Rationale For IPE/IPP
What is driving IPE and IPP?
- Unsustainably increasing cost of medical care
- The Affordable Care Act
- Changes in payment methods (e.g., bundled payments, value-based purchasing)
- Increasing calls/demands for quality, efficiency, and accountability by regulators, health care rating organizations, accrediting bodies, employers, commercial payers, and the public
The assumption is that improved IPE will lead to improved IPP, which will lead to improved health/educational outcomes. There are some data to indicate this assumption. Six studies assessing effectiveness of IPE intervention vs. uniprofessional or no education intervention (Reeves, Goldman, Burton, & Sawatzky-Girling, 2010; Cochrane database, 2008)
- Four studies showed positive outcomes in knowledge & skills, increased patient satisfaction, decreased errors, and increased collaborative behavior
- Two showed no impact on practice or care
Do SLPs and audiologists have a special niche in the new health care system? Is IPP only a medical issue?
SLPs and audiologists, besides their specialty areas, need to emphasize they excel in the area of spoken and written communication and health literacy. IPP affects the educational setting because of Medicaid (much of IPE/IPE is being driven because of changes in medical reimbursement). Additionally, given that IPE/IPP is focused on improved outcomes and the quality of care, the same model can and should be applied to educational settings.