IMPROVE utilizes a team-based approach to care. The interprofessional team, including attendings and resident trainees in all disciplines, consists of the following specialties:
- Primary Care (Physicians and Advanced Practice Nurse Practitioners) and Geriatrics
- Clinical Pharmacy
- Clinical Health Psychology
Primary Care (Physicians and Advanced Practice Nurse Practitioners) and Geriatrics
- Provides access to primary care facilities including clinic rooms and training rooms
- Provides knowledge about patients and past medical history
- Guiding initial clinic design and included assessments
- Preparing didactic topics and reviewing patient charts
- Interpreting IMPROVE screenings for cognitive impairment, functional impairment, and falls
- Modeling interprofessional geriatric approach to care in precepting primary care trainees
Clinical Pharmacy
- Reviews medication regimen for:
- Drug-related side effects
- Prescribing cascade
- Indication of each medication
- Potential overtreatment
- Medication reconciliation discrepancies
- Inappropriate renal dosing
- Medication regimen complexity
- Provides medication technique counseling
- Prepares medication-related topic discussions
Clinical Health Psychology
- Behavioral strategies to supplement or replace medications for management of certain conditions and their clinical correlates (insomnia, weight loss, anxiety, chronic pain, hypertension, depression, smoking cessation, nonadherence, diabetes)
- Assessment of risk factors for non-adherence (mood, cognitive status)
- Background in group process and facilitation to educate team about strategies for conducting group visits
- Behavioral goal setting and problem solving
- Motivational interviewing (address ambivalence, promote change talk related to medication self-management)