SEIPCLE Collaborative Practice Module
Spectrum of Collaboration
As previously described, collaboration is a process which is flexible and dynamic. It also occurs within a spectrum or continuum of increasing interdependence. The diagram refers to the collaborative process within a practice team.
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At the far left on the spectrum is Independent Parallel Practice. Decisions are made and care is given
by a single provider acting within his/her scope of practice.
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In the middle of the spectrum is Consultation/Referral. This
involves more integrative or interdependent decision-making. Once consultation or referral is complete,
care may return to the independent practice of the lead or primary provider or
move on to a higher degree of interdependent practice. Part of the responsibility of all regulated
providers is to clearly know when to consult with or refer to another
professional.
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At the far right on the spectrum is Interdependence Co-provision of Care. This involves the highest
degree of collaboration amongst the health care team and is most appropriate in
complex patient situations where innovative decisions are needed and
co-provision best supports the patient and family. It also supports the needs of the providers
by sharing the workload and ensuring that knowledge and skills are well used.
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Depending on the complexity of the health care challenges and needs of the patient. Everyone is a complex person - we are focusing on the complexity of health care problems and needs for each individual patient.
Reflection: Thinking about your own team, where would you place the team along the collaborative spectrum? Do you feel that the level of collaboration you have identified within your team meets the needs of your patients/clients?