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LEAH Inter-disciplinary Process. January 10, 2014 Alicia Dixon Docter, MS, RD LEAH Nutrition Faculty Featuring Wisdom from Inter-disciplinary Ado Med Team. Goals. Define types of teams (emphasis on clinical) Describe the importance of an inter-disciplinary team
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LEAH Inter-disciplinary Process January 10, 2014 Alicia Dixon Docter, MS, RD LEAH Nutrition Faculty Featuring Wisdom from Inter-disciplinary Ado Med Team
Goals • Define types of teams (emphasis on clinical) • Describe the importance of an inter-disciplinary team • Discuss and reflect from “experts” in Ado Med
Introduction • http://www.youtube.com/watch?annotation_id=annotation_776750&feature=iv&index=1&list=FLihyyKgok1QAXzY-H1Gvgfg&src_vid=nlrQD8Kvk6M&v=xE-w8R7PQ2I
Types of Teams • Uni-disciplinary
Types of Teams • Serial Uni-disciplinary
Types of Teams • Multi-disciplinary
Types of Teams • Inter-disciplinary
Why An Inter-disciplinary Team is Important • Teens and families are complex • One discipline may not have all the skills developed to the degree that the teen needs • Safety, both psychological and physical • Prevent family-centered care from becoming family-directed care • Support faculty and staff to prevent burn-out • Each professional can support messages and guidance provided by others.
Advantages • Patient-centeredness • Confidence in the system • Quality of care • Specialty expertise • Different perspectives
Challenges • Patient may get confused • Hand-offs or exchange of information takes time • …
Elements Needed to Function • Training • Mentoring • Team decision making • Understanding roles • Time for care coordination • Handoff’s or ability to transfer information in a timely, effective way • Ability to reflect (whether allotted time or not)
Activity: Consider Wisdom from “Experts in the Field” • Divide into 4 groups • Read, discuss and reflect • Re-convene to highlight key learnings
Resources • MCH Leadership Development Series • Cowboys and Pit Crews, New Yorker, on LEAH ITP • MCH Case Study • Salas, E and Frush, K, editors, Improving Patient Safety Through Teamwork and Team Training, Oxford, 2013. • St. Pierre, M., et. al., Crisis Management in Acute Care Settings, 2nd edition, Springer, 2011. • Lencioni, Patrick, Overcoming the Five Dysfunctions of a Team, A Field Guide, for Leaders, Managers, and Directors, Jossey-Bass/Wiley 2005. • Rees, J. and Mahan, K., Nutrition in Adolescence, Times-Mirror Mosby, 1984 (no longer in print).