Geriatrics, interprofessional practice, and interorganizational collaboration: a knowledge-to-practice intervention for primary care teams.
BACKGROUND
Caring for frail seniors requires health professionals with skills and knowledge in 3 core competencies: geriatrics, interprofessional practice, and interorganizational collaboration. Despite a growing population of frail seniors in all developed countries, significant gaps exist in preparation of health professionals in these skills. To help close these gaps, a knowledge-to-practice (KTP) process was undertaken to increase the capacity of newly created family health teams and longer standing Community Health Centers in the Province of Ontario, Canada.


METHODS
Each team identified a staff member to become its facilitator in the 3 core skill sets. Guided by a KTP framework, a set of training modules were created, compiled into a digital toolkit for transfer into practice, translated in a multimethods workshop, and implemented using a variety of strategies to optimize practice change.


RESULTS
Staff from 82% of the targeted primary care teams learned to use the toolkit in a train-the-facilitator process that was highly valued, and prompted a range of changes in personal and team practice. A digital toolkit for primary care teams remains an enduring and often used resource.


CONCLUSIONS
Closing the knowledge gap in the core competencies for frailty focused care is complex. A KTP framework helped guide a staged multimethod process that produced both individual and team practice change and on online toolkit that has a continuing influence.
Director of Education & Knowledge Processes, Regional Geriatric Program of Toronto, Assistant Professor, Faculty of Medicine University of Toronto. david.ryan@sunnybrook.ca.
David
D
Ryan
Robert
R
Barnett
Cheryl
C
Cott
William
W
Dalziel
Iris
I
Gutmanis
David
D
Jewell
Mary Lou
ML
Kelley
Barbara
B
Liu
John
J
Puxty
D000368:Aged; D057191:Capacity Building / Q000379:methods; D003299:Cooperative Behavior; D019033:Delivery of Health Care, Integrated / Q000379:methods / Q000458:organization & administration*; D016330:Frail Elderly; D005853:Geriatrics / Q000193:education* / Q000379:methods / Q000592:standards; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007373:Interinstitutional Relations; D007400:Interprofessional Relations; D009864:Ontario; D010348:Patient Care Team / Q000458:organization & administration* / Q000592:standards; D011320:Primary Health Care / Q000379:methods / Q000458:organization & administration*; D000078329:Workforce
capacity building; geriatrics; interorganizational collaboration; interprofessional practice; knowledge-to-practice; primary care teams