Running Effective Interdisciplinary Team (IDT) Meetings
Running EffectiveInterdisciplinary Team (IDT)MeetingsConnie Dahlin, MSN, ANP-BC, ACHPNAndrew Esch, MD, MBAApril 30, 2018
Join us for upcoming CAPC events Upcoming Improving Team Effectiveness Series Events:– Team Communication: Thursday, May 17, 2018 1:30 PM ET Other Upcoming Webinars:– EHR Strategies for the Palliative Care Team: A Town Hall Discussion Wednesday, May 23, 2018 1:30 PM ETVirtual Office Hours:– Planning for Community-Based Care: Getting Started with Jeanne Twohig,MPA May 2, 2018 at 12:30 pm ET– Improving Team Effectiveness with Andrew E. Esch, MD, MBA and TomGualtieri-Reed, MBAMay 29, 2018 at 2:00 pm ET2Register at -hours/
Running EffectiveInterdisciplinary Team (IDT)MeetingsConnie Dahlin, MSN, ANP-BC, ACHPNAndrew Esch, MD, MBAApril 30, 2018
Objectives Describecommon struggles during IDTmeetings Identifykey principles and best practices Developstrategies for connectedness,inclusion and efficiency4
Webinar TMeetingsHospitalIDTClinic andHomePalliativeCare IDTLessonslearnedQ&A
Common Struggles IDTmeetings are long and seem to takeforever Poor attendance of team members Some members talk too much, somemembers not at all Ownership - “My patient, your patient” No consistency in patient presentation6
General Principles forEffective IDT Meetings Beefficient Beinclusive Usea Rounding Tool Attendancemust be mandatory Democraticprocess is essential7
Purpose of IDT meetings Qualitypatient care Teamcohesion Teamsupport GET THERIGHT PERSON WITH THERIGHT SKILLS IN FRONT OF THERIGHT PATIENTS EVERY DAY8
Attendance Allteam members are important to patientcare, therefore everyone needs to be there Attendance develops team chemistry andcommitment to each other A forum to provide support for one another You are NOT too busy for IDT meetings– Discipline for missing IDT meetings9
Democracy is Essential Everyone Promotehas important things to contributeIDT team– Everyone leads meetings Developstrategies to avoid DD (doctordomination)– Everyone has an equal voice on every patient10
Be Efficient Seta start and stop time for meetings Staytrue to the rounding tool Develop Spend Talka triage systemless time on less acute patientsabout your personal life over lunch orafter work11
Be InclusiveAvoid ”my patient, your patient” Invite other specialty team providers or disciplines – Pharmacy, pediatrics, addiction services Invite C-suite members Invite healing art therapists Invite volunteers Basically, if a person wants to come and can help thepatients – let them12
Rounding Tool Theidea is to get the right person fromyour team in front of the right patient onthe right day Fordetails of one sample– CAPC Clinical Rounding Tool13
Rounding Tool Example Patient name and agePertinent Medical HxPertinent CurrentHospitalization EventsPertinent Psychosocial HxReason for ConsultSymptom managementGoals of CareSupport/Counseling/EducationAdvance Care Planning– Surrogate Decision Maker– Advance Directives– Code Status 14Probable Disposition Brief and concise assessment,outcomes and plan.What are the patient/familyneeds today?What is plan for today?What is plan to collaborate withconsulting physician/clinicianPatient/family acuity for visitsand by whom–––––see dailysee 2-3/weeksee PRN,monitor via Case Managementchart review
Rounding Tool Besttool is one the team agrees on or createstogether Can also be simple– Where were we on admission– Where are we today– Where do we plan on going KEYto efficiency– Every patient presented the same way– Everyone on team should be involved in developingthe tool15
HOSPITAL IDT MEETINGS16
Special Considerations Usually Longhigh volumelists, short bench Distractions/opportunityrounds, CM rounds) Handoffs17costs (ICU
Hospital IDT Meetings Clarifying purpose of meetingUse of a rounding tool– Co-created by all disciplines Sharing leadership of the meeting byrotation Ground rules of meetings Rule for Visitors18
Using A Rounding Tool Keepsteam on “same page” Keeps meeting efficient When developed by the team, everyone feelsgood about using it We are all trained and approach care fromdifferent perspectives – this should be a toolthat everyone is comfortable with19
Share Leadership Giveeveryone regular opportunities tolead meetings Providea rounded perspective of thepatient and family This20helps avoid Doctor Domination
Set Ground Rules Set time limits (overall start and stop) No missing IDT meetings Start off meeting with particular patients that need timedue to complexity or care No interrupting – except by team leader No judgments Careful use of humor Get in, get out, get seeing patients21
Visitors Needto educate team on comments– Would it be okay to see comments in the paper? Greatway to educate colleagues Greatway to show C-suite the breadth ofwhat you do Extendyour team– Or do you already have enough resources?22
PALLIATIVE IDT MEETINGSFOR CLINIC AND HOMEBASED PALLIATIVE CARE23
Special Considerations SocialIsolation Technology Balancing24vs. time investment to be F2Fefficiency against need
Clinic and Home Based IDTMeetings Clarifyingpurpose of meeting– Often has multiple purposes Bringingeveryone to the table– In person– Via technology Respect25for time
Clinic and Home Based IDT Reasonfor consult Function of patient Family support Other resources– hospice, home health– aging services, nutrition, respite services Planof care Next visit26
IDT MeetingsReassess Process What Howis working and what is not?to change? Keepbusiness meetings separate frompatient care meetings27
Questions?Please type your question into the questions paneon your WebEx control panel.
Improving Team Effectiveness Series Keep the conversation going in theImproving Team Effectiveness virtualoffice hours. Next session is May 29,2018 at 2pm. Register on capc.org orCAPC Central Virtual Office Hourspages. CAPC Monograph: “Strategies forMaximizing the Health/Function ofPalliative Care Teams” Join us for upcoming webinars onother Team Effectiveness topics: Check out our new Quick Tips on theImproving Team Effectiveness page inCAPC Central– Team Communication on 5/17/18 at1:30pm ESTRegister for all upcoming events ice-hours/
Join us for upcoming CAPC events Upcoming Improving Team Effectiveness Series Events: – Team Communication: Thursday, May 17, 2018 1:30 PM ET Other Upcoming Webinars: – EHR Strategies for the Palliative Care Team: A Town Hall Discussion Wednesday, May 23, 2018 1:30 PM ET Virtual Office Hours: – Planning for Community-Based Care: Getting Started with Jeanne Twohig,
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8. Chapter 8: IDT, Assessment & Care Planning - The intent of the first portion of chapter 8 is to clarify the regulatory requirements for the Interdisciplinary Team (IDT) as defined by the PACE regulations. It outlines the makeup of the IDT and their roles and responsibilities. It then covers development of plans of care,
InterdIsCIplInary team (Idt) ConferenCe GuIde 5 map of denver ConventIon Center Level 1 Level 2 Level 3 CHAM P. WE ON S T. SPEER B V D. 14TH S T. D C E B F A MEETING ROOM LEVEL 100,000 Square Feet of Meeting Room Space 5,000-Fixed Seat Wells Fargo Theatre BALLROOM LEVEL 50,000 Square Foot Korbel Ballroom 35,000 Square Foot Four Seasons Ballroom .
Aug 07, 2019 · The IDT meeting agenda template helps to define the purpose of each meeting and prepares members by including topics or questions that require team discussion; it also serves as a location for the IDT lead to track notes, action
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The questionnaire must be reviewed with the person and completed by the Interdisciplinary Team (IDT) during the Community Participation Planning Meeting. The purpose of the questionnaire is to assist the IDT in exploring what is important to the person, assess the person's interest in pre-COVID-19 day supports and guide
RP-2 ISO 14001:2015 Issued: 8/15/15 DQS Inc. Revised: 5/12/17 Introduction This Environmental Management System Assessment Checklist is a tool for understanding requirements of ISO14001:2015 “Environmental management systems – Requirements with guidance for use”. The Checklist covers Clauses 4-10 requirements with probing questions about how an organization has addressed requirements and .
