title: Perceived performance and impact of a non-physician-led interprofessional team in a trauma clinic setting.
abstract: Faced with the challenge of meeting the wide degree of post-discharge needs in their trauma population, the University of Pittsburgh Medical Center (UPMC) developed a non-physician-led interprofessional team to provide follow-up care at its UPMC Falk Trauma Clinic. We assessed this model of care using a survey to gauge team member perceptions of this model, and used clinic visit documentation to apply a novel approach to assessing how this model improves the care received by clinic patients. The high level of perceived team performance and cohesion suggests that this model has been successful thus far from a provider perspective. Patients are seen most frequently by audiologists, while approximately half of physical therapy and speech language therapy consults generate a new therapy referral, which is interpreted as a potential change in the patient's care trajectory. The broader message of this analysis is that a collaborative, non-hierarchical team model incorporating rehabilitative specialists, who often operate independently of one another, can be successful in this setting, where patients appear to have a strong and previously under-attended need for rehabilitative intervention.
authors.affiliation: a Department of Health Policy and Management, Graduate School of Public Health , University of Pittsburgh , Pittsburgh , Pennsylvania , USA.
authors.forename: Julia
authors.initials: J
authors.lastname: Driessen
authors.affiliation: b Health Services Division, Wolff Center , University of Pittsburgh Medical Center , Pittsburgh , Pennsylvania , USA.
authors.forename: Johanna E
authors.initials: JE
authors.lastname: Bellon
authors.affiliation: c School of Health and Rehabilitation Sciences , University of Pittsburgh , Pittsburgh , Pennsylvania , USA.
authors.forename: Joel
authors.initials: J
authors.lastname: Stevans
authors.affiliation: d Division of General Surgery , University of Pittsburgh Medical Center , Pittsburgh , Pennsylvania , USA.
authors.forename: Raquel M
authors.initials: RM
authors.lastname: Forsythe
authors.affiliation: e The UPMC Office of Advanced Practice Providers , University of Pittsburgh Medical Center , Pittsburgh , Pennsylvania , USA.
authors.forename: Benjamin R
authors.initials: BR
authors.lastname: Reynolds
authors.affiliation: a Department of Health Policy and Management, Graduate School of Public Health , University of Pittsburgh , Pittsburgh , Pennsylvania , USA.|c School of Health and Rehabilitation Sciences , University of Pittsburgh , Pittsburgh , Pennsylvania , USA.
authors.forename: A Everette
authors.initials: AE
authors.lastname: James
mesh_terms: D000488:Allied Health Personnel / Q000458:organization & administration* / Q000523:psychology; D001291:Attitude of Health Personnel; D003142:Communication; D003299:Cooperative Behavior; D006126:Group Processes; D006801:Humans; D007400:Interprofessional Relations; D010347:Patient Care Planning; D010348:Patient Care Team / Q000458:organization & administration* / Q000592:standards; D010351:Patient Discharge; D010465:Perception; D024382:Professional Role; D012046:Rehabilitation / Q000458:organization & administration* / Q000592:standards; D014947:Wounds and Injuries / Q000534:rehabilitation*
keywords: Interprofessional evaluation; quantitative method; surveys; team culture; team effectiveness; team-based care