TeamSTEPPS® Long-Term Care Version

The Agency for Healthcare Research and Quality’s (AHRQ) TeamSTEPPS 2.0 for Long-Term Care curriculum reflects updates to the original TeamSTEPPS in Long-Term Care curriculum, which was released to the public in 2012. Since then, AHRQ released TeamSTEPPS 2.0, an update to the original curriculum that focuses on hospital-based teams. As a result, AHRQ has sponsored the development of an updated curriculum for use in the long-term care setting.

Materials Overview: AHRQ Web site

Note: Currently, there is no online or in-person training for this curriculum. However, you may download and/or print all the TeamSTEPPS 2.0 for Long-Term Care materials to use for training in your facility.

Welcome to the TeamSTEPPS 2.0 for Long-Term Care curriculum! Below, you will find the following information to help you navigate this curriculum and use the materials provided:

  1. Introduction
  2. Navigation
  3. Using and Customizing the Materials
  4. Creating Your Own Instructor Manual

1. Introduction

The Agency for Healthcare Research and Quality’s (AHRQ) TeamSTEPPS 2.0 for Long-Term Care curriculum reflects updates to the original TeamSTEPPS in Long-Term Care curriculum, which was released to the public in 2012. Since then, AHRQ released TeamSTEPPS 2.0, an update to the original curriculum that focuses on hospital-based teams. As a result, AHRQ has sponsored the development of an updated curriculum for use in the long-term care setting. The updated Long-Term Care curriculum (“2.0”) includes changes such as:

  • An updated Course Management Guide to provide information about the course and about preparing for and providing instruction.
  • An updated Evidence Base for each skill-based module.
  • The addition of an advance organizer to each module to provide an overview of each module’s content, activities, and instructional materials.
  • The relocation of the Communication module to earlier in the curriculum to better align with the emphasis on preventing communication errors within teams and the fact that most of the tools and strategies are conducted through communication.
  • The addition of the Measurement module to provide instruction and resources to support the assessment of the effectiveness of implementation efforts.
  • Improvements to the usability and flow of materials, including addressing redundancies, clearly labeling resources, and adding page numbers to the Instructor Manual.

Within the “Navigation” section of this document, to assist you in understanding the curriculum, we’ve included brief descriptions of the materials available for you to learn and teach TeamSTEPPS 2.0 for Long-Term Care. These include:

  • Course Overview and Table of Contents.
  • Fundamentals Instructional Modules, Evidence-based documentation, Slides, Videos, and Exercise Worksheets:
    • Module 1 – Introduction.
    • Module 2 – Team Structure.
    • Module 3 – Communication.
    • Module 4 – Leading Teams.
    • Module 5 – Situation Monitoring.
    • Module 6 – Mutual Support.
    • Module 7 – Summary—Pulling It All Together.
  • Trainer/Coach Instructional Modules, Slides, Videos, and Exercise Worksheets:
    • Module 8 – Change Management.
    • Module 9 – Coaching Workshop.
    • Module 10 – Measurement.
    • Module 11 – Implementation.
    • Module 12 – Practice Teaching Session.
  • Essentials Course Instructor Guide, Slides, and Videos.
  • Supplemental Materials:
    • Course Management Guide.
    • Measurement tools.
    • Specialty scenarios.

2. Navigation

This curriculum is organized into user-friendly Web pages to help you navigate the curriculum materials. Below please find a list of the pages available on this site with the contents of each. Note that information about printing materials is available in the “Creating Your Own Instructor Manual” section of this document.

Please note the following as you review these files:

  • Each instructional module (i.e., Module 1- 12) includes an “Instructor Guide.” If you are using these materials to train others in TeamSTEPPS, please refer to page 3 of each Instructor Guide to view an outline of the respective module. This notes the time allocated for each section of the module and identifies “optional” instructional content. In addition, the outline includes a list of the materials you will need to teach the content as specified.
  • TeamSTEPPS offers a customized set of materials, so that you may modify the content to align with your organization’s needs, setting, and culture. As such, we provide the Microsoft PowerPoint versions of the instructional slides for both presentation and customization.

Pages and contents:

  • Core Curriculum
    This Web page provides the materials needed to learn and teach TeamSTEPPS 2.0 for Long-Term Care. This includes the course overview, the Course Management Guide, and all materials associated with instructional modules 1-12. Individuals who complete both the Fundamentals and the Trainer/Coach modules are considered “Master Trainers.” Please refer to the Course Management Guide for more information about the core curriculum.

    • Overview Materials;
      • Course Overview (PDF; 3 pages; 193.5 KB).
      • Curriculum Table of Contents (PDF; 1 page; 159 KB).
      • Course Management Guide (PDF; 41 pages; 711 KB).
    • Fundamentals (Modules 1-7);
      • Module 1 – Introduction:
        • Module 1 Instructor Guide (PDF; 27 pages; 1.25 MB).
        • Module 1 Instructional Slides (PPT; 18 slides; 1.67 MB).
        • Module 1 Evidence Base (PDF; 6 pages; 375 KB).
        • TeamSTEPPS Implementation Worksheet (PDF; 4 pages; 116.2 KB).
        • Sue Sheridan video  [9 minutes 49 seconds] (Instructional slides include link to the video)..
      • Module 2 – Team Structure:
        • Module 2 Instructor Guide (PDF; 21 pages; 849 KB).
        • Module 2 Instructional Slides (PPT; 17 slides; 2.5 MB).
        • Module 2 Evidence Base (PDF; 3 pages; 350.5 KB).
        • Teams and Teamwork Exercise Sheet (PDF; 1 page; 166.5 KB).
        • Teamwork Opportunity (LTC) video [25 seconds] (Instructional slides include link to the video).
      • Module 3 – Communication:
      • Module 4 – Leading Teams:
        • Module 4 Instructor Guide (PDF; 25 pages; 1.3 MB).
        • Module 4 Instructional Slides (PPT; 21 slides; 2.78 KB).
        • Module 4 Evidence Base (PDF; 3 pages; 264.5 KB).
        • Leadership Exercise Sheet (PDF; 1 page; 113 KB).
        • Briefing Exercise Sheet (PDF; 1 page; 128.5 KB).
        • Training Videos (Instructional slides include link to the videos):
      • Module 5 – Situation Monitoring:
        • Module 5 Instructor Guide (PDF; 28 pages; 1.43 MB).
        • Module 5 Instructional Slides (PPT; 22 slides; 2.76 MB).
        • Module 5 Evidence Base (PDF; 3 pages; 261 KB).
        • Exercise Script (PDF; 1 page; 115.5 KB).
        • Exercise Role Information (PDF; 2 pages; 270.8 KB).
        • Exercise Care Plan Questions (PDF; 1 page; 208 KB).
        • Training Videos (Instructional slides include link to the videos):
      • Module 6 – Mutual Support:
        • Module 6 Instructor Guide (PDF; 30 pages; 1.21 MB).
        • Module 6 Instructional Slides (PPT; 24 slides; 2.63 MB).
        • Module 6 Evidence Base (PDF; 3 pages; 263 KB).
        • Training Videos (Instructional slides include link to the videos):
      • Module 7 – Summary: Pulling It All Together:
        • Module 7 Instructor Guide (PDF; 16 pages; 645.5 KB).
        • Module 7 Instructional Slides (PPT; 10 slides; 2.61 MB).
        • Summary Skills Practice Exercise Sheet (PDF; 2 pages; 208 KB).
        • Training Videos (Instructional slides include link to the videos):
    • Trainer/Coach (Modules 8-12):
      • Module 8 – Change Management:
        • Module 8 Instructor Guide (PDF; 22 pages; 883.6 KB).
        • Module 8 Instructional Slides (PPT; 17 slides; 3.92 KB).
        • On-Time Nutrition video [8 minutes 10 seconds] (Instructional slides include link to the video).
      • Module 9 – Coaching:
        • Module 9 Instructor Guide (PDF; 30 pages; 1.4 MB).
        • Module 9 Instructional Slides (PPT; 22 slides; 2.12 KB).
        • Coaching Self-Assessment Form (PDF; 4 pages; 287.6 KB).
        • Coaching Scenarios (PDF; 5 pages; 229 KB).
        • Coaching Feedback Form (PDF; 1 page; 121.6 KB).
      • Module 10 – Measurement:
        • Module 10 Instructor Guide (PDF; 21 pages; 663 KB).
        • Module 10 Instructional Slides (PPT; 19 slides; 1.24 MB).
        • Evaluating TeamSTEPPS Exercise Sheet (PDF; 2 pages; 204 KB).
      • Module 11 – Implementation Planning:
        • Module 11 Instructor Guide (PDF; 23 pages; 4.9 MB).
        • Module 11 Instructional Slides (PPT; 20 slides; 1.48 KB).
        • TeamSTEPPS Implementation Guide (PDF; 16 pages; 427.5 KB).
      • Module 12 – Practice Teaching Session:
        • Module 12 Instructor Guide (PDF; 4 pages; 399 KB).
        • Module 12 Instructional Slides (PPT; 1 slide; 1.12 MB).
        • Practice Teaching Feedback Form (PDF; 1 page; 119 KB).
  • Essentials Course
    This Web page provides the materials associated with the TeamSTEPPS 2.0 for Long-Term Care Essentials Course. Based on the Fundamentals of TeamSTEPPS, this curriculum is intended for Master Trainers to use as a resource to train staff who do not engage in the direct delivery of care, but who contribute essential information to patient care. Please refer to the Course Management Guide for more information about the Essentials Course.

    • Essentials Course Instructor Guide (PDF; 35 pages; 5 MB).
    • Essentials Course Instructional Slides (PPT; 27 slides; 2.56 MB).
    • Training Videos (Instructional slides include link to the videos):
  • Additional Resources
    This Web page provides additional resources associated with the TeamSTEPPS 2.0 for Long-Term Care curriculum. Materials include the measurement tools and specialty scenarios. This page also offers additional videos that are available for use in your TeamSTEPPS instruction. These videos are not integrated into the curriculum, but are available to further illustrate the TeamSTEPPS tools and strategies as needed.

    In addition, the “printable components” provide all files needed to create your own Instructor Manual. Please refer to the “Creating Your Own Instructor Manual” section of this document for additional information.

    • Acknowledgments (PDF; 1 page; 175.5 KB).
    • Course Management Guide (PDF; 41 pages; 711 KB).
    • Specialty Scenarios (PDF; 36 pages; 1.5 MB).
    • Measurement Tools:
      • Sample Course Evaluation Form (PDF; 7 pages; 391 KB).
      • TeamSTEPPS Teamwork Attitudes Questionnaire for LTC (PDF; 3 pages; 161 KB).
      • Learning Benchmarks for LTC (PDF; 7 pages; 411.3 KB).
      • TeamSTEPPS Teamwork Observation Tool for LTC (PDF; 1 page; 333.6 KB).
      • TeamSTEPPS Teamwork Perceptions Questionnaire for LTC (PDF; 3 pages; 232.6 KB).
    • Additional Videos:
    • Printable Components:
      • Tabs (PDF; 7 pages; 15 KB)
      • Overview_TOC:
        • Course Overview (PDF; 3 pages; 193.5 KB).
        • Curriculum Table of Contents (PDF; 1 page; 159 KB)
      • Tab A_Course Management Guide:
        • Course Management Guide (PDF; 41 pages; 711 KB).
      • Tab B_Fundamentals Instructional Modules:
        • Module 1 – Introduction:
          • Module 1 Instructor Guide (PDF; 27 pages; 1.25 MB).
          • Module 1 Evidence Base (PDF; 6 pages; 375 KB).
          • TeamSTEPPS Implementation Worksheet (PDF; 4 pages; 116.2 KB).
        • Module 2 – Team Structure:
          • Module 2 Instructor Guide (PDF; 21 pages; 849.4 KB).
          • Module 2 Evidence Base (PDF; 3 pages; 350.5 KB).
          • Teams and Teamwork Exercise Sheet (PDF; 1 page; 166.5 KB).
        • Module 3 – Communication:
          • Module 3 Instructor Guide (PDF; 29 pages; 1.6 MB).
          • Module 3 Evidence Base (PDF; 3 pages; 262.6 KB).
        • Module 4 – Leading Teams:
          • Module 4 Instructor Guide (PDF; 25 pages; 1.3 MB).
          • Module 4 Evidence Base (PDF; 3 pages; 264.5 KB).
          • Leadership Exercise Sheet (PDF; 1 page; 113 KB).
          • Briefing Exercise Sheet (PDF; 1 page; 128.5 KB).
        • Module 5 – Situation Monitoring:
          • Module 5 Instructor Guide (PDF; 28 pages; 1.43 MB).
          • Module 5 Evidence Base (PDF; 3 pages; 261 KB).
          • Exercise Script (PDF; 1 page; 115.5 KB).
          • Exercise Role Information (PDF; 2 pages; 270.8 KB).
          • Exercise Care Plan Questions (PDF; 1 page; 208 KB).
        • Module 6 – Mutual Support:
          • Module 6 Instructor Guide (PDF; 30 pages; 1.21 MB).
          • Module 6 Evidence Base (PDF; 3 pages; 263 KB).
        • Module 7 – Summary: Pulling It All Together:
          • Module 7 Instructor Guide (PDF; 16 pages; 645.5 KB).
          • Summary Skills Practice Exercise Sheet (PDF; 2 pages; 208 KB).
      • Tab C_Fundamentals Course Slides:
        • Module 1 (Introduction) Instructional Slides (PDF; 6 pages; 1.9 MB).
        • Module 2 (Team Structure) Instructional Slides (PDF; 6 pages; 1 MB).
        • Module 3 (Communication) Instructional Slides (PDF; 7 pages; 1 MB).
        • Module 4 (Leading Teams) Instructional Slides (PDF; 7 pages; 1 MB).
        • Module 5 (Situation Monitoring) Instructional Slides (PDF; 8 pages; 1.22 MB).
        • Module 6 (Mutual Support) Instructional Slides (PDF; 8 pages; 795.6 KB).
        • Module 7 (Summary – Pulling It All Together) Instructional Slides (PDF; 4 pages; 662.8 KB).
      • Tab D_Trainer/Coach Instructional Modules:
        • Module 8 – Change Management:
          • Module 8 Instructor Guide (PDF; 22 pages; 883.6 KB).
        • Module 9 – Coaching:
          • Module 9 Instructor Guide (PDF; 30 pages; 1.4 MB).
          • Coaching Self-Assessment Form (PDF; 4 pages; 287.6 KB).
          • Coaching Scenarios (PDF; 5 pages; 229 KB).
          • Coaching Feedback Form (PDF; 1 page; 121.6 KB).
        • Module 10 – Measurement:
          • Module 10 Instructor Guide (PDF; 21 pages; 663.2 KB).
          • Evaluating TeamSTEPPS Exercise Sheet (PDF; 2 pages; 204 KB).
        • Module 11 – Implementation Planning:
          • Module 11 Instructor Guide (PDF; 23 pages; 4.9 KB).
          • TeamSTEPPS Implementation Guide (PDF; 16 pages; 427.5 KB).
        • Module 12 – Practice Teaching Session:
          • Module 12 Instructor Guide (PDF; 4 pages; 499 KB).
          • Practice Teaching Feedback Form (PDF; 1 page; 119 KB).
      • Tab E_Trainer/Coach Course Slides:
        • Module 8 (Change Management) Instructional Slides (PDF; 6 pages; 1.17 MB).
        • Module 9 (Coaching) Instructional Slides (PDF; 8 pages; 444 KB).
        • Module 10 (Measurement) Instructional Slides (PDF; 7 pages; 583.3 KB).
        • Module 11 (Implementation Planning) Instructional Slides (PDF; 7 pages; 1.4 MB).
        • Module 12 (Practice Teaching Session) Instructional Slides (PDF; 1 page; 107.6 KB).
      • Tab F_Measures:
        • Sample Course Evaluation Form (PDF; 7 pages; 391 KB).
        • TeamSTEPPS Teamwork Attitudes Questionnaire for LTC (PDF; 3 pages; 161 KB).
        • Learning Benchmarks for LTC (PDF; 7 pages; 411.3 KB).
        • TeamSTEPPS Teamwork Observation Tool for LTC (PDF; 1 page; 333.6 KB).
        • TeamSTEPPS Teamwork Perceptions Questionnaire for LTC (PDF; 3 pages; 232.6 KB).
      • Tab G_Acknowledgments:
        • Acknowledgments (PDF; 1 page; 175.5 KB).

3. Using and Customizing the Materials

TeamSTEPPS 2.0 for Long-Term Care is a flexible training kit, such that you are encouraged to customize the materials to meet your facility’s or work area’s needs. To facilitate the customization of the materials, this curriculum includes both print friendly materials as well as source files for aspects of the curriculum that you may wish to modify to fit your needs.

Please note that the print friendly files are available in PDF format. You will need Adobe® Reader® to use the printable files. To download the latest version of Adobe Reader, go to www.adobe.com/products/reader.

To assist with usability of the materials, instructional slides are provided in Microsoft PowerPoint. Training videos associated with the content are linked within the PowerPoint slides. Click on the “Roll ‘Em” icon to play the respective video. To maintain this functionality, you may either run the PowerPoint slides from the Web or copy the files to your server or hard drive. If you copy the files to your server or hard drive, the files must retain the same order, file name, and directory to operate properly.

4. Creating Your Own Instructor Manual

If you wish to create your own Instructor Manual for the TeamSTEPPS 2.0 for Long-Term Care course, please go to the printable components files available through the “Additional Resources” page. From this page, start by printing the binder tabs. Then print the curriculum overview and the table of contents. Next, print, the materials associated with Tab A through Tab F.

Note that each of the printable components have page numbers to assist you in organizing your own manual. Each page number references the tab in which the page belongs, and, where appropriate, the instructional module. For example, the Module 3 (Communication) Evidence Base starts on page B-3-31, referring to tab “B” of the binder, Module 3 of the curriculum, and page 31 of the Module 3 printable materials.

All printable files are available in Adobe PDF format. Please see the list of printable components included in this document under Section 2 (Navigation) to view the number of pages associated with each file.

Page last reviewed October 2017
Page originally created November 2012
Internet Citation: TeamSTEPPS® Long-Term Care Version. Content last reviewed October 2017. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/teamstepps/longtermcare/index.html