Concurrent Sessions

A3 A TIP for Interprofessional Complex Care – Sharing Your Team

Theme 3. Expanding your reach

Presentation Details

  • Date: Wednesday, October 24, 2018
  • Concurrent Session A
  • Time: 2:30 – 3:15pm
  • Room:
  • Style: Presentation (information provided to audience, with opportunity for audience to ask question)
  • Focus: Practical (e.g. Presentation on how to implement programs and/or practices in the team environment)
  • Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.), Clinical providers, Representatives of stakeholder/partner organizations

Learning Objectives

  • What is TIP and how did it get started
  • How to use an interprofessional team to proactively address complex medical needs
  • How to maximize specialist sessionals and IHPs to help community family physicians

Summary/Abstract

The Sunnybrook Academic Family Health Team first published our innovative interprofessional model of practice for aging and complex treatments (IMPACT) in 2013.  The bulk of chronic disease care is provided in primary care but the amount of time needed to address complex patient needs prohibits us from meeting their needs during regular clinic visits.  IMPACT is a team based model which involves a pre-visit assessment, a 1-2 hour visit with the patient, family, our interprofessional team and a geriatrician.  We have had tremendous success with improving the care for complex seniors.      The program has evolved over the years and another model has been created to help non-FHT physicians access this type of care.  Telemedicine Impact Plus (TIP) has spread across the Toronto Central LHIN with a number of teams now providing this care.   As a Wave 5 FHT with limited resources, we have had to be creative about the use of our team members to be able to provide both IMPACT and TIP clinics regularly.  We now piggyback one of each type of visits using the same team to make scheduling easier, minimize travel and maximize use of our sessional funding.    There are now 12 teams doing TIP and the model is being used for all age groups.

Presenters

  • Tracy Hussey-Whalen, Executive Director, Sunnybrook Academic Family Health Team

Authors & Contributors

  • Dr Debbie Elman
  • Ingrid Wirsig, Program Coordinator