Using a New Mobile Application to Evaluate Collaborative Practice in Family Medicine

02-06-2017 20:35

The purpose of this study was to test the feasibility of using a mobile application version of the Jefferson Teamwork Observation Guide (JTOG) with a diverse family medicine patient population to gather their perceptions of team-based care delivery. A validated tool to assess interprofessional education (IPE) core competencies (values/ethics, communication, teamwork and roles/responsibilities) has been identified as a significant gap in the literature (IOM, 2015). Most IPE assessment tools to date have examined “attitudes” and little research has demonstrated tools that measure changes in behavior of participants in IPE programming. In addition, few studies have successfully demonstrated a link between effective team function and improved patient outcomes or experience. Educational concept and curricular design In 2015, a research team validated a tool, called the Jefferson Teamwork Observation Guide (JTOG), to assess team function and identify behaviors consistent with effective team functioning. This tool was converted to a portable mobile app prototype, and individual, patient, and caregiver/family versions of the app prototype were also developed to allow for a robust 360° evaluation of teamwork and to enhance patient safety. The tool was administered with volunteer Family Medicine patients on both the inpatient and outpatient (a level three Patient Centered Medical Home) setting at a large teaching institution. Evaluation methods The purpose of this study was to pilot the Patient JTOG mobile application prototype with a diverse population of family medicine patients, in both inpatient and outpatient settings, to gather their perceptions of team functioning by family medicine care teams. After being seen by a healthcare team, patients were asked to participate in a short, voluntary survey consisting of ten Likert scale questions and one open-ended question. Questions were mapped to four domains of interprofessional collaborative practice, including communication (C), values/ethics (V/E), teamwork (T), roles/responsibilities (R), and one domain on patient-centeredness (PC). The survey was administered on secure mobile tablets by trained research assistants who were not part of the healthcare team. The study received exempt approval by our Institutional Review Board.

Author(s):Lauren Collins, MD; Shoshana Sicks, EdM; Alicia Muratore, MSIII
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