Building a Team
Immersion 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 2
Learning Objectives • To understand the central importance of your CUSP/CLABSI team • To develop a strategy for building a successful team Slide 3
The 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 4
Importance of the CUSP/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 5
Team Performance Inputs Outputs • Environment • Performance • Hospital & Unit Context • Team Composition • Task Design Processes • Attitudes • Inside Team • Behaviors • Outside Team • Team Traits Slide 6
Team 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 7
Team Composition • A team leader • Champions (nurse and physician) • Local “opinion leaders” • People with diverse opinions Slide 8
Team Composition • Someone outgoing • Someone who sees the big picture • Someone detail-oriented • Everyone dedicated Slide 9
Successful teams have… • Reliable Processes – Education and engagement activities – Communication – Leadership support/buy-in – Conflict (and conflict resolution) Slide 10
Successful teams have…(cont. ) • Norms – Valuing individual contributions – Cohesion (team unity) – Goal agreement – Self-assessment of knowledge /skills – Participation of team members • Role clarity Slide 11
Action 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 12
Reference 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. Slide 13
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