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Interprofessional student hotspotting: A team-based approach to geriatric complex care
Journal of the American Geriatrics Society ; 69(SUPPL 1):S125, 2021.
Article in English | EMBASE | ID: covidwho-1214817
ABSTRACT

Background:

Interprofessional Student Hotspotting addresses patients with complex medical and social needs. In 2015, Johnson et al found that 82% of these patients have multiple comorbidities, 41% have a serious mental health condition, and 30% report homelessness. High utilization patients have four times more inpatient admissions, four to eight times more readmissions, 30% longer and more expensive hospital stays than the average patient. Our project, a collaboration between the Camden Coalition, University of Montana, Montana Geriatric Education Center and Partnership Health Center, aims to decrease emergency department (ED) visits and increase primary care engagement. By using student teams, we aim to increase understanding of interprofessional collaborative practice (IPCP).

Methods:

Through home-based, non-clinical interventions to address social determinants, teams worked for 6 months to improve patients' quality of life, integrate medical, behavioral, and social care, and increase utilization of primary care. At the onset of COVID-19, faculty determined that ending services for these vulnerable older adults could be determinantal. Thus, students continued the program in a virtual format through mid-June. Patient utilization of the ED and primary care and PHQ-9 depression scores were monitored before, during and after program participation. The student outcomes were assessed using the Student Perception of Interprofessional Clinical Education - Revised (SPICE-R).

Results:

Patients decreased ED utilization, increased appropriate use of primary care, and improved depression scores. During the first months of the pandemic, patients in the virtual hotspotting increased their comfort in using technology for medical appointments as well as engaging in online social interactions. The students improved their understanding of and skills for IPCP as demonstrated by increased SPICE-R scores.

Conclusion:

Student Hotspotting is an educational tool to support IPE and training in patient-centered care while improving health outcomes and decreasing healthcare expenditures in patients with high utilization.

Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Journal of the American Geriatrics Society Year: 2021 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Journal of the American Geriatrics Society Year: 2021 Document Type: Article