Oral Presentation - Programmatic/Innovation

Leveraging Implementation Science to Innovate Interprofessional Education and Interprofessional Collaboration at an Academic Medical Center

- CDT
Room: Paxton
  • Collaborative Leadership and Shared Responsibility in Interprofessional Teams
Students empowered by interprofessional education (IPE) find themselves disempowered when entering workplaces where high-functioning teams that excel in interprofessional collaboration (IPC) are rare. Previous investigations at Michigan Medicine revealed no system nor strategy to improve teamwork despite teamwork acting as a key driver of employee engagement and patient experience. Michigan Medicine has partnered with the University of Michigan Center for Interprofessional Education (C-IPE) to implement team-training called “Thriving Together”, which aims to strengthen teamwork, improve key patient and workforce metrics, and enhance IPE opportunities for students across the system.Implementation: A structured implementation science approach has guided the approach for implementing the "Thriving Together" program at Michigan Medicine. The Consolidated Framework for Implementation Research (CFIR) was utilized to identify potential barriers and facilitators, while the ERIC framework guided strategies to address them. This systematic method has proven effective, particularly for identifying the need for system buy-in, leading to a multi-pronged approach for ultimately gaining executive support for implementing "Thriving Together".Evaluation plan: Utilizing the RE-AIM evaluation dimensions, we will evaluate the implementation outcomes of the “Thriving Together” program spanning “adoption”, “implementation”, and “maintenance”. Evaluation and measurement across these dimensions will generate broad understanding of system uptake and support of the program. This information will be utilized by the C-IPE to advocate for expansion of the program.Outcome(s) and significance: Although it is critical to evaluate outcomes of the implementation itself, Thriving Together when successfully implemented will have positive downstream effects on system metrics related to teamwork, patient outcomes, workforce engagement, and IPE opportunities. Utilizing an implementation science approach to this work will continue to be critical as we implement and expand the program.

Learning Objectives

  • Describe implementation science frameworks in the context of an IPC innovation
  • Examine the application of implementation science frameworks to guide the development of a collaborative demonstration project focused on IPC at a health system
  • Differentiate implementation science frameworks for various contexts and/or phases of a project

References

  • Patterson V, Smith L, Bishop T, Gardner L, Mangrulkar RS. Thriving Together: Team Coaching for Excellence and a We Culture- A Michigan C-IPE Pilot Program. University of Michigan; 2023.
  • Damschroder LJ, Reardon CM, Widerquist MAO, Lowery J. The updated Consolidated Framework for Implementation Research based on user feedback. Implementation science. 2022;17(1):1-16.
  • Powell BJ, Waltz TJ, Chinman MJ, et al. A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project. Implementation science. 2015;10(1):1-14.
  • Proctor EK, Powell BJ, McMillen JC. Implementation strategies: recommendations for specifying and reporting. Implementation science. 2013;8(1):1-11.
  • Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. American journal of public health. 1999;89(9):1322-1327.