TeamSTEPPS Fundamentals Course: Module 2. Team Structure

Classroom Slides

TeamSTEPPS is a teamwork system developed jointly by the Department of Defense (DoD)and the Agency for Healthcare Research and Quality (AHRQ) to improve institutional collaboration and communication relating to patient safety.

Contents

Slide 1. Team Structure
Slide 2. Objectives
Slide 3. Team Structure
Slide 4. What Defines a Team?
Slide 5. Exercise: Teams and Teamwork
Slide 6. Partnering With the Patient
Slide 7. Clinical Team Responsibilities
Slide 8. Patient and Family Responsibilities
Slide 9. Multi-Team System (MTS) for Patient Care
Slide 10. A Core Team is...
Slide 11. A Contingency Team is...
Slide 12. A Coordinating Team is...
Slide 13. Ancillary & Support Services
Slide 14. The Role of Administration is to...
Slide 15. Team Structure Video
Slide 16. Team Structure Video Analysis
Slide 17. Applying TeamSTEPPS Exercise
 


  Slide 1: Team Structure

Team Structure

Return to Contents


  Slide 2: Objectives

Text description is below the image.

  • Discuss benefits of teamwork and team structure.
  • Define a team.
  • Identify the role of patients and their families as part of the care team.
  • Describe components and composition of a multi-team system.

Return to Contents


  Slide 3: Team Structure

Text description is below the image.

Image: The TeamSTEPPS logo. [D] Select for Text Description.

  • Teamwork cannot occur in the absence of a clearly defined team.
  • Understanding a team's structure and how multiple teams interact is critical for implementation planning.

Return to Contents


  Slide 4: What Defines a Team?

Text description is below the image.

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.

Image: Two penguins in labcoats.

Return to Contents


  Slide 5: Exercise: Teams and Teamwork

Text description is below the image.

Write down the names (or positions) of the people in your immediate work area or unit who contribute to successful patient care.

Image: A penguin rides an exercise bicycle.

Return to Contents


  Slide 6: Partnering With the Patient

Text description is below the image.

Strategies for involving patients in their care:

  • Include patients in bedside rounds. 
  • Conduct handoffs at the patient's bedside. 
  • Provide patients with tools for communicating with their care team. 
  • Involve patients in key committees. 
  • Actively enlist patient participation.

Return to Contents


  Slide 7: Clinical Team Responsibilities

Text description is below the image.

Embrace patients and their families as valuable and contributing partners in patient care.

  • Listen to patients and their families.
  • Assess patients' preference regarding involvement.
  • Ask patients about their concerns.
  • Speak to them in lay terms.
  • Allow time for patients and families to ask questions.
  • Ask for their feedback.
  • Give them access to relevant information.
  • Encourage patients and their families to proactively participate in patient care.

Return to Contents


  Slide 8: Patient and Family Responsibilities

Text description is below the image.

  • Provide accurate patient information.
  • Comply with the prescribed plan of care (e.g., schedule and attend appointments as directed).
  • Ask questions and/or voice any concerns regarding the plan of care.
  • Monitor and report changes in the patient's condition.
  • Manage family members.
  • Follow instructions of the clinical team.

Return to Contents


  Slide 9: Multi-Team System (MTS) for Patient Care

Text description is below the image.

Image: A chart showing the team structure of the Multi-Team System for Patient Care. At the base of the system is Administration. The next level is Coordinating Team and Ancillary and Support Services. At the next level is the Core Team, which has an outside link to Contingency Teams. The Patient is at the zenith of the structure.

Return to Contents


  Slide 10: A Core Team is....

Text description is below the image.

A group of care providers who work interdependently to manage a set of assigned patients from point of assessment to disposition.

Image: A chart showing the team structure of the Multi-Team System for Patient Care. At the base of the system is Administration. The next level is Coordinating Team and Ancillary and Support Services. At the next level is the Core Team, which has an outside link to Contingency Teams. The Patient is at the zenith of the structure. The Core Team section is enlarged and highlighted and text beside the figure reads "Core Team members have the closest contact with the patient!"

Return to Contents


  Slide 11: A Contingency Team is....

Text description is below the image.

A time-limited team formed for emergent or specific events and composed of members from various teams.

Image: A chart showing the team structure of the Multi-Team System for Patient Care. At the base of the system is Administration. The next level is Coordinating Team and Ancillary and Support Services. At the next level is the Core Team, which has an outside link to Contingency Teams. The Patient is at the zenith of the structure.

Return to Contents


  Slide 12: A Coordinating Team is...

Text description is below the image.

A team comprising those work area members who are responsible for managing the operational environment that supports the Core Team.

Image: A chart showing the team structure of the Multi-Team System for Patient Care. At the base of the system is Administration. The next level is Coordinating Team and Ancillary and Support Services. At the next level is the Core Team, which has an outside link to Contingency Teams. The Patient is at the zenith of the structure. The Coordinating Team section is enlarged and highlighted.

Return to Contents


  Slide 13: Ancillary & Support Services

Text description is below the image.

Ancillary Services provide direct, task-specific, time-limited care to patients.

Support Services provide indirect service-focused tasks which help to facilitate the optimal health care experience for patients and their families.

Image: A chart showing the team structure of the Multi-Team System for Patient Care. At the base of the system is Administration. The next level is Coordinating Team and Ancillary and Support Services. At the next level is the Core Team, which has an outside link to Contingency Teams. The Patient is at the zenith of the structure. The Ancillary and Support Service section is enlarged and highlighted.

Return to Contents


  Slide 14: The Role of Administration is to...

Text description is below the image.
  • Establish and communicate vision.
  • Develop 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 organization.

Image: A chart showing the team structure of the Multi-Team System for Patient Care. At the base of the system is Administration. The next level is Coordinating Team and Ancillary and Support Services. At the next level is the Core Team, which has an outside link to Contingency Teams. The Patient is at the zenith of the structure. The Administration section is enlarged and highlighted.

Return to Contents


  Slide 15: Team Structure Video

Text description is below the image.

Image: A member of the medical team attends an elderly woman in a hospital bed.

Select the link below to access the video.

Team Structure (Flash video, 3 min., 12 sec.; 19 MB)

Return to Contents


  Slide 16: Team Structure Video Analysis

Text description is below the image.

  • What members of the following teams were involved in the scenario? 
    • Core team.
    • Coordinating team.
    • Contingency team. 
    • Ancillary and support services.
  • Where did the breakdowns occur between the components of this multi-team system? 
  • What could the individuals involved in this scenario have done differently to produce a better outcome?

Return to Contents


  Slide 17: Applying TeamSTEPPS Exercise

Text description is below the image.

  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?

Image: A penguin rides an exercise bicycle.


Return to Contents
Return to Index

Current as of March 2014
Internet Citation: TeamSTEPPS Fundamentals Course: Module 2. Team Structure: Classroom Slides. March 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module2/slteamstruct.html