for OfficeBased Care Online Team STEPPS Training Implementation

for Office-Based Care Online Team. STEPPS Training & Implementation

Training & Implementation This Webinar and Future Webinars n Webinar is part of a library to support and amplify your work on Team. STEPPS for Office-Based Care Online is funded by AHRQ Mod 1205. 2 Page 2 Slide TEAMSTEPPS 05. 2

Training & Implementation Today’s Presenters Michelle Turner, RN, B. S. N. n Nurse Manager at UIHC – Iowa River Landing n Co-Project Lead – Team. STEPPS at IRL Mod 1305. 2 Page 3 Slide TEAMSTEPPS 05. 2 Kip Pedersen n Manager of Frontline Operations at UIHC – Iowa River Landing n Co-Project Lead – Team. STEPPS at IRL

Training & Implementation Background of Iowa River Landing Mod 1405. 2 Page 4 Slide TEAMSTEPPS 05. 2

Training & Implementation Today’s Objectives n Planning for Team. STEPPS and implementation n Training options n Master Training and Fundamentals n Implementation n Maintaining and sustaining Mod 1505. 2 Page 5 Slide TEAMSTEPPS 05. 2

Training & Implementation Team. STEPPS What is Team. STEPPS? � Team. STEPPS is an evidence-base communication toolkit to improve performance across the health care delivery system. Team Competency Outcomes: Knowledge – Skill set to be on the “same page” Empowerment – Everyone’s voice is heard Attitude – Be TEAM oriented Performance – Improve safety and the patient experience in your daily practice Mod 1605. 2 Page 6 Slide TEAMSTEPPS 05. 2

Training & Implementation Planning for Implementation n Define your scope and project plan n Identify your quick win n Develop your champions and change team n Generate excitement and present in person if at all possible n Celebrate the invitation n Get provider buy-in Mod 1705. 2 Page 7 Slide n Identify your provider champion n Gain buy-in TEAMSTEPPS 05. 2

Training & Implementation Logistics and Considerations n Amount of time available n Schedule your meeting(s) in advance and commit n Once a month: 60 -90 minutes n Proper learning environment n Concepts/Tools n Don’t use a cookie cutter approach (Do your homework) n Review: Pre-survey questionnaire, clinical observations, and clinical reports § Team. STEPPS Teamwork Attitudes Questionnaire (T-TAQ) § Team. STEPPS Teamwork Perceptions Questionnaire (T-TPQ) § https: //www. ahrq. gov/teamstepps/officebasedcare/tools. html n Mod 1805. 2 Page 8 Slide Example: Silent Brainstorming TEAMSTEPPS 05. 2

Training & Implementation Not Just Another Initiative n Lead by example and consistently promote the tools you have implemented: n Celebrate best practices and good catches n Address opportunities we could have used Team. STEPPS n Monthly town hall presentations n Employee “Potty Pushers” n Employee Elevator Monitors n Team. STEPPS – Tool of the Month Mod 1905. 2 Page 9 Slide TEAMSTEPPS 05. 2

Training & Implementation TRAINING OPTIONS Mod 110 Slide 05. 2 Page 10 TEAMSTEPPS 05. 2

Training & Implementation Master Training n What does it mean to be a Master Trainer? n Understand the Team. STEPPS concepts and approaches n Change Agent § Coach/mentor others during the implementation phase and beyond § Lead by example and hold others accountable n Develop a plan for implementation and sustainment n Quick win and how to implement? § Identify possible barriers and plan accordingly n Mod 111 Slide 05. 2 Page 11 What are your measures? TEAMSTEPPS 05. 2

Training & Implementation Master Training Continued n How to become a Master Trainer n n National Implementation n Online n In-person You do it! n Not everyone needs to be a Master Trainer Mod 112 Slide 05. 2 Page 12 TEAMSTEPPS 05. 2

Training & Implementation Fundamental Concepts n Build a strong team foundation first n Develop a fun interactive presentation that generates excitement and team cohesiveness n Example: Team-building exercises § Building Bridges, making chains, and reading Our Iceberg Is Melting § What are you looking for in a team, mentor/leader, and teammate? Mod 113 Slide 05. 2 Page 13 TEAMSTEPPS 05. 2

Training & Implementation Fundamental Tools Taking a STEPP by STEPP approach n Situational Awareness n You can’t identify there is an issue without removing your blinders n STEP § Status of patient, status of other Team members, Environmental conditions, current Progress toward the goal n Mod 114 Slide 05. 2 Page 14 Activities: n Videos: The Monkey Business Illusion or Whodunnit? n Pictures such as 2 -in-1 illusions n Real-life examples TEAMSTEPPS 05. 2

Training & Implementation Effective Communication and Difficult Conversations n Effective Communication: n Complete, clear, concise, and timely n “Be brave enough to start a conversation that matters” n DISC Assessment n Activities: Mod 115 Slide 05. 2 Page 15 n 1: 1 conversations n Word game n Drawing game TEAMSTEPPS 05. 2

Training & Implementation Team. STEPPS Tools Depends on clinical need on which tool to start with n Team. STEPPS 101: n Huddle/Debriefing n SBAR n CUS n DESC n Activities: n Role playing real scenarios n Mod 116 Slide 05. 2 Page 16 Provide real time feedback TEAMSTEPPS 05. 2

Training & Implementation IMPLEMENTATION Mod 117 Slide 05. 2 Page 17 TEAMSTEPPS 05. 2

Training & Implementation Ground Rules / Information n Show respect for everyone n Start and end on time n Please put cell phones and pagers on silent/vibrate n Ask away! There are no “dumb” questions n Do not leave in silent disagreement n Take a spelling/writing holiday n Have Fun Mod 118 Slide 05. 2 Page 18 TEAMSTEPPS 05. 2

Training & Implementation n STEPP #1: Team Building & Defining Current State n STEPP #2: Situational Awareness & Effective Communication n STEPP #3: Difficult Conversations & DISC Assessment n STEPP #4: SBAR, CUS, and DESC n STEPP #5: Summary Wrap-Up Mod 119 Slide 05. 2 Page 19 TEAMSTEPPS 05. 2

Training & Implementation What Happens After Implementation? n Post-Team. STEPPS Survey n Pre & Post Report n Schedule followup meeting every 6 weeks with department n Certification of Completion Mod 120 Slide 05. 2 Page 20 TEAMSTEPPS 05. 2

Training & Implementation What Happens After Implementation? n Celebrate the team’s completion and success n Town hall and employee recognition board n Identify champions on your change team n Expand our management team knowledge n Mod 121 Slide 05. 2 Page 21 Sent additional staff to complete Team. STEPPS Master Training TEAMSTEPPS 05. 2

Training & Implementation Lessons Learned n Identify your scope and develop project plan n Identify your champions – must have provider buy-in n Know your audience and do your homework n Pre-survey, clinical observations, and staff feedback n Identify your Team. STEPPS tools and possible quick wins n Make implementation interactive and take chances n Have fun and generate excitement! Mod 122 Slide 05. 2 Page 22 TEAMSTEPPS 05. 2