The Research and Evaluation Agenda of the National Center

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration

Cooperative Agreement Award No. UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

The Research and Evaluation

Agenda of the National Center

Barbara Brandt, Director and

Associate Vice President for Education

Institute of Medicine

Global Forum on Innovations in

Health Professions Education

September 14, 2015

© 2013 Regents of the University of Minnesota, All Rights Reserved

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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No.

UE5HP25067. © 2013 Regents of the University of Minnesota, All Rights Reserved.

National Center for Interprofessional Practice and Education

Vision

We believe high-functioning teams can improve the

experience, outcomes and costs of health care.

The National Center for Interprofessional Practice and

Education is advancing the way stakeholders in

health work and learn together.

National Center Funders

• Health Resources and Services Administration Cooperative Agreement Award No.

UE5HP25067

• Robert Wood Johnson Foundation (RWJF)

• Gordon and Betty Moore Foundation

• Josiah Macy Jr. Foundation

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The National Center for Interprofessional

Practice and Education: Our Goal

To provide the leadership, evidence and

resources needed to guide the nation on the

use of interprofessional education and

collaborative practice (IPECP) as a way to

enhance the experience of health care,

improve population health, and reduce the

overall cost of care.

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Our Strategies

• Co-create and evaluate IPECP models that

reconnect education and collaborative practice in

Nexus sites across the U.S. and show the impact of

this work on the Triple Aim.

• Strengthen and increase the availability of

evidence about the effectiveness of IPECP in

achieving the Triple Aim.

• Lead and facilitate the national dialogue among

stakeholders in education and health care about the

effectiveness of IPECP in achieving the Triple Aim.

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Sample Recent Requests of the National Center

Speaking, Consultation, Advice and Partnerships

• Institute of Medicine

• National Governors Association

• National Advisory Council on Nurse Education and Practice

• National Health Policy Forum

• National Quality Forum

• Association of Specialized and Professional Accreditors

• VA Centers of Excellence in Primary Care

• Beyond Flexner Conference – GWU and University of New Mexico

• American Medical Association Accelerating Change in Medical Education

• Centers for Medicare and Medicaid Innovations

• National League of Nursing

• Patient-Centered Primary Care Collaborative

• University of North Carolina Cecil G. Shep Center

• National Association of Community Health Centers

• Association of Academic Health Centers

• 1199 / SEIU

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Research, Scholarship and Evaluation

Nexus Innovations Network - Status

“Big Data” Health Claims Analysis

Stories from the Nexus: Acting and Thinking Differently

Interprofessional Practice and Education Measurement Instruments

Hugh BarrAll Together Better Health IVKarolinska Institute Stockholm, SwedenJune 2008

Teamwork is not a destination.

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The Nexus: Our vision for health

© 2013 Regents of the University of Minnesota, All Rights Reserved

• Improving quality of experience for patients, families, communities and learners

• Sharing responsibility for achieving health outcomes and improving education

• Reducing cost and adding value in health care delivery and education

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An Interprofessional Learning Continuum ModelInstitute of Medicine, 2015

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Practice Game-Changers: What are the key characteristics of “new” models of care?

• Goal: provide patients with more comprehensive, accessible, coordinated and high quality care at lower costs

• Emphasis on primary, preventive and “upstream” care

• Care is integrated between:

– primary care, medical sub-specialties, home health agencies and nursing homes

– health care system and community-based social services

• EHRs used to monitor patient and population health—increased use of data for risk-stratification and hot spotting

• Interventions focused at both patient- and population-level

• Move toward “risk-based” and “value-based” payment models

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The NationalCenter for Interprofessional Practice and Educationis supportedby a HealthResources andServices Administration

CooperativeAgreementAward No. UE5HP25067.© 2013Regentsof the University of Minnesota,All Rights Reserved.

What will be the impact on workforce

of Secretary Burwell’s announcementon value-based payment goals?

Principles

• Incentives to motivate higher value care

• Alternative payment models

• Greater teamwork and integration

• More effective coordination of providers

across settings

• Greater attention to population health

• Harness the power of information to

improve care for patients

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Nexus Innovations Network

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Does interprofessional practice and education. .

• Improve health outcomes (Triple Aim) on individual and

population levels?

• Result in improvement in educational outcomes?

• Identify ecological/environmental factors essential for

achieving health outcomes?

• Identify factors essential for sustainability of the transformed

process of care?

• Identify changes needed in policy, accreditation, credentialing,

and licensing?

• Establish the causal connection between health outcomes,

education and collaborative practice?

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University of Kansas Medical Center

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South Dakota Statewide IPE Implementation Timeline

Date Activity

August 2013 Courageous Conversations –

National Center presence funded by RWJF

Brandt – keynote; Growthworks -- facilitation

September 2013 –

September 2014

Statewide leadership conversations with all stakeholders in health

to develop an IPECP plan

September 2014 –

April 2015

Intervention Research Design around Community-based

Childhood Obesity Prevention, first project

May 2015 National Center site visit

August 2015 Nexus Innovations Network meeting

September 2015 University of South Dakota, South Dakota State University

(SDSU), Augustana College, Avera Health and Sanford Health

Collaborate on research projects and data collection to create the

South Dakota Interprofessional Practice and Education

Collaborative.

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Proof of Concept Paper – Under Peer Review

Demonstrate that a big engaged informatics approach can work

Early strong emerging themes:

The redesign of the process of care is about changing culture.

Moving education and delivery systems requires a compelling

vision and case statement.

The IPECP effort needs to be appropriately resourced.

Leadership is essential.

Some surprising early findings that will need interpretation:

Perceptions of IPE in team formation around patient needs

Perceptions of IPE in team formation around community needs

Perceptions about team competency instruction

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“Big Data” – Health Claims Analysis

Interdisciplinary research team: clinicians, actuarial expertise,

epidemiologist, integrated healthcare expertise, health services

researchers

Coding individual claims for potential evidence of team function

Medical Productivity Index

Medicare 5% data analysis

Under peer review

Healthcare Costs Institute (HCCI) future analysis

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PCPCC’s Report on Interprofessional Training

National Center Insert: Interprofessional Education: “Thinking and Acting Differently” PCMH Workforce Development Models

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Download at:

www.pcpcc.org

and

nexusipe.org

http://www.pcpcc.org

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The NationalCenter for Interprofessional Practice and Educationis supportedby a HealthResourcesand Services Administration


Refined Definition of the Nexus

“Clinical practices in transforming systems that partner with

health professions education programs

think and act differently

are learning organizations that support continuous

professional development

while educating the next generation of health professionals”

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The NationalCenter for Interprofessional Practice and Educationis supportedby a HealthResourcesand Services Administration


Characteristics of PCPCC Exemplars

• Shared vision

• Patient-centered curriculum

• Innovation for culture change

• Spontaneous team leaders

• Benefits of the Nexus to the Patient-Centered

Medical Home

• Benefits of the Nexus to students and residents

For more information, listen to:

https://nexusipe.org/progress-and-promise-podcast-series

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Interprofessional Measurement

Number one request of the National Center: Tools for assessment

January 2014: Interprofessional measurement curation

March 2015: Primer Release

June 2015: Kick-off IP Measurement Practice Guide and

Toolkit

September 2015: To RIPLS or Not to RIPLS?: That is only

part of the question

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The Resource Exchange at nexusipe.org

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Join the Nexus/Interprofessional

Practice and Education Community

Create a profile: www.nexusipe.org

Add a resource: www.nexusipe.org/resource-exchange

Start a conversation: www.nexusipe.org/forum

Go social: www.twitter.com/nexusipe

The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067.

The National Center is also funded in part by the Josiah Macy Jr. Foundation, the Robert Wood Johnson Foundation and the Gordon and Betty Moore Foundation. © 2014 Regents of the University of Minnesota, All Rights Reserved

http://www.nexusipe.org/

http://www.nexusipe.org/resource-exchange

http://www.nexusipe.org/forum

http://www.twitter.com/nexusipe

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Thank you!

Barbara Brandt, PhD

National Center for Interprofessional

Practice and Education

University of Minnesota

Documents

The Research and Evaluation Agenda of the National Center