Building a TeamBuilding a Team

Slide 2

Immersion Call OverviewImmersion Call Overview

Week 1: Project overview

Week 2: Science of Improving Patient Safety

Week 3: Eliminating CLABSI

Week 4: The Comprehensive Unit-Based Safety Program (CUSP)

Week 5: Building a Team

Week 6: Physician Engagement

Slide 3

Learning ObjectivesLearning Objectives

• To understand the central importance of your CUSP/CLABSI team

• To develop a strategy for building a successful team

Slide 4

The CUSP/CLABSI TeamThe CUSP/CLABSI Team

• The core team working on the On the CUSP: Stop BSI project

• The small group that spreads the intervention to the rest of the unit

Slide 5

Importance of the Importance of the CUSP/CLABSI TeamCUSP/CLABSI Team

• Why do you think the team would matter to outcomes?– “Absolute Power” over local implementation

• What do you think makes a good team?– The Who– The How

Slide 6

Team PerformanceTeam Performance

Outputs• Performance

• Attitudes

• Behaviors

Inputs• Environment

• Hospital & Unit Context

• Team Composition

• Task Design

Processes• Inside Team

• Outside Team

• Team Traits

Slide 7

Team CompositionTeam Composition

• Size (not too small, not too large)

• Multidisciplinary representation– ICU Nurses– ICU Physicians– Infection Control– ICU Medical Director– Nurse Educator– ICU Nurse Manager– Executive Partner (VP or above) – Pharmacist– Hospital Patient Safety Officer or Chief Quality

Officer– Staff from Safety, Quality or Risk Mgmt Office– Respiratory Therapist

Slide 8

Team CompositionTeam Composition

• A team leader

• Champions (nurse and physician)

• Local “opinion leaders”

• People with diverse opinions

Slide 9

Team CompositionTeam Composition

• Someone outgoing

• Someone who sees the big picture

• Someone detail-oriented

• Everyone dedicated

Slide 10

Successful teams have…Successful teams have…

• Reliable Processes

– Education and engagement activities

– Communication

– Leadership support/buy-in

– Conflict (and conflict resolution)

Slide 11

Successful teams haveSuccessful teams have…(cont.)…(cont.)

• Norms

– Valuing individual contributions

– Cohesion (team unity)

– Goal agreement

– Self-assessment of knowledge /skills

– Participation of team members

• Role clarity

Slide 12

Action ItemsAction Items

• Form your team with an appreciation of the importance of WHO is on the team

• Carefully plan HOW you will act as a unified group

• Do a “pre-mortem” assessment—if this project were to fail, why would it? What could the CUSP/CLABSI team have done to prevent failure?

Slide 13

Reference ListReference List

• Marsteller, Jill A., Stephen Shortell, Michael Lin, Elizabeth Dell, Stephanie Wang, et al. “How Do Teams in Quality Improvement Collaboratives Interact?” Joint Commission Journal of Quality and Patient Safety, 2007 May; 33(5):267-76.

• Shortell, Stephen, Jill A. Marsteller, Michael Lin, Marjorie Pearson, Shinyi Wu, Peter Mendel, Shan Cretin, and Mayde Rosen. “The Role of Team Effectiveness in Improving Chronic Illness Care,” Medical Care, November 2004.