Skip to main content

The Team Approach to Interdisciplinary Care

  • Chapter
  • First Online:
Acute Care for Elders

Abstract

The medical complexity of the older adult continues to increase as people are living longer and accumulating more disease burden. No longer can any person, acting solo, have all of the required knowledge and expertise to manage patients. An interdisciplinary team is a group of individuals who bring their own special knowledge and skills to contribute to creating a cohesive care plan for a patient and family. These teams require hospital commitment to assemble and maintain over time. The teams themselves require nurturing and education, not only in disease or care management, but in team development. Done well, the team approach to health care will benefit the patient, the family, the hospital, and the team members themselves. While cost should be considered, much research suggests that the teams pay for themselves in cost savings. Other measureable outcomes are described.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

ACE:

Acute Care for Elders

APN:

Advanced practice nurse

References

  1. Baldwin D. Some historical notes on interdisciplinary and interprofessional education and practice in health care in the USA. J Interprof Care. 2007;21 Suppl 1:23–37.

    Article  PubMed  Google Scholar 

  2. Rogers D. Teamwork within the hospital. Am J Nurs. 1932;32(6):657–9.

    Google Scholar 

  3. Silver G. Beyond general practice: the health team. Yale J Biol Med. 1958;31:29–39.

    CAS  PubMed Central  PubMed  Google Scholar 

  4. Warshaw G, Bragg E, Shaull R. Geriatric medicine training and practice in the united states at the beginning of the 21st century. The Association of Directors of Geriatric Education Programs; 2002.

    Google Scholar 

  5. Waite MS, Harker JO, Messerman LI. Interdisciplinary team training and diversity: problems, concepts and strategies. CME J Geriatr Med. 1994;15:65–82.

    Google Scholar 

  6. Zeiss AM, Steffen AM. Ch. 19. Interdisciplinary health care teams: the basic unit of geriatric care. In: Carstensen LL, Edelstein BA, Dornbrand L, editors. The practical handbook of clinical gerontology. Thousand Oaks: Sage; 1996. p. 423–49.

    Google Scholar 

  7. Kresevic D, Holder C. Interdisciplinary care. Clin Geriatr Med. 1998;14(4):787–98.

    CAS  PubMed  Google Scholar 

  8. Nanacarro S, Booth A, Arris S, Smith T, Enderby P, Roots A. Ten principles of good interdisciplinary team work. Hum Resour Health. 2013;11(19):1–11.

    Google Scholar 

  9. Salas E, Sims D, Burke C. Is there a “big five” in teamwork? Small Group Res. 2005;36(5):555–99.

    Article  Google Scholar 

  10. Schmutz J, Manser T. Do team processes really have an effect on clinical performance: a systematic literature review? Br J Anaesth. 2013;110(3):529–44.

    Article  CAS  PubMed  Google Scholar 

  11. American Geriatrics Society Expert Panel on the Care of Older Adults with Multimorbidity. Patient-centered care for older adults with multiple chronic conditions: a stepwise approach from the American Geriatrics Society. J Am Geriatr Soc. 2012;60(10):1957–68.

    Article  Google Scholar 

  12. Kolbe M, Burtscher MJ, Wacker J, Grande B, Nohynkova R, Manser T, Spahn DR, Grote G. Speaking up is related to better team performance in simulated anesthesia inductions: an observational study. Anesth Analg. 2012;115(5):1099–108.

    Article  CAS  PubMed  Google Scholar 

  13. Drinka T, Clark PG. Healthcare teamwork interdisciplinary practice and teaching. Westport: Greenwood Publishing Group; 2000.

    Google Scholar 

  14. Mion L, Odegard PS, Resnick B, Segal-Galan F. Interdisciplinary care for older adults with complex needs: American Geriatrics Society position statement. J Am Geriatr Soc. 2006;54(5):849–52.

    Article  PubMed  Google Scholar 

  15. Bliss LA, Ross-Richardson CN, Sanzari LJ, Shapiro DS, Lukianoff AE, Bernstein BA, Ellner SJ. Thirty-day outcomes support implementation of a surgical safety checklist. J Am Coll Surg. 2012;215(6):766–76.

    Article  PubMed  Google Scholar 

  16. Stone J, Hoffman GJ. Medicare hospital readmissions: issues, policy options and PPACA. Congressional research service 7-5700. 2010.

    Google Scholar 

  17. Stewart S. Heart failure management a team based approach. Aust Fam Physician. 2012;39(12):894–6.

    Google Scholar 

  18. Flood KL, MacLenna PL, McGrew D, Green D, Dodd C, Brown CJ. Effects of an acute care for elders unit on costs and 30-day readmissions. JAMA Intern Med. 2013;173(11):981–7.

    Article  PubMed  Google Scholar 

  19. Hsia E, Draznin B. Intensive control of diabetes in the hospital: why, how and what is in the future? J Diabetes Sci Technol. 2011;5(6):1596–601.

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Maryjo Cleveland M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Cleveland, M., Holder, C., Khan, A., Jencius, A. (2014). The Team Approach to Interdisciplinary Care. In: Malone, M., Capezuti, E., Palmer, R. (eds) Acute Care for Elders. Aging Medicine. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-1025-0_2

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-1025-0_2

  • Published:

  • Publisher Name: Humana Press, New York, NY

  • Print ISBN: 978-1-4939-1024-3

  • Online ISBN: 978-1-4939-1025-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics