In this insightful interview, Dr. Kosinski speaks with Nurse Practitioner Angelina Collins about her vital role in providing team-based care for patients with inflammatory bowel disease (IBD). Reflecting on her journey over the past 17 years, Angelina shares how she began integrating Advanced Practice Providers (APPs) with physicians, creating a collaborative environment that enhances patient care.

She emphasizes the importance of conducting thorough patient histories to inform effective treatment plans, noting that the complexities of IBD require a deep understanding of patients’ past medication experiences. Angelina discusses the challenges of time constraints, which often hinder her ability to engage fully with patients, while also ensuring they have access to essential specialists, such as dietitians and surgeons, for comprehensive support.

Angelina highlights the significant barriers posed by insurance, particularly the burdensome step therapy requirements that delay access to appropriate treatments. She expresses her frustration with how these policies can disrupt care and negatively impact patient outcomes. Throughout the conversation, Angelina’s passion for her work shines through, particularly her appreciation for Dr. Kosinski’s support of APPs and their crucial role in the healthcare system.

The discussion not only showcases the benefits of team-based care in managing IBD but also sheds light on the systemic issues that complicate treatment, emphasizing the need for ongoing advocacy and improvement in patient care. Angelina’s dedication and commitment to her patients drive home the importance of collaboration in achieving better health outcomes for those living with chronic conditions like IBD.

Key Takeaways:

• Team-Based Care: Collaborating with Advanced Practice Providers (APPs) is crucial in managing IBD, allowing for comprehensive patient evaluations and a more holistic approach to treatment.
• Importance of Patient History: Thorough patient histories are essential for understanding previous medication experiences, which inform future treatment decisions and medication sequencing.
• Insurance Challenges: Barriers such as step therapy requirements can delay access to necessary medications, complicating patient care and negatively impacting outcomes.

Quote:

“The complexity of IBD care demands a collaborative, team-based approach. It’s essential to ensure that every patient receives comprehensive support, from their medical history to psychosocial aspects, because only then can we truly improve outcomes and enhance their quality of life.”