3. What is Collaborative Practice?
• The “process of developing and maintaining
effective working relationships with learners,
practitioners, patients/clients/families and
communities to enable optimal health
outcomes” (Canadian Interprofessional Health
Collaborative, 2010)
• Enhancing collaboration among health care
providers, individuals and their families is one of
the approaches to improve quality of healthcare
and sustainability of our healthcare system in
the future. (Alberta Health, 2012)
6. At St. Mary’s, Collaborative
Practice Means:
• Safe, quality care
• Patient and family centered care
• Joint decision making
• Respecting, valuing different roles
• Trusting and open communication
• Sharing accountability in a just and equitable way
• Preserving and building dignity and respect
7. Who Should be involved in
Collaborative Practice
• Everyone who is in a position to provide care to
patients/clients, whether directly or indirectly
• Relationships between Family Physicians and
Nurse Practitioners has been extremely
successful in areas in Eastern Canada
• All professionals and staff can play a role in
shifting the tendency of dealing with patients
only when they are ill to focusing on wellness
and prevention.
8. Importance of Collaborative
Practice
• Populations are aging with increasingly complicated health
care needs
• The world is increasingly in desperate need of quality health
care providers at a time where the workforce is diminishing
and productivity is decreasing (KPMG, 2012)
• Alberta’s population has grown by one million people in the
last 12 years alone. On top of that, many of our health
providers are retiring or close to retiring.
• If AHS does not respond to this situation, by 2017 we’d need
to hire about 35,000 more clinical staff simply to make up for
retirements, turnover and growth (Alberta Health Services
Workforce Transformation, 2016).
9. Benefits of Collaborative
Practice
• Patients receive better care and better
health outcomes within a collaborative
practice model
• Job satisfaction would increase along with
productivity
• Create a system that is sustainable and
more cost-effective (Alberta Health Services
Workforce Transformation, 2016)
10. Studies on the Benefits of
Collaborative Practice
• Collaborative medication reviews between
physicians and pharmacists decreased
hospitalizations for heart failure by 45% and
delayed hospitalizations for other patients
(Roughead et. al, 2009)
• Collaborative care for patients with depression and
coronary heart disease and/or poorly controlled
diabetes showed a greater improvement in glycated
hemoglobin levels, decreased LDL levels, an
average decrease of 5.1mmHg systolic BP and
better Symptom Checklist 20 scores. (Katon et. al,
2010)
11. Studies on the Benefits of
Collaborative Practice
Katon e. al’s findings are reinforced by two
separate studies that studied collaborative
practices and interprofessional education that
decreased HbA1c levels (Ching, Forte,
Aitchison et. Al, 2016) and LDL levels (Shaffer
& Wexler, 1995) more greatly compared to
traditional care.
12. Implementing Collaborative
Practice Pilot
Collaborative Practice has six competency domains we
need to solidify before collaboration can be effective:
1. Role clarification
2. Interprofessional Communication
3. Patient/Client/Family/Community centered care
4. Collaborative Leadership
5. Team Functioning
6. Interprofessional Conflict Resolution
13. Implementing Collaborative
Practice Pilot
• Using Collaborative Challenge Cards
• Posters that are in clear view of all hospital
staff/professionals AND the public.
• Using floor decals that have “Did you know”
information pieces on them about
collaborative practice
• Humans of Covenant Health
15. Assessment of Collaborative
Practices
• Use the Queen’s University Collaborative
Practice Assessment Tool
• Questionnaire that focuses on:
• Mission, Purpose and Goals
• Relationships
• Team Leadership
• General Role Responsibilities
• Communication and information exchange
• Community Linkages and Coordination of Care
• Decision Making and Conflict Management
• Patient involvement
16. Risk Management
• Team members must have clear roles, responsibilities,
and accountabilities, and these should be supported by
a policy and procedural framework. This will not only
reduce liability risk but also the likelihood of adverse
medical events caused by confusion or ambiguity
(Canadian Medical Protective Association)
• The point of interdisciplinary collaboration is to ensure
that patients have access to appropriate care from the
most appropriate professional. Those who organize and
oversee interdisciplinary care teams must take care to
ensure that health professionals are not tasked with
delivering care that is outside their competence or scope
of practice (Conference Board of Canada, 2007)
Hinweis der Redaktion
The collaborative practice model is about working differently, it is a philosophical shift for healthcare providers. It is about a collaborative work environment where health professionals are organized in a way where they can have their greatest impact, using a range of combined knowledge, training and experience to care for patients effectively.
Collaborative practice occurs when healthcare providers work with people from within their own profession, with people outside of their profession and with patients/clients and their families. ” (Canadian Interprofessional Health Collaborative, 2010)
Collaborative Care is not simply team work. Working as an interprofessional team of health providers - while including the patient/client/resident and their family - integrates more
complex concepts and competencies than traditional teamwork.
However, simply hiring more healthcare workers is not the complete solution. Innovative solutions are needed to improve patient outcomes and focus in on wellness and prevention, not only interactions when patients become ill. Collaborative practice between different health care providers and professions is one solution to reduce strain on our system.
