2023-24 Progress Report from the University of Michigan Center for Interprofessional Education
MICHIGAN CENTER FOR INTERPROFESSIONAL EDUCATION
In the summer of 2022, the Center for Interprofessional Education (C-IPE) launched a new strategic plan that would guide our work for the next 18 months.
Known as the “Next Phase” Strategic Blueprint, we outlined five key strategies centered around a single goal: Innovating and Implementing IPE at U-M to improve the Quadruple Aims of Health.
In that time, we adopted a broad and diverse portfolio of projects. This work involved over 70 faculty, staff and students who spent time exploring new areas and designing interprofessional experiences in both education and practice settings to draw a closer connection to health improvement. Through that work, we began to understand where we could help and how we could add the most value to the University of Michigan, Michigan Medicine and community systems that improve health.
I am extremely proud of the work of our colleagues. And I am also excited about what comes next for C-IPE as we prepare to enter the next part of our strategic work, “Stage 2.” Importantly, we came
together and agreed to enhance our mission to now embrace the “Quintuple Aims of Health,” where we are focused on reducing health disparities and advancing health equity as a result of designing interprofessional education and practice.
This report highlights key initiatives, progress and partnerships championed over our last year. It also provides a look at the work that is underway to redefine our stakeholders, optimize student learning environments in the practice and community settings, all so we evolve to become a driver of high-quality teambased practice for our patients and for our future health professionals.
I hope you enjoy the stories of the exciting work of our IPE community of practice!
I also hope you will join us; it truly takes a great TEAM to shape the future of health and health care.
With gratitude,
Rajesh S. Mangrulkar, M.D., FNAP Director, Michigan Center for Interprofessional Education (C-IPE)
MICHIGAN CENTER FOR INTERPROFESSIONAL EDUCATION TEAM
Rajesh S. Mangrulkar M.D., FNAP, Director
COLLABORATING U-M SCHOOLS AND COLLEGES
School of Dentistry
College of Education, Health & Human Services (UM-Dearborn)
College of Health Sciences (UM-Flint)
School of Kinesiology
Medical School
School of Nursing
School of Nursing (UM-Flint)
College of Pharmacy
School of Public Health
School of Social Work
MICHIGAN CENTER FOR IPE MISSION
Innovating and transforming interprofessional education, collaborative practice and research to achieve the Quintuple Aims of Health.
VISION
The University of Michigan Center for Interprofessional Education and its partners bring faculty, staff and students together to design and implement innovative interprofessional education experiences in didactic and experiential settings so that learners are effective team members and can lead the development of new models of collaboration. The Center partners with university and community units in developing and educating learners in these new models of interprofessional collaboration in the practice and community settings. Collectively, we strive to measure the impact of IPE on learning, practice and the Quintuple Aims of Health.
OUR PARTNERS
We are grateful for our collaborating partners who help support our mission.
University of Michigan
Center for Academic Innovation (CAI)
Center for Research on Learning & Teaching (CRLT)
Edward Ginsberg Center for Community Service and Learning
Health Equity. Action. Research. Teaching. (HEART) at UM-Flint
Information and Technology Services (ITS)
Institute for Healthcare Policy and Innovation (IHPI)
Taubman Health Sciences Library (THSL)
University of Michigan Student-Run Free Clinic (UMSRFC)
RISE supports education innovation and collaboration that leads to new ideas in teaching and learning. RISE and C-IPE share space at 5100 THSL and hosted an Open House event in April that brought together stakeholders from across U-M and Michigan Medicine.
RISE and C-IPE teams at Open House.
OUR STRATEGIC WORK: FROM “NEXT PHASE” TO “STAGE 2”
C-IPE’s “Next Phase” strategic plan guided the work that is showcased throughout this report. But planning is already underway for “Stage 2,” scheduled to debut in fall 2024.
Brainstorming for Stage 2 began during a December 2023 strategic retreat. Afterward, we committed our focus to building better teams both “upstream” and “downstream.” The upstream work is what we had been doing with students already, with deliberate attention focused on their development of IPE competencies. The downstream work is expanding and will focus on work in the settings where care is delivered — where our students’ learning is most impacted.
The key directive from the stakeholders at the strategic retreat was that
“The Center for IPE must evolve to become a driver of high-quality team-based practice, optimizing the environments where our students learn.”
We defined four key stakeholder groups critically important to our mission:
Five signature initiatives were defined to drive Stage 2:
Enhancing visibility of educator and learner development through reports and certification
Launching the “stadium” of an IPE community of practice and scholars
Focusing innovation on community health, research, pre-health learners and systems transformation
Implementing and scaling the core curriculum
Governance that reflects all of our stakeholders and key partners
STUDENT ADVISORY COMMITTEE (SAC)
SAC was established in 2018 with the goal of working collaboratively with C-IPE to ensure students are part of the driving force of interprofessional education and collaborative care at U-M. Co-chairs have served as liaisons between health science students, health science school faculty and leaders, and C-IPE. SAC will be redeveloped into a different type of student engagement program during the 2024-25 year as part of our Stage 2 work — one where learners will go deep as future “change agents” to develop as IPE leaders by contributing to specific projects and receiving recognition for their work.
The 2023-24 co-chairs included (from left) Blake Hardin (Medical School), Natalya Salganik (College of Pharmacy), Tommy Lau (School of Dentistry), Taylor Bringard (School of Nursing) and Vahram Gamsarian (Medical School).
FIVE STRATEGIES FOR IMPROVING THE QUINTUPLE AIMS OF
STRATEGY 1: THE CORE CURRICULUM
GOAL:
Strategically review, enhance and scale the IPE “Core” for students at University of Michigan.
WHY:
To prepare a broad base of students with consistent, foundational knowledge of and attitudes toward IPE so they can engage effectively in interprofessional learning and practice in experiential settings.
Team-Based Clinical Decision Making
Patient/Community Interaction
The Core Curriculum: By the Numbers
Intro to IPE:
1,591 students 42 faculty
LIFE: 119 students 13 faculty 15 patient advisors
TEAMS participation:
Activity 1: Observe: 188 students 6 faculty
“This program makes me optimistic about the future of health care even at a time when there are some really significant challenges.”
~ Jennifer Weisbrod, LIFE patient advisor, Office of Patient Experience
Activity 2: Analyze: 218 students 7 faculty
Team-Based Clinical Decision Making: 489 students 13 faculty
Partner Highlight: Center for Research on Learning and Teaching (CRLT)
C-IPE partners with CRLT to utilize their expertise in teaching and learning to support the work being done as part of three strategy areas: 1) the core curriculum, 2) intentional measurement and research and 3) educator development.
BUILDING MOMENTUM
An Updated Introduction to IPE Module
Introduction to Interprofessional Education (IPE) was updated for fall 2023 to incorporate all five IPE competencies as well as intentional content related to social determinants of health and health disparities. This is the first IPE activity students have in their curricula and sets a foundation for collaborative health care that shapes their journey to becoming health care providers. The new version of the module is more comprehensive than previous versions, offering a strong introduction to the current health care landscape and factors that impact one’s health.
Team-Based Clinical Decision Making
This course was revised to reduce logistical and administrative challenges while optimizing learning impact and sustainability for students. A health equity team project was re-imagined this year to include all learners in the course. A new webinar for non-medical students, “Falling Through the Cracks,” shared the story of Greg, a patient who was negatively impacted due to cracks in the health care system, offering students an opportunity to learn and reflect on his experience.
Award for IPE Innovation: TEAMS
This new award, part of the Awards for IPE Innovation & Excellence, honors creative new ideas that advance interprofessional education and practice. Recipients of this award were recognized for their work in implementing Teams Engaging to Acquire Meaningful Skills (TEAMS) activities into the clinical experience for undergraduate nursing students at the School of Nursing. Data from the pilot showed positive findings for learning along with a strong appreciation for other professionals that nurses work closely with to provide care. Read more about TEAMS on page 9.
Team members include:
School of Nursing
• Grace Kanzawa-Lee
• Sue Wintermeyer-Pingel
• Laura Prochnow
• Nicole Smith
• LaToya Brown
• Amy Buckenmeyer
• Michelle Pardee
C-IPE
• Hannah Edwards
FIVE STRATEGIES FOR IMPROVING THE QUINTUPLE AIMS OF HEALTH
STRATEGY 2: EXPERIENTIAL INNOVATION
GOAL:
Launch a suite of experiential IPE pilots that can scale and, as a whole, will address key needs for learning in the practice and community setting for students of the health professional schools and colleges.
“Students who have participated in ICHC value the expertise of the other students and have learned hands-on that all professions need to work together for the best outcomes.”
~ Michelle Pardee, ICHC co-founder
Partner Highlight: Edward Ginsberg Center for Community Service and Learning
C-IPE collaborated with the Ginsberg Center to advance the Interprofessional Community Health Collaborative, a team dedicated to expanding interprofessional education in community health settings.
WHY:
To prepare learners to be “team-ready,” which requires education that moves from theory to practice. Students must be able to function effectively in collaborative teams to serve patients and populations.
Experiential Innovations:
By the Numbers
Interprofessional Community Health Collaborative (ICHC) events
Parkway Meadows:
3 events 33 students 8 faculty/staff
Huron Valley PACE: 1 event 11 students 5 faculty/staff
Cranbrook Tower: 1 event 12 students 5 faculty/staff
IPE intentional learning activities in clinical settings
Transplant surgery IPE pre-rounds: 4 students
Otolaryngology IPE rotation: 3 students
BUILDING MOMENTUM
Interprofessional Community Health Collaborative (ICHC)
The ICHC is dedicated to expanding IPE to community health settings to mutually benefit both students and the local community. This year, dietetic students joined medical, pharmacy and nursing students to provide educational and screening events to community members.
Teams Engaging to Acquire Meaningful Skills (TEAMS)
Adapted from the Flexible Activities created by the Centre for Advancing Collaborative Healthcare & Education (CACHE) at the University of Toronto, TEAMS activities provide experiential learning opportunities for students in early, mid and advanced learning stages following a scaffolded learning continuum of 1) Observe, 2) Analyze and 3) Collaborate. Students work through this framework to get sensitized to teamwork in their clinical rotations, and then work to improve the functioning of these teams. After a successful pilot in the B.S.N. program in 2023, the program expanded to the M.D., M.P.H. and Pharm.D. curricula.
New Interprofessional Intentional Learning Activities in Clinical Settings
Students participated in two intentionally designed IPE clinical rotations that facilitated collaboration amongst each other and with faculty, patients and caregivers to develop their assessment and patient care plan skills. Pharmacy and medical students participated in interprofessional pre-rounds as part of inpatient transplant surgery acute care rotations. Medical students engaged in rotations, learning in complex interprofessional otolaryngology settings.
Award for IPE Excellence: MoveMore
The second award, presented as part of the Awards for IPE Innovation & Excellence, honors interprofessional work with a deep record of impact. The MoveMore team created an IPE experience for B.S.N. and D.P.T. students at U-M Flint to practice interprofessional collaborative care while assisting community members who have had a stroke with their walking abilities. Team members include:
UM-Flint College of Health Sciences
• Amy Yorke
• Rebecca James
• Chelsie Smith
• Luke Reed
• Suzanne Trojanowski
• Leslie Smith
UM-Flint School of Nursing
• Maureen Murphy
• Megan Keiser
• Abigail Davis
STRATEGY 3: INTENTIONAL MEASUREMENT & RESEARCH
GOAL:
Implement a portfolio of valid assessment tools in our IPE experiences that measure outcomes reliably and consistently.
“I appreciated hearing a patient’s perspective on how much they value IPE and how important it is to engage in IPE at the start of our education. This reinforces the idea that the work we are doing within IPE is meaningful and makes an impact on the care we provide to patients.”
~ Taylor Bringard, SAC co-chair, on Nexus Summit presentations she attended
Scholarship: By the Numbers
Peer-reviewed publications: 56
Nexus Summit 2023 presentations: 9
Institute for Healthcare Improvement (IHI) Forum 2023 presentations: 3 National Academies of Practice (NAP) 2024 presentations: 9
WHY:
Learners need to be given information from measurements that will help them develop into effective teammates in real-world health care practice and community settings.
• We need to generate evidence that IPE impacts learning, practice and health outcomes (aligned with the Quintuple Aims of Health).
• The scholarship should inform how IPE is implemented both at U-M and nationally.
Partner Highlight: Institute for Healthcare Policy and Innovation (IHPI) and University of Michigan Health (UM-Health)
C-IPE is working with UM-Health and IHPI members to measure the impact of IPE and team-based care in relation to the Quintuple Aims of Health.
BUILDING MOMENTUM
Conference Highlights
• Participated in a plenary on health systems partnerships (Nexus Summit 2023).
• Panelist on a webinar discussing team well-being (Nexus Summit 2023 Seminar Showcase).
• Out of three roundtable discussions selected for NAP, two were led by C-IPE. Topics included how IPE centers add value to systems and how interprofessional activities promote the health and well-being of community members with low-incomes (NAP).
Embedding Health Profession Students in Team-Based Care
A C-IPE team created a research proposal to 1) establish a sustainable partnership and develop a model of care where health profession students are embedded in team-based community health settings and 2) directly measure the impact on student learning and community health outcomes. This model would provide equitable and sustainable health care in the community while providing students with support and training on interprofessional teams. The team is seeking funding options to support this effort.
Measuring Team Behavior
The Intentional Measurement & Research workgroup conducted a thorough review of the literature and identified two observation tools that measure team behavior — Performance Assessment for Communication and Teamwork (PACT) and Team Observed Structured Clinical Encounter (TOSCE). The group launched a pilot exploration for each tool using videos and real teams. In the coming year they will partner with the IPE Curriculum Committee to broadly integrate these tools across the IPE curriculum.
Peer-Reviewed Publication Highlights
• Ascione FJ. Karpa K, Keehn MT, Najjar G, Pfeifle AL, Sick B, Valentino AS, Weber ZA. Assessing the value of selected organizational characteristics on IPE success at a sample of big 10 universities: A multi-case qualitative analysis. Journal of Interprofessional Education & Practice. 2023 Dec 1;33:100688. doi:10.1016/j. xjep.2023.100688.
• Nkonge R, Whiting R, James R, Smith C, Reed L, Smith LM, Trojanowski S, Keiser M, Yorke AM.
MoveMore: A model for interprofessional collaboration with nursing and physical therapy students in a community based walking class for people with stroke. Journal of Interprofessional Education & Practice. 2023 Sep 1;32:100662.
• Smith L, Anderson OS, Ursuy PA, Mattison D. Dipping Your Toes in the Water: An Experiential Strategy to Recruit and Engage New Faculty in Interprofessional Education. J Allied Health. 2023;52(3):180-185.
For a more thorough list of publications, please visit interprofessional.umich.edu.
FIVE STRATEGIES FOR IMPROVING THE QUINTUPLE AIMS OF HEALTH
STRATEGY 4: EDUCATOR DEVELOPMENT
GOAL:
Implement a development and training program drawn from the identified needs for faculty and practitioner IPE educators in both teaching and assessment.
~
“My first HPE Day exceeded my expectations. I was struck by the energy, innovation and collaboration that filled the Michigan League.”
Steve Vinson, DEI Program
Manager in Ambulatory Care
WHY:
We must develop a community of collaborative practitioners, educators and scholars to prepare future health care providers to be team ready.
• The education and assessment of team-based behaviors in students from multiple disciplines raises new challenges for educators.
• An educated and trained IPE community is required to sustain and expand IPE across the university.
Partner Highlights: Department of Learning Health Sciences (DLHS)
C-IPE and DLHS partner annually to plan and present Health Professions Education (HPE) Day. DLHS works to improve health in systemic ways by advancing the sciences that make learning effective, routine and efficient.
Educator Development: By the Numbers
2024 HPE Day registered attendees: 248 HPE Day poster presentations: 69
The Marteney Group leadership training participants: 26
BUILDING MOMENTUM
Health Professions Education (HPE) Day 2024
The 9th annual HPE Day brought faculty, staff and students from all three U-M campuses together for a day that highlighted interprofessional education, collaborative care, health equity, and the scholarship of learning and teaching. Notable presentations included a keynote panel on leveraging IPE to create equitable and inclusive health organizations, an update on C-IPE’s progress and future, lightning talks and poster displays. C-IPE co-hosted with DLHS and additional partners included CRLT, Community Health Services, RISE and the Healthcare Equity Month program team. The inclusion of the Healthcare Equity Month program team brought new types of educators to this annual meeting, expanding the audience beyond academic faculty and learners and inspiring C-IPE to continue on the path of growing the “stadium” that was recommended at the December strategic retreat.
Improving Interprofessional Teamwork
The Educator Development workgroup developed a strategy for improving interprofessional teamwork through a series of coaching, workshops, asynchronous learning and Team Improvement Practices (TIPs). Two TIPs were developed — one on psychological safety and one on navigating conflict — with the purpose of equipping teams with the skills needed to improve team dynamics. The group is also in the process of revising the Introduction to IPE module to be suitable for educators and practitioners to help improve their interprofessional skill set.
FIVE STRATEGIES FOR IMPROVING THE QUINTUPLE AIMS
STRATEGY 5: SYSTEMS-BASED PROBLEM SOLVING
GOAL:
Establish a workgroup that will address the most pressing challenges to our goal and strategies.
Partner Highlights: UM-Health Units
Office of Patient Experience (OPE)
C-IPE and OPE partner to help improve patient feedback regarding team-based care. Additionally, OPE provides access to patient advisors that work with interprofessional teams of students participating in the LIFE course and supports educator development, core curriculum and experiential innovation.
Office for Health Equity and Inclusion (OHEI)
Partnering with OHEI enables C-IPE to address the complexities and hierarchies within our system, enhancing inclusion, diversity, cultural sensitivity for our faculty and staff, and improving clinical care for underserved patient populations.
WHY:
Progress on strategic initiatives depends on addressing systemic, structural and organizational challenges to interdisciplinary teaching and learning. Maturation of C-IPE requires us to directly address our organizational challenges as initiatives continue and grow.
Office of Well-Being
C-IPE partners with the Office of WellBeing to analyze workforce data as it relates to teamwork and uses it to implement team-based interventions.
Quality Department/ Office of Patient Safety
Within the Quality Department, C-IPE partners with the Office of Patient Safety, as they have expertise on developing a high-reliability organization, including establishing standards and expectations within the constraints of our current system for promoting team-based care.
NAP Distinguished Fellows (from left): Laura J. Smith (Physical Therapy), Anita Vereb (Audiology), Rajesh S. Mangrulkar (Physician), Michelle Pardee (Nursing) and Kristin C. Klein (Pharmacy). Not pictured: Dana Tschannen (Nursing).
BUILDING MOMENTUM
Curriculum Leadership Advisory Group (CLAG)
CLAG was launched to tackle systems-based issues that have impeded the progress of IPE at U-M. The representative deans from the health science schools determined the highest priority issue was to visibly showcase and deliberately track the IPE efforts of educators. This resulted in the IPE Instructor Report pilot, a report that was distributed to all faculty who taught in any endorsed IPE experience in the 2023-24 academic year. Feedback is being collected to measure and improve this process and its impact.
National Academies of Practice (NAP) Inducts
Six U-M Distinguished Fellows
Six members of the University of Michigan community were inducted into NAP as Distinguished Fellows, nearly tripling the membership from U-M and enhancing the national visibility of these IPE educators and practitioners. Inductees were nominated and selected for their commitment to interprofessional practice and accessible, affordable health care for all. Fellows participate in activities and advocacy work with members of their academy, including visits to state capitols and Washington, D.C.
Preparing Future Leaders
Providing students with opportunities to advance their IPE expertise while also learning and practicing change management and administrative innovation is an important part of preparing the future leaders of health care. This year we provided leadership opportunities to learners through immersive field experiences, administrative internships and by partnering with the Michigan Medicine Administrative Fellowship Program.
Consultations to Improve Teamwork in the Health System
C-IPE was invited by OPE to be consultants and partners in improving patient perceptions of care as teamwork is a key driver of overall experience. This year the C-IPE team worked with OPE at Brighton Center for Specialty Care to shadow different specialties and participate in several leadership meetings, offering guidance on how to better support teamwork and improve patient experience. More opportunities are emerging for C-IPE and will become an important part of our Stage 2 work.
New Systems Transformation Committee Launched
This committee serves as the convening body of systems partners to support our collective goal of innovating and implementing IPE to improve the Quintuple Aims of Health. The focus is on identifying opportunities for alignment and taking steps toward a shared vision and collaborative action. The group is currently working on a demonstration project to streamline and improve teamwork and impact key system outcomes and priorities. Learn more about the partnering units on page 14.
CONNECT WITH US
Do you have an interest in learning more about interprofessional education and collaborative practice? We invite you to connect with us on social media, join our mailing list or reach out for more opportunities. Learn more by visiting our website.
Michigan Center for Interprofessional Education 5100 Taubman Health Sciences Library 1135 Catherine Street Ann Arbor, MI 48109 IPEcenter@umich.edu interprofessional.umich.edu @umichHealthIPE facebook.com/IPEcenterUM
The Michigan Center for Interprofessional Education is supported by the Provost and the Health Sciences Council of Deans.
Executive Officers of Michigan Medicine
Marschall S. Runge, M.D., Ph.D., Dean, U-M Medical School, McKay Professor, Executive Vice President, Medical Affairs, University of Michigan and Chief Executive Officer, Michigan Medicine; Steven L. Kunkel, Ph.D., Executive Vice Dean for Research, U-M Medical School, Chief Scientific Officer, Michigan Medicine, Peter A. Ward Distinguished University Professor and Endowed Professor of Pathology Research; David C. Miller, M.D., MPH, President, U-M Health, Executive Vice Dean for Clinical Affairs, U-M Medical School and Professor of Urology; Debra F. Weinstein, M.D., Executive Vice Dean for Academic Affairs, U-M Medical School and Chief Academic Officer, Michigan Medicine
Regents of the University of Michigan
Jordan B. Acker, Michael J. Behm, Mark J. Bernstein, Paul W. Brown, Sarah Hubbard, Denise Ilitch, Ron Weiser, Katherine E. White, Santa J. Ono, ex officio
The University of Michigan, as an equal opportunity/affirmative action employer, complies with all applicable federal and state laws regarding nondiscrimination and affirmative action. The University of Michigan is committed to a policy of equal opportunity for all persons and does not discriminate on the basis of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, height, weight, or veteran status in employment, educational programs and activities, and admissions. Inquiries or complaints may be addressed to the Senior Director for Institutional Equity, and Title IX/Section 504/ADA Coordinator, Office for Institutional Equity, 2072 Administrative Services Building, Ann Arbor, Michigan 48109-1432, 734-763-0235, TTY 734-647-1388, institutional. equity@umich.edu. For other University of Michigan information call 734-764-1817
