- Alicia Williams, MA, CSAC, Social Health Specialist, East Tennessee State University Quillen College of Medicine, Johnson City, TN
- Millie Wykoff, RN, BSN, Patient Health Manager, East Tennessee State University Family Medicine Associates of Johnson City, Johnson City, TN
- Ryan Tewell, PharmD, Clinical Assistant Professor, East Tennessee State University Department of Family Medicine, Johnson City, TN
- Jodi Polaha, PhD Associate Professor, East Tennessee State University, Quillen College of Medicine, Family Medicine, Johnson City, TN
- James Holt, MD, Interim Program Directorr, East Tennessee State University, Johnson City Family Medicine Residency Program, Johnson City, TN
- Kevin Metzger, DO, Sports Medicine Fellow, MAHEC Sports Medicine, Asheville, NC
This presentation demonstrates how clinical innovators in one family medicine residency clinic developed a team-based intervention for complex patients, disseminated the innovation through a creative teaching strategy, and collected program evaluation data. Our team will use this teaching strategy to disseminate our clinical process by allowing the audience to review an enhanced care treatment model case. Presenters will walk the audience through a case-based learning experience from patient selection through the treatment process. Thereafter, the audience will participate in a break-out session identifying barriers and brainstorming solutions based on the case and process presented. Additionally, the audience will learn how to use innovative and experiential methods for teaching interprofessional teams and residents about the implementation of a successful integrated care model. Preliminary outcomes data for a team-based approach treating patients with complex needs will be shared.
- Describe a process for addressing complex patient needs through interprofessional team-based care.
- Develop innovative and experiential methods for teaching interprofessional teams and residents about interprofessional care.
- Demonstrate familiarity with preliminary outcomes data for a team-based approach treating patients with complex behavioral, social and healthcare needs will be shared.
- Peek, CJ, Cohen, DJ, DeGruy, FJ (2014) Research and Evaluation in the Transformation of Primary Care. American Psychological Association, 69 (4), 430 - 442 .
- Green LA, Chang H-C, Markovitz AR, Paustian ML. The Reduction in ED and Hospital Admissions in Medical Home Practices Is Specific to Primary Care-Sensitive Chronic Conditions. Health Serv Res. 2017:1-17. doi:10.1111/1475-6773.12674.
- Reiss-Brennan B, Brunisholz KD, Dredge C, et al. Association of Integrated Team-Based Care With Health Care Quality, Utilization, and Cost. Jama. 2016;316(8):826. doi:10.1001/jama.2016.11232.
- Stokes, J., Kristensen, S. R., Checkland, K., & Bower, P. (2017). Effectiveness of multidisciplinary team case management: difference-in-differences analysis. British Medical Journal Open, 6, e010468.
- Jiang HJ (AHRQ), Weiss AJ (Truven Health Analytics), Barrett ML (M.L. Barrett, Inc.), Sheng M (Truven Health Analytics). Characteristics of Hospital Stays for Super-Utilizers by Payer, 2012. HCUP Statistical Brief #190. May 2015. Agency for Healthcare R