TeamSTEPPS® Long-Term Care Version: Module 2
Contents
Team Structure: Classroom Slides
Slide 1: Team Structure
The ratio of We's to I's is the best indicator of the development of a team.
—Lewis B. Ergen
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Slide 2: Objectives
- Identify the characteristics of high-performing teams.
- Discuss the benefits of teamwork and team structure.
- Describe the components and composition of a multi-team system (e.g., Core Team, Coordinating Team, Contingency Team, Ancillary Services, and Administration).
- Understand what defines a team.
- Define the roles and effectiveness of team members.
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Slide 3: TeamSTEPPS Logo
Image: The TeamSTEPPS logo is shown; arrows point from three text boxes to the pertinent sections of the logo: Knowledge, Cognitions, 'Think'; Attitudes, Affect, 'Feel'; Skills, Behaviors, 'Do'. Text: Team performance is a science... consequences of errors are great.
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Slide 4: Partnering With the Resident
Embrace residents as valuable and contributing partners in their care.
- Learn to listen to residents and their families.
- Assess the resident's preferences regarding involvement.
- Ask residents about their concerns.
- Speak to them in lay terms.
- Ask for their feedback.
- Give them access to relevant information.
- Encourage residents and their families to proactively participate in resident care.
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Slide 5: Why Teamwork?
- Reduce clinical errors.
- Improve resident outcomes.
- Improve process outcomes.
- Increase resident satisfaction.
- Increase staff satisfaction.
- Reduce staff turnover.
- Reduce resident and family grievances and complaints.
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Slide 6: High-Performing Teams
Teams that perform well:
- Hold shared mental models.
- Have clear roles and responsibilities.
- Have clear, valued, and shared vision.
- Optimize resources.
- Have strong team leadership.
- Engage in a regular discipline of feedback.
- Develop a strong sense of collective trust and confidence.
- Create mechanisms to cooperate and coordinate.
- Manage and optimize performance outcomes.
(Salas, et al., 2004)
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Slide 7: Barriers to Team Performance
- Inconsistency in team membership.
- Lack of time.
- Lack of information sharing.
- Hierarchy.
- Defensiveness.
- Conventional thinking.
- Varying communication styles.
- Conflict.
- Lack of coordination and followup.
- Distractions.
- Fatigue.
- Workload.
- Misinterpretation of cues.
- Lack of role clarity.
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Slide 8: Exercise Teams and Teamwork
Write down the names (or positions) of the people in your immediate work area or unit who contribute to successful resident care.
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Slide 9: Multi-Team System (MTS) for Resident Care
Image: Multi-Team System.
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Slide 10: A Core Team is...
A group of care providers who work interdependently to manage a set of assigned residents from point of assessment to discharge.
Core Team members have the closest contact with the resident!
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Slide 11: A Coordinating Team is...
A team comprising those work area members who are responsible for managing the operational environment that supports the Core Team.
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Slide 12: A Contingency Team is...
A time-limited team formed for emergent or specific events and composed of members from various teams.
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Slide 13: Ancillary and Support Services Provide...
Ancillary Services provide direct, task-specific, time-limited care to residents.
Support Services provide indirect service-focused tasks that help to facilitate the optimal health care experience for residents and their families.
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Slide 14: The Role of Administration is to...
- Establish and communicate vision.
- Development policies and set expectations for staff related to teamwork.
- Support and encourage staff during implementation and culture change.
- Hold teams accountable for team performance.
- Define the culture of the nursing home.
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Slide 15: Example: A Multi-Team System in a Nursing Home
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Slide 16: Exercise: Your Multi-Team System
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Slide 17: Team Member Characteristics
Image of penguins in various jackets.
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Slide 18: Team Failure Video
Select a penguin director icon below to access the video.
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Slide 19: Teamwork Failure Video Analysis
- Did the team establish a leader?
- Did the team members communicate essential information to each other?
- Did all team members contribute?
- Did the team members demonstrate mutual respect toward one another.
- Did the team address issues and concerns?
- What are some specific actions that could have been taken to improve the outcome?
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Slide 20: 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.
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Slide 21: Paradigm Shift to Team System Approach
From (Individual)
Single focus (clinical skills).
Individual performance.
Underinformed decisionmaking.
Loose concept of teamwork.
Unbalanced workload.
Having information.
Self-advocacy.
Self-improvement.
Individual efficiency.
To (Team)
Dual focus (clinical and team skills).
Team performance.
Informed decisionmaking.
Clear understanding of teamwork.
Managed workload.
Sharing information.
Mutual support.
Team improvement.
Team efficiency.
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Slide 22: Effective Team Members
- Are better able to predict the needs of other team members.
- Provide quality information and feedback.
- Engage in higher level decisionmaking.
- Manage conflict skillfully.
- Understand their roles and responsibilities.
- Reduce stress on the team as a whole through better performance.
"Achieve a mutual goal interdependent and adaptive actions."
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Slide 23: Teamwork Actions
- Assemble a team.
- Establish a leader.
- Identify the team's goals and vision.
- Assign roles and responsibilities.
- Hold team members accountable.
- Actively share information among team members.
- Provide feedback.
"Individual commitment to a group effort—that is what makes a team work, a company work, a society work, a civilization work."
—Vince Lombardi
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Return to Index
Proceed to Module 3
Internet Citation:
TeamSTEPPS Long-Term Care Version, Module 2: Team Structure, Classroom Slides. Slide Presentation (Text Version). Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/teamsteppstools/longtermcare/module2/slltcteamstruct.htm
540 Gaither Road Rockville, MD 20850 
