Geriatric Assessment Interdisciplinary Team (GAIT)

1. Geriatric Assessment Interdisciplinary Team (GAIT) Implemented by: • AHEC West • Eastern Shore Area Health Education Center Funded by a grant from the: • University System of Maryland to • The Geriatrics and Gerontology Education and Research Program GGEAR), • The Graduate School, University of Maryland, Baltimore

2. Geriatric Assessment Interdisciplinary Team (GAIT) Projects • Unique learning experience for health care students throughout the University System of Maryland • Objectives: • Geriatrics • Interdisciplinary Teamwork • Rural Healthcare • One or two-day training program • Hosted by various health care facilities • Coordinated by Area Health Education Centers (AHECs)

3. Aging Maryland Projections of the 60+ Population http://www.aging.maryland.gov/Statistics.html

5. AS MARYLANDERS LIVE LONGER, THEY WILL POSE UNIQUE CHALLENGES FOR THE HEALTHCARE SYSTEM: Geriatric care can be complex and time intensive, and many medical, psychosocial, and functional challenges must be addressed simultaneously ….to be effective, it must be carefully coordinated. The Partnership for Health in Aging (PHA), a loose coalition of more than 30 organizations representing healthcare professionals who care for older adults supported by the American Geriatrics Society, identified Interprofessional Training in geriatrics as a priority area in addressing the geriatrics workforce shortage 2008 Institute of Medicine report, Retooling for An Aging America: Building the Health Care Workforce

6. Source: Canadian Interprofessional Health Collaborative (CIHC)

7. “We have good evidence that health care delivered in teams is more efficient and more effective, yet we continue to educate our health professionals in silos. To meet the public’s needs, health professions educators must teach and model collaborative practice and team-based models of care. While some health professions schools are making these changes, it’s not happening fast enough or broadly enough. By putting forward these core competencies, we hope to accelerate efforts to transform health professions education in the United States.” George E. Thibault, M.D. President Josiah Macy Jr. Foundation www.macyfoundation.org

8. AHEC Centers can diminishthose barriers Area Health Education Center – National Program MISSION: “To enhance access to quality health care, particularly primary and preventive care, by improving the supply, distribution, quality and diversity of health care professionals through community-academic educational partnerships.”

9. AHEC Established by Congress in 1971 Committed to underserved populations. 56 AHEC programs with more than 235 centers operate in almost every state and the District of Columbia. Approximately 120 medical schools and 600 nursing and allied health schools work collaboratively with AHECs to improve health for underserved and under-represented populations

10. Allegany Washington Cecil Garrett Kent Queen Anne’s Car - oline Talbot Dorchester Wicomico Worcester Somerset Connecting USM students to Geriatric Care Sites in Rural Areas Baltimore AHEC AHEC West UMB School of Medicine PROGRAM OFFICE 3. Garrett , Allegany Washington, Frederick and Carroll counties Eastern Shore AHEC Allegany Allegany Washington Washington Carroll Carroll (GAIT) Cecil Cecil Harford Garrett Garrett Harford Frederick Baltimore Baltimore 1. Balt. Balt. Howard Kent Kent Howard City City Caroline, Cecil, Dorchester, Kent, Queen Anne’s, Talbot, Somerset, Wicomico and Worcester Counties Montgomery Anne Anne Covered for community & professional health education through Other UMSOM Programs Queen Arundel Arundel Anne’s Car - oline Caroline Talbot 2. Prince Prince Talbot George’s George’s Cal - Charles vert Calvert Charles Dorchester Dorchester Wicomico Wicomico St. Mary’s St. Mary’s Worcester Worcester Somerset 4. Southern Maryland Clinical SITE AHEC Centers St. Mary’s County 1. AHEC West 2. Eastern Shore AHEC 3. Baltimore AHEC 4. Southern Maryland Clinical Site

11. Maryland AHEC Programs Clinical Education Continuing Education Learning Resources Health Professional Caucuses Health Career Pipeline Programs Community Partnerships Interprofessional Education (GAIT) GERIATRIC ASSESSMENT INTERDISCIPLINARY TEAM

12. GAIT - exposesUniversity System of Maryland Health Professions students to: • Value of Interprofessional Approaches to Geriatric Care • Insight into Challenges faced by Older Adults • Career Opportunities in Geriatrics and Gerontology • Opportunities in Rural Practice

13. What is GAIT? • One or Two-day programs • Most will be 1-day (8am – 5 pm), but if the topic or distance to site requires more than one day, will be indicated on GAIT projects announcement. • Hosted by Facilities Serving Maryland Older Adults • Active Participation by USM students from different disciplines • Objectives: • Geriatrics • Interdisciplinary Teamwork • Rural Healthcare

14. Geriatric Sites FY19

15. GAIT Components Team Building Activities Principles of Interdisciplinary Teamwork Focus Topic Presentation Aging Simulation Exercise Chart Reviews Patient Assessments/Interviews Interdisciplinary Team Planning Team Presentations to Group and Host Site Staff

16. Agenda • Team Communication Activities • Aging Simulation Activities • Cultural Competency • Person-Centered Model to use for Student Team Assessment of assigned older adult(s) • Presentation related to Focus Topic at Host Site • Host Site Staff share information on their services and the clients they serve; Brief Tour • Review client’s record - each team will be assessing different person(s) • Observe clients in activities/therapy etc. • Team Interview of assigned client(s) • Discussion of Interview; Follow up Planning; Consult with host site staff • Complete Person-Centered Interprofessional Team Plan • Team Presentation(s) and discussion with Host Site staff

17. Interdisciplinary Team Work

18. Student Mix

19. What students are saying? “It was valuable working with other disciplines. I recognized the value of an interdisciplinary team approach to patient care.”

20. What students are saying? “The input and roles of the other students really illuminated the whole patient approach to care.”

21. What students are saying? “My team’s biggest take away is to listen to each specialty and try to value each other’s specialty.”

22. Guest Speakers

23. What students are saying? The talk by Molly Kirsch was very poignant and vital to understanding death, hospice, and how we approach these situations. - GAIT Student FY18

24. What students are saying? Excellent presentation! I learned more than in my substance use course. Extremely informative! - GAIT Student FY17

25. Aging Simulation Exercise Promote sensitivity awareness to the aging process

26. What students are saying? “Gave true insight about what the elderly must feel and experience due to their impairments.”

27. What students are saying? “It was really great to be able to experience what an elderly person may go through on a daily basis. It makes you really understand and respect the daily struggles an individual with sensory impairment faces. Simple tasks become more complex!”

28. Team Presentations

29. What students are saying? “(The best part of the experience was) working on a case with other disciplines; it was eye-opening and allowed me to appreciate what everyone brought to the table.”

30. Team Skills Interdisciplinary Team Experience Team Skills Scale Hepburn, Tsukuda and Fasser (1996) Twenty statements ranked: 1 – Poor 2 – Fair 3 – Good 4 – Very Good 5 - Excellent Higher score indicates more positive self-assessment of skills.

31. Student Evaluations

32. What students are saying? This was the best IPE class/workshop I’ve been to so far. The small group size was great! - GAIT student FY17

33. What students are saying? I learned so much about what goes into the care of a patient in hospice and I have a much better appreciation for what hospice does for patients and families. - GAIT Student FY18

34. What students are saying? I initially never thought of working in geriatrics before today, but this has opened my eyes to a new field. - GAIT Student FY18

35. What students are saying? “The GAIT program made a big impact on me and actually shaped the direction I plan on taking in my career path.” - FY16 GAIT student

38. What students are saying? • “The GAIT program was an awesome experience to get to talk to a real patient and students from other disciplines. I will recommend it to all my classmates” • “I think every student interested in healthcare should have this team training.”

39. What students are saying? Working in Geriatrics: • “I learned so much about geriatrics and had a great experience working in an interdisciplinary group.” • “Geriatrics can be a very rewarding place to learn and truly help people. Seniors can be very interesting patients that we can learn a lot from as medical professionals.”

40. GAIT Students Since 1995, over 2100 students have participated in the GAIT Program!

41. WIN WIN WIN • University System of Maryland HEALTH PROFESSIONS STUDENTS participate in GAIT in addition to regular academic requirements • Opportunities in Geriatrics in rural communities • Interprofessional Team experience • Choice of variety of dates/sites/topics • No cost for program, travel, meals/housing • Exposure to rural health care sites for students whose programs do not offer rural rotations

42. WIN WIN WIN • AHEC Rural CENTERS: plan, promote, coordinate and facilitate GAIT training • Health Professions Students visit quality geriatric care sites in rural areas • Rural Health Professionals engaged in training students • Community-Academic Faculty Contacts • Enhance experience for clinical education students on rural rotations • Rural exposure for students who do not have access in rural clinical rotations

43. WIN WIN BIG WIN OLDER ADULTS IN MARYLAND • Practitioners more sensitive to challenges and needs of older adults • Practitioners effectively work as part of a team delivering quality, cost effective care

44. How do you register for GAIT? Check the schedules for the program you wish to attend 2. Complete a registration form ASAP and forward to the appropriate GAIT Coordinator 3. Check your e-mail messages for confirmation and instructions PLEASE contact the GAIT Coordinator immediately if your plans to attend change!

45. Contacts • Eastern Shore AHEC Randy Holliday rholliday@esahec.org www.esahec.org • AHEC West Terri Socha tsocha@ahecwest.org www.ahecwest.org