MC-4 Team Based Care and Collaboration
Summative Assessment Example: Case Study
Assignment Instructions:
Choose a case study scenario. Review the story of a client or patient receiving integrated care and then respond to the prompts. Written responses ought to include two to three professional references per question. The approximate length of this assignment is 3-4 pages excluding the reference page.
Guidance for Instructor:
This summative assessment evaluates students’ ability to apply principles of team-based care to a scenario related to integrated behavioral health. The assignment will assess knowledge of interdisciplinary collaboration, communication strategies, and the application of integrated care models in real-world settings. The assignment may consist of written or oral responses to a case study, to promote critical thinking and practical application of team-based care concepts. This assignment may be modified for dyads or triads.
Grading Rubric:
| Skill being assessed | Criteria | Score and Comments | |||
| 1 Needs Work | 2 Beginning | 3 Developing Proficiency | 4 Proficient (for a BHSS student) | ||
| Role identification | Inadequate attempt to explain role and function of care team members. | Minimal explanation of role and function of care team members. | Partially explains role and function of each person identified as part of care team. | Thoroughly explains role and function of each person identified as part of care team | |
| Collaboration and communication analysis | Inadequate attempt to identify collaboration and communication facilitators and barriers. | Attempts to identify strengths and deficiencies while missing more than two key elements of team-based care. | Identifies some strengths and deficiencies while missing one to two key elements of team-based care. | Identifies both potential strengths and deficiencies that may facilitate or become a barrier to team-based care. | |
| Team based care strategies | Does not demonstrate understanding of team-based care and impact on patient health outcomes. | Provides some understanding of team-based care and struggles to explain the relationship between team-based care and patient health outcomes. | Correctly identifies team-based strategies. Begins to establish relationship between team-based care and patient health outcomes. | Demonstrates clear and accurate understanding of team-based care strategies. Provides comprehensive explanation of relationship between team-based care and patient health outcomes. | |
| Clarity, organization, and writing style | Stream of ideas with no structure Significant punctuation, spelling, or grammar issues | Attempts to structure ideas with rough transitions between sentences or paragraphs Makes several spelling, grammar, or punctuation errors | Well-structured essay with rough transitions Makes a few spelling, grammar, or punctuation errors | Well-structured ideas with logical presentation and clear transition between ideas Less than one spelling, grammar, or punctuation error | |
| Professional references | No support from literature related to ideas or concepts presented | Attempts to reference literature by citing one source | Cites at least two sources in response Attempts to follow APA 6th edition reference style | Cites three or more valid sources to support ideas Demonstrated ability to integrate research citations into rationale | |
Sample Cases
Case 1 Behavioral Health in Primary Care Settings
Clara has been a patient of metropolitan primary care for ten years. She visits sporadically and tends to miss annual wellness exams. The administrative assistant who greets the patient provided Clara with screening assessments including the PHQ-9, GAD-7, and AUDIT. The administrative assistant handed the screening tools to the patient’s Medical Assistant (MA) who escorted Clara to a clinic room and proceeded to take vitals including temperature, blood pressure, and pulse. The results are tabulated below. The physician entered the room and asked Clara what she hoped to gain from the primary care visit. Clara mentioned she continues to be under a lot of stress taking care of both her mother-in-law with early onset dementia and her own teenagers. She hoped the doctor would prescribe her a medication for sleep and anxiety. The physician discussed her stress and anxiety in the context of environmental factors and asked Clara if she would visit with the Behavioral Health Support Specialist immediately after the medical visit. Clara agreed. The BHSS had met with Clara in the past when Clara first learned that her mother-in-law would be moving in with her.
- Describe the role and function of team members.
- Identify communication and collaboration strategies the team can use to provide whole person care to the patient.
- Identify a team-based strategy to address a treatment challenge with the patient.
- Discuss facilitators and barriers to team-based care and the impact on patient health outcomes.
Case 2 Primary Care in Behavioral Health Settings
Jason is a patient of Union Behavioral Health, a not for profit, county funded licensed behavioral health agency that provides primary care services through a contract with a local primary care provider. The agency provides mental and behavioral services on the third floor of the office building. One room on the second floor serves as the primary care clinic two times per week. Jason has lived with a diagnosis of schizoaffective disorder for fifteen years receiving treatment from the same clinic. Primary care was introduced five years ago. The PCP has changed every six months, so Jason has never seen the same person more than once for primary care services. On the other hand, Jason has been working with the same medical assistant and nurse for two years. Additionally, the psychiatrist and case manager in the behavioral health agency have provided care to Jason for five years.
- Describe the role and function of team members.
- Identify communication and collaboration strategies the team could use to provide whole person care to the client/patient including digital assistance.
- Identify a team-based strategy to address a treatment challenge with the patient.
- Discuss facilitators and barriers to team-based care and the impact on patient health outcomes.