MD 1010:12 Lecture Notes - Lecture 9: Electronic Health Record, Outcome Health, Population Ageing
EH1 –9. Teamwork
in the Health
Professions
Learning Outcome
1. Discuss how interprofessional teamwork in
health care works.
• Letters
• Shared patient records
• Discharge summaries
• Phone
• Electronic medical records
• Clear communication through forms/scripts
etc
• Team meetings
• Informal chats
2. Discuss how interprofessional teamwork in
health care can improve health outcomes.
• Patients report:
– Higher levels of satisfaction
– Better acceptance of care
– Improved health outcomes
• Collaborative practice can improve:
– Access to & coordination of services
– Appropriate use of specialist services
– Health outcomes for patients with chronic
disease
– Patient care & safety
– Health professional satisfaction
• Collaborative practice can decrease:
– Total patient complications
– Length of hospital stay
– Tension/conflict amongst health
professionals
– Staff turnover
– Clinical error rates
– Mortality rates
• Benefits for the health system
3. Identify barriers to effective
interprofessional teamwork.
• Turf-protection tussles
• Organisational/Institutional barriers
• Health care policy that is not supportive
• Poor remuneration for team-based care
• Poor communication
• Geographical distance
• Language/cultural barriers of team members
4. Briefly discuss major population and
workforce trends driving changes in how
health professionals work together to deliver
health care.
• Broader demographic trends
– Ageing population
– Increasing chronic disease and comorbidity
rates
• Increased health literacy of patients
• Demand for more variety/flexibility in health
service delivery
5. Define, and identify differences between,
key terms associated with transfer of care.
• Delegation:
asking another health professional to
provide care on your behalf while you
retain overall responsibility for the
patient’s care
e.g. practice nurses, physician
assistants
• Referral:
involves you sending a patient to
obtain opinion or treatment from another
doctor or health
professional.
e.g. allied health care professionals
• Handover:
process of transferring all
responsibility to another health care
professional
e.g. discharged to another hospital
6. Identify models of task substitution and
delegated practice.
– Task substitution:
“expanding the breadth of a job, in
particular by working across professional
divides or
exchanging one type of worker for
another”
– Delegated practice models:
care provided by teams with
expanded clinical tasks performed
under delegation of medical
practitioners
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Document Summary
Improved health outcomes: collaborative practice can improve: Health outcomes for patients with chronic disease. Health professional satisfaction: collaborative practice can decrease: Mortality rates: benefits for the health system. Identify models of task substitution and delegated practice. Expanding the breadth of a job, in particular by working across professional divides or exchanging one type of worker for another . Delegated practice models: care provided by teams with expanded clinical tasks performed under delegation of medical practitioners: discuss, using examples: Start planning upon admission, involve patients: abc: accurate / brief / complete, avoid abbreviations/acronyms, follow-up. Complex stay or significant follow- up requirements may require a phone call: remember standards of professionalism. Accurate and not symptoms: additional diagnoses / secondary diagnoses. Pertinent things that warranted additional attention during hospital care: inpatient management. Procedures, significant tests (with results), treatment course, allied health services provided: medications. Provided in hospital, at discharge and details of supply: follow-up arrangements.
