Jefferson Student Interprofessional Complex Care Collaborative

Jefferson-Student Interprofessional Complex Care Collaborative (J-SICCC)

(Formally Student Hotspotting)

What Is J-SICCC?

    The Jefferson-Student Interprofessional Complex Care Collaborative (J-SICCC) is an educational program that facilitates teams of interprofessional students learning about the challenges faced by patients with complex health and social needs during their interactions with the current healthcare system. 

Background

J-SICCC is hosted by the Jefferson Center for Interprofessional Practice & Education (JCIPE) and evolved from the Student Hotspotting program. Thomas Jefferson University partnered to develop and implement the Student Hotspotting program with the National Center for Complex Health and Social Needs/ Camden Coalition of Healthcare Providers since 2014. JCIPE has been a leader in shaping, delivering, and disseminating hotspotting and complex care regionally and as one of four national hubs. As a hub, JCIPE trained internal Jefferson teams and teams from regional institutions.

Program Description

Students from different health professions work together (face-to-face and virtually) from August to April, to learn to provide targeted, individualized interventions to:

  • Address the social determinants of health.
  • Promote collaboration among various healthcare providers.
  • Support patients with complex health and social needs. Students play a crucial role in advocating for patients’ needs with providers and local social services, to assist with care coordination, health system navigation, and accessing essential resources (e.g., housing, mental health services, transportation, social support). 

  • Coordinate with team, faculty and clinical advisors, and providers to enroll patients in the program.
  • Collaborate with team and patient to determine goals and expectations for intervention(s), develop a plan, and obtain materials needed for intervention(s).
  • Facilitate patient graduation/transition at program conclusion.
  • Assist with researching, contacting, and connecting patients with social services.
  • Utilize program tools and activities to facilitate identifying patient-specific health and social needs.
  • Serve as a liaison between the patient, care team, social services, and family members.
  • Meet with the patient(s), providers, caregivers, and other services within the home and community.
  • Track patient outreach, enter patient interactions into EPIC, and collect patients’ hospital utilization data.
  • Present final capstone assignment on team experiences at the Wrap-Up event.
  • Communicate with JCIPE Coordinator and research team to complete pre/post surveys and any other evaluation duties as assigned.
  • Serve as team leader on a rotating basis to liaise between the student team, JCIPE Coordinator, and advisor(s). Students are typically their team’s leader for 1-2 months.

  • Work with individuals of other professions to maintain a climate of mutual respect and shared values to provide supportive care for patients. [1]
  • Roles/Responsibilities: Use the knowledge of one’s role and those of other professions to appropriately assess and address the healthcare needs of patients, and to promote and advance the health of populations. 
  • Communicate with patients, families, and professionals in health and other fields responsively and responsibly that supports a team approach to the promotion and maintenance of health and the prevention and treatment of disease. Counsel and educate patients and their families to empower them to participate in their care and shared decision-making.
  • Apply relationship-building values and principles of team dynamics to perform effectively in different team roles, to plan, deliver, and evaluate patient/population-centered care and population health programs and policies that are safe, timely, efficient, effective, and equitable.
  • Learn and apply the principles of motivational interviewing, trauma-informed care, and harm reduction to address social-behavioral aspects of patient care.  
  • Develop working knowledge of health and social resources to support patients while also providing appropriate system navigation. [1]

  • Program Kick-Off: Saturday September 17, 2022 (online)
  • Program Wrap-Up: TBD, Saturday March/April 2023 (in person)
  • Time Commitment: Variable (2-4 hours/week)

  1. Contact your program lead (see list of program leads below). 
  2. Review & Sign Participant Agreement.
  3. Complete the Online Application.
  4. View the recording from our May 16th information session.