Team Structure NEXT Team Structure Objectives n Discuss

Team Structure NEXT:

Team Structure Objectives n Discuss benefits of teamwork and team structure n Define a “team” n Identify the role of patients and their families as part of the care team n Describe the components and composition of a multi-team system Mod 2 2. 0 Page 2 TEAMSTEPPS 05. 2 2

Team Structure n Teamwork cannot occur in the absence of a clearly defined team n Understanding a team’s structure and how multiple teams interact is critical for implementation planning Mod 2 2. 0 Page 3 TEAMSTEPPS 05. 2 3

Team Structure What Defines a Team? Two or more people who interact dynamically, interdependently, and adaptively toward a common and valued goal, have specific roles or functions, and have a time-limited membership Mod 2 2. 0 Page 4 TEAMSTEPPS 05. 2 4

Team Structure Exercise: Teams and Teamwork Write down the names (or positions) of the people in your immediate work area or unit who contribute to successful patient care. Mod 2 2. 0 Page 5 TEAMSTEPPS 05. 2 5

Team Structure Partnering With the Patient Strategies for involving patients in their care Mod 2 2. 0 Page 6 n Include patients in bedside rounds n Conduct handoffs at the patient’s bedside n Provide patients with tools for communicating with their care team n Involve patients in key committees n Actively enlist patient participation TEAMSTEPPS 05. 2 6

Team Structure Clinical Team Responsibilities Embrace patients and their families as valuable and contributing partners in patient care Mod 2 2. 0 Page 7 n Listen to patients and their families n Assess patients’ preference regarding involvement n Ask patients about their concerns n Speak to them in lay terms n Allow time for patients and families to ask questions n Ask for their feedback n Give them access to relevant information n Encourage patients and their families to proactively participate in patient care TEAMSTEPPS 05. 2 7

Team Structure Patient and Family Responsibilities n Provide accurate patient information n Comply with the prescribed plan of care (e. g. , schedule and attend appointments as directed) n Ask questions and/or voice any concerns regarding the plan of care n Monitor and report changes in the patient’s condition n Manage family members n Follow instructions of the clinical team Mod 2 2. 0 Page 8 TEAMSTEPPS 05. 2 8

Team Structure Multi-Team System (MTS) for Patient Care Mod 2 2. 0 Page 9 TEAMSTEPPS 05. 2 9

Team Structure A Core Team is… A group of care providers who work interdependently to manage a set of assigned patients from point of assessment to disposition Core Team members have the closest contact with the patient! Mod 2 2. 0 Page 10 TEAMSTEPPS 05. 2 10

Team Structure A Contingency Team is… A time-limited team formed for emergent or specific events and composed of members from various teams Mod 2 2. 0 Page 11 TEAMSTEPPS 05. 2 11

Team Structure A Coordinating Team is… A team comprising those work area members who are responsible for managing the operational environment that supports the Core Team Mod 2 2. 0 Page 12 TEAMSTEPPS 05. 2 12

Team Structure Ancillary & Support Services Ancillary Services provide direct, task-specific, timelimited care to patients. Support Services provide indirect service-focused tasks which help to facilitate the optimal health care experience for patients and their families. Mod 2 2. 0 Page 13 TEAMSTEPPS 05. 2 13

Team Structure The Role of Administration is to… n Establish and communicate vision n Develop policies and set expectations for staff related to teamwork n Support and encourage staff during implementation and culture change n Hold teams accountable for team performance n Define the culture of the organization Mod 2 2. 0 Page 14 TEAMSTEPPS 05. 2 14

Team Structure Video Mod 2 2. 0 Page 15 TEAMSTEPPS 05. 2 15

Team Structure Video Analysis n What members of the following teams were involved in the scenario? n Core team n Coordinating team n Contingency team n Ancillary and support services n Where did the breakdowns occur between the components of this multi-team system? n What could the individuals involved in this scenario have done differently to produce a better outcome? Mod 2 2. 0 Page 16 TEAMSTEPPS 05. 2 16

Team Structure Applying Team. STEPPS Exercise 1. Who are the members of the team experiencing a teamwork issue? 2. Which team or teams within your multi-team system are experiencing the teamwork issue? Which team or teams interact with or are otherwise affected by the team(s) experiencing the issue? Mod 2 2. 0 Page 17 TEAMSTEPPS 05. 2 17