Mancuso, Peggy\ud
Roux, G.\ud
Tietze, M.\ud
Thompson, M.\ud
Restrepo, E.\ud
Hersch, G.\ud
Pancheri, K.\ud
Pawloski, B.\ud
Hersh, B.

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Health Informatics as a Bridge to the Underserved – Primary Care Strategy 
G. Roux, P. Mancuso, M. Tietze, M. Thompson, E. Restrepo, G. Hersch, K. Pancheri, B. Pawloski, B. Hersh 
Graduate Assistants: S. Kelk,  R. Meraz, B. Kao, L. Melton  
  INTRODUCTION 
PURPOSE 
HRSA GRANT 
RESULTS 
CONCLUSION 
Interprofessional collaborative practice 
 Key to safe, high  quality, accessible, patient-centered 
care (HPNNMO, 2010) 
 Interprofessional teamwork  - IOM Core Competency 
 Interprofessional learning activities usually applied to 
entry-level educational programs. 
 Little is known about interprofessional learning at 
post-professional level. 
 Discipline focused 
 Acquisition, storage, and use of information 
 Specific setting or domain (clinical expertise) 
 To implement an interprofessional learning activities and 
assess their effectiveness using real health care delivery 
problems 
 Supported by HRSA Advanced Nursing Education 
Program Grant Number D09HP25021 
Interprofessional Students 
 Advanced Practice Registered Nurses 
 Physical Therapy 
 Occupational Therapy  
 Nutrition Science 
 Health Systems Management/Finance 
 Education consistent with IPE Guidelines 
Tiny Town – Real Town 
Isolated rural clinic in southwestern Texas 
 Labor-intensive, minority workforce 
 High poverty level 
 Multiple chronic illnesses 
 FNP practitioner as model provider 
  
Goal 
 Benchmark population health outcomes  
through interprofessional collaboration 
 Plan future EHR and PT services 
 
Analysis and Assessment Assignment 
 Micro, meso, macro system  
 Needs assessment 
 Potential funding sources 
 
Informatics and Practice Project 
 EHR implementation 
 PT - traditional, hybrid, telerehabilitation 
 Outcome measurement to assess 
interventions at population level 
 
Data Collection – Formative Assessment         
 Discussion boards 
 Oral and video presentations 
 Written papers 
 Survey with open ended questions 
 
      Matt Long Story 
Fireman with multiple injuries 
 Focus on technology, patient engagement, 
and interprofessional collaboration 
 Interprofessional team  
 Improve outcomes through engagement 
 
Goals 
 Benchmark improved outcomes of care  
through current technologies and 
interprofessional collaboration 
 Development of “New Professionalism”  
 
Analysis and Assessment Assignment 
 Case management within system context 
 Three different periods of recovery 
 
Informatics and Practice Project 
 Technology-based interventions, 
applications, software, telemedicine 
 Promote patient engagement in care 
 Cost/benefit, benchmark outcomes 
 
 Data Collection – Formative Assessment 
 Discussion boards 
 Comments during telehealth labs 
 Written papers 
 Survey with open ended questions 
 
       Tiny Town 
Participants white (75%), females (88%), age in 40s (42%) 
Health Informatics learned and applied 
 EHR focus – current challenge in own workplace 
 Telehealth focus – viewed as impractical due to barriers at this time 
 
Interprofessional Collaborative Practice 
 Basic practice issues across disciplines – different ways of knowing 
 Communication – avenues and skills explored and expanded 
 
 An interprofessional shared assignment centered around a real world 
problem promotes professional engagement, knowledge of other 
professions, communication,  recognition of unique skills, abilities, and 
perspectives of each profession.    
 Future - Cases foundation for CHIT Certification  education 
“Addressing our patients with a team approach at any level in the 
medical community is vital to their wellbeing and continued care. Every 
profession approaches the health [care] model from a different angle and 
being aware of the differences in knowledge and how to communicate 
leads to better health care delivery.” 
CLINICAL RELEVANCE 
METHODS 
Interprofessional Education  Interprofessional Team 
Interprofessional Learning 
Activities 
Clinical Informatics 
Data Analysis 
 Qualitative data coded 
 Positive, neutral, and negative feedback 
 Comparison of coding and theme development using the Colaizzi 
analytical method approach (Holloway & Wheeler, 2002) 
 Methods to achieve rigor 
 Triangulation, rich description, peer review (Creswell, 2013) 


Health informatics as a bridge to the underserved - Primary care strategy

http://poar.twu.edu/bitstream/handle/11274/92/13-10-03%20IOM%20Poster%20Presentation%20PM-SK-GR-RC.pdf?sequence=1&isAllowed=y

Health informatics as a bridge to the underserved - Primary care strategy

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