, M.D. President Josiah Macy Jr. Foundation www.macyfoundation.org

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AHEC Centers can diminishthose barriers

Area Health Education Center – National Program

MISSION:

“To enhance access to quality health care, particularly primary and preventive care, by improving the supply,

distribution, quality and diversity of health care professionals through

community-academic educational partnerships.”

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AHEC

● Established by Congress in 1971

● Committed to underserved populations.

● 56 AHEC programs with more than 235 centers operate in almost every state and the District of Columbia.

● Approximately 120 medical schools and 600 nursing and allied health schools work collaboratively with AHECs to improve health for underserved and under-represented populations

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Connecting USM students to Geriatric Care Sites in Rural Areas

Cecil

Kent

QueenAnne’s

Talbot

Dorchester

Wicomico

Somerset

Worcester

Car -oline

Garrett

Allegany Washington

Garrett

Allegany Washington

GarrettAllegany Washington

Cecil

Kent

Talbot

Dorchester

Wicomico

Worcester

Car -oline

Cecil

Kent

QueenAnne’s

Talbot

DorchesterWicomico

SomersetWorcester

Caroline

Carroll

Howard

Baltimore

Balt. City

AnneArundel

St. Mary’s

Harford

Prince George’s

CharlesCal -vert

Frederick

Carroll (GAIT)

Howard

Baltimore

Balt. City

AnneArundel

St. Mary’s

Harford

Prince George’s

Charles

Calvert

Montgomery

AHEC West

Garrett , Allegany Washington, Frederick

and Carroll countiesEastern Shore AHEC

AHEC Centers

UMB School of Medicine PROGRAM OFFICE

1. AHEC West2. Eastern Shore AHEC3. Baltimore AHEC4. Southern Maryland Clinical Site

2.

3.

1.

4.

Caroline, Cecil, Dorchester, Kent,

Queen Anne’s, Talbot, Somerset,

Wicomico and Worcester Counties

Southern Maryland

Clinical SITESt. Mary’s County

Covered for community &

professional health education through Other UMSOM

Programs

Baltimore AHEC

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Maryland AHEC Programs

• Clinical Education • Continuing Education • Learning Resources • Health Professional Caucuses • Health Career Pipeline Programs • Community Partnerships

• Interprofessional Education ➢ (GAIT) GERIATRIC ASSESSMENT

INTERDISCIPLINARY TEAM

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GAIT - exposes University System of Maryland Health Professions students to:● Value of Interprofessional Approaches to

Geriatric Care ● Insight into Challenges faced by Older Adults ● Career Opportunities in Geriatrics and

Gerontology ● Opportunities in Rural Practice

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What is GAIT?● One or Two-day programs

● Most will be 1-day (8am – 5 pm), but if the topic or distance to site requires more than one day, will be indicated on GAIT projects announcement.

● Hosted by Facilities Serving Maryland Older Adults ● Active Participation by USM students from different

disciplines ● Objectives:

● Geriatrics ● Interdisciplinary Teamwork ● Rural Healthcare

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Geriatric Sites FY19

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AHEC TOPIC SITE COUNTYEastern Shore Function & Independence = Quality of Life Heron Point of

ChestertownKent

Eastern Shore Rehabilitation of the Amputee Chesapeake Rehabilitation Hospital

Wicomico

Eastern Shore NICHE- Nurses Improving Care for Health System Elders

Atlantic General Hospital Worcester

Eastern Shore Dementia Care Chesapeake Woods Dorchester

AHEC West Maintaining Social Connections for Healthy Aging: HEARING for HEALTH

Homewood at Williamsport – Ind. Living

Washington

AHEC West Supporting Staying at Home: Accurate Assessment critical to Effective Care in ADS

Diakon Adult Medical Day Services

Washington

AHEC West PREVENTING READMISSION: Geriatric Rehabilitation to Safe Discharge

WMHS - Comprehensive Inpatient Rehabilitation Unit

Allegany

AHEC West Living in the Community with Dignity & Purpose: Partnering with Caregivers to Maximize Independence

Daybreak Adult Day Services Frederick

AHEC West ALL-INCLUSIVE CARE FOR OLDER ADULTS Supporting Living in the Community

ELDERPLUS Johns Hopkins Bayview

Baltimore City

AHEC West COMMUNITY BASED HOSPICE CARE In a Rural Community – Upcoming June 11 -12

Hospice of Garrett County Garrett

GAIT ComponentsTeam Building Activities Principles of Interdisciplinary Teamwork Focus Topic Presentation Aging Simulation Exercise Chart Reviews Patient Assessments/Interviews Interdisciplinary Team Planning Team Presentations to Group and Host Site Staff

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Agenda● Team Communication Activities ● Aging Simulation Activities ● Cultural Competency ● Person-Centered Model to use for Student Team Assessment of assigned

older adult(s) ● Presentation related to Focus Topic at Host Site ● Host Site Staff share information on their services and the clients they serve;

Brief Tour ● Review client’s record - each team will be assessing different person(s) ● Observe clients in activities/therapy etc. ● Team Interview of assigned client(s) ● Discussion of Interview; Follow up Planning; Consult with host site staff ● Complete Person-Centered Interprofessional Team Plan ● Team Presentation(s) and discussion with Host Site staff

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Interdisciplinary Team Work

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Student Mix

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What students are saying?

“It was valuable working with other disciplines. I recognized the value

of an interdisciplinary team approach to patient care.”

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What students are saying?

“The input and roles of the other students really illuminated the

whole patient approach to care.”

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What students are saying?

“My team’s biggest take away is to listen to each specialty and try to value each other’s specialty.”

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Guest Speakers

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What students are saying?

The talk by Molly Kirsch was very poignant and vital to understanding

death, hospice, and how we approach these situations.

- GAIT Student FY18

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What students are saying?

Excellent presentation! I learned more than in my substance use course. Extremely informative!

- GAIT Student FY17

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Aging Simulation ExercisePromote sensitivity awareness to the aging process

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What students are saying?

“Gave true insight about what the elderly must feel and experience due to their

impairments.”

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What students are saying?

“It was really great to be able to experience what an elderly person may go through on a daily basis. It makes you really understand and respect the

daily struggles an individual with sensory impairment faces. Simple

tasks become more complex!”

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Team Presentations

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What students are saying?

“(The best part of the experience was) working on a case with other

disciplines; it was eye-opening and allowed me to appreciate what everyone brought to the table.”

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Team SkillsInterdisciplinary Team Experience

Team Skills Scale Hepburn, Tsukuda and Fasser (1996)

Twenty statements ranked: 1 – Poor 2 – Fair 3 – Good 4 – Very Good 5 - Excellent

Higher score indicates more positive self-assessment of skills.

Pre-Test Post-TestFY18 3.43 4.30FY17 3.52 4.44FY16 3.44 4.28FY15 3.49 4.29

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Student Evaluations

FY/Rating 2017 2016 2015 2014 2013

Excellent 87% 87% 84% 80% 84%

Good 13% 13% 16% 20% 16%

Fair 0% 0% 0% 0% 0%

Poor 0% 0% 0% 0% 0%

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What students are saying?

This was the best IPE class/workshop I’ve been to so far.

The small group size was great!

- GAIT student FY17

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What students are saying?

I learned so much about what goes into the care of a patient in hospice

and I have a much better appreciation for what hospice does

for patients and families.

- GAIT Student FY18

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What students are saying?

I initially never thought of working in geriatrics before

today, but this has opened my eyes to a new field.

- GAIT Student FY18

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What students are saying?

“The GAIT program made a big impact on me and actually shaped the direction

I plan on taking in my career path.”

- FY16 GAIT student

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What students are saying?● “The GAIT program was an awesome experience

to get to talk to a real patient and students from other disciplines. I will recommend it to all my classmates”

● “I think every student interested in healthcare should have this team training.”

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What students are saying?Working in Geriatrics:

● “I learned so much about geriatrics and had a great experience working in an interdisciplinary group.”

● “Geriatrics can be a very rewarding place to learn and truly help people. Seniors can be very interesting patients that we can learn a lot from as medical professionals.”

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GAIT StudentsSince 1995, over 2100 students have participated in the GAIT Program!

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WIN WIN WIN❖ University System of Maryland HEALTH

PROFESSIONS STUDENTS participate in GAIT in addition to regular academic requirements ● Opportunities in Geriatrics in rural communities ● Interprofessional Team experience ● Choice of variety of dates/sites/topics ● No cost for program, travel, meals/housing ● Exposure to rural health care sites for students

whose programs do not offer rural rotations!41

WIN WIN WIN❖ AHEC Rural CENTERS: plan, promote,

coordinate and facilitate GAIT training ● Health Professions Students visit quality geriatric

care sites in rural areas ● Rural Health Professionals engaged in training

students ● Community-Academic Faculty Contacts ● Enhance experience for clinical education students

on rural rotations ● Rural exposure for students who do not have

access in rural clinical rotations!42

WIN WIN BIG WIN

OLDER ADULTS IN MARYLAND

● Practitioners more sensitive to challenges and needs of older adults

● Practitioners effectively work as part of a team delivering quality, cost effective care

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How do you register for GAIT?

1. Check the schedules for the program you wish to attend 2. Complete a registration form ASAP and forward to the appropriate GAIT Coordinator 3. Check your e-mail messages for confirmation and instructions

PLEASE contact the GAIT Coordinator immediately if your plans to attend change!

Contacts● Eastern Shore AHEC Randy Holliday rholliday@esahec.org www.esahec.org

● AHEC West Terri Socha tsocha@ahecwest.org www.ahecwest.org

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