TeamSTEPPS®: 2013 Conference Materials

The Medical Liability and Risk Management Perspective (Powerpoint File, 7.96 MB)

The usefulness of TeamSTEPPS will be examined from the liability/risk management perspective. Three unique perspectives will be represented. Topics will include: the role of a malpractice insurance program in providing resources and incentives for team training, how to partner with risk management to harness the power of data and stories and weaving TeamSTEPPS into the internal error reporting process.
Speakers include: David Feldman, MD, MBA, CPE, FACS (Hospitals Insurance Company), LeWanza Harris, MD, MPH (New York-Presbyterian & Columbia University College of Physicians and Surgeons) and Matthew Miller, MD (St. Joseph Health)

Engaging Patients Through TeamSTEPPS (Powerpoint File, 14.96 MB)

Putting the patient at the center of the TeamSTEPPS triangle is an important step to increase patient safety and satisfaction. In this presentation, three models of patient engagement through TeamSTEPPS will be presented. These models help engage patients in their own care and encourages a different culture of accountability between health care professionals and their patients. The presentation will begin with a systems approach to engage patients with TeamSTEPPS followed by a patient advocacy perspective and what an institution does to train patients on certain aspects of TeamSTEPPS. The concluding presentation will go into detail on how a multidisciplinary huddle at the patient's bedside can help patients take a greater role in their care and how it has influenced their HCAHPS scores.
Speakers include: Carole Kulik, RN, CCRN, MSN, ACNP-BC (Stanford Hospital and Clinics), Bernadette Page, MD, FACEP (Duke University Medical Center) and Martin Wieczorek, MD (UH MacDonald Womens Hospital—University Hospitals)

TeamSTEPPS Simulations: A Practical Manual (Powerpoint File, 4.14 MB)

Two simulation experts will share their roadmaps for creating successful programs for TeamSTEPPS. The session will begin with a presentation on the theory behind simulation. It will continue with a discussion on creating successful simulations, providing an overview of how to create learning objectives, simulation scenarios themselves and evaluations. The session will then transition into a presentation on an innovative, new simulation being piloted through the U.S. Army. In this intensive, three-day program, participants are trained in TeamSTEPPS, asked to create and run simulations in front of a group and then do in situ coaching on briefing and debriefing during an actual surgery.
Speakers include: Stephanie Sudikoff, MD (Yale New Haven Health System) and Phyllis Toor, RN, BSN, LSSGB (U.S. Army Medical Command)

PLENARY: How Leaders Create a Culture for Performance During Rapid Change (Powerpoint File, 1.72 MB)

Health care today can be characterized as an industry that is filled with constant changes and uncertainties, such as.the Affordable Care Act, consumerism, population health, technology innovations, more cost controls and the list continues. These uncertainties put extraordinary pressures on leaders to create a strong culture that is focused on the patient and the professionals who care for the patient. This session will show how leaders create a sustainable culture of high performance for the benefit of the physicians, staff, patients and community.
Speaker is: Tom Atchison, EdD (Atchison Consulting, LLC)

Lessons for All From Labor and Delivery (Powerpoint File, 4.05 MB)

Labor and delivery is a clinical department where TeamSTEPPS is prevalent. What is it about L&D that has allowed for TeamSTEPPS to make such inroads there? In this presentation, panelists will discuss how TeamSTEPPS has been successful in L&D and will foster discussion as to why. How to create leadership buy-in and form multi-disciplinary teams in this unit will begin the presentation along with putting specific TeamSTEPPS tools into practice. Video and oral vignettes will graphically illustrate TeamSTEPPS on an L&D unit as the "story" of a successful TeamSTEPPS L&D department is told through the eyes of a director of labor and delivery and a nurse.
Speakers include: Joseph Montella, MD (Jefferson Medical College), Loraine Margaret O'Neill, RN, MPH (Mount Sinai Medical Center) and Raymond Sandler, MD (Mount Sinai Medical Center)

PLENARY: TeamSTEPPS in Crisis Situations (Powerpoint File, 11.09 MB)

Much can be said about the day-to-day benefits of TeamSTEPPS. However, it is also an extremely effective tool in crisis situations. This plenary will begin with a discussion on how pilots have used Crew Resource Management and Threat and Error Management principles to diffuse crisis situations. Stories will center around the events of 9/11 and responses from the airline industry. It will continue with two powerful stories from health care. The first will discuss the setup of a virtual clinic for 9/11 World Trade Center survivors after it was rendered unusable after "Superstorm Sandy." The second health care story comes from Aurora, Colorado, where an emergency department at a fraction of its capacity due to construction utilized TeamSTEPPS to navigate the mass causalities that were the result of the tragic shooting at a movie theatre nearby.
Speakers include: Timothy Adam, MBA (airline training executive), Mark Mayes, MHA, RN, BSN, CEN (UCLA Health) and Sheila Smyth-Giambanco, RN, MA, ACNS-BC (World Trade Center Environmental Health Clinic for 9/11 Survivors, Bellevue Hospital Center)

Implementing TeamSTEPPS: Maintaining Early Successes (Powerpoint File, 23.12 MB)

Those who have successfully sustained and expanded TeamSTEPPS will be highlighted in this session. Maintaining early success is important and the presenters on this panel will offer strategies to do so. A practical approach to sustainment will be presented and includes applying TeamSTEPPS to patient safety reporting systems and the Root Cause Analysis process both at the macrosystem and microsystem levels. Other topics explored include maintaining the will of master trainers, champions, clinical staff and hospital administration, and doing so without the consistent support of physicians. Finally, one organization's lessons learned after six years will close the presentation.
Speakers Include: Gwendolyn Godlock, BSN, CMSRN (Brooke Army Medical Center), Amy Halverson, MD (Northwestern University), John Nunes, MD (St. Charles Medical Group), Gina Teeples, RNC, BSN (ValleyCare Medical Center)

Specific Labor & Delivery Uses of TeamSTEPPS (Powerpoint File, 22.4 MB)

In this session, participants will learn how teamwork and communication tools and strategies are effectively applied in obstetrics, as well as innovative approaches to implementing and performing debriefs and hand-offs. Attendees will be introduced to a standardized handoff that has been tailor‐made for use in obstetrical anesthesia and how it was implemented department-wide. Additionally, the attendees will hear about innovative approaches to teamwork and communication in obstetrics emergency simulations.
Speakers include: LaToya Mason, MD (Baylor College of Medicine), Laura Maynard, MDiv (North Carolina Quality Center) and Maureen Padilla, RNC-OB, DNP, NEA-BC (Harris Health System)

Building New Teams (Powerpoint File, 11.13 MB)

In health care organizations, teams are ever changing. The importance of teams cannot be overstated and it is vital that they can form effectively and quickly. In this session, the discussion will begin on how to form change teams. How do you engage the right players for a team? What are some strategies for getting an interprofessional team to work together? How do you get leadership buy-in? Teamwork theory, how to address team misalignment, human factors training as a module of TeamSTEPPS and physician buy-in will all be discussed.
Speakers include: Princess Jackson, PhD, LBSW, LNFA (Health Resources and Services Administration), Jonathan Stewart, MD (Heart of England NHS Foundation Trust), Jennifer Tessmer-Tuck, MD (Mayo Clinic)

TeamSTEPPS Simulations: Innovative Approaches (Powerpoint File, 13.42 MB)

Innovative approaches to TeamSTEPPS simulation programs are explored in this session. The presentation will begin with one hospital's journey to create multidisciplinary simulation scenarios that would address emergency situations. By bringing together a wide variety of individuals, breakdowns and gaps became evident where none were noticed before. The simulations helped the hospital team find potential places to bridge these gaps between different disciplines. The session will then transition to a presentation on why TeamSTEPPS training programs fail. A possible reason for these failures, as well as a solution found in the theory of brain-based learning will be detailed and a way forward will be presented. Finally, the session will close with a presentation on how to assess the success of a TeamSTEPPS simulation training program. The presenter will discuss a hybrid observational tool that uses an objective, observable set of metrics, video input, coding "analysis" software tools and video/data capture output. While the tool is currently only used in the simulation environment, the presenter will discuss plans for augmenting it to be useful in a real-time, clinical setting.
Speakers include: Timothy Clapper, PhD (TC Curriculum & Instructional Design, LLC), Pamela Leonard, RN, BSN, MS (Kaiser Permanente) and Melissa Pollard, DNP, RN-BC, APRN (Exeter Hospital)

Teams Preparing to Speak Up and Doing So (Powerpoint File, 8.17 MB)

This presentation will focus on how to create an environment of psychological safety that fosters 'speaking up.' Examples of leveraging human factors research to help create a value statement for implementing TeamSTEPPS will be outlined as well as tactics to engage and coach residents to speak up. Presenters will share their processes for developing escalation policies and strategies used to promote interdepartmental accountability when speaking up. The conversation will then turn to reasons why individuals are not willing to speak up and how to mitigate those reasons. Finally, the presentation will turn to how to effectively CUS ("I'm concerned, uncomfortable, this is a safety issue") and the related idea of a enforcing a 'hard stop.'
Speakers include: Jennifer Blaha, MBA, (Cedars-Sinai Health System), Ronnie McKinnon, RN, JD, CPHRM, CPSO, CPPS (Stonybrook University Hospital & Medical Center), and Leslie Asdahl RN, BSN, CNOR (North Shore Long Island Jewish Health System)

Adapting TS Tools for New Users (Powerpoint File, 27.59 MB)

TeamSTEPPS is ever-evolving and its users make it so with their innovative ways of applying it. This presentation focuses on three original ways that particular TeamSTEPPS tools are being used to approach specific difficulties. It is important to recognize that teams promote organizational learning and these tools help facilitate planned and unplanned learning opportunities. The three tools are: utilizing interprofessional huddles to identify errors after a fall, debriefing as a part of the Debriefing In Situ Conversation after Emergent Resuscitations Now (DISCERN) tool and Structured Interdisciplinary Bedside Rounds (SIBR).
Speakers include: Katherine Jones, PT, PhD (University of Nebraska Medical Center), Paul Mullan, MD, MPH (Children's National Medical Center, George Washington University School of Medicine) and Jason Stein, MD (Emory University School of Medicine)

What's Next? Leveraging Current Tools to Support Implementation (Powerpoint File, 4.12 MB)

This presentation will introduce recent tools from AHRQ and explore future directions for TeamSTEPPS. It will also provide information on how the National Implementation program can help individuals right now with resources that are publically available from both the AHRQ-funded project and the Department of Defense.
Speakers: David Baker, PhD (IMPAQ International), James Battles, PhD (Agency for Healthcare Research and Quality), Stephen Hines, PhD (Health Research & Educational Trust), Barb Edson, RN, MBA, MHA (Health Research & Educational Trust), Heidi King, MS, FACHE (Department of Defense)

TS Everywhere: Implementing at the System Level (Powerpoint File, 9.78 MB)

Implementing TeamSTEPPS at a systemwide level creates as many challenges as there are service lines and professions in a hospital. The presenter team has implemented systemwide from EMS through home care and will present specific plans for rollout in different settings and situations. The team will present in-depth their implementation process from the planning stages through sustainment.
Speakers include: Catherine Galla, RN, MSN (North Shore Long Island Jewish Health System), Denise Mazzapica, MSN, RN-BC (North Shore Long Island Jewish Health System), Jayne O'Leary, RN, MSN (North Shore Long Island Jewish Health System), Myrta Rabinowitz, PhD, RN, BC (North Shore Long Island Jewish Health System) and Lily Thomas, PhD, RN (North Shore Long Island Jewish Health System)

Implementation Tricks: From Start Up to the Tipping Point (Powerpoint File, 11.57 MB)

This presentation will address specific implementation initiatives put in place by institutions successful at rolling out TeamSTEPPS. The presentation will focus on the early phases of an implementation. The presenters will outline tactics to identify project scope and measurement when embarking on a TeamSTEPPS implementation journey. Specific project management techniques such as creating a scheduling, defining the project manager role and outlining early data collection ideas will be explored. An example of a 12-week implementation plan will be shared. To conclude, the panel will highlight experiences with scaling their TeamSTEPPS implementation via innovative methods and technologies.
Speakers: Ross Ehrmantraut, RN (University of Washington), Jeanie Haggan, RN, MHA, MS, CPHQ (Yale New Haven Health System), Kathy Nunemacher, MSN, RN, CPN, CPHQ (St. Luke's University Health Network)

Developing the Next Generation of Champions: TeamSTEPPS Nurse Education Curriculum Development (Powerpoint File, 4.72 MB)

Training the next generation of nurses in TeamSTEPPS is an important step to driving nationwide success past the tipping point. This session will discuss chronologically from pre-certification to post-certification how to bring TeamSTEPPS into undergraduate nursing curriculum and nurse residency programs. Topics also include: how to integrate TeamSTEPPS tools into a curriculum, using low- to high-fidelity simulation to practice tools and skills and evaluating success via different forms of measurement including a peer review and observation process.
Speakers include: Brigetta Craft, RN, MSN, DNP, IBCLC (Healthcare Team Training), Mary Beth Maguire, MSN, RN, CNE (Kennesaw State University), Libba Reed McMillan, PhD, RN (Auburn University) and Sharon Wengier, MS, APRN, CNS, RNC-OB (Oklahoma University Medical System)

TS Coaching Workshop (Powerpoint File, 7.15 MB)

This interactive session will begin with a discussion of implementation philosophy and will include a discussion on general change management and the specific approach to deploying TeamSTEPPS tools across all patient care units. The majority of this session will be a workshop on the use of coaching and in-situ, just‐in‐time interventions. Role playing demonstrations will enliven the subject matter for the audience.
Speakers include: Carolyn Davidson, RN, BC, MS (Loma Linda University Medical Center), James Pappas, MD, MBA (Loma Linda University Medical Center), Renae Reiswig, RN, MS, CCM (Loma Linda University Medical Center), Helen Staples-Evans, RN, MS, BC-NE (Loma Linda University Medical Center)

Managing the Change Process and Identifying Gaps in the TeamSTEPPS Implementation (Powerpoint File, 8.4 MB)

This presentation will leverage implementation science and sustainment research to guide participants through key action steps required to achieve the top tiers of Kotter's Change Model ('don't let up—be relentless' and 'create a new culture'). The intent is to help participants create a sustainment plan for their TeamSTEPPS implementation. This research will be reinforced with a case study highlighting specific strategies used at an organization to navigate the patient safety change process, the key role TeamSTEPPS plays in facilitating this process and measures to understand the impact of the intervention.
Speakers include: Faye Sheppard, RN, MSN, JD, CPHRM, CPPS (Texas Health Resources), Kathleen Stevens, RN, MS, EdD, FAAN (University of Texas Health Science Center)

TS and the Changing Face of Health Care (Powerpoint File, 12.9 MB)

Utilizing TeamSTEPPS principles leads to more than the benefits of improved clinical outcomes. In this session, efforts to effectively align TeamSTEPPS to the evolving landscape in health care will be presented. Strategies to effectively integrate TeamSTEPPS into performance improvement processes in sync with value-based purchasing, patient-centered care activities and meaningful use of electronic medical records will be discussed. The discussion will also focus on utilizing TeamSTEPPS to reduce burnout and support the pursuit of meaningful work so employees are more resilient, productive and less likely to leave.
Speakers include: Erin Howe, DNP, ANP-BC (Jewish Home of Rochester), Mei Kong, RN, MSN (New York City Health and Hospitals Corporation) and Abdul Mondul, MD (Lincoln Medical Center)