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Review of training provided & its impacts on patient care Overview Review CLE-GASHA agreement Identify learning activities and participation Compare current and pre-CLE patient team interaction Discuss analysis of


  1. Review of training provided & its impacts on patient care

  2. Overview � Review CLE-GASHA agreement � Identify learning activities and participation � Compare current and pre-CLE patient –team interaction � Discuss analysis of implementation of CLE project at GASHA � Define next steps

  3. Commitments in CLE-GASHA Agreement � CLE project provided: � classroom training through MoreOB on *, ** , *** � classroom training via CREW on <, <<, <<< � regular observations on interactions among team members at weekly meetings

  4. Com mitments in CLE-GASHA Agreement � GASHA completed the following: � shared a description of client population, and population level data related to obstetrical services at St Martha’s facilities; � shared a description of current & potential teaming in delivery of care; � shared information on define barriers and enablers to teaming; � identified Management level champion for teamwork; � identified meeting and training space(s) for team; � provided access to its ethics review process; and � facilitated data collection.

  5. Data supplied by GASHA about patient- provider interaction � Data for midwives and obstetricians from October 2010 to February 2011: 1,484 patients 149 midwife-obstetrician led clinics � No data for patient interaction with RNs, public health nurses, dieticians, lactation consultant, social worker � No information on patient outcomes � No information on patients’ or providers’ satisfaction

  6. Commitments in CLE-GASHA Agreement � Clinicians: � # attended each MoreOB training sessions (# FP, # MW, # OB, # RN, # other providers) � # participate in each CREW program session (# FP, # MW, # OB, # RN, # other providers) � # attend each weekly team meeting � # weekly team meetings that include: � collective planning of patient care � collective review of patient files � reflection

  7. Where Do We Go Next ? � Patient engagement (satisfaction and perspectives on care) � Collective development by clinicians of protocols & team policies � Data collection on patients’ interaction with all providers on team � Leadership / championing to share learning and teaming experience with others

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