Building a Team
Immersion Call Overview
Week 1: Project overview
Week 2: Science of Improving Patient Safety
Week 3: Eliminating CLABSI
Week 4: The Comprehensive Unit-Based Safety
Program (CUSP)
Week 5: Building a Team
Week 6: Physician Engagement
Slide 2
Learning Objectives
• To understand the central importance of your
CUSP/CLABSI team
• To develop a strategy for building a successful team
Slide 3
The CUSP/CLABSI Team
• The core team working on the On the CUSP: Stop
BSI project
• The small group that spreads the intervention to the
rest of the unit
Slide 4
Importance of the
CUSP/CLABSI Team
• Why do you think the team would matter to
outcomes?
– “Absolute Power” over local implementation
• What do you think makes a good team?
– The Who
– The How
Slide 5
Team Performance
Inputs
Outputs
• Environment
• Performance
• Hospital &
Unit Context
• Team
Composition
• Task Design
Processes
• Inside Team
• Outside Team
• Team Traits
Slide 6
• Attitudes
• Behaviors
Team Composition
• Size (not too small, not too large)
• Multidisciplinary representation
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ICU Nurses
ICU Physicians
Infection Control
ICU Medical Director
Nurse Educator
ICU Nurse Manager
Executive Partner (VP or above)
Pharmacist
Hospital Patient Safety Officer or Chief Quality Officer
Staff from Safety, Quality or Risk Mgmt Office
Respiratory Therapist
Slide 7
Team Composition
• A team leader
• Champions (nurse and physician)
• Local “opinion leaders”
• People with diverse opinions
Slide 8
Team Composition
• Someone outgoing
• Someone who sees the big picture
• Someone detail-oriented
• Everyone dedicated
Slide 9
Successful teams have…
• Reliable Processes
– Education and engagement activities
– Communication
– Leadership support/buy-in
– Conflict (and conflict resolution)
Slide 10
Successful teams have…(cont.)
• Norms
– Valuing individual contributions
– Cohesion (team unity)
– Goal agreement
– Self-assessment of knowledge /skills
– Participation of team members
• Role clarity
Slide 11
Action Items
• Form your team with an appreciation of the
importance of WHO is on the team
• Carefully plan HOW you will act as a unified group
• Do a “pre-mortem” assessment—if this project were to
fail, why would it? What could the CUSP/CLABSI team
have done to prevent failure?
Slide 12
Reference List
•
Marsteller, Jill A., Stephen Shortell, Michael Lin, Elizabeth Dell, Stephanie Wang,
et al. “How Do Teams in Quality Improvement Collaboratives Interact?” Joint
Commission Journal of Quality and Patient Safety, 2007 May; 33(5):267-76.
•
Shortell, Stephen, Jill A. Marsteller, Michael Lin, Marjorie Pearson, Shinyi Wu,
Peter Mendel, Shan Cretin, and Mayde Rosen. “The Role of Team
Effectiveness in Improving Chronic Illness Care,” Medical Care, November
2004.
Slide 13