This interactive workshop will provide participants the opportunity to explore innovative interprofessional care delivery models to manage chronic conditions while maintaining quality of life in rural ambulatory and community settings.  This type of care can be complex, requiring medical, educational and financial considerations beyond tradition thinking in healthcare delivery. Aligning interprofessional education and clinical/community teamwork is a strategy to meet these unique needs of patients.

The goal of the Bridging Health and Home (BHH) community partnership program is to improve the ability of rural older adults to remain in their homes safely with dignity and vitality. To achieve this goal, the Quadruple Aim framework was adopted to guide efforts to enhance the experience of older adults aging in rural settings, strengthen the management of chronic conditions, lower cost of care, and increase collaboration within limited rural healthcare and community resources.

The BHH program intertwines a nurse-led interprofessional care delivery team complemented with Faith Community Nursing, using an evidenced-based self-management program, Better Choices, Better Health, first piloted in North and South Dakota communities. This new model of care delivery has fostered the development of a dynamic adaptive team to improve interprofessional education and enhance rural resiliency. The BHH program provides weekly nurse-led interprofessional community clinics incorporating self-management techniques, interprofessional collaboration, relationship-based care and support from faith organizations.

Workshop Learning Objectives

At the end of this workshop, learners will:

• Explore capacity building in communities they serve by using techniques such as the art of hosting questions and conducting a Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis
• Identify key community stakeholders representing local businesses, faith communities, and service agencies in effort to care for aging community members to appoint to serve as an Advisory Board to guide and advise proposed novel model execution
• Explore an IP care delivery model for their own community by identifying current community services to merge them in new ways for innovative solutions supported by a network of community members

Workshop format will include didactic discussion and small group activities while exploring the Quadruple Aim.