Introduction to Interdisciplinary Team Care for Aging Patients

1
Introduction to Interdisciplinary Team Care for
Aging Patients
2
Understanding Terminology

• Multidisciplinary Care-Three or more health
  professions practicing in a shared facility or
  building
• Interdisciplinary Care- Three or more .. who
  communicate/meet regularly to establish
  collaboratively-developed care plans for their
  patients
• Integrative Care-Team care that includes CAM
  (complementary/altern.) health professions
  (chiropractic?)

3
Advantages of Interdisciplinary Care

• May reduce patient costs (reduces repetition of
  services)
• Improves patient outcomes
• Improves inter-professional communication
• Increases patient satisfaction
• Improves quality of care
• Increases provider accountability

4
Advantages of Integrative Care

• Expands patient care options to include less
  invasive, more natural care choices
• Enhances communication/collaboration btw
  traditional (allopathic) and non-traditional
  (chiropractic/others) healthcare providers
• May decrease costs by preventing
  expensive/invasive interventions (I.e surgery)

5
Interdisciplinary/Integrated Care Goals

• Share patient care plans
• Share clinical goals, discuss care choices
• Identify/control poly-pharmacy risk
• Monitor changes in pt. health ( or -)
• Increase quality and options for supportive
  measures, advice to pt, etc.
• Improve many aspects of service to pt!

6
Team Care Should...

• Be TEAM care Shared decision making, by all
  providers, and.
• Include PATIENT in decision making
• Utilize LEAST invasive/expensive services first,
  THEN more invasive services, only as needed

7
What Interdisciplinary/Integrative Care Should
Not Be.

• A money-making scheme
• A way to expand allowable billing options
• A way to rationalize unnecessary tests/services
• An MD controlling services to all other
  participating health providers on the team

8
Whats Important in Team Care?

• Respect for other health professions
• Good collaborative/communication skills
• Knowledge of the role, training, and scope of
  other health professions
• Philosophical maturity Ability to remain true to
  ones own professional philosophy, while being
  respectful of others philosophies!
• Well-trained staff!!!

9
How/Why Do Healthcare Teams Form?

• Around a geographic need
• Around a specific specialty (to address a
  specific patient need)
• Around an area of interest
• Around patient/population need

10
Examples

• Geographic Need Henry County Clinic Primary
  care in rural area MD, DC, Nurse, Dentist,
  Psychologist, Dentist
• Specialty Orthopedic Associates-Orthopedic
  Surgeon, DC, PT, OT, etc
• Interest Sports Clinic-PT, DC, AT, RN
• Pt. Population Elder Care- DC, Geriatrician, RN,
  Podiatrist, Social Worker

11
Examples of Palmers Interdisciplinary
Preceptorships...

• Ferezy/Evans-Des Moines, IA DC, Neurologist,
  Orthopedist, DO, etc.
• Scenic Bluffs Area Health Education Center-
  Richard Gjefle, DC Amish community requested a
  DC in clinic
• Luedtke/Storm/Mackey-Wisconsin Works closely
  with many health professions

12
More Examples (PCC)

• Anthony Anderson-Rehab practice 3 DCs, 2 MDs, 2
  PTs, PTA, etc.
• Mark Bowman, DC- Works w/ clinical Psychologist,
  PT, Massage Ther, Nutritionist, etc.
• Patricia Bender, DC Gatekeeper for several HMOs
• Jim Koshik, DC PTs, 4 DCs, MTs, Physiatrist. Etc.

13
Local examples

• Integrative Health Care of the Quad Cities Dr.
  John Golden MD, DCs, Nurses, Massage Therapist,
  Acupuncturist, Nutrition/Herbs, etc.
• Edgertons Womens Health Center-Physicians,
  Midwives, Nurse practitioners, etc.
• Chiropractic massage ther. clinics

14
Take Home Messages

• Philosophically based chiropractors can
  participate in team care without selling out
  their philosophy.
• It takes a great deal of professional maturity,
  patience, and good communication skills to excel
  at team care.
• Team care may be the norm in the future