title: Innovative approaches to interprofessional care at the University of Pittsburgh Medical Center.
abstract: The enactment of the Affordable Care Act expands coverage to millions of uninsured Americans and creates a new workforce landscape. Interprofessional Collaborative Practice (ICP) is no longer a choice but a necessity. In this paper, we describe four innovative approaches to interprofessional practice at the University of Pittsburgh Medical Center. These models demonstrate innovative applications of ICP to inpatient and outpatient care, relying on non-physician providers, training programs, and technology to deliver more appropriate care to specific patient groups. We also discuss the ongoing evaluation plans to assess the effects of these interprofessional practices on patient health, quality of care, and healthcare costs. We conclude that successful implementation of interprofessional teams involves more than just a reassignment of tasks, but also depends on structuring the environment and workflow in a way that facilitates team-based care.
authors.affiliation: a Graduate School of Public Health, Health Policy and Management, University of Pittsburgh , Pittsburgh , PA , USA .|b Health Policy Institute, University of Pittsburgh , Pittsburgh , PA , USA .
authors.forename: Julia
authors.initials: J
authors.lastname: Driessen
authors.affiliation: a Graduate School of Public Health, Health Policy and Management, University of Pittsburgh , Pittsburgh , PA , USA .|b Health Policy Institute, University of Pittsburgh , Pittsburgh , PA , USA .
authors.forename: Johanna E
authors.initials: JE
authors.lastname: Bellon
authors.affiliation: b Health Policy Institute, University of Pittsburgh , Pittsburgh , PA , USA .|c School of Health and Rehabilitation Sciences, University of Pittsburgh , Pittsburgh , PA , USA .
authors.forename: Joel
authors.initials: J
authors.lastname: Stevans
authors.affiliation: a Graduate School of Public Health, Health Policy and Management, University of Pittsburgh , Pittsburgh , PA , USA .|b Health Policy Institute, University of Pittsburgh , Pittsburgh , PA , USA .
authors.forename: A Everette
authors.initials: AE
authors.lastname: James
authors.affiliation: d University of Pittsburgh Medical Center , Pittsburgh , PA , USA , and.
authors.forename: Tami
authors.initials: T
authors.lastname: Minnier
authors.affiliation: e Office of Advanced Practice Providers, University of Pittsburgh Medical Center , Pittsburgh , PA , USA.
authors.forename: Benjamin R
authors.initials: BR
authors.lastname: Reynolds
authors.affiliation: a Graduate School of Public Health, Health Policy and Management, University of Pittsburgh , Pittsburgh , PA , USA .|b Health Policy Institute, University of Pittsburgh , Pittsburgh , PA , USA .
authors.forename: Yuting
authors.initials: Y
authors.lastname: Zhang
mesh_terms: D000046:Academic Medical Centers; D003299:Cooperative Behavior; D004059:Diffusion of Innovation; D006801:Humans; D007400:Interprofessional Relations; D010347:Patient Care Planning / Q000592:standards*; D010348:Patient Care Team / Q000458:organization & administration*; D058991:Patient Protection and Affordable Care Act; D010414:Pennsylvania; D014481:United States; D014495:Universities
keywords: Advanced practice providers; e-visits; geriatric care; hospitalists; interprofessional collaborative practice; outpatient clinic