TeamSTEPPS Introductory Webinar - FHA · 7/19/2018 · Refers to the approach in which the...

TeamSTEPPS Introductory Webinar

July 19, 2018

• Welcome & HIIN Update• TeamSTEPPS Master Trainer Course

“Onboarding” Webinar Presentation--Duke University Health System Master Trainers

• Next Steps• Questions / Discussion• Pre-Meeting Reminders

Agenda

HIIN Update

FHA MTC HIIN Resources:• Focus Area-specific checklists, tools, etc. - MTC Website• Webinars & Trainings [Upcoming Events - MTC Newsletter• National subject matter experts• One-on-One Coaching Calls• TeamSTEPPS Training• Chasing Zero Infections Series• Safety Culture Survey• Cross-Cutting Strategies – SOAP UP, GET UP, WAKE UP, SCRIPT UP

Goals of the Hospital Improvement Innovation Network:Reduce Harm by 20% and Reduce Readmissions by 12%and improve culture and board/leadership engagement

http://www.fha.org/health-care-issues/quality-and-safety/mtc-hiin.aspx

http://www.fha.org/health-care-issues/quality-and-safety/mtc-hiin/newsletters.aspx

TeamSTEPPS Master Training Course

Onboarding Webinar

TEAMSTEPPS 05.2Mod 1 2.0

Master Training Onboarding

Webinar

On This Call

• Kyle Rehder, MD – Physician Quality Officer• Margaret Sturdivant, MSN, RN, CPPS –

Administrative Director

Duke University Health System Patient Safety Center



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Who Are We?



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Objectives for webinar

What is TeamSTEPPS? What is a ‘Master Training’ Course? What should I expect from this course? How does my team prepare for the training?



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WHAT IS TEAMSTEPPS?



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What is TeamSTEPPS?

An evidence-based teamwork system

Designed to improve: Quality Safety Efficiency of health care

Practical and adaptable Provides ready-to-use

materials for training and ongoing teamwork



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TeamSTEPPS Evolution

Patient Safety and Quality

Improvement Act of 2005

Executive Memo from President

DoDMedTeams®

ED Study

Institute for Healthcare

Improvement 100K livesCampaign

“To Err is Human”

IOM Report TeamSTEPPS®

1995 1999 2001 2003 2004 2005

JCAHO National Patient Safety

Goals

2006

TeamSTEPPS Released to the

Public

2007

TeamSTEPPS National

Implementation Program Began

2008

National Implementation

of CUSP

Centers for Medicare and

Medicaid Services Partnership for

Patients Campaign

2011

Medical Team Training

TeamSTEPPS 2.0,

TeamSTEPPS Online, and

TeamSTEPPS for Office-Based

Care

2014 2016

TeamSTEPPS Advanced

Course



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Why Use TeamSTEPPS?

Goal: Produce highly effective medical teams that optimize the use of information, people and resources to achieve the best clinical outcomes

Teams of individuals who communicate effectivelyand back each other up dramatically reduce the consequences of human error

Team skills are not innate; they must be trained



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Why Invest in TeamSTEPPS?

Cost of TeamSTEPPS is minimal compared to savings

Annual cost of preventable medical errors is approximately 98,000 lives and $17-29 billion1

Recent research estimates 400,000 lives2

Errors can be reduced by changes to the health care system; specifically by providing interdisciplinary team training

1. Kohn LT, Corrigan, JM, Donaldson, MS. Eds. To err is human: Building a safer health system. Washington, DC: Committee on Quality of Health Care in American, Institute of Medicine, National Academy Press, 2000.2. James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Safe. 2013;9(3):122-128.



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Evidence That TeamSTEPPS Works

13

Capella, et al. (2010) Trauma resuscitation team

implementation Pre- and post-TeamSTEPPS

training results: Team performance improved

across all teamwork skills: Leadership, Situation Monitoring, Mutual Support, Communication

Significantly decreased times from arrival to CT scanner, endotracheal intubation, and operating room

Thomas & Galla (2013) Systemwide implementation Pre- and post-TeamSTEPPS

training results: Significant improvement

in HSOPS scores on Feedback and Communication AboutError, Frequency of Events Reported, Hospital Handoffs and Transitions, and Teamwork Across Units

Incremental changes evident through reduction of nosocomial infections, falls, birth trauma, and other incidents



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What Comprises Team Performance?

AttitudesAffect“Feel”

KnowledgeCognitions

“Think”

SkillsBehaviors

“Do”

…team performance is a science…consequences of errors are great…



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TeamSTEPPS ToolsBARRIERS

Inconsistency in Team Membership

Lack of Time Lack of Information Sharing Hierarchy Defensiveness Conventional Thinking Complacency Varying Communication Styles Conflict Lack of Coordination and

Follow-Up with Co-Workers Distractions Fatigue Workload Misinterpretation of Cues Lack of Role Clarity

TOOLS and STRATEGIES

BriefHuddle DebriefSTEP

Cross MonitoringFeedback

Advocacy and AssertionTwo-Challenge Rule

CUSDESC ScriptCollaboration

SBARCall-Out

Check-BackHandoff

OUTCOMES

Shared Mental Model

Adaptability

Team Orientation

Mutual Trust

Team Performance

Patient Safety!!



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WHAT IS A ‘MASTER TRAINING’ COURSE?



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Master Training

Train-the-Trainer Model Refers to the approach in which the TeamSTEPPS Master

Trainer Course provides training to a group of participants, who then conduct training of staff at the unit, department, or facility level.

Participants will:1. Become familiar with TeamSTEPPS tools and methodology2. Be equipped to teach TeamSTEPPS tools to others at their

organization3. Be ready to implement and coach TeamSTEPPS at their

organization



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WHAT TO EXPECT?



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Session Agenda

Fundamentals Day 1 Module 1—Introduction Module 2—Team Structure Module 3—Leadership Module 4—Situation

Monitoring Module 5—Mutual Support Module 6—Communication Module 7—Summary—

Putting It All Together

Trainer/Coach Course Day 2 Change Management:

How to Achieve a Culture of Safety

Coaching Workshop Implementation

Course Management Developing a Teamwork

Improvement Action Plan



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Online Materials

AHRQ’s websitehttp://www.ahrq.gov/professionals/education/curriculum-tools/teamstepps/index.html All materials are available here Additional versions of

TeamSTEPPS Office-Based Care, Long-Term

Care and many more

Pocket Guide App

http://www.ahrq.gov/professionals/education/curriculum-tools/teamstepps/index.html



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HOW DOES MY TEAM PREPARE?



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Transforming your team



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Initiate Implementation Plan

Day 1: Content Day 2: Implementation Planning Pre-work designed to help with implementation

planning 10 action planning steps

http://www.ahrq.gov/professionals/education/curriculum-tools/teamstepps/instructor/reference/quickrefguide.pdf

Pre-work: Steps 1 and 2

http://www.ahrq.gov/professionals/education/curriculum-tools/teamstepps/instructor/reference/quickrefguide.pdf



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Implementation Planning Workshop

Plan how TeamSTEPPS will be integrated into your organization What is the specific need to address? Who will be responsible for driving the change? Where is buy-in required? What TeamSTEPPS tools and/or strategies will be

targeted? The product of the workshop will be a draft plan for

implementing TeamSTEPPS in your organization



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Determine Readiness

Determine whether stronger teamwork and safety culture is an appropriate strategy for addressing your organization’s needs

Determine readiness Factors for consideration

Which units/areas are most ready for and in need of TeamSTEPPS? Is/are there any unit(s) in which TeamSTEPPS can be implemented now? Is the timing right in terms of avoiding competition with other major

initiatives or changes? In which units/areas can success be expected and later used as an

example for spreading TeamSTEPPS in the organization?



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Learn About Other TeamSTEPPS Efforts in Your Organization

Gather knowledge related to other uses of TeamSTEPPS within your organization Has leadership been involved in TeamSTEPPS efforts? Have other unit/areas of your organization already implemented

aspects of TeamSTEPPS? If so, which ones and were they successful?

Are there TeamSTEPPS tools and/or strategies your organization already knows and/or uses?



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Involve Organizational Leaders

Share information to promote awareness of TeamSTEPPS http://www.ahrq.gov/professionals/education/curriculum-

tools/teamstepps/instructor/index.html TeamSTEPPS Overview (Video) Course Management Guide

https://www.ahrq.gov/teamstepps/evidence-base/index.html Research/Evidence Base

Conduct a Briefing with Hospital or System-Level Leaders Customizable TeamSTEPPS Leadership Brief http://www.teamsteppsportal.org/teamstepps-materials

Identify Potential Change Agents/Partners in Your Organization Not just executives but informal leaders who can effect change

http://www.ahrq.gov/professionals/education/curriculum-tools/teamstepps/instructor/index.html

https://www.ahrq.gov/teamstepps/evidence-base/index.html

http://www.teamsteppsportal.org/teamstepps-materials



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Identify Specific Areas for Improvement

Define the need that is driving your organization to consider TeamSTEPPS What are the areas for improvement? In which units/organizations are the improvements

needed?



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Identify Specific Areas for Improvement

Review Existing Data RCAs, near miss events, FMEAs Culture survey Patient satisfaction

Conduct a Site Assessment Interviews, observation Leadership Magic Wand Exercise

Information will be useful during Implementation Planning



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Identify Your Change Team

Executive Champion TeamSTEPPS®

Leaders Clinical / Technical

Content Experts Front Line Staff Who has ‘influence’ in

your work area?

Be inclusive!



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Define the Problem, Challenge or Opportunity for Improvement

Step 2 Pre-work



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Next Steps

Complete pre-work prior to July 31 – August 1 course One pre-work assignment per team

Attend in-person course Follow-up webinar Discuss implementation journey and successes

Additional Resources Questions?



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Thank [email protected]@duke.edu

mailto:[email protected]


Questions / Discussion

• Consider who from your facility will attend the TeamSTEPPS Master Trainer Class(Jul 31-Aug 1 in Ft. Lauderdale)

–Register Online: http://www.cvent.com/d/4gqxcs/2K

–Pre-Meeting Work: Participants are encouraged to develop a TeamSTEPPSimplementation plan for prior to attendingthe in-person training

Pre-Meeting Reminders

http://www.cvent.com/d/4gqxcs/2K

FHA Mission to Care HIIN [email protected] | 407-841-6230

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TeamSTEPPS Introductory Webinar - FHA · 7/19/2018 · Refers to the approach in which the...

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