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I nterdisciplinary Family Health



Fall 2013/Spring 2014






Interdisciplinary Family Health
P.O. Box 100291 Office: H-5
Gainesville FL 32610-0291
Phone: 352-273-5322
Fax: 352-273-5342




3



Table of Contents 3

I FH Core Faculty 4
Course Competencies 5
Program Overview/Safety Tips 7
Frequently Asked Questions 13

2013-2014 I FH Course at a Glance 14

Small Group Discussion 1 18

Small Group Discussion 2 19

Small Group Discussion 3 21


Family Health Presentation Outline 23


********************************************************


Spring 2014 Syllabus


Small Group Discussion 4: 24
Patient safety

Small Group Discussion 5 26


Small Group Discussion 6 27


I FH Final Reflection Report Presentation and 29
Family Health Presentation
(Paper, Poster or Film)

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Interdisciplinary Family Health, 2013- 2014 Syllabus
________________________________________________________________
Course Directors

College of Medicine:
Melanie Hagen, MD, FACP melhagen@ufl.edu 265-0651

College of Dentistry
Micaela Gibbs, DDS mgibbs@dental.ufl.edu 273-6801
Gail Childs, RDH, MPH GCHILDS@dental.ufl.edu 273-5952

College of Nursing
Sharon Bradley, DNP, RN sbradley@ufl.edu 273-6423

College of Pharmacy:
Randell Doty, PharmD doty@cop.ufl.edu 273-6229

College of Health Professions
Clinical and Health Psychology:
Stephen Boggs, PhD, ABPP sboggs@phhp.ufl.edu 273-6146
Physical Therapy:
Gwen Creel, MHS, PT gcreel@phhp.ufl.edu 273-6114

IFAS/College of Agricultural and Life Sciences
Family, Youth and Community Sciences and Food Science and Human Nutrition
Karla Shelnutt, PhD, RD kpagan@ufl.edu 273-3535



IFH Staff
Director
Amy Blue, Ph.D. amy.blue@phhp.ufl.edu 273-5322

Richard Davidson, MD, MPH davidra@medicine.ufl.edu 273-5322

Assistant Director
Gina Murray, LMHC ginag@ufl.edu 273-5320

Educational Coordinator
Cindy Wielgos, MS wielgos@ufl.edu 273-5323

Educational Technology
Erik Black, PhD ewblack@peds.ufl.edu 334-1357

Course Program Assistant
D.J. Brunson dbrunson@ufl.edu 273-5322



5
Goals

The IFH course is designed to initiate an interdisciplinary learning practicum for
health professions, pharmacy, nursing, dental and medical students. The central
theme of the course is learning as a team about the impact of resources and
environment on health status. Students will learn to conceptualize family health
beliefs and behavior from a biopsychosocial framework, and they will learn to
assess family health care needs and health care access through a
multidisciplinary lens.
INTERDISCIPLINARY FAMILY HEALTH
REQUIRED COMPETENCIES: 2013-2014
(A list of assignments that evaluate each competency follows the
competency. The legend of assignments are found below)
I. PATIENT CARE COMPETENCIES

Health professionals must be able to provide patient care that is compassionate,
appropriate, and effective for the treatment of health problems and the promotion
of health. Our students are expected to:
Respect the dignity and privacy of patients while maintaining
confidentiality in the delivery of team-based care.
1,2,6,7
*
Communicate effectively and demonstrate caring and respectful behaviors
when interacting with volunteers and their families
1,2,6,7

Gather essential and accurate information about their assigned families

2,3,4,5

Gather genetic family history information, including at minimum a three-
generation history.
1,3
**
Evaluate health behavior and develop a family health presentation for one
of the family members in the volunteer family
. 1,2,4,5,6,7

Counsel and educate volunteers and their families
1,7

Provide health care information aimed at preventing health problems or
maintaining health
1,7

Develop a basic understanding of the features of the community in which
the volunteer family resides as they relate to support structures,
resources, and access to health care.
1,4,5,6,7,8,9

Learn and understand key patient safety concepts, core theories and
terminology, such as adverse events, close calls, and a culture of safety.
6,
11, 12

Understand the impact of patient errors on the family and the provider.
6,11,12

Recognize and respond appropriately to potential and actual unsafe
clinical situations.
2,6,8,11.12


II. INTERPERSONAL AND COMMUNICATION SKILLS COMPETENCIES

IFH students must be able to demonstrate interpersonal and communication
6
skills that result in effective information exchange and teaming with volunteers,
their families, and professional associates. Students are expected to:
Communicate and collaborate professionally and therapeutically with
assigned families and with students from different health care professions.
1,3,5,6,10
*
Develop a trusting relationship with patients, families, and other team
members.
1,3,5,6,10
*
Develop skills in eliciting perceptions of health from family members.
1,3,5

Demonstrate ability to collect a culturally sensitive and comprehensive
health history including mood, medication and nutritional assessment.
1,3,5

Use effective listening skills and elicit and provide information using
effective nonverbal, explanatory, questioning, and writing skills.
1,3,5,6,7,8,9

Demonstrate understanding of teams and why they are valuable.
1,6,7

Communicate with team members to clarify each member's responsibility
in executing components of a treatment plan or public health intervention.
1,5,6,7,10
*
Engage other health professionalsappropriate to the specific care
situationin shared patient-centered problem-solving.
1,5,6,7,10
*
Respect the unique cultures, values, roles/responsibilities, and expertise
of other health professions.
1,6,10
*
Perform effectively on teams and in different team roles in a variety of
settings.
1,3,5,6
*
Present synthesized information related to the health of the volunteer in a
small group setting.
6,8

III. PROFESSIONALISM COMPETENCIES

Students must demonstrate a commitment to carrying out professional
responsibilities, adherence to ethical principles, and sensitivity to a diverse
patient population. IFH students are expected to:
Place the interests of patients and populations at the center of
interprofessional health care delivery.
1,2,6,7,8
*
Demonstrate respect, compassion, and integrity; accountability to patients,
society, and the profession; and a commitment to excellence and on-going
professional development
1,6,8,9

Reflect on individual and team performance for individual, as well as team,
performance improvement.
1,2,8,10, 13
*
Demonstrate professional conduct during interprofessional encounters.
1,2,6,8,10

Meet the responsibilities of the IFH course, including attending all small
group sessions and completing each assigned home visit by the required
date
1-12

Act with honesty and integrity in relationships with patients, families, and
other team members.
1,2,6
*
Demonstrate sensitivity and responsiveness to patients' culture, age,
gender, and disabilities
2,6,8

Demonstrate a willingness for self- and external evaluation and feedback
2,6,8,10

Demonstrate a commitment to patient safety as a key professional value
and an essential component of daily practice.
11,12

7
* aligned with specific competencies from the Interprofessional Education
Collaborative
** aligned with National Coalition for Health Professional Education in
Genetics

Legend of Assignments:
1. Family Home Visit
2. Home Visit Reports
3. Genogram
4. Windshield Survey
5. Family Health Survey
6. Small Group Discussion
7. Family Health Outline and Presentation
8. Reflection Report and Presentation
9. Social Service Consult
10. Peer Evaluation
11. Web-based learning in patient safety
12. Attendance at Patient Safety Small Group discussion
13. Team evaluation by faculty

Participants and Structure

IFH includes small group discussions and home visits with volunteer families in
the community. IFH includes students and faculty from the Colleges of Public
Health and Health Professions, Pharmacy, Nursing, Dentistry, IFAS and
Medicine. Students will work in interdisciplinary teams of three making a total of
four home visits with volunteer families residing in the community.

Small Group Discussions. Discussion groups include approximately 12 students
from the six participating colleges and have two group faculty leaders.
Discussion groups will meet three times in the first semester and three times in
the second semester. Discussions involve content to orient students to
multidisciplinary points of view on healthcare, cultural issues in care, the value of
teams in health care, discipline-specific competencies of different health care
providers, family life-span topics, communication and interviewing skills, patient
safety, and simple physical assessment skills. Home visits will be debriefed
during small discussion group meetings. Additional learning topics will also be a
part of each small group meeting. Please check your email regularly for course
updates. You will be emailed the location of your small group meeting prior to the
first meeting in September.

Student Home Visit Teams. Students in each discussion group will be sub-
divided into teams of 3 students (each team including students from three
different colleges). At the first small group meeting on September 17, 2013, each
team will be assigned a family in the community to visit two times in the first
semester and two times in the second semester. Each of the three-team
members MUST participate in each home visit, and the visits MUST be
completed by the assigned date. Individual teams will be responsible for
finding a mutual time to make the required home visits that are acceptable to
both the student team and the family. There are specific assignments for each
home visit; these should rotate among team members for each visit. One of the
8
student members will take the role of leader for each home visit. The leader will
be responsible for scheduling the visit with the family, for organizing the task
order during the home visit, and for presenting the family in the small group
setting, although comments from all members are suggested. The leader for
each visit will also be responsible for notifying our office about the scheduling of
the next visit by contacting DJ Brunson, IFH Office Assistant at 352-273-5322 or
by email at dbrunson@ufl.edu. One team member will be responsible for taking
notes about the visit. Team members that have been trained to do so will take
vital signs on any or all of the family that are interested. Make sure the assigned
tasks rotate on subsequent meetings so that all members get a chance to be
team leader. Team members will be jointly responsible for completion of home
visit assignments. Each home visit will be debriefed in the small group
discussion. The student leader for each home visit will lead the discussion, but
all three members must participate in the debriefing.

Doing Home Visits. A unique and important aspect of this course is the
opportunity for students to visit community families who volunteered for this
program. These families were carefully chosen by our faculty and staff for
participation in the program, and they are eager to assist you in developing your
skills in interviewing and assessment. They will help you learn how the home,
family and community environment affect health and quality of life of persons
through the lifespan. In some cases, student teams will find all family members
or other significant support persons present during their home visit, and
sometimes only one or two members will be present. It is vital to consider that
these people have many social and other roles to fulfill, and the IFH program will
not always take priority. It is important that you treat these families and their lives
with respect, include all who are present in the interviewing process, and be
always flexible. You should also know that we contact families throughout the
course to make sure that the home visits are doing well and that you are on task.
It is important to remember that your involvement in IFH is not meant to
provide direct health care to the families as they have other providers.


Family Health Presentation. There are many reasons why we think you will learn
from working with these families. This course is described as service-learning,
which means that both the family and the students can benefit from their
involvement. Throughout two semesters of the course, one student goal should
be to develop a family health presentation which will be presented at the last
small group meeting in March 2014. Included in the presentation should be a
discussion about the health status of your family, and for many families, ways in
which your team has proposed to improve that health status, using a broad
definition of "health (i.e. weight loss, smoking cessation, diet, exercise programs,
etc). Improving health status may include aspects of health education (i.e. teach
families about ways they might improve their health); access to resources;
emphasize prevention for many "healthy families such as fall prevention,
childproofing homes, or hurricane preparedness. We consider your presentation
to be an important educational tool for your small group; it can teach other
students about your families, their health status and their illnesses, and you will
learn a great deal as well. The topics you choose for your presentation should be
determined by your team, based on discussions with the families and your small
9
group leaders. One of the important learning objectives for the course is to have
you develop this presentation as a team. There is a list of sample presentation
topics on the course website under March module; Examples of the Family
Health Presentation Report - Final. Years of experience have suggested to us
that you can learn something from every family in the program.

If you are having difficulty determining what topics to address with your
presentation, please discuss with both your small group leaders and also
with our office. We know all the families, have visited them all in their
homes, and may have suggestions for you.

As an option for your presentation, you may choose to develop a video about
some aspect of the family's life and health status, or history. Your presentation
may be submitted as a written document, a poster, or a PowerPoint presentation
and your options are more completely described near the end of this syllabus.
Please remember: the presentation is important, but it is only one objective of the
course. It is not meant to be the ultimate learning outcome.

Doing Home Visits: Safety and Etiquette Tips
1. Always make an appointment to meet with the community volunteer
family. Call them when you leave for their house so that they know to
watch for you, restrain pets (if desired), and prepare for your visit.
2. Dress professionally; wear your name badge if you have one.
3. Arrange to have team members drive together to the home.
4. Have accurate driving directions to the street, building or apartment
with you. Carry an appropriate map in your vehicle.
5. Park in a well-lighted and heavily traveled area if possible.
6. Keep the interior of your car free of personal belongings.
7. Above all else, use your good judgment. Don't take any unnecessary
risks.

Confidentiality derives directly from a healthy respect for people. Put yourself in
another's place and ask yourself how you would like information and
circumstances to be handled. Ask your assigned family members how you
should refer to them, e.g., as Mr. or Mrs. Smith, or by their first names. While
every participating family has signed a HIPAA release, their information is to be
used ONLY within this course. "Although every family visited has signed a
HIPAA release, please do not use family names, addresses or phone numbers in
your reports. USE INITIALS ONLY FOR ALL DOCUMENTS HANDED IN.

Suggested Introductory Phone Call to IFH Family
"Hi My name is _________ I am a _____ student from the University Florida. I
am taking the IFH course where I and my 2 team members will be coming to visit
you. We were wondering if you were able to meet with us on ______ at _______
o'clock. If not here are a few other times we are able to meet. I will call you
before we come to remind you of our visit. If something comes up please contact
the IFH office and they will be able to contact us. (IFH Office phone number is
273-5322).

- Please remember that some families have a hard time hearing. Please speak
slowly and clearly when leaving a message
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- Some families do not have access to long distance. You might have to call them
back if you do not hear from them.
- If you do not reach the family on the first try please try again at a different time.
If you continue to have problems reaching the family or if the number is
disconnected, please call the office immediately at 273-5322.
- You can mention Cindy the educational coordinator to jog the family's memory if
they do not seem to recognize the program. She has made a home visit to every
single family.
Please remember that if your family has moved, please contact the IFH office
immediately so that the IFH staff can conduct a home visit before your team
goes out to the home.

Practice nonjudgmental behavior. It is likely that differences between you and
the family with regard to values, attitudes, politics and the like will surface. Avoid
classifying things as "right or "wrong, or "good or "bad. Most families won't
mind your curiosity about what they believe in and what their values are, but they
won't like being judged.

Maintain a professional relationship with all members of the family. Remember,
you are not expected to diagnose their health problems, you are not expected to
make referrals, to render any treatment, or to serve as a health care liaison in
any way for these families. You are there to learn from them, as well as educate
them about their health status as a helpful service.

*Notice: Community-based experiences by their nature involve students in
a variety of settings, locations and communities, as well as with a variety of
families. The community environment and family homes may have the
potential for exposure to hazardous situations. If any student believes their
community-based learning experience is unsafe, students should take
steps to protect themselves and their assigned families, including leaving
the setting and notifying the course instructor or any college administrator
immediately so that appropriate arrangements can be made.

How to submit assignments: On the course website there is a link entitled "Small
Group Meetings and Assignment Submissions. You should click on that link
prior to each small group meeting. You will enter your Gatorlink username and
password, and you will be taken to your portfolio page. The portfolio page will
show you all of your required submissions, and it will also include the
submissions you have completed with faculty feedback. A list of the items you
are to submit will be listed there by the date of the small group session. Click on
the link to the assignments due on that date and you will be able to submit your
assignment. If you have a question regarding the submission, call our office at
273-5322.

Your online submissions should be made PRIOR to the small group meeting,
with the exception of the peer evaluations, which are to be done immediately
after the last small group each semester. For every day your required
submission is submitted late, you will have one point deducted from the total.

Evaluation: Students will be evaluated using a point scale that includes
participation, including completing required assignments (such as the Home Visit
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Report notes and the peer evaluation forms) as well as small group exercises;
required assignments such as a Family Health Presentation and the final report;
online patient safety lesson quizzes, and attendance. IFH is a separate course in
some colleges and in others it is part of a larger course. In some colleges it is
graded and in some it is pass/fail. Regardless, all students must pass IFH or be
assigned remedial work to receive a passing grade.


Evaluation of Professionalism

IFH can be a challenging course in many ways just like clinical practice. All
of the colleges feel that professional behavior is extremely important to
your future career. Your small group faculty will be specifically asked to
evaluate your professional behavior in the course. Many students are
unclear how professionalism is assessed; for a sample list of important
professional behaviors that you may be evaluated for, go to the link on the
course website under "Course Information: entitIed "EvaIuation of
ProfessionaIism." Additionally, at the end of each semester we contact the
families to get feedback from them regarding the home visits. If you are
judged to be exhibiting non-professional behavior, REGARDLESS of your
meeting other course requirements, you may be asked to remediate the
course, whether taking it for a grade or not. To reinforce the above
comments, you MUST:

1. Schedule appointments with your family to occur well in advance of
the small group meeting.
2. Contact our office when your appointment is confirmed.
3. Contact our office IMMEDIATELY when you have any problems
contacting your family or scheduling a visit that may interfere with
you completing your home visit prior to the small group session.
Contacting our office during the last 3 or 4 days before the small
group meeting is discouraged. Your visits should be completed by
then.
4. The IFH office and staff will assist you in completing your visit on
time if we are aware of problems. Our office, in conjunction with your
small group leaders, will determine if you have tried in good faith to
complete your visit on time and if you are to be excused.
5. If you do not complete a visit on time, you will be asked to complete
the visit after the small group session. Every home visit must be
completed except in extreme circumstances that must be discussed
with your small group faculty AND with the IFH staff.
6. Carrying your load within your team is a very important measure of
your professionalism. We expect you to participate equally with the
other members of your team, regardless of how you are being
graded.

We want you to enjoy your opportunity to represent the university as a
health professional. It is essential that you represent us well. Please
contact us with any problems as early as possible.


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Hints:

A. This syIIabus serves as an outIine. We have Iisted under "Small Group
Meetings and Assignment Submissions" the specific requirements for each
small group session. Please make sure you know well in advance what is
required for each session. All forms (windshield survey, Family Health
Survey, peer evaluation forms, Home Visit Reports, and guidelines for the
Family Health Presentation and final reports) are listed under the small
group session that each assignment is due.

B. Make sure you get good contact information for your team members; get
phone numbers (home and cell) and email addresses. Communication with
your team will be a major key that determines how easily you will be able to
complete your course assignments.

C. PLEASE LET US KNOW EARLY WHEN YOU HAVE ANY SCHEDULING
PROBLEMS. PLEASE DO NOT SAY YOU CANNOT GET IN TOUCH WITH
THE FAMILY UNLESS YOU HAVE TRIED A NUMBER OF DIFFERENT TIMES
OF DAY. CALLING AT 3 PM EACH DAY IF THE FAMILY WORKS MAY NOT
BE THE RIGHT THING TO DO. TRY DIFFERENT TIMES OF THE DAY AND
ON MULTIPLE DAYS. IF YOU THEN CANNOT GET IN TOUCH WITH THE
FAMILY, CALL US RIGHT AWAY AT 273-5322 OR EMAIL
dbrunson@ufl.edu.

D. In order for us to know that you are meeting your responsibilities
regarding scheduling in a timely manner, the assigned visit leader for each
visit MUST contact DJ Brunson, IFH Office Assistant at 273-5322, or email:
dbrunson@ufl.edu ONE WEEK IN ADVANCE OF THE SMALL GROUP VISIT.
If your team has not done this by the deadline in this syllabus, our office
will schedule your home visit for you at the convenience of the family. You
would be much better off if you scheduled these visits by discussing the
best times among yourselves and arranging it with the family.

E. The participating families do not expect you to know a lot of medicine, or
pharmacy, or nursing, or psychology, or physical therapy, or dentistry or
nutrition. Do not feel awkward to admit what you do not know about
particular conditions or treatments. Let the families educate you about
what their health care and illness experiences have been; then, and this is
very important, educate yourself about their health care problems, and take
the opportunity to educate your team and your small group. For the rest of
your career after you graduate, you will be responsible for educating
yourself. This is a great opportunity to begin self-directed learning;
learning without an assignment to do is important to the career of all health
professionals. For example, if you are a dental student and someone in
your family has diabetes, read about dental problems in diabetics and
make a brief presentation to your group. Everyone will learn from this
effort, especially you.

F. If your family has a different address than what is listed on your contact
sheet, or if they move during the year, contact the IFH office (273-5322)
immediately so that the staff can make a home visit to the new address.
13
HAVE ANY QUESTIONS REGARDING YOUR VOLUNTEER FAMILY?
Please contact Gina Murray, Assistant Director at 273-5320 or email her at
ginag@ufl.edu right away.


Frequently Asked Questions


How do I get started? When you are first assigned your family, it is important to
call and introduce yourself. You should also verify the address that was given to
you; ask directions if needed and an alternative phone number they can be
reached at if necessary.

What do I do if I cannot contact my family? Call the family at different times
during the day. Use the alternative phone number if you have collected one.
Remember to call the family before the visit to remind them of the date you
tentatively set up at the last meeting. Remember to schedule a home visit as
early as possible, in case a cancellation or emergency occurs. Someone can
also go the family's home and leave a note, for the family to contact you. If you
still have difficulty contacting your family you need to notify the IFH office as soon
as possible.

What do I do if my family, or someone in it, is in the hospital? In the past
several groups have called one of the family members and asked if it would be
ok to see the patient in the hospital or the nursing home. It is almost always OK
and we strongly recommend you do this, as the hospitalized person will likely
appreciate your visit. You will need to let the IFH office know if you are unable to
visit your family due to these circumstances.

What do I do if one of my group members cannot attend a visit? The IFH
office needs to be aware of this situation in advance. You will also need to speak
to your group leader. It is mandatory that all students on your team attend all of
the home visits that are scheduled with your family.

What do I do if my family's phone number is disconnected? Please contact
the IFH office as soon as possible. A group member could also go by the family's
home and leave a note to call. If you still do not receive a response, the IFH
office needs to be contacted as soon as possible to try and contact the family.

What do I do if one of the family members dies? In real life sometimes
patients die. We have several participants die each year during the course. The
IFH office needs to be contacted about this situation. Depending on the
circumstances, several options could happen. If other family members wish to
continue to participate in the program that is acceptable, a new family could be
assigned to you or other options can be discussed if this situation occurs.

What if my family has participated in IFH before? Speak to the family and try
to come up with an idea on how your team can help them. You can ask them
what previous teams have done in the past. If you cannot come up with an idea
together, contact the IFH office and we can help. 273-5320.
14
2013-2014 I FH Course at a Glance:

1. Pre-course requirement:
A. Prior to the first meeting each student is required to view the online
Orientation video which is an orientation to the IFH course.
B. Additionally there will be an assigned reading about teams and their
importance in providing safe and high quality healthcare.
2. September 17, 2013 10:40am - 12:30pm Small Group Meeting #1
Students will discuss the orientation video and understand the goals
for the course. They will be assigned into teams and provided
contact information for their family. Students will participate in a
team exercise involving a home visit scenario, and will write their
own goals for the course. Goals will be submitted online via an email
link that will be sent out following small group meeting #1.
3. October 8, 2013 First home visit must be either scheduled or completed.
4. October 15, 2013 10:40am - 12:30pm Small Group Meeting #2
Assignments include discussion and impressions of your first home
visit; in addition, a genogram of the family, (to be handed in hard
copy at the meeting), and completion of a windshield survey, and
home visit report should be submitted through the course website
before Small Group Meeting 2. Two videos which address cultural
issues in health care will be viewed and discussed. You will watch
one video as a group and discuss. The second video will be watched
with your team, you will then answer the questions and discuss as a
group. If there is not enough time to watch both videos, time has
been aIIotted in January's smaII group meeting to watch with your
team and discuss as a group.
5. November 12, 2013 Second home visit must be either scheduled or
completed.
6. November 19, 2013 10:40am-12:30pm Small Group Meeting #3
Assignments include an initial discussion of a family health
presentation, completion of a Family Health Survey (hard copy
handed in and electronic copy uploaded), a Family Health
15
Presentation outline, a home visit report, to be submitted before
Small Group #3, and a peer evaluation of your team members to be
submitted after the small group session.
Note: Social workers will attend this session for resource assistance. If for
some reason you are not assigned a Social worker, please notify our office
and we will have someone present for your January small group session.

HOLIDAY CARDS for the IFH Family Volunteers - Please return your signed
cards to CG-78.

A. Additional course requirement: At the November meeting you will be
provided with information about how to log in to the Online IFH
Patient Safety Site. You will be assigned to complete a number of
online lessons sometime before the January Patient Safety Small
Group session. These must be completed by that date. Each
module includes a brief quiz which must be completed prior to the
January small group meeting; the quiz scores count toward your
final IFH grade. Please do NOT register or log in to the Institute for
Healthcare Improvement website UNTIL we give you specific
directions how to do so in November. You will have time both before
and after your holiday to complete this assignment.
16
Holidays. No home visit is scheduled during the holidays. Please schedule
your 3
rd
home visit immediately after the holidays as your visit must be
scheduled or completed by February 11
th
, 2014. Please call your family
during the holidays to insure rapport is well maintained).

7. January 21, 2014 10:40am-12:30pm Small Group Meeting #4
The January small group meeting is dedicated to patient safety. You
will discuss the online lessons you completed over the holidays,
discuss cases provided at the session and watch appropriate videos.
Please make sure you have already completed or scheduled your
next home visit. If you did not complete all of the cultural videos
during the October session, please take the time after the Patient
Safety cases to watch and discuss. If you do not have a social
worker come to your group in November and would like someone to
attend, please notify our office and we will make arrangements to
have someone come to your small group session.

8. February 1, 2014 Third home visit must be either scheduled or
completed.

9. February 18, 2014 10:40am-12:30pm Small Group Meeting #5
You will have a discussion about specific health care myths that you
have heard regarding health professionals. You will participate in a
team activity in class. Discuss your progress with the family health
presentation/project, and the family's response. Discuss options and
directions for completion of a Family Health Presentation, as a
report, a poster, or film to be submitted prior to the last small group
meeting #6. Please remember if you have not been able to identify a
topic to help your family in some way, please contact the IFH office
immediately at 273-5320 (Gina Murray, ginag@ufl.edu)

9. March 12, 2014 Final home visit must be either scheduled or completed.
Please remember you last home visit is due right after Spring Break.
Please call your families early to make arrangements.
17

10. March 18, 2014 10:40am-12:30pm Sixth and final small group meeting
You will present your Family Health Presentation/Project and reflect
on lessons learned during the IFH course. Assignments include the
report, a reflection paper, a home visit report, and peer evaluations
of the students on your team (done online after the last meeting).
You will participate in an in-class activity regarding the goals you
had for the course and complete the course evaluation.









Specific instructions, required and suggested readings and assignments
for each small group and home visit follow. Please read them well in
advance of each session so you are aware of your responsibilities. You
must have one member of your team notify our office to make sure your
home visits are scheduled in a timely fashion. If you have problems in
scheduling, please contact our office early. Finally, always check the room
list on the course website just before your small group sessions because
there are frequent changes in the meeting places for small groups. For any
questions, please call us at 273-5322.


18
First Small Group Meeting - I FH
September 17, 2013 (Tuesday)
10:40 AM 12:30 PM:

Prior to the first meeting. These items are listed in "Before the Course module.
Each student is required to view the orientation video presentation online.
There is a short required reading on "What is a team and "Helping, Fixing,
Serving.

At the first meeting:
Students will discuss the orientation video and understand the goals for
the course
Students will be assigned into teams and do a team exercise
The case exercise questions will be discussed
Students will be provided contact information for their family
As an individual write down some goals you have for this course.
Following the meeting you will receive an email with instructions on how to
upload these goals. We will return them to you via email toward the end of
the course.

Please begin scheduling home visit #1 right after the small group session.
Students must have completed their first home visit prior to the October
small group meeting which is October 15, 2013.


IMPORTANT NOTE: Your team should have notified DJ Brunson at 273-5322 or
dbrunson@ufl.edu of the status of the progress or completion of the scheduling
of your family home visit #1 by October 8, 2013 to avoid delays.
19
Second Small Group Meeting I FH
October 15, 2013 (Tuesday)
10:40 AM 12:30 PM:

Debrief home visit #1 (see details in online syllabus)
Two videos which address cultural issues in health care will be viewed
and discussed.
Prior to November 19 (Tuesday) Student teams must complete the second
home visit, complete the Family Health Questionnaire and discuss the
family's identified health concerns

PLEASE COME TO THE DISCUSSION PREPARED TO PRESENT YOUR
ASSIGNED COMMUNITY FAMILY IN 10 MINUTES AND TO ALLOW 5
MINUTES OF DISCUSSION. The person on your team who was assigned to be
primary spokesperson at the home visit will lead the presentation, summarizing
the data collected for the home visit arrangements. It is best that prior to this
small group meeting, your team work together to design a cohesive and efficient
format for the presentation so that you give the group a comprehensive picture of
the family and your reactions to the visit experience.

A. STUDENT TEAM PRESENTATIONS:
1. Describe the neighborhood the family lives in via data collected for the
Windshield Survey.
2. Identify who in the family emerged as the family health care leader.
3. Describe the family's structure via presentations of the family genogram, and
discuss the pertinent health and illness aspects of family members.
4. Report on vital signs of the family members (optional)
5. Describe your assessment of the home visit process and your feelings about it.

B. SUGGESTED READINGS:
Reading 1: The Clinical Importance of Defining Family
Reading 2: Turning No to Yes

C. ASSIGNMENTS Forms are found on website under October 15, 2013
small group meeting module - download the form(s) for use during the visit
then to be entered into the website for grading.
1. Home Visit Report note (one per student)
2. Windshield Survey (1 per team)
3. Family Genogram: see form, directions and example. THIS IS TO BE
TURNED IN BY HARD COPY to Faculty Leader.

You will watch two videos that include patients of differing cultures. Like
individuals in any culture, there are variations in medical beliefs. These examples
are not meant to be representative of all members of a religion or ethnic
background.

Students jot down ideas about cross-cultural issues and topics for discussion
while watching the videos. This will allow everyone to participate and will give
rise to a more well-rounded discussion.
20
IMPORTANT NOTE: Your team should have notified DJ Brunson at 273-5322 or
dbrunson@ufl.edu of the status of the progress, or completion of the scheduling
of your family home visit #2 by November 12, 2013 to avoid delays.
21
Third Small Group Meeting I FH
November 19, 2013 (Tuesday)
10:40 AM 12:30 PM: Assigned small group room
Before this home visit, you will download the Family Health Survey, which
will be used to assess the health status of your family; and acquaint
yourself with the following website regarding BMI measurements:
http://www.nhlbisupport.com/bmi/.

Debrief home visit #2. Teams discuss with a visiting resource consultant
how to assist with the family's health concerns. Present initial plan for
family health presentation in outline form.

All students must complete a peer evaluation AFTER this small group
session for the first semester. You can enter this evaluation through the
class website after this small group is completed.
You will be provided with information about how to log in to the Online IFH
Patient Safety Site. You will be assigned to complete a number of online
lessons, with quizzes, sometime before the January Patient Safety Small
Group session. These must be completed; the scores contribute to your
final grade in the spring semester.

There is no home visit over the holidays. We recommend you schedule
your next home visit shortly after coming back from the holidays, even
though the visit may not be discussed until the February meeting.

Please introduce your resource guest. Each group will have a visitor who is
an expert in local resources that can help you obtain information and
resources for your families

PLEASE COME TO THE DISCUSSION PREPARED TO PRESENT YOUR
ASSIGNED COMMUNITY FAMILY IN 10 MINUTES AND TO ALLOW 5
MINUTES OF DISCUSSION.
The person on your team who was assigned to be primary spokesperson at the
home visit will lead the presentation, summarizing the data collected for the
home visit arrangements. It is best that prior to this small group meeting, your
team work together to design a cohesive and efficient format for the presentation
so that you give the group a comprehensive picture of the family and your
reactions to the visit experience, as well as your preliminary ideas for your
presentation.

A. STUDENT TEAM PRESENTATIONS:
1. Discuss results of Family Health Survey (you should hand in your
hard copy and upload an electronic copy).
2. Mention your family's BMI measurements.
3. Discuss why you selected the identified family member to focus
your Family Health Presentation if applicable.
22
4. Discuss your interpretation of your family's quality of life based
upon the Family Health Survey.
5. Present the Family Health Presentation outline to the group and get
feedback.
6. Speak with Social Worker about community resources appropriate
for your family member that may be added to the Family Health
Presentation. If your group is not assigned a Social Worker and
one is needed, please inform our office and one will be present for
the January meeting.

B. SUGGESTED READING:

Reading 1. Evidence-based Methods to Enhance Medication
Adherence

C. ASSIGNMENTS TO BE TURNED IN VIA THE COURSE WEBSITE:
1. Home Visit Report note per student
2. Family Health Presentation outline per team
3. Family Health Survey one per team
4. Peer Evaluation per student (done AFTER small group)

You will be provided a Holiday Card for your assigned IFH family. Please
write a message to the family and return to your small group leaders who
will collect the cards and a selected medical student will deliver it to the
Medical Education office staff (CG-78). The IFH office will then mail the
cards to the families.

IMPORTANT NOTE: Your team should contact our office to confirm the
status of the progress or completion of the scheduling of your family home
visit to follow the holiday break. Please schedule your home visit
immediately after returning from the holidays to avoid delays.
23
The Family Health Presentation Outline
Create an outline form of your preliminary Family Health Presentation,
presentation, poster, or film that will be used for your final report.
Your starting point is your visit with the family see the detailed
description below of what you are to cover in your outline. There are
examples of projects that have been done in the past located under
November module: Examples of the Family Health Presentation
Report. If you have any questions please feel free to contact our office
immediately for help.
The brief written Family Health Presentation outline is due November 19, 2013
for discussion purposes in small group #3, and should be completed by the team
(format: a one to two page limit) to include the following information to be used
for future reference toward the completion of the final presentation:

1) Provide your team's ideas to be considered for your IFH family's Family
Health Presentation focus and goals;
2) Include a careful and exact list of your outcome measures to be designed
to assess the success of the Family Health Presentation. How will you
determine success?
3) Review what you have found in the initial home visits in regards to the
family's potential adherence to the proposed Family Health Presentation
(include supports and barriers that may influence its success or failure);
4) Describe ways you might work with the patient and family members to
help them improve supports, maintain supports, or overcome identified
barriers related to the Family Health presentation goals.
5) During your third home visit, which can take place any time between when
you return after the holidays in January and early February, you will
present the Family Health presentation to the family and discuss it with
them.
6) Please remember: while the Family Health Presentation is a part of this
course, it is not the only important learning experience. Do not become
frustrated if you have difficulty in determining a topic for presentation; in
fact, please contact our office and we can help you.

PLEASE NOTE: THERE ARE EXAMPLES OF THE OUTLINE POSTED ON
THE COURSE WEBSITE.

24
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Fourth small group meeting
January 21, 2014 - Tuesday
10:40AM -12:30PM

Patient Safety in IFH

The University of Florida Health Science Center is committed to a culture of
patient safety and quality. Every health professional must learn about the
ways to provide high-quality care in a collaborative setting, because that is
the way care is delivered. When there are major patient safety failures, it is
aImost never due to one "mistake", but is much more frequentIy due to
problems within the system as a whole. Only by working with other
disciplines can these problems be prevented.

As part of the IFH course, you will be introduced to patient safety issues
through materials developed by the Institute for Healthcare Improvement.
They have a series of online lessons that you will be completing as a part
of the IFH course. Each lesson is accompanied by a short quiz. Sometime
after November and before the IFH Small Group meeting in January, you
will be required to complete eight online lessons. Your quiz scores will be
collected and will contribute to your IFH grade. The January small group
meeting will be dedicated to discussions about the lessons and will
provide a more in-depth introduction to patient safety and quality concepts.
You will be sent specific instructions about how to register for our online
course. Do NOT register with IHI until you receive specific instructions
from us so your data can be collected.


Before your small group meeting you are required to complete the
assigned IHI online patient safety and collaboration lessons and the online
quizzes.

During the small group session you will be given additional material
regarding patient safety and three cases with discussion questions to test
your knowledge of the online material.

You should have your next home visit already scheduled or completed. If
you haven't contacted your family over the holidays, please do so after
this small group. You should contact our office to confirm that you have an
appointment scheduled by February 11
th
.

If you did not have time to finish the Cultural Videos from October, please
take any additional time to review videos and discussion questions.





25

DISCUSSION QUESTIONS:

1. How would you describe what happened in this case?
2. What factors do you feel contributed to this patient's lack of medical follow-up?
3. As a future provider, what do you think could be done in situations like this?
Are they preventable?


C. ASSIGNMENTS TO BE TURNED IN VIA THE COURSE WEBSITE:
There is no scheduled home visit for the January small group meeting #4.
However, it is recommended that you contact your family by telephone for an
update prior to this small group meeting. You also may choose to do your third
home visit any time after the holidays and before the February 18
th
small group
meeting.

IMPORTANT NOTE: Your team should have notified DJ Brunson at 273-5322 or
dbrunson@ufl.edu of the status of the progress or completion of the scheduling
of your family home visit #3 by February 11, 2014 to avoid delays.


26
Fifth Small Group Meeting - IFH
February 18, 2014 (Tuesday)
10:40AM -12:30PM - Assigned small group room

You will debrief your last home visit, discuss the family's response to your
presentation/recommendations and discuss possible barriers.

You will have a discussion and exercise regarding different health care
providers and myths associated with their disciplines.

March 11 - Deadline for contacting the IFH office to document your
scheduled home visit.

Prior to March 18th: Last home visit to assess family's response. Discuss
long-term plans with the family and thank them for their participation

Before Small group meeting:
1. The previously assigned student team will lead the case discussion during
this small group session.
2. Your team should have completed your third home visit. Today's
discussion is devoted to sharing your family's response to the Family Health
Presentation concepts with your Small Group colleagues.

PLEASE COME TO THE DISCUSSION PREPARED TO PRESENT YOUR
ASSIGNED COMMUNITY FAMILY IN 10 MINUTES AND TO ALLOW 5
MINUTES OF DISCUSSION. The person on your team who was assigned to be
primary spokesperson at the home will lead the presentation, summarizing the
data collected for the home visit arrangements. It is best that prior to this small
group meeting, your team work together to design a cohesive and efficient format
for the presentation so that you give the group a comprehensive picture of the
family and your reactions to the visit experience.

A. STUDENT TEAM PRESENTATIONS:
1. Discuss results of the family's response to the Family Health
Presentation.
2. Identify any barriers or challenges to the family meeting their goals and
suggest solutions.
3. Continue discussion among small group members on how best to
engage this family and to assist them/or learn from their health experiences.

B. Myths Exercise
In class have each discipline come up with myths that they have heard
about their own profession and come up with myths of other professions. They
can use their computers and "Google if necessary. Then they will come back
to the larger group and discuss. Some of the discussion could focus on why
these are myths; why/how they were started? Discuss their perceptions of the
myths. Discuss the myths and perception the families have of different health
professions. How is their perceptions different than the families? What changes
their views of these myths etc. how do these myths hinder your profession?
27
B. ASSIGNMENTS TO BE TURNED IN VIA THE COURSE WEBSITE:
Home Visit Report (per student)

IMPORTANT NOTE: Your team should have notified our office concerning
the status of the progress or completion of the scheduling of your family home
visit #5 by March 11, 2014 to avoid delays. This should be done by
contacting DJ Brunson at 273-5322, or dbrunson@ufl.edu.

28
Last Small Group Meeting - IFH
March 18, 2014 (Tuesday)
10:40AM -12:30PM

Before Small Group Meeting:
Your team should have completed your final home visit #4. Today's
session is devoted to a continued discussion about your family's progress
with the Family Health Presentation Paper, Family Health Poster, or
Family Health Film to be shared with your S mall Group colleagues.
Present your final presentation to the group. Discuss team interactions,
and lessons learned. You will have several submissions, including a
reflection paper, Home Visit report, and a final health presentation report,
film, poster, or PowerPoint. A Peer Evaluation is to be completed
immediately after the small group meeting.

PLEASE COME TO THE DISCUSSION PREPARED TO PRESENT YOUR
ASSIGNED COMMUNITY FAMILY IN 15 MINUTES OR LESS. The team
members will lead a presentation, summarizing the data collected over the
course of the four home visits with your family. It is best that prior to this small
group meeting, your team work together to design a cohesive and efficient format
for the presentation so that you give the group a comprehensive picture of the
family and your reactions to the visit experience.

A. STUDENT TEAM FINAL PRESENTATIONS:
a. Your presentation could be a written report, a poster, a copy of
what your team designed for your family. The presentation should
address what your goals were, how it turned out, and what you
perceived the barriers to be. At least part of your presentation
should be a discussion of what you've learned about the health
status of your family. For example, if your task was to develop a
diabetic diet; describe the diet to your group so they can become
familiar with the interventions that your team has developed. If you
decide to educate the family about Crohn's Disease, then tell your
group what you learned about Crohn's Disease.
b. Briefly reflect on your perception of your experience in terms of
home visits with your family; interdisciplinary teamwork; and the
most significant insight you have gained from this learning
experience that has contributed to your professional development.

B. GOALS:
a. Break into teams and look over initial goals you had for the course.
Were these accomplished? If yes, why? If no, why not?
b. How would you improve IFH to be more successful?
c. How you would address some of the problems and issues that
came up during the course?

29
C. ASSIGNMENTS TO BE TURNED IN VIA THE COURSE WEBSITE:
1. Home Visit Report Note (per student).
2. Final Reflection Paper (per student).
3. Family Health Presentation written paper, PowerPoint, poster, or
film (per team).
4. Peer Evaluations (per student) after the last small group. A link will
be sent to you to follow.


30
Family Health Presentation: Final Presentation

The finaI presentation can be in a variety of formats.a written paper, a
PowerPoint presentation, a poster, or a short film. Each of these is
discussed below. In addition to this project, which is done as a team, each
student must submit a reflection paper, which is described below as well.
You only need to do ONE of these options for your presentation.




The Family Health Presentation Written Paper Guidelines
(There are examples located on the course website)

The final written Family Health Presentation paper is due via the course website
for discussion in the March 18, 2014 small group #6, and it is to be completed by
the team (format: a two to four page summary) to include the following
information:

1) Provide a clear statement of the Family Health Presentation focus and
goals;
2) Describe carefully the outcome measures your team used to assess the
success of the Family Health Presentation's goal implementation. Your
team will need to include what did your team do for the family and what
did you learn from the family? What did your family learn from you as a
team? Are there any barriers and if so, how can we help?
3) Review what you have found in the overall home visits in regard to the
family's potential adherence to the Family Health Presentation goals
(include supports and barriers that may have influenced it's success or
failure both in terms of the short-term and long-term effectiveness of the
intervention);
4) Describe ways your team's work with the patient and their family members
have helped them improve supports, maintain supports, or overcome
identified barriers related to the Family Health Presentation.


The Family Health Poster or PowerPoint Guidelines

The final family health project/presentation allows each student team to develop
a poster (in PowerPoint) or a PowerPoint presentation. Most teams will choose to
describe their own assigned family, but they may choose to address what was
learned from all the families in their small groups. For example, it may
demonstrate what was learned about a specific diagnosis encountered with their
group members' families or with their assigned family, or other lessons learned
such as interviewing skills (or any of the objectives of the course as listed in the
syllabus).

More specifically, student team members will use the data collected from the
small group members to describe all 4 families or their own assigned family's
identified health concerns, and then the team will describe the family health
presentation interventions that were used to address these health concerns
31
identified by each family and outcomes. Your team will present your
project/presentation via computer on March 18th during the last small group
meeting (as well as submit your form via website).



The Family Health Film Presentation Guidelines - Optional

The purpose of the IFH Family Health Issue Film is to capture the voice of your
family regarding their personal perspective on an identified health concern. If
your IFH team chooses to make a film with your IFH family's consent the goal is
to stimulate a healthy dialogue among the IFH faculty, students, and possibly
with other IFH families in an effort to influence a positive understanding of this
identified health issue.

We encourage a narrative ----meaning a storyline. We're looking for an
educational piece demonstrating how your family copes with their family's health
challenges, or reflections of their family's health beliefs, or other interesting facts
that will dramatically express their own story. Make us laugh, weep, gasp, grin.
The purpose is to put a human face on what may be an otherwise overlooked
learning experience of a particular health care issue. Have your family
member(s) be themselves, share their own issue(s), be passionate and original.

Film entries should be kept short (within ten minutes), and will be posted in a
"YouTube type format on the FH course website. The FH family will sign a
photo/film consent form before filming, and will be informed of the use of the film
for educational purposes before the release to the password protected IFH
course site. All IFH families are required to sign a HIPPA release form and a
general consent form which allows for their health information to be shared in
small group discussions. Please remind your family that we DO NOT wish for this
film to be used as a therapy session, and complex personal issues are not
encouraged in this format.

32
Final Reflection Paper (to be done by each student)

We are very interested in your perceptions about your experiences during the course.
Was it a learning experience? What was the most valuable aspect of the course for your
future practice? In order to help us answer these questions, we would like you to
develop, working individually, your "final report. Note that we are interested in your
reflections about the experience. The report should be a maximum of three double
spaced pages (12 font) and should be posted on the course website by the time of the
March 18
th
last small group session. Please answer the following questions:

1. What were your observations about your home visits? Details might include
issues of the neighborhood, aspects of the home or family attitude, or the
behavior of your peers.

2. What insights did you gain by working with an interdisciplinary group of students
and faculty? How did your group members work together? Was there an even
distribution of labor? Did anyone emerge as a dominant member? Was the
communication within the group effective? Why or why not?

3. Was the family you were assigned appropriate for the goals and objectives of the
course? Why or why not?

4. Was your Family Health Presentation well received by the family? Why or why
not? Consider in your answer the readings from the course.

5. What was the most challenging part of this experience?

6. What was the most significant insight that you gained from this experience and
how has it contributed to your professional development?












Thanks for all your hard work with the IFH families and have a great summer!