1. Implementing Care Teams
Aubrey Reburn
November, 1st 2017
QI Coach- Safety Net

2. Milestone Relation Milestone Description Milestone # 6
Team- Based Relationships
Milestone # 7
Milestone # 14
Coordinated Care Delivery
Milestone # 15
Organized, Evidence- Based Care
Milestone # 6- Practice sets clear expectations for each team member’s functions and responsibilities to optimize efficiency, outcomes, and accountability.
Milestone # 7 - Practice has a process in place to measure and promote continuity between a patient and his/her care team so that patients and care teams recognize each other as partners in care.
Milestone # 14 - Practice clearly defines care coordination roles and responsibilities and these have been fully implemented within the practice.
Milestone # Practice ensures that care addresses the whole person, including mental and physical health.

3. What are Care Teams? Team with Multidisciplinary Skills
Organized around primary care providers (physicians, NPs, PAs, nurses, pharmacists, therapists, social workers, educators, care coordinators, etc.)

4. What are Care Teams?
“ A team is a small number of people with complementary skills who are committed to a common purpose, performance goals, and approach for which they are mutually accountable” - J.R. Katzenbach in The Wisdom of Teams

5. Why are Care Teams Important?
Most physicians only deliver 55% of recommended care and 42 % report not having enough time with their patients (Bodenheimer, 2008).
Providers spend 13% of their day on care coordination activities and only half of their time on activities using their medical knowledge (Loudin, et al., 2011).
Reduces the number of medical errors and increases patient safety
Team-based care decreases costs and increases revenue
Increase patient satisfaction and job satisfaction

8. Steps to Implement Team-Based Care
Engage the care team and prepare for transition
Determine the team composition
Choreograph strategic workflows to reflect the new team based care model
Optimize existing care teams by clarifying roles, tasks, and expectations
Increase communication
Set up performance measures to monitor the care teams effectiveness

9. Group Activity
Have you experienced a practice that had a non-structured team, that then made a transition to a well structured team? What differences did you see and how did they overcome any barriers?

10. How Do Care Teams Function?
Clearly define care roles
Shared goals
Delegate tasks
Promote Interdisciplinary Teamwork
Effective, timely communication
Optimistic, can-do attitudes

11. Activities to do with your practice
① Implement team huddles ② Team Visualization Exercise ③ Task Reassignment Table ④ TEAMSTEPPS

12. Implement Team Huddles
Why Huddle?
Improve communication
Coordinate team care
Prospective planning
Prepare staff
Steps to Effective Huddles
Establish a routine
Develop relationships and designate roles
Evolve and improve over time
Resources:

13. Team Visualization Exercise
Goal: Demonstrate current models in a practice that may not actually function as team-based care
Directions:
Each team member is given jelly beans and a cup
Outline the current care model
Drop a jelly bean in your cup if you are currently doing this role
Evaluate results

14. Task Reassignment Table

15. Task Reassignment Table

16. TeamStepps

17. TeamSTEPPS Module Content Team Structure Communication Leading Teams
Situation Monitoring
Mutual Support
Coaching and Teaching
Change Management
Measurement
Implementation planning
Website:

18. Questions?