title: Minding the gap: Interprofessional communication during inpatient and post discharge chasm care.
abstract: OBJECTIVE
  Poor communication is cited as a main cause of poor patient outcomes and errors in healthcare, and clear communication can be especially critical during transitions such as discharge. In this project, communication was standardized for clarity, and techniques were implemented to continue care from inpatient, to discharge, across the post-discharge chasm, to hand-off with the primary care provider (PCP).
  
  
  METHODS
  The interprofessional (IP) quality improvement initiative included: (1) evidence-based teamwork system; (2) in situ simulation; (3) creation of an IP model of care; and (4) innovations in use of telehealth technology to continue care post-discharge.
  
  
  RESULTS
  Measures inpatient/parent satisfaction and the attitudes of the care team have improved.
  
  
  CONCLUSIONS
  Traditional methods of communication and transition do not meet patient or healthcare provider needs. Communication must be standardized to be understandable and be used by the IP team. Care must continue post-discharge by utilizing technology to increase quality and continuity of care.
  
  
  CONCLUSIONS
  Improving and practicing communication skills may lead to reductions in healthcare errors and readmissions, and may decrease the length of stay and improve satisfaction of care teams.
authors: School of Medicine, University of Kansas, Kansas City, USA; Center for Interprofessional Education, University of Kansas, Kansas City, USA.
authors: Mitzi
authors: M
authors: Scotten
authors: School of Nursing, University of Kansas, Kansas City, USA; Center for Health Informatics, University of Kansas, Kansas City, USA; Center for Interprofessional Education, University of Kansas, Kansas City, USA. Electronic address: LManos@kumc.edu.
authors: Eva LaVerne
authors: EL
authors: Manos
authors: University of Kansas Hospital, University of Kansas, Kansas City, USA.
authors: Allison
authors: A
authors: Malicoat
authors: School of Medicine, University of Kansas, Kansas City, USA.
authors: Anthony M
authors: AM
authors: Paolo
mesh_terms: D003142:Communication; D003266:Continuity of Patient Care; D003299:Cooperative Behavior; D003695:Delivery of Health Care / Q000458:organization & administration; D004502:Education, Medical, Continuing / Q000379:methods*; D006801:Humans; D007297:Inpatients; D033183:Interdisciplinary Communication; D007400:Interprofessional Relations; D007615:Kansas; D010348:Patient Care Team / Q000458:organization & administration*; D010351:Patient Discharge; D016544:Patient Simulation; D018802:Patient-Centered Care; D058996:Quality Improvement
keywords: Brief; Core competencies for interprofessional collaborative practice; Huddle; ISBAR; In situ simulation; Interprofessional Education Collaborative, IPEC; Interprofessional collaborative care; Interprofessional collaborative practice; Interprofessional education; Interprofessional healthcare team; Self-selected simulation scenarios; TeamSTEPPS(®); Telehealth