Collaborating to Close Gaps Sixth Annual Emswiller Interprofessional Symposium February 3, 2018 • Glen Allen, VA

This activity is being planned in conjunction with VCU Health Continuing Medical Education; VCU School of Continuing Education; VCU School of Pharmacy, Office of Continuing Education; and VCU Medical Center Department of Education and Professional Development. VCU Health Continuing Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. VCU Health Continuing Medical Education designates this live activity for a maximum of 4.5 AMA PRA Category 1 Credits(TM). Physicians should claim only the credit commensurate with the extent of their participation in the activity. VCU School of Pharmacy, Office of Continuing Education is on probation by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Participants must attend the entire activity and submit an evaluation form to receive 4.5 contact hours (0.451 CEUs). Activity Type: Knowledge Target Audience: Pharmacists UAN number: 0294-0000-18-028-L04-P VCU School of Dentistry is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply accep- tance of credit hours by boards of dentistry. VCU School of Dentistry designates this activity for a total of 4.50 continuing education credits.

An Equal Opportunity/Affirmative Action University Jewell and Carl F. Emswiller Jr. Danny Avula, MD, MPH Director, Richmond City Health District The Jewell and Carl F. Emswiller Jr. Interprofessional Board of Health Symposium is committed to educating health professional students and practitioners about providing meaningful patient Danny Avula, MD, MPH is the Director of the Richmond City Health care through innovation in interprofessional practice. The Department. He is board certified in pediatrics and preventive medicine, and symposium was endowed by Jewell Emswiller in honor of her in addition to his role as a public health practitioner, he continues to practice late husband, Carl, and their shared passion for collaborative, clinically as a pediatric hospitalist. After graduating from the University of patient-centered pharmacy practice. Virginia, he attended medical school at the VCU School of Medicine, and completed residencies at VCU and Johns Hopkins University, where he also Carl Emswiller was a leader and innovator in community received a Master’s in Public Health. He is an Affiliate Faculty member at VCU, pharmacy practice. He championed pharmacist-provided where he regularly serves as an advisor and preceptor to graduate and medical clinical activities, such as medication therapy management students. and reviews, and collaborative practice agreements that Dr. Avula was appointed by Governor McAuliffe to the State Board of Social improved the health of patients. He served and chaired Services in 2013, and currently serves as Chairman. He also serves on a number local, state and national organizations advocating for this of community boards including The Greater Richmond YMCA, Communities in cause. On December 10, 2009, Carl Emswiller passed away Schools of Greater Richmond, Sports Backers, and he is the Chair of the Board in Winchester, VA after a long battle with cancer. This of Trustees at the Richmond Memorial Health Foundation. symposium will serve in perpetuity as a continuation of his work to elevate interprofessional practice for the improvement of patients’ health outcomes. At home, Danny loves to spend time with his wife and four kids, and he is deeply committed to community development efforts in the Church Hill neighborhood, where he has lived for the past thirteen years. He has been recognized by Style Emswiller’s career began in 1962 when he graduated from the Medical College of Virginia, School of Pharmacy (now VCU Magazine as one of Richmond’s “Top 40 under 40,” by OurHealth Magazine as one of Richmond’s “Top 15 Health Care School of Pharmacy) and joined Eugene White’s ground breaking office-based pharmacy in Berryville, VA. Alongside White, Leaders under 40” for his commitment to improving Richmond’s health, and he has been named to Richmond Magazine’s Emswiller created one of the nation’s first pharmaceutical care centers, which became an example for pharmacists across “Top Docs” list for the past five years. His work has also been featured nationally by the CDC, MSNBC, Christianity Today, the country through the American Pharmaceutical Association. After 6 years in this position, Emswiller purchased his own and on the TED circuit with his 2014 TEDxRVA talk entitled “Dependence isn’t a Dirty Word”. traditional pharmacy in Leesburg, VA where he further developed the model for the patient-focused pharmacy. By 1974, with the enthusiastic support of area physicians, Emswiller moved his innovative practice into a medical office building co-located with physicians and other health professionals. His new office-based pharmacy eliminated various commercial Collaborating to Close Gaps goods from the inventory and was equipped with a private consulting office. At the site, patient care services expanded to Life expectancy varies by as much fifteen years depending on social determinants of health. How can the interprofessional included patient medication record reviews, as well as blood pressure, glucose and cholesterol monitoring in collaboration team help close that gap? By the conclusion of this event, participants will be able to: with nearby physicians. This practice grew until he retired in 2000. • describe the factors that shape the health of our communities; • identify approaches to interprofessional practice that overcome health inequities; Emswiller tirelessly gave back to his community and his profession. He served as a member of the School of Pharmacy’s • articulate educational activities that increase interprofessional practice and improve health outcomes. clinical faculty at the Medical College of Virginia for over 25 years. Additionally, Emswiller served on the Louden Memorial Hospital’s Board of Trustees; chaired the Virginia State Board of Pharmacy; chaired the American College of Apothecaries; Sixth Annual Emswiller Interprofessional Symposium Planning Committee and served on the Board of Directors of the American Pharmaceutical Association’s Foundation and the Medical College of Virginia School of Pharmacy (now VCU School of Pharmacy) National Advisory Council. Emswiller earned much recognition Melissa Abell, PhD, MSW Alan W Dow, MD, MSHA Elizabeth A Micalizzi, MBA, PMP, CCRP for his amazing work. The most prestigious of the awards he received is the Remington Honor Medal in 1999, which is the Associate Professor, and Director, Social Work Assistant Vice President of Health Sciences for Administrative Director, VCU Center for Program, VCU School of Social Work Interprofessional Education and Collaborative Interprofessional Education and Collaborative profession of pharmacy’s highest honor. Other awards received include: Virginia Pharmacist of the year (1981); American Sherry Black Care; and Professor, Internal Medicine, VCU Care; and Director of Integrated Technology, Pharmaceutical Association’s “Daniel B. Smith” Award, the highest honor given to a community pharmacists (1983); Loudoun Continuing Education Coordinator School of Medicine Office of the VCU Vice President for Health County “Man of the Year” (1987); Outstanding Alumnus Award from the Medical College of Virginia, Pharmacy Division Childrens’ Hospital of Richmond at VCU Pamela Y Flynn, BS Sciences (1991); “Outstanding Pharmacists” award presented by the Virginia Pharmaceutical Association, which is the highest Melissa Burton, BS Program Administrator, Office of Continuing Andrea Perseghin, MEd Administrative Coordinator, VCU Center for Education, VCU School of Dentistry Director, VCU Health Continuing Medical honor given for “outstanding and lasting contribution to their profession that will endure for a long period of time”; and Education, UHS Professional Education Programs the “J. Leon Lascoff Memorial” award presented by the American College of Apothecaries for outstanding service to the Interprofessional Education and Collaborative Care Zaneera Hassan, PharmD, PhD(C) Diane Dodd-McCue, BS, MBA, DBA Student, VCU School of Pharamcy Victor Yanchick, PharmD profession of pharmacy (2000). Associate Professor, Dept. of Patient Counseling, Walter Lewanowicz, MN, BSc, RN-BC (Retired) Virginia Commonwealth University VCU School of Allied Health Professions Nurse Educator, Education & Professional VCU School of Pharmacy Throughout his career, Emswiller was concerned with increasing the opportunities for pharmacists to have a greater impact Angela Duncan,PhD, MS, MDiv Development, VCU Health System Kristin Zimmerman, PharmD, CGP on patient health outcomes. His primary message to students and practitioners was to challenge the status quo to do what Assistant Dean, VCU School of Allied Health Kelly S Lockeman, PhD Associate Professor, Department of is best for patients in every practice environment. Professions; and Assistant Chair and Assistant Ass’t. Professor, VCU School of Medicine; and Dir. Pharmacotherapy & Outcomes Science, Professor, Department of Patient Counseling of Evaluation and Assessment, VCU Center for VCU School of Pharmacy Interprofessional Education and Collaborative Care Program Agenda 1:15-2:45 Two concurrent tracks: six 15-minute sessions each (choose one) 8:30-9:00 Preregistered attendee check-in and poster set up Track A: Practice-focus Track B: Education-focus 9:00-9:15 Welcome 1:15-130 Health Brigade: Real-World 1:15-130 The ASPIRE Model: Grounding the IPEC Core Interprofessional Practice Competencies for Interprofessional Collaborative Practice 9:15-10:30 Building a Culture of Health in RVA: Why It Takes More Than Just Healthcare within a Foundational Framework Danny Avula, MD, MPH Ari Laoch, CBIST, Health Brigade John Owen EdD, MSc, Center for ASPIRE, School of Nursing, Richmond City Health District, Virginia Board of Health This presentation will highlight strategies on how to provide quality health services to those least served in a compassionate and non- This presentation will explore the value of a social determinants lens for care providers and health systems seeking to make judgmental environment. The focus will include 1) treating the whole This presentation will discuss effective IPE/ICP training, new a greater impact on long-term individual, family, and community health outcomes. In addition, Dr. Avula will offer a public person and 2) using transdisciplinary services to share power and educational models are needed which optimally promote team- health perspective on the importance of interdisciplinary care provision. Participants will: decision making with clients. based care across the learning continuum. The ASPIRE Model is an • understand the complex relationship between the social determinants and both personal and community health; 1:30-1:45 An Interprofessional Approach to Improving effective approach to embed the IPEC competencies in the design, • explore the relationship between the healthcare sector and the public health/nonprofit/social services sectors; Social Determinants of Health: Osteopathic Medical implementation, and assessment of IPE/ICP educational activities. • understand why health equity is an emerging priority in health and healthcare; and Students as Case Manager Extenders 1:30-1:45 Mindfulness for Healthcare Professionals: A • assess the value of a social determinants lens and interdisciplinary collaboration for their own practice, including Alexis Stoner, PhD, MPH, Preventive Medicine & Public Health, Long-Term Follow-Up and Mixed-Methods Investigation the importance of culturally appropriate care. Edward Via College of Osteopathic Medicine, Carolinas Campus of an Interdisciplinary Course 10:30-10:45 Break This presentation will describe the development, implementation, Sarah Braun, MS, Department of Psychology, College of 10:45-11:45 Two concurrent tracks: three 20-minute sessions each (choose one) and evaluation of an interprofessional pilot, in which osteopathic Humanities and Sciences, Virginia Commonwealth University Track A: Practice-focus Track B: Education-focus medical students work as case manager extenders to improve the Promising results from a long-term follow-up investigation of an social determinants of health among an underserved population. interprofessional mindfulness-based intervention (MBI) tailored 10:45-11:05 DNP Led Community-Based Intervention for 10:45-11:05 The Baby Turns 20: Evaluating An 1:45-2:00 Harnessing Telehealth and Interuniversity to healthcare professionals will be presented. Based on mixed- Custodial African-American Grandmothers in the School- Interprofessional Doctoral Program In Health Related Collaboration for Interprofessional Education and Care of method data, an outline of specific recommendations for future Based Clinic Sciences Complex Patients: Addressing the Opioid Crisis intervention development will be discussed. Ethlyn McQueen-Gibson, DNP, MSN, RN-BC, Inst. of Inclusion, Diane Dodd-McCue, DBA, Department of Patient Counseling, Rebecca Poston, PhD, RN, CPNP, 1:45-2:00 Enhancing the Interprofessional Workforce Inquiry & Innovation; Department of Family & Community VCU School of Allied Health Professions School of Nursing Beth Quatrara, DNP, RN, CMSRN, ACNS-BC, Acute and Specialty Health, VCU School of Nursing This presentation will discuss a program designed for working We present a 4Va funded pilot of Interuniversity Care, School of Nursing, University of Virginia professionals, and characterized by interprofessional student cohorts Over two million African-American grandmothers are serving Interprofessional simulation via telehealth across 4 Universities Interprofessional training is a strategy to build a workforce and faculty and blended on-campus/online content delivery. The as custodial caregivers for their grandchildren in the US. This (JMU, ODU, VTC, UVA). The simulation included students that is prepared to address the patient safety and quality majority of instruction emphasizes shared health services issues. community-based project introduces an innovative approach to working as an IP team via telehealth to interview, assess and improvement rigors of the complex care environment. disease prevention in the community. Key stakeholders include 11:05-11:25 Telehealth a “Team Sport”: A New Instrument develop a plan of care for a patient with opioid addiction. 2:00-2:15 Building the Mental Health Workforce Trained the local free clinic, students from HBCUs, and AARP. to Measure Student Performance 2:00-2:15 What Network Analysis Tells Us about in Integrated Care Models 11:05-11:25 Meet Them Where They Are: Using Karen Kott, PhD, PT, School of Physical Therapy and Athletic Interprofessional Practice Kaprea Johnson, PhD, Counseling and Human Services, College Technology to Recruit and Engage High-Risk Community- Training, College of Health Sciences, Old Dominion University of Education, Old Dominion University based African American Women in a Cardiovascular Alan Dow, MD, MSHA, Center for Interprofessional Education This presentation will discuss a newly developed and tested and Collaborative Care, Virginia Commonwealth University Creating interprofessional programs using grant funding for Health Behavior Intervention behavioral health care programs, this presentation focuses on instrument that evaluates interprofessional team performances This presentation describes the use of a novel method -- network one program at old dominion university that received a four year Candace Johnson, PhD, MPH, RN, Department of Family and during an educational telehealth encounter analysis -- to explore the impact of IPE across an institution. HRSA grant. Discussion will include how to receive funding, Community Health Nursing, VCU School of Nursing 11:25-11:45 Refinement of the Team Development 2:15-2:30 Visualizing the opioid overdose epidemic with building stakeholder, and developing teams. This presentation will describe recruitment methods and results Measure for Effective Use in Assessment of Teamwork in a dynamic heat map to identify and predict vulnerable 2:15-2:30 An Ethics Healthcare Team Challenge: An of a feasibility/pilot study to explore participant engagement Interprofessional Education Activities: communities Interprofessional Opportunity for Bio-Medical Ethics Education in an Internet-based research study designed to improve Phase One bio-physiological, behavioral, and psychosocial risk factors Justin Chang, Virginia Commonwealth University David Trinkle, MD, Dept. of Psychiatry and Interprofessionalism, Kelly Lockeman, PhD, Office of Assessment and Evaluation in a community at highest risk for developing cardiovascular School of Medicine Carilion School of Medicine disease. Studies, VCU School of Medicine We modeled a collaboration between emergency medical This presentation will discuss how an ethics case presentation and 11:25-11:45 Intercultural Health by Primary Care Teams in This presentation will describe the first phase of a collaboration services (EMS), public health advocates and computer scientists to increase the geodata resolution around opioid overdoses; mock ethics team consultation was used at the conclusion of an Indigenous Health in Brazil between Virginia Commonwealth University and the University introductory course into medical ethics delivered in a hybrid live and of Colorado to refine the Team Development Measure (TDM) monitor outbreaks in real-time; and produce predictive models to Zaira Taveira, DDS, MPH, Humphrey Fellowship Program, Department target interventions for vulnerable communities. online manner. The curriculum, process, outline and outcomes of into a shorter instrument with evidence for validity and utility in this interprofessional event will be presented. of Psychology, VCU College of Humanities and Sciences interprofessional education (IPE) settings. 2:30-2:45 Mapping opioid mortality rates across 2:30-2:45 Culinary Health Programs: A perfect setting for The primary health care teams of the Indigenous Healthcare treatment capacity to Identify need and access Subsystem in Brazil promote family health care to 738,624 the delivery of IPEC Core Competencies Indians, from 304 ethnic groups, bridging western and Garrett Wong, Virginia Commonwealth University David Trinkle, MD, Dept. of Psychiatry and Interprofessionalism, indigenous traditional health practices. Continuing education School of Medicine Virginia Tech Carilion School of Medicine and roundtables were promoted to enhance intercultural health. To overcome the opioid overdose epidemic, we need to This presentation will offer a review of our IP Domain match the places with the greatest need for services related curriculum, especially our first year IP Leadership course with to substance use disorders. We overlay county-level opioid multiple early learners. We will then explain the rationale for a mortality rates with current locations of treatment facilities to new Culinary Health Program and how this collaboration was 11:45-1:15 Networking Lunch, Poster Presentations and Judging identify vulnerable communities and socioeconomic factors. started, detail of the program, findings and results. Comprehensive presentation listing available at: rampages.us/ipe-symposium/presentations Program Agenda (con’t) Posters 2:45-3:00 Break (Loc) Lead Author. Program/Institution/School. Poster title. 3:00-3:45 Emerging Leaders in Interprofessionalism, Moderated by Alan Dow, MD, MSHA (1) Chuck Alexander. VCU School of Medicine. Transforming Delivery of Online Interprofessional Education to Meet Learning This panel of health sciences students and junior faculty was nominated and selected based on their demonstrated excellence Objectives and User Satisfaction. in leading interprofessional education and/or practice. Panelists will offer their perspectives on leading interprofessional (2) Maria Altonen. VCU Injury & Violence Prevention Program. The HITS tool: The Importance of screening patients for Intimate Partner Violence. education and the future of healthcare practice. Participants will: (3) Courtney Bell. VCU School of Pharmacy. Attitudes, preparedness and confidence towards deprescribing among healthcare trainees. • appreciate new perspectives on interprofessional practice; (4) Cheryl Bodamer. VCU School of Medicine. Saving babies together- nurses and care partners train as first responders. • distinguish how different interprofessional activities enhance interprofessional practice; and (5) Jessica Bourdon. Virginia Commonwealth University. Creating a trainee-level organization dedicated to translational science: identify future directions for interprofessional learning. • Lessons learned and member feedback examined. 3:45-4:00 Close, Poster Awards and Evaluations (6) Malek Bouzaher. Virginia Tech Carilion School of Medicine. Interprofessional Education Through Service Learning: Assessing the Student Perspective. Emerging Leaders in Interprofessionalism Panel (7) Kathleen Bowden. Children’s Hospital of Richmond at VCU. Addressing Medical Needs, Education and Social Determinants of Health in Asthma Management. Malek Bouzaher, BS, MS (8) Caitlin Broome. VCU School of Pharmacy. The Inter Health Professionals Alliance: The History and Evolution of the Kroger Outreach Program. Medical Student Virginia Tech Carilion School of Medicine (VTCSOM) (9) Olivia Caron. VCU School of Pharmacy. An interprofessional intervention with behavioral health and pharmacy trainees to reduce smoking rates in the Spanish-speaking population of a free health clinic in Richmond. As a second year medical student at VTCSOM, Malek Bouzaher had the opportunity to take part in and contribute to a unique interprofes- sionalism (IPL) program that bridges the gap between health professions students in Roanoke, VA. As a first year medical student, Malek (10) Kaixin Chen. VCU School of Dentistry. Accuracy of Automated Wrist Cuff Blood Pressure Measuring Devices Used in a University participated in a yearlong IPL course where he worked with and learned from PA and nursing students. Along with student leaders in other Dental Clinic. health professions programs, he helped establish the Roanoke Interprofessional Collaborative, an organization that brings together local (11) Agnieszka Chojecka. Office of Practice Transformation, T.O.P. Initiative VCU Health. Screening for Substance Use Disorder and healthcare students through community service and volunteerism. Malek also participated in an IPL research project funded by the 4-VA Intervention, using SBIRT, in Ambulatory Care OMFS Clinic VCU Medical Center. Grant that sought to evaluate the effectiveness of telemedicine in facilitating real-time patient case discussions between health profes- sions students across universities in Virginia. (12) Charles Freligh. The Virginia Consortium Program in Clinical Psychology. Impact of the Nonreactivity Sub-Facet of Mindfulness on Resilience to Stress in African American College Students. (13) Sarah Garvick. Wake Forest Univ. School of Medicine. Enhancing a Platform for an Interprofessional Faculty Development Program. Kimberly D. Davis, MS, RN, CNE Clinical Assistant Professor (14) Jamie Holland. DNP Program, Old Dominion University. Outcomes from a Student Run Interprofessional Clinic Designed to Address Social Determinants of Health. Virginia Commonwealth University, School of Nursing Ms. Davis has contributed significantly to interprofessional education and collaborative care at Virginia Commonwealth University. Her work (15) Chantal Ing. VCU School of Pharmacy. Una Vida Sana: The Importance of Inter-professional Student Collaboration and Leadership in has impacted both local and national venues. She serves as a plenary member and core faculty in the Virginia Geriatric Education Center Providing Cardio-metabolic Disease Screening Services to the Underserved Latino Population of Richmond. whose focus is to provide interprofessional geriatrics training from pre-clinical to practice levels across Virginia. She developed curricula for (16) Anne Jackson. VCU Health System. Patient Communication in the Emergency Department. the VCU Center for Interprofessional Education and Collaborative Care in several experiences and courses, including Hotspotting: Caring for Complex Patients. Most recently, she designed, developed, and now is the program director of the Certificate in Care Coordination, a post-bac- (17) Wilton Kennedy. Emergency Department/PA Program, Carilion Clinic/ Jefferson College of Health Sciences. Implementing a Clinical calaureate graduate certificate program which was approved by the Board of Visitors and the State Council of Higher Education for Virginia. Interprofessional Fellowship in Emergency Medicine for Nurse Practitioners and Physician Assistants. The certificate is one of the first of its kind in the country in that it utilizes an interprofessional group of faculty to provide students from any (18) Jan Kirby. Children’s Hospital of Richmond at VCU. Parent to Parent. healthcare discipline with strategies and tools to become effective care coordinators for individuals with complex healthcare needs. (19) Richard Kunz. VCU School of Medicine. VCUMC N2 Communication Board Utilization. (20) Patty Lange. VCU Health System. Connecting the Dots: A Collaborative Approach to Improving the Care of Children Undergoing Allison Baylor Williams, MS Feeding Tube Insertion. Clinical Psychology Doctoral Student (21) Sarah Marrs. VCU School of Allied Health Professions. Care of the Complex Older Adult: Impact of a Faculty Development Program’s Department of Clinical Psychology, Virginia Commonwealth University College of Humanities and Sciences Clinical Experience. Allison Baylor Williams is a Clinical Psychology doctoral student with clinical and research experience in trauma-informed, collaborative care. Allison’s collaborative work has included providing therapy in safety-net, primary care, co-leading pain management groups in Ob/Gyn (22) Michelle McGregor. VCU School of Dentistry. Advancing the Practice of Collaborative Care through IPE with Early Learners in clinics, facilitating weight loss group therapy in Endocrinology, and providing acute coping for the Burn and Trauma units. These clinical ex- Dental Hygiene and Dentistry. periences solidified a passion for collaborative care, mirrored in her research on integrated care, insomnia, and trauma in medical settings, (23) Elizabeth Micalizzi. VCU Center for Interprofessional Education and Collaborative Care. Are We Connecting? Using Network with a special interest in women’s health. Allison has collaborated across disciplines, generating a substantial publication record, including Analysis to Assess the Institutional Impact of Interprofessional Education. topics such as trauma-related physical health, assessment of mental health in primary care, and insomnia. Her dissertation will evaluate traumatic-stress in NICU mothers. Allison aims to pursue a career as a research clinician working in medical settings, particularly with (24) Tammy Nguyen. VCU. Finding the Right Prescription - The VCU Emergency Department’s Response to the Opioid Epidemic. underserved women. (25) Victoria Rodgers. VCU School of Medicine. Salud Para Todo los Ninos: Providing a consultative comprehensive medical home by a team-based approach for children with complex illnesses in a low-income country. Emerging Leaders In Interprofessionalism Recognition (26) Debra Shockey. VCU Health System/VCU School of Nursing. Development of an interdisciplinary plan of care for pediatric Sarah Braun. Clinical Psychology Doctoral Student, Department of Clinical Psychology, VCU College of Humanities and Sciences. patients...From Starfish to STAR service. Caitlin Broome. Third Year Pharmacy Student, VCU School of Pharmacy. (27) Tammy Swecker. VCU School of Dentistry. Strategies to Improve Oral Health in the Adult ICU- An Interprofessional Approach. Lauretta Cathers. Faculty, Department of Rehabilitation Counseling, VCU School of Allied Health Professions. (28) David Trinkle. Virginia Tech Carilion School of Medicine. An Interprofessional Public Health Walk. Holly Rector. Doctor of Nursing Practice Student and Cardiac Clinician. University of Virginia School of Nursing. (29) Rick Vavolizza. University of Virginia School of Medicine. Effects of an Interprofessional Peer Teaching Session with Medical and Nursing Students on Perspectives of Interprofessional Education. Comprehensive presentation listing available at: rampages.us/ipe-symposium/presentations