2014 Conference Materials
TeamSTEPPS National Conference
In order to access 2014 conference materials from Minneapolis, such as PowerPoint slides, please email the National Implementation Team at AHRQTeamSTEPPS@aha.org with your request.
TeamSTEPPS 101
New to TeamSTEPPS? This session will provide you with an introductory level understanding of what the fuss is all about. The components of TeamSTEPPS, its evidence base, and its business case will be presented. This session will serve as an overview of the key principles of TeamSTEPPS and how to translate it into practice with real examples. Ample time will be provided for questions.
Speakers include: Karen Frush, M.D. (Duke University Health System), Charles Murphy, M.D. (Duke University Health System), and Margaret Sturdivant, M.S.N., RN (Duke University Health System).
Putting the Patient at the Center of Care
TeamSTEPPS offers an opportunity for medical teams to include patients more in their own care. In this session, patient engagement via TeamSTEPPS is approached from two different angles. You’ll hear how TeamSTEPPS has been used to partner with patients to prevent falls. Then you’ll learn how TeamSTEPPS can interface with an already existing patient safety program. No matter how you approach it, TeamSTEPPS can be a vital part of patient-centered care.
Speakers include: Chrissie Blackburn, M.H.A. (University Hospitals Case Medical Center), and Myrta Rabinowitz, Ph.D., RN, BC (North Shore Long Island Jewish Health System).
Expanding TeamSTEPPS After Departmental Implementation
After you’ve had one success, how do you go about communicating that success and then expanding it? Speakers from two systems with robust TeamSTEPPS implementation programs will discuss their journeys and offer their creative solutions. Some of these solutions include interprofessional education systems, high-fidelity simulations, and observational evaluation leading to an employee recognition program. A unique “Star Wars” themed implementation approach will also be discussed.
Speakers include: Janine Jordan, M.D. (Christiana Care Health System), Jay Koren, RN, B.S.N. (MetroHealth System), Carol Kerrigan Moore, M.S., RN, FNP (Christiana Care Health System), Robert Smith, Ph.D. (MetroHealth System), and Susan Coffey Zern, M.D., CHSE (Christiana Care Health System).
PLENARY: Five Generations in the Work Place: Sustaining TeamSTEPPS
The health care workforce is composed of individuals from a variety of generations. Each generation, from Millennials to Baby Boomers, prioritizes aspects of their life differently. They value different things and learn, think, and communicate uniquely. A “generational understanding” is essential so the intergenerational workforce can communicate and work as a team effectively.
In this plenary presentation, the different generations will be identified and defined while communication skills necessary for us to understand each other and how we are different will be outlined. These communication skills will be reinforced through the principles of TeamSTEPPS. Lessons learned from personal experiences, issues and benefits of social media among the generations, and reinforcing mentoring programs, including reverse mentoring, will be highlighted.
Speaker: Philip Boysen, M.D., M.B.A., FACP, FCCP, FCCM (Ochsner Clinic Foundation).
Integrating TeamSTEPPS in Your BSN Nursing Curriculum
Imagine the heights the American health care system could reach if everyone leaving school had a solid background in TeamSTEPPS. This session will focus on how to create a strong BSN curriculum. In the session, the need for a team training program will be discussed first, followed with how an elective in TeamSTEPPS could be created. The idea will be taken a step further with how TeamSTEPPS can be used as an overall framework for interprofessional education. Finally, a discussion on how to evaluate success of these programs will conclude the session.
Speakers include: Jodie Gary, Ph.D., RN (Texas A&M University), Jack Moreland, Ph.D., M.S.N., RN (Texas A&M University), and Jennifer Titzer, D.N.P., RN, RT(R), RCIS (University of Southern Indiana).
In Situ Simulation and TeamSTEPPS: An Integrated Model
The integration of TeamSTEPPS with in situ simulation is an effective and innovative approach to team training. By applying this model, interdisciplinary and coordinated emergent responses can be successfully achieved. In this presentation, implementation and sustainment strategies, in situ methodology, and process improvement initiatives will be demonstrated using actual simulation footage. Presenters will also discuss barriers to effective team performance, including disruptive behavior and conflict.
Speakers include: Shelley Barnhill, RNC-OB, B.S.N., M.A., C-EFM (ValleyCare Health System), John Nunes, M.D., FACOG (St. Charles Health System), MaryJo Schaarschmidt, M.S.N., CPNP, RNC-NIC, RNC-LRN (ValleyCare Health System), and Gina Teeples, B.S.N., MSN(c) RNC-OB (ValleyCare Health System).
You've Been to a Master Training Course, Now What?
You’ve come home from a master training course optimistic and with the best intentions to start a TeamSTEPPS implementation at your organization. However, with so many competing priorities, best intentions are sometimes not enough. It is vital to understand how to balance your TeamSTEPPS implementation with the mission of your institution and its economic and regulatory realities. A specific example of taking these measured steps will be highlighted with the discussion of a program on central venous catheter insertion.
Speakers include: Fran Charney, RN, M.S., CPHRM, CPPS, CPHQ, CPSO, DFASHRM (Pennsylvania Patient Safety Authority), Megan Shetterly, RN, M.S. (Pennsylvania Patient Safety Authority), and Patricia White, Ph.D., RN (Einstein Healthcare Network).
Spreading and Sustaining TeamSTEPPS
You have implemented TeamSTEPPS across multiple departments in your facility and would like to spread it across your entire organization or hospital. Where do you begin and how do you keep the momentum going? Spreading TeamSTEPPS is a daunting task. In this presentation, you’ll meet individuals who will share their story about how they implemented briefs, debriefs, and huddles to form the foundation of a larger program. The end game of this implementation attempt was their ability to “hardwire” TeamSTEPPS across the enterprise level.
Just as important as spread, the significance of sustainability cannot be underrated. You will also learn how another organization used a self-directed work team to sustain teamwork in health care. They will discuss how they act as a facilitator for sustainment by partnering with leadership at each site.
Speakers include: Madeline Fricke, M.P.S., RN (North Shore Long Island Jewish Health System), Denise Mazzapica, M.S.N., RN-BC (North Shore Long Island Jewish Health System), Barbara Olson, RN-GA, M.S., FISMP, CPPS (LifePoint Hospitals), and Vanessa Peters, RN, B.S., M.H.S. (LifePoint Hospitals).
Tuning Your Team Up for Success (Workshop)
Not only do clinical teams need to perform at a high level, but teams who teach TeamSTEPPS need to do the same. This workshop will provide tips on how to create high-performing teams by determining what the core elements of successful teams are and understanding the role of temperament in forming strong teams. A temperament survey will be shared with attendees. This survey is used to assess team members’ personality types and can be useful in building stronger, more connected, teams. Variety is essential to team success and empowering team members to play up to their potential will help any team grow stronger.
Speakers include: Jan Brauer, RN, B.S.N., M.A. (Providence Hood River Hospital), and Rhonda Fischer, RN, B.S.N., CEN (Providence Hood River Hospital).
TeamSTEPPS Among Medical Students
Embedding TeamSTEPPS into curriculum is a growing trend among medical schools in the United States. One presenter will share results from a survey of team training programs at 128 medical schools. Then, one medical school’s perspective will be emphasized on incorporating TeamSTEPPS into preclinical courses and creating a team-based culture in the medical school environment in years 1 and 2. Finally, a methodology on how to introduce TeamSTEPPS during a medical student’s clinical years will be outlined.
Speakers include: Karyn Baum, M.D., M.S.Ed. (University of Minnesota), Shanpin Fanchiang, OTR/L, Ph.D. (Rancho Los Amigos National Rehabilitation Center), and Kevin Krane, M.D. (Tulane University School of Medicine).
Risk Management and Medical Liability: Implementing TeamSTEPPS for Success
Assessment is a critical component of TeamSTEPPS implementation planning. A large West Coast health care system took a deep dive into their malpractice claims data and identified opportunities to reduce risk in perinatal units across the system. Their formal risk assessment and use of simulation will be highlighted. Next, a company who supports health systems on the East Coast will focus on their role as risk managers when redosing TeamSTEPPS after implementation. In addition, they will provide insight about customizing tools to translate to the operating room after obstetrics implementation.
Speakers include: David Feldman, M.D., M.B.A., CPE, FACS (Hospitals Insurance Company), Ann Gaffey, RN, M.S.N., CPRHM, DFASHRM (Sedgwick), and Patricia Kischak, RN, M.B.A., CPHRM (Hospitals Insurance Company).
TeamSTEPPS for Surgeons: Opportunities, Challenges, and Lessons Learned
Surgeons are sometimes seen as barriers to a successful TeamSTEPPS implementation. However, these three surgeons would like to discredit that myth. They will share from their perspective regarding pathways to getting physicians on board. Working through their professional society, they forged a pathway forward to create physician team leaders. Three years of experiences, challenges, opportunities, and threats will be shared.
Speakers include: Dwight Burney, M.D. (American Academy of Orthopaedic Surgeons), Andrew Grose, M.D., FAAOS (Westchester Medical Center), and John Webster, M.D., M.B.A., MSEL, CPPS (Webster Healthcare Consulting, Inc.).
Implementation Planning for TeamSTEPPS Novices (Workshop)
In this interactive session, TeamSTEPPS novices will walk away with actionable approaches for integrating proven methodologies learned in TeamSTEPPS Master Training courses to resolve communication issues within their institutions. The adaptability of the tools to different settings will be the first topic. Then, the speakers will provide insight on how to form teams and get stakeholders involved. Participants will be able to create a charter to set goals, identify a team, and plan to pilot their own TeamSTEPPS intervention.
Speakers include: Jennifer Hodge, RN, B.S.N., M.S.B.A. (Georgia Medical Care Foundation), and Martha White, RN, B.S.N., M.S.B.A. (Georgia Medical Care Foundation).
Implementation Planning To Expand and Sustain TeamSTEPPS (Workshop)
Expanding TeamSTEPPS across one’s State is a daunting task but these individuals from Louisiana will highlight how they spread TeamSTEPPS at this level. Many of the TeamSTEPPS priorities closely align and overlap with other quality improvement priorities. Based on this close alignment and overlap, the presenters will share their unified platform and voice for using easy, common sense oriented change tools. Attendees will understand benefits to having a large percentage of hospitals in a State using TeamSTEPPS, learn the steps to help plan a statewide rollout of TeamSTEPPS, and gain ideas for what comes next after hospitals have TeamSTEPPS Master Trainers. Lessons learned in this workshop can be easily applied across other large entities such as health systems, State hospital organizations, hospital engagement networks, and quality improvement organizations.
Speakers include: Ken Alexander, M.S., RRT (Louisiana Hospital Association), Philip Boysen, M.D., M.B.A., FACP, FCCP, FCCM (Ochsner Clinic Foundation), and Jennifer Calzada, M.A. (Tulane University School of Medicine).
Case Studies of TeamSTEPPS Implementation From Across the Country
TeamSTEPPS is being used across all parts of the Nation and in a variety of settings and ways. In this rapid-fire presentation, eight speakers will share their implementation journey. Their unique perspectives will be highlighted by emphasizing challenges and successes in various health care settings. To conclude the implementation panel, a conversation will be facilitated.
Speakers include: Scott Chittenden, RN (374 Medical Group, United States Air Force), Donna Dasinger, RN (Sharp HealthCare), Brenda Helton, RN (General Leonard Wood Army Community Hospital), Tina Huffman-Cerullo, RN, B.S.N., M.B.A. (325 Medical Group, United States Air Force), Wouter Keijser, M.D. (Wacomed/TeamSHOPP), Victoria Kennel, M.A. (University of Nebraska Medical Center), Sukh Dev Singh Khalsa, M.S.N., M.B.A., RN, PMHNP, PHN (Loma Linda University Behavioral Medicine Center), and C. Latoya Mason, M.D. (Baylor College of Medicine).
Building Team Synergy: A Three-Phased Approach to Integrating TeamSTEPPS in Nursing Education (Workshop)
Presenters from two separate nursing schools will discuss their approaches to bringing TeamSTEPPS into their nursing education programs. Then, after providing this introduction, they will offer advice on how to craft your own curriculum that includes TeamSTEPPS. The goal of this workshop is for you to leave not only with a seed of a plan, but also with actionable next steps upon your return home.
Speakers include: Laura Goliat, D.N.P., M.S.N., RN, FNP-BC (Ursuline College), Pat Sharpnack, D.N.P., RN, CNE, NEA-BC (Ursuline College), and Mary Trosclair, M.N., RN (Delgado Community College).
PLENARY: Innovation and Creativity From the Team Perspective
Creativity drives innovation. However, we often view the “creative” as an individual toiling away at his or her ideas alone. This idea is a fallacy. Teams can be just as creative and can flourish in such an environment. What do teams need to do to succeed through creativity? How can teams not only meet changing needs and achieve morphing goals, but actually embrace and live in change? This presentation will challenge you not only to manage change, but also to push your teams to embrace it and find the creative spark to be successful.
Speaker: Todd Henry (Accidental Creative).
Implementation Planning for Small Successes (Workshop)
Some might view TeamSTEPPS as “another boring session” or as the “flavor of the month.” How do you engage staff and achieve buy-in? Failure to see early changes after training gives staff a negative perception and often results in poor attitudes. Identifying staff achievements post-training and recognizing small successes can lead to better outcomes and further spread. In this workshop, the importance of establishing TeamSTEPPS behaviors immediately after training will be discussed. Next, suggestions for innovative ways to increase buy-in and improve staff engagement will be discussed, along with ways to maintain momentum and sustain positive changes.
Speakers include: Christtina Davis, LSOT, IHC (OhioHealth), Angie Wade, M.P.H., CCRC (OhioHealth), and Jason Zigmont, Ph.D., CHSE-A (OhioHealth).
TeamSTEPPS and Critical Care Transport
Two major health care systems on either side of the United States share a common problem: they face difficulties with communication among their critical care transport teams. Both health care systems adapted TeamSTEPPS for critical care transport but in different ways. One system decided to implement TeamSTEPPS principles on a large scale by implementing several tools such as briefs, huddles, debriefs, Two Challenge Rule, and CUS into their daily practices. The other health care system decided to at first focus on a specific tool, SBAR, in order to improve response times. Both presenters will share their results and lessons learned.
Speakers include: Shawn Brast, M.S.N., RN, CCRN, NREMT-P (Johns Hopkins Lifeline), and Kenneth Miller, RN, M.S.N., CCRN (UCLA Health).
Utilizing TeamSTEPPS Methodology To Become a High-Reliability Organization
In today’s health care setting, despite the movement toward a culture of safety, medical errors in addition to poor teamwork continue to persist. No organization or hospital is perfect, yet aiming to become a high-reliability organization (HRO) can be a medium to achieve safety and quality goals. The concepts of HROs will be covered and how health care leaders have embedded TeamSTEPPS tools and principles into their practice as a means to this end will be stressed.
Speakers include: Susan Gidding, M.H.S., RN, CCRN, RRT (Saint Alphonsus Health System), and Steve Hines, Ph.D. (Health Research & Educational Trust).
Metrics To Measure the Success of Your TeamSTEPPS Initiative
This session will guide participants through the process used at one facility to identify appropriate data for use in determining whether communication issues have decreased after TeamSTEPPS education. A detailed perspective from a single unit and how it spread to the rest of the facility will be discussed. Next, on a higher level, data management and collection of data from a 10-year history will be touched on. Participants will be able to identify readily available and cost-efficient data sources that minimize the need for expensive and time-consuming data abstraction activities.
Speakers include: Lisa Adams, RN (Synensis), Janet Muri, M.B.A. (National Perinatal Information Center, Inc.), and Diane Nalezny, RN, M.S. (University of Minnesota Medical Center).
The Team Training Tower: Creative Methods for Teaching TeamSTEPPS Fundamentals (Workshop)
Finding time to train busy health care professionals in the fundamentals of TeamSTEPPS is an issue experienced by many in the field. The “Team Training Tower” exercise, an example of low-tech simulation, has been developed to provide a 90‐minute introduction to key TeamSTEPPS communication concepts and skills. The workshop curriculum combines visual didactic presentations with hands‐on exercises, providing the learner with opportunities to exhibit and practice use of TeamSTEPPS concepts and communication tools in a simulated environment.
Breaking down the TeamSTEPPS tools into 100, 200, and 300 level skills, workshop participants will progress through a series of activities, building on previously learned skills/concepts with the addition of more advanced tools. Upon completion of the workshop, participants will learn how to use this as a teaching tool. Due to the highly interactive nature of this workshop, participation is limited to the first 60 attendees.
Speakers include: Ross Ehrmantraut, RN (University of Washington), Kurt O’Brien, MHROD (University of Washington), Brian Ross, Ph.D., M.D. (University of Washington), and Megan Sherman, B.A. (University of Washington).
The Future of TeamSTEPPS
The future of TeamSTEPPS is exciting and in this session you’ll learn all about it. First and foremost, we’ll discuss the recent release of TeamSTEPPS 2.0 and what it means to the user and the learner. Then, you’ll be introduced to the TeamSTEPPS 2.0 Online project, which is a useful tool both for the master trainer and the learner. Finally, you’ll learn about the TeamSTEPPS for Primary Care project and the national implementation program being launched this fall.
Speakers include: David Baker, Ph.D. (IMPAQ International), Brigetta Craft, RN, M.S.N., D.N.P. (Reingold, Inc.), Ashka Davé, B.S.B.A. (Health Research & Educational Trust), and Chris Hund, M.A. (Health Research & Educational Trust).
TeamSTEPPS Implementation From the Physician’s Perspective
The three presenters in this panel will all discuss how they took a successful TeamSTEPPS implementation in their institution and translated it into a new and different direction. The presentations will focus on an academic ultrasound practice, an obstetrics department, and the rollout of an electronic health record in an outpatient setting. While these are all different implementation directions, they all point to the idea of a successful spread of the material from a successful area to a new one.
Speakers include: Rajan Gupta, M.D. (Duke University Medical Center), Klaus Kjaer, M.D., M.B.A. (New York Presbyterian/Weill Cornell Medical Center), and Joseph Montella, M.D., M.S. (Jefferson Medical College/Thomas Jefferson University Hospital).
Lessons Learned in Rural and Critical Access Hospitals
Critical access and rural hospitals face unique challenges when it comes to obtaining resources for the implementation of new programs. Two stories will be shared from disparate parts of the country regarding the implementation of TeamSTEPPS. One will highlight 14 rural Iowa hospitals that implemented TeamSTEPPS. The presenter will share the outcomes they gathered and the recommendations they’ve come up with on what teams can do before they go to a training in order to help manage their challenges. Next, a small critical access hospital will highlight its specific implementation story on how patient safety was improved using bedside shift reporting across units.
Speakers include: Christina Brink, B.S.N., RN (Schuyler Hospital), Kelli Vellinga, RN, B.S.N. (Independent Patient Safety Consultant), and Xi Zhu, Ph.D. (University of Iowa).
Evaluating TeamSTEPPS Skills Using Clinical Simulation (Workshop)
Simulation can often be an effective platform to practice TeamSTEPPS tools. But, during simulation exercises, how do you evaluate something such as situational awareness? How do you look at something rather abstract such as measuring engagement or providing feedback in a teamwork setting? This interactive workshop will focus on specific team skills and how they can be evaluated. This will be reinforced through video examples on how simulation can drive home TeamSTEPPS skills. The workshop will enable participants to design a scenario and accompanying evaluation to elicit a response using TeamSTEPPS components.
Speakers include: Pamela Leonard, RN, M.S. (Kaiser Permanente), and Rachel MacEachin, RN, B.S.N., M.S. (Kaiser Permanente).