Organizations in Interprofessional Practice Assignment

Organizations in Interprofessional Practice Assignment

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This will be a transcript based on the experience as you, the nurse on the scenario provided. attached is the rubric, scenario, and the example transcript to follow. please follow detailed instructions and competencies asked for Organizations in Interprofessional Practice Assignment

Good afternoon everyone and welcome to my Collaboration and Leadership Reflection Video for NURS4010: Leading People, Processes, and Organizations in Interprofessional Practice. My name is Michelle Taylor. Organizations in Interprofessional Practice Assignment

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During this video I plan to:

Reflect on an interdisciplinary collaboration experience noting ways in which it was successful and unsuccessful in achieving desired outcomes. Organizations in Interprofessional Practice Assignment

Identify how poor collaboration can result in inefficient management of human and financial resources supported by evidence from the literature.

Identify best-practice leadership strategies from the literature, which would improve an interdisciplinary team’s ability to achieve its goals

Identify best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work more effectively together. Organizations in Interprofessional Practice Assignment

I’ll make mention of authors from the literature.

First let me provide some background Organizations in Interprofessional Practice Assignment

The experience I will share tells the story of the interdisciplinary collaboration that occurred during my hospital’s monthly electronic medical record down time planning. I’ll refer to the electronic medical record as an EMR. Organizations in Interprofessional Practice Assignment

As a health care informatics analyst, my job is to serve as a liaison between the clinical and information technology (IT) teams. The IT team has asked me to help identify an appropriate time for the EMR to be taken off line in order to perform mandatory software and hardware updates. The EMR is used to enter orders, allocate medications, document patient care activities, generate lab and other diagnostic results, perform allergy and drug-drug interaction checking, monitor for fall, infection, and sepsis risks. While the EMR is “down” or off-line none of these functions are available and clinicians need to rely upon paper-based down-time procedures. Needless to say, clinicians are dependent upon the EMR for all their patient care activities, and any gap in its availability causes anxiety, frustration, and has the potential to impact patient safety. Because of this, clinicians want the EMR to always be available, and operating at peak performance. The IT team, on the other hand, are required to conduct periodic software and hardware updates in order to maintain system reliability and performance. Organizations in Interprofessional Practice Assignment

The IT team advised my manager that an EMR down time was needed to apply required security patches and upgrade the server operating system. The team anticipated that the entire EMR, including labs and the diagnostic imaging system known as the PACs system, would need to be taken down to apply the patches and perform the upgrades. If these tasks were not performed there was a great risk that the security of the EMR would be jeopardized, and the database corrupted, ultimately resulting in the inability to utilize the EMR or access any patient information. The IT team would need approximately four hours to complete the updates. My manager tasked me to work with the clinicians and IT team to determine a date and time for the down time, create the down time plan, identify resources to provide support pre, during, and post down time, provide down-time related education, and conduct post-down time interviews to identify opportunities for improvement. Organizations in Interprofessional Practice Assignment

After thanking my manager for the opportunity, and taking a deep breath I started to work. Given the fact that all departments would be impacted by the down time for at least four hours, I realized that I would need to engage all of members of the interdisciplinary teams(physicians, nurses, laboratory staff, radiology technicians, patient access teams, IT staff, emergency room staff, etc.) to determine a date and time for the EMR down time. The objective was to identify a four-hour block of time where the least amount of patient care activities would be impacted by the lack of access to the EMR. What a great opportunity to see interprofessional collaboration in action! Organizations in Interprofessional Practice Assignment

The published evidence would support my idea. Quoting from a 2015 publication the Center for Applied Research:

Effective interprofessional collaboration promotes the active participation of each discipline in patient care, where all disciplines are working together and fully engaging patients and those who support them, and leadership on the team adapts based on patient needs. Organizations in Interprofessional Practice Assignment

Effective interprofessional collaboration enhances patient- and family-centered goals and values, provides mechanisms for continuous communication among caregivers, and optimizes participation in clinical decision-making within and across disciplines. It fosters respect for the disciplinary contributions of all professionals.

I’ll now go step by step through the Plan-Do-Study-Act process. I’ll refer to that as the PDSA.

Let’s start with Plan Organizations in Interprofessional Practice Assignment

PDSA as advocated by Donnelly and Kirk —- (writing in 2015) — as a foundation, I met with the nursing, physician, lab, radiology, health information management, emergency department, and IT stakeholders to plan the down time. During these meetings the IT team leaders explained the need and reason for the down time, underscoring the long-term benefits, despite the short-term “pain.” Other stakeholders shared critical patient care activities that occurred in their areas during a 24-hour period. Clarke (writing in 2013) would call such activities as collaborative learning, a demonstrated method for achieving shared successes. The stakeholders explored the pros/cons of a variety of days/times for the EMR down time. As expected, no one day/time was optimal, but realizing the long-term importance of the event, the stakeholders agreed that the EMR down time would occur on Tuesday from 1:00 a.m. to 5:00 a.m. This selection was made for the following reasons: allow end of day billing transactions to be completed; permit the phlebotomy team to begin their morning rounds on time; had a historically low volume of emergency department visits; a radiologist was available to be on site to read imaging studies; and nursing unit staffing was acceptable. Organizations in Interprofessional Practice Assignment

Now I’ll look at the ‘Do’ phase of the PDSA

On Tuesday at 1:00 a.m. the IT team implemented the plan and “took the EMR down.” During this time, the clinical teams resorted to their down-time procedures to request, document, and monitor patient care activities. From 1:00 a.m. to 4:45 a.m. the IT team rebooted 64 servers, applied 14 security patches to the software, installed the new version of the operating system, and tested the updates to make sure there were no negative impact on the EMR. The clinical teams could access the EMR at 4:55 a.m. Organizations in Interprofessional Practice Assignment

Now let’s explore the Study phase

At Tuesday 8:00 a.m. the organization’s stakeholders met to review (“or study”) the down time events. This activity is supported by 2018 guidance from the Institute for Healthcare Improvement support the value of PDSA cycle as a scientific method. We demonstrated this best practice when the stakeholders identified what worked well during the down time, listed opportunities for improvement, and summarized and reflected upon lessons learned. Organizations in Interprofessional Practice Assignment

Last, but not least, let’s explore the Act phase

The stakeholders identified the following as lessons learned:

Tuesdays from 1:00 a.m. to 5:00 a.m. was an optimal time to take the EMR offline

Downtime procedures need to be reviewed with all nursing staff as several units did not know how to obtain down time forms

Additional phlebotomy staff are needed to help with first round lab draws in order to minimize delays in lab result processing

The PACs administrator needs to be on site to assist radiologists with down time processes

The clinical informatics staff needs to round every hour to support staff pre, during, and post down time

Providing an explanation of the importance of the down time was critical to the success of the event

There was no delay in critical test result notification or medication errors during the down time

Future down time events will be communicated at least two weeks in advance; all stakeholders will meet two days before the event to review down time plan. Organizations in Interprofessional Practice Assignment

When you think about it, the PDSA process is a way to lead an interdisciplinary team through effective change. This is part of being a high reliability organization

Planning and implementing an organization-wide EMR down time provided an opportunity to demonstrate the impact of interdisciplinary collaboration. Poor collaboration and incomplete planning could have resulted in delays in communicating critical test results, medication errors, and potential patient harm. Stakeholder engagement is identified as one of the foundations to the achievement of a high reliability organization.  Organizations in Interprofessional Practice Assignment High reliability organizations according to the Agency for Healthcare Research and Quality are those that “operate in complex, high-hazard domains for extended periods without serious accidents or catastrophic failures. The concept of high reliability is attractive for health care, due to the complexity of operations and the risk of significant and even potentially catastrophic consequences when failures occur in health care” (AHRQ, 2019, para 1). Patient safety should always be the focus of any interdisciplinary collaboration. “ The Joint Commission suggests that hospitals and health care organizations work to create a strong foundation before they can begin to mature as high reliability organizations. Quoting 2019 guidance from the Agency for Healthcare Research and Quality : Such foundational work includes developing a leadership commitment to zero-harm goals, establishing a positive safety culture, and instituting a robust process improvement culture”. Organizations in Interprofessional Practice Assignment

So, upon reflection, I am happy to say that I survived this experience. I learned a lot about myself as a result of the project. I actually thanked my manager for the opportunity; and told her I would be happy to do it again. Without the support and engagement of the department directors, and the cooperation and partnership of the front-line teams the EMR down time could have been a chaotic event, creating opportunities for medication and diagnostic errors, resulting in patient harm. Through this experience I discovered the power of collaboration, and the critical role of leadership in organization-wide project implementation. Organizations in Interprofessional Practice Assignment

For this assessment, you will create a 5-10 minute video reflection that addresses either an interprofessional collaboration you experienced or a collaboration case study scenario that you imagine you experienced.

Instructions

Write a transcript  (5–10 minutes) where you reflect on an interprofessional collaboration experience, proposing recommendations for how to improve interprofessional collaboration that can be shared with leadership and colleagues. Support these recommendations with references to the literature. Organizations in Interprofessional Practice Assignment

The interprofessional project that you reflect on may be one that you collaborated on at your current or former place of practice, or you may choose to imagine you collaborated on the interprofessional project presented in the Assessment 01 Supplement: Collaboration and Leadership Reflection Video [PDF] Download Assessment 01 Supplement: Collaboration and Leadership Reflection Video [PDF]resource and reflect on that.

Be sure that your assessment addresses the following criteria. Please study the scoring guide carefully so you will know what is needed for a distinguished score:

• Reflect on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes.
  • Explain aspects of the collaboration that helped the team make progress toward relevant goals or outcomes.
  • Explain aspects of the collaboration that could have been improved.
• Identify how poor collaboration can result in inefficient management of human and financial resources, citing supporting evidence from the literature.
  • Discuss the ways in which the interdisciplinary team did not collaborate effectively. Organizations in Interprofessional Practice Assignment
  • Discuss the negative implications for the human and financial resources of the interdisciplinary team and the organization as a whole.
  • Cite the literature for support.
• Identify best-practice leadership strategies from the literature that would improve an interdisciplinary team’s ability to achieve its goals, citing at least one author from the literature.
  • Identify at least one leadership best practice or strategy that you believe would improve the team’s ability to achieve their goals.
  • Identify the strategy and its source or author and provide a brief rationale for your choice of strategy.
  • Cite the literature for support.
• Identify best-practice interdisciplinary collaboration strategies to help a team achieve its goals and work together, citing the work of at least one author.
  • Identify at least one best practice or strategy for interdisciplinary collaboration to help the team achieve its goals and work more effectively together.
  • Identify the strategy, its source, and reasons why you think it will be effective.
• Communicate in a professional manner, is easily audible, and uses proper grammar. Format reference list in current APA style.
  • Submit an APA-formatted reference list for any sources that you cited specifically in your video or used to inform your presentation. Organizations in Interprofessional Practice Assignment

Additional Requirements

• References: Cite at least 3 professional or scholarly sources of evidence to support the assertions you make in your transcript. Include additional properly cited references as necessary to support your statements.
• APA Reference Page: Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video.
  • You may wish to refer to the Campus APA Module for more information on applying APA style.
• Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.
  

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Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

• Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
  • Identify ways poor collaboration can result in inefficient management of human and financial resources, supported by evidence from the literature.

• Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
  • Reflect on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes.
  • Identify best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work together more effectively. Organizations in Interprofessional Practice Assignment

• Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
  • Identify best-practice leadership strategies from the literature that would improve an interdisciplinary team’s ability to achieve its goals.

• Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
  • Communicate via video with clear sound and light.

The full reference list is from relevant and evidence-based (published within 5 years) sources, exhibiting nearly flawless adherence to APA format Organizations in Interprofessional Practice Assignment

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