Team Care and Interdisciplinary Coordination IC22

PRESENTER

Dale Strasser, MD
Professor, Department of Rehabilitation Medicine
Emory University Medical School

Elisabeth Preston-Hsu, MD, MPH Assistant Professor and Clinican Physician
Emory University and Emory Healthcare

Jane Holl, MD, MPH
Center for Healthcare Studies and Center for Education in Health Sciences
Institute for Public Health and Medicine, Northwestern University

DAY Saturday 13 April 2019

TIME 2:00 PM – 6:00 PM

FORMAT 4-hours Hands-on Workshop

ROOM 4M

TOPIC AREAS Clinical Practice, Health Services Research, Cross-Cutting, Quality Improvement and Implementation Science

CAREER LEVEL  Intermediate

WHO SHOULD ATTEND

Occupational Therapists, Physical Therapists, Speech Language Pathologists, Nurses, Social Workers, Physicians, Clinical Administrators, Medical Directors, Health Services Reseachers

CME/CEUS 4 Hours

ACRM Training Institute registration includes CME/CEUs for the following disciplines:

• Physicians (ACCME-CME)
• Occupational Therapists (AOTA)
• Speech Therapists (ASHA)
• Psychologists (APA Division 22)
• Physical Therapists (FSBPT-24 states)
• Nurses (ANCC)
• Disability Management Specialists (CDMS)
• Case Managers (CCMC)
• Rehabilitation Counselors (CRCC)
• Social Workers (NASW)
• Healthcare Executives (ACHE)

Course Description

Over the last 25 years a growing body of evidence shows that patient outcomes improve with organizational and process interventions
targeting rehabilitation team functioning and interdisciplinary coordination. Key components for successful interventions include the
active participation of hands- on clinicians, physician engagement, administrative and leadership “buy in”, a mechanism for
information feedback, and the use of conceptual model of team effectiveness to frame discussions and actions. This workshop aims to
provide participants with the skills and knowledge to address problematic areas in team functioning (TF) and interdisciplinary
coordination (IC) relevant to their current needs.

The team approach is not only well-established in rehabilitation, it is codified into credentialing and regulatory guidelines. Ironically,
the implementation of these same administrative mandates inhibit effective interdisciplinary team work. For example, a
comprehensive progress note, which is template-driven, time consuming, and mind-numbing, distracts from vital interpersonal
communication and interprofessional coordination. Likewise, the need for specific number of hands on therapy units per day may
limit direct provider participation at team conferences where collaborative discussions and team dynamics could be leveraged to
enhance patient outcomes These factors create a paradox where a rehabilitation unit which does its’ work strictly by the book, may
have a less well functioning team.

This conference focuses on the interdisciplinary team utilizing a conceptual model of rehabilitation treatment effectiveness where the
team acts as a key transformational variable between Inputs (hospital, staff – treatments, patient – family) and Outcomes (functional improvement, discharge destination, and resource utilization). This model proposes that team functioning can be understood and
measured in domains of actions (leadership and managerial practices) and relationships (social climate and professional networks).
The framework proved useful in a series of investigations on the relationship of team functioning to stroke patient outcomes,
including a series of VA funded research projects on stroke rehabilitation (VA Merit Review B2367R; 03225R).

Insights gleamed from a successful cluster, randomized clinical trial on team training to improve patient outcomes are reviewed. In
this trial involving 31 VA inpatient teams (464 staff; 467 stroke patients), patients treated by teams in the experimental arm showed
greater motor FIM gain than patients in the comparison arm. Each experimental team developed site specific action plans as part of a
skills training workshop. Insights from this research along with newer research and clinical experiences provide the basis for this
workshop.

Woven into the presentations and discussions are relevant concepts from organization theory including Tacit Knowledge (TK) and
Knowledge in Practice (KIP). Tacit Knowledge represents knowledge and skills developed from experience. TK is sometimes
referred to as “know – how” which contrast to Explicit Knowledge or “know – what”. Knowledge in Practice refers to structured
approach to learn about and categorize TK in a manner to promote sustainability and eventual incorporation into Explicit Knowledge.

Through selected clinical vignettes, participants will examine how TF and IC impact patient outcomes in a variety of circumstances
and develop both diagnostic skills and interventional strategies to optimize team work and staff coordination. We address day to day
practices which are integral to the smooth and efficient delivery of treatment in a systematic manner based on the successful
intervention of a cluster, randomized clinical trial. Participants will present scenarios for evaluation and have the opportunity to
critique other proposed interventions.

As active workshop participation enhances the skills learned, participants who submit clinical scenarios beforehand are given priority
during registration. (Dale Strasser – dstrass@emory.edu).

LEARNING OBJECTIVES

Upon completion of the course, participants should be able to:

1. Describe the Team Effectiveness Model (TEM)
2. Evaluate evidence linking Team Functioning (TF) to patient outcomes.
3. Use the domains of Social Climate, Professional Networks Managerial Practices, and Team Leadership within the TEM to
   analyze problematic areas of team work interdisciplinary coordination.
4. Appreciate the potential utility of Tacit Knowledge (TK) and Knowledge – In – practice (KIP) applications to foster an
   environment of continuously improving team care and interdisciplinary coordination
5. Develop customized action plans and assessment measures to improve team functioning and interdisciplinary coordination to
   improve patient outcomes

REGISTRATION INCLUDES

4 hours of live instruction, continuing education credit processing, access to presentation slides (if provided by presenters), NON-ACRM members receive introductory 6- month membership.

COST

Early Bird rate $49 for members and $99 for non-members      and that includes CME / CEU processing. See the rate tables here.

We encourage you to register early      before tickets are gone. Don’t say we didn’t warn you.

Limited space available

The ACRM Spring Meeting is a venue for face-to-face collaborating of many interdisciplinary ACRM community groups and committees — the heart of ACRM. Come find your tribe and become a member of the vibrant ACRM community.

BEST VALUE

Ridiculously inexpensive? Yep. That’s because we believe in getting the research to practice ASAP. And we think that having a low-cost to attend is a good way to do that.

Early Bird rates are as low as $49 for members and $99 for non-members — and that includes CME / CEU processing. Are you kidding me?!? Nope. See the rate tables here.

We encourage you to register early — before tickets are gone. Don’t say we didn’t warn you.

WHO ATTENDS

You’re our people

ACRM attendees are all kinds of rehabilitation professionals — from researchers to clinicians (including
doctors, nurses, PT assistants, hospital administrators to name just a few) to consumers, family, caregivers, and
more. Everyone is invited and warmly welcomed at ACRM.

They span a wide spectrum of experience from students to well-seasoned pros and hail from the largest
rehabilitation institutions and universities to one-person solopreneurs.
Attendees at previous ACRM events include designers, art directors, and production staff from hundreds of
institutions, companies, and universities from all around the world, including:

• HEALTH CLUB — on the 8th floor, it’s the largest hotel gym in Chicago with indoor pool and hot tub an indoor running track, strength training and cardio equipment, Synergy 360, and sundeck with views of the Chicago skyline.
• HHONORS Club — join the Hilton Honors through the ACRM Fast Track to GOLD program and get EXTRA points and all the cool member benefits including digital check-in.
• Get the HHONORS APP — TIP: It’s really VERY handy

BOOK NOW to enjoy the SAVINGS and CONVENIENCE of staying on-site at the headquarters hotel.

Or book Hilton by phone: +1.877.865.5320
with Booking Code: ACR to ensure the lowest rates
(Code: ACT for Government booking)

Space is limited. So lock in your seat and REGISTER TODAY >>