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Staff perceptions implementing interprofessional team-based behavioural healthcare.

Bo Kim1,2, Christopher J Miller1,2, A Rani Elwy1,3

  • 1a VA Health Services Research & Development Center for Healthcare Organization and Implementation Research , Boston , Massachusetts , USA.

Journal of Interprofessional Care
|March 10, 2017
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Summary
This summary is machine-generated.

Front-line staff in the US Veterans Health Administration (VHA) mental health clinics shared perspectives on implementing interprofessional team-based care. Enhancing staff experiences around supervision, professional growth, patient care, and technology can strengthen support for this collaborative care model.

Keywords:
Collaborative care model grounded thematic analysisimplementationinterprofessional teamworkinterviewsteam-based care

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Area of Science:

  • Healthcare Management
  • Mental Health Services
  • Interprofessional Collaboration

Background:

  • The US Veterans Health Administration (VHA) mandated nationwide interprofessional team-based care in mental health settings starting in 2013.
  • The collaborative care model was officially endorsed in 2015 to guide coordinated and anticipatory care delivery.
  • Front-line clinic staff are key stakeholders impacted by this implementation, influencing its success.

Purpose of the Study:

  • To examine front-line staff perspectives on delivering team-to-patient care in VHA general mental health clinics.
  • To identify system-level strategies that can best support the transition from provider-to-patient care to team-based care.
  • To understand staff experiences with interprofessional care implementation.

Main Methods:

  • Conducted 14 semi-structured interviews with staff from general mental health clinics across three VHA medical facilities.
  • Interview questions focused on care organization, delivery, inter-staff collaboration experiences, and change management.
  • Qualitative analysis to identify recurrent themes in staff perspectives.

Main Results:

  • Four recurrent themes emerged: navigating supervision/organization/roles, professional growth/relationships, patient-focused care delivery, and using information technology for communication and panel management.
  • Quality improvement efforts were infrequently discussed by staff.
  • Staff perspectives highlight key areas for supporting the transition to team-based care.

Conclusions:

  • Staff endorsement of interprofessional care teams can be strengthened by aligning support efforts with identified emergent themes.
  • Addressing staff experiences in supervision, professional development, patient care delivery, and technology utilization is crucial.
  • System-level interventions should focus on enhancing these themes to foster successful implementation of collaborative care models.