Lightning Talk

The Jefferson Complex Care Assessment: Development, Implementation, and Outcomes

Wednesday, September 27, 2023, 1:15 pm - 2:15 pm CDT
Some experience with IPE
complex care
Sample video
Lightning Talk Live Discussion Recording

Lightning Talk Description: The Jefferson Student Interprofessional Complex Care Collaborative (J-SICCC), formerly known as the Student Hotspotting program, is an experiential, six-month program that pairs interprofessional teams of students with individuals in the community experiencing complex health and social needs. J-SICCC is based on the hotspotting model, developed by the Camden Coalition of Healthcare Providers. It involves the strategic use of data to direct personalized, hands-on interventions toward “high-utilizers” with the aim of improving health while reducing high utilization and related costs. The objectives of J-SICCC include developing competencies in interprofessional teamwork, identifying and addressing root causes of high healthcare utilization, cultivating skills for building trusting relationships, and navigating health and social services to better serve individuals with complex health and social needs. Assessment plays a key role in understanding the students’ change in knowledge, skills and attitudes (KSA) and impact of the program.

We will present a newly devised tool for measuring the impact of interprofessional, complex care curriculums on students’ knowledge, skills, and attitudes. Prior instruments assessing the impact of Student Hotspotting on students focused on characteristics of “super-utilizers.” However, the field of complex care has moved towards different nomenclature with the publication of core competencies in complex care in 2020. To develop a new KSA assessment, an interprofessional faculty team performed a literature review to identify related tools, reviewed key competencies in complex care and interprofessional collaborative practice, iteratively created and refined questions to address critical aspects of complex care, and formulated brief case descriptions for knowledge questions. The J-SICCC KSA included 20 multiple-choice and 15 Likert-scale questions (1 = strongly disagree to 1 = strongly agree). This project meets the priority criteria for measurable learning outcomes and design to impact Quadruple Aims outcomes.

The new KSA was piloted in two cohorts (2021-2023) of the J-SICCC program (n=198 students) with 17 professions from eight institutions. Exploratory factor analysis was conducted to identify the factor structure of 15 Likert-scale items. Results suggest a two-factor structure: self-efficacy in skills (7 items; M=4.9, SD=1.32) and attitudes toward providing care for complex patients (3 items; M=6.46, SD=.8). Future work will investigate if a 3-factor solution provides evidence for a subscale of attitudes toward collaborative practice. Difficulty and discriminability of knowledge questions will be identified using Item Response Theory. This work informs the utility of the J-SICCC KSA for student assessment and impact of complex care curriculums.

Accreditation Details

In support of improving patient care, this activity is planned and implemented by The National Center for Interprofessional Practice and Education Office of Interprofessional Continuing Professional Development (National Center OICPD). The National Center OICPD is accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

As a Jointly Accredited Provider, the National Center is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. The National Center maintains responsibility for this course. Social workers completing this course receive continuing education credits.

The National Center OICPD (JA#: 4008105) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers (ATs).

This activity was planned by and for the healthcare team, and learners will receive Interprofessional Continuing Education (IPCE) credit for learning and change.

Text reads "Office of Interprofessional Continuing Professional Development" and shown are logos for the National Center for Interprofessional Practice and Education,
                    the University of Minnesota School of Nursing, and the University of Minnesota College of Pharmacy.
 

Physicians: The National Center for Interprofessional Practice and Education designates this live activity for AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with their participation.

Physician Assistants: The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.

Nurses: Participants will be awarded contact hours of credit for attendance at this workshop.

Nurse Practitioners: The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.

Pharmacists and Pharmacy Technicians: This activity is approved for contact hours.

Athletic Trainers: This program is eligible for Category A hours/CEUs. ATs should claim only those hours actually spent in the educational program.

Social Workers: As a Jointly Accredited Organization, the National Center is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. The National Center maintains responsibility for this course. Social workers completing this course receive continuing education credits.

IPCE: This activity was planned by and for the healthcare team, and learners will receive Interprofessional Continuing Education (IPCE) credits for learning and change.

Learners can claim CE credit by completing the Daily Evaluation.