Interprofessional Education and Collaborative Practice Request for a Special CIHR Competition

1. Interprofessional Education and Collaborative PracticeRequest for a Special CIHR Competition October 2007

2. Objectives • Describe HC IECPCP strategy • Outline research objectives of CIHC • Evidence requirements for patient centred care • Discuss opportunities for special CIHR competition

3. Goals of IECPCP Interprofessional Education for Collaborative Patient Centred Practice • To improve patient care by ensuring that the patient is at the centre of attention and care of multiple professionals • To align health education curricula and students’ skills with health systems needs and policy • To explore the potential of interprofessional education and collaborative practice to address some health system challenges

4. Health Canada IECPCP funding • 21 projects; CIHC as complementary project • $20 million • April/July 2005 – 11 projects [cycle 1] • December 2005 – 10 projects [cycle 2] • Projects implement and evaluate: • Interprofessional Education (IE) • Collaborative Practice (CP) • Integrated models of IE & CP • Methods, approaches and results have been shared as part of each mandate during the award time

5. CIHC – whole greater than the parts • Brings together multiple Canadian projects that focus on IE and CP – unique accumulation of expertise • Provides platform for knowledge sharing and networking • Events (e.g. Western Provinces meeting) • Creates synergies through joint activities – subcommittees (Research, Education Evaluation, Partnership, Knowledge Transfer) • CIHC Research and Evaluation committees mapping of gaps in understanding and evidence; summary of theories that can guide IE and CP research

6. Gaps in Research • Understanding IE and CP processes that are linked to effective patient care • Types of complex health care for which CP is effective, feasible, and efficient • Cost analysis of IE and CP • Application of IE and CP to primary health care and across the continuum to tertiary care services • Change management for IE and CP • Lack of theory driven IE and CP research • Leadership requirements for IE and CP

7. Relevance of IE and CP research • Areas / CIHR Institutes: • Aging, chronic diseases, mental health and addiction: Complex chronic disease care is enhanced with a team approach • Health services and policy: Barriers to CP include regulation, liability, scope of practice restrictions • Population and public health: CP needs to extend to primary health care and across the care continuum to meet population health mandate

8. Funding opportunities • Currently limited funding opportunities for specific IE and CP research • Health Canada funding has started to build research capacity • Increased awareness of IE and CP as important elements of HHR planning and management • With Health Canada funding scheduled to end in spring 2008, there is a risk that continued learning will remain localized

9. Request for special CIHR competition • Opportunity to build on the work created over the past three years and build capacity for sustainable system change in a relatively short time • Proposed areas of focus: • Analysis of impact of IE on CP and outcomes on patient, provider and system level • Testing of models of collaborative practice • Developing process and outcome measures • Implementation models • Connecting education and practice

10. What CIHC can contribute • Identify gaps and key questions to be answered • Nominate panel of expert reviewers nationally and internationally • Link researchers across the country to maximize the generalizability of findings • Continue to update CIHR with important findings

11. More Information John H.V.Gilbert, CIHC Project Lead john.gilbert@ubc.ca Brenda Sawatzky-Girling, CIHC Program Manager brendasg@telus.net Sue Beardall, Senior Policy Advisor, IECPCP Lead, Health Policy Branch, Health Canada sue_beardall@hc-sc.gc.ca CIHC Research Sub-Committee Co-Chairs: Jennifer Medves, Associate Professor, Queen’s University jennifer.medves@queensu.ca Hassan Soubhi, Professor, University of Sherbrooke hassan.soubhi@usherbrooke.ca Esther Suter, Research Consultant, Calgary Health Region esther.suter@calgaryhealthregion.ca