Team Structure

NEXT:
 Team
Structure

Objectives
 Discuss benefits of teamwork and team structure
 Define a “team”
 Identify the role of patients and their families as
part of the care team
 Describe the components and composition of a
multi-team system

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Structure

Team
Structure
 Teamwork
cannot occur in
the absence of a
clearly defined
team
 Understanding a
team’s structure
and how multiple
teams interact is
critical for
implementation
planning

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 Team
Structure

What Defines a Team?

Two or more people who

interact dynamically,
interdependently, and
adaptively toward a
common and valued goal,
have specific roles or
functions, and have a
time-limited membership

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Structure

Exercise: Teams and Teamwork

Write down the names (or positions) of the people

in your immediate work area or unit who contribute
to successful patient care.

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Structure

Partnering With the Patient

Strategies for involving patients in their care
 Include patients in bedside rounds
 Conduct handoffs at the patient’s bedside
 Provide patients with tools for communicating with
their care team
 Involve patients in key committees
 Actively enlist patient participation

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Structure

Clinical Team Responsibilities

Embrace patients and their families as valuable
and contributing partners in patient care
 Listen to patients and their families
 Assess patients’ preference regarding involvement
 Ask patients about their concerns
 Speak to them in lay terms
 Allow time for patients and families to ask questions
 Ask for their feedback
 Give them access to relevant information
 Encourage patients and their families to proactively
participate in patient care

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Structure

Patient and Family Responsibilities

 Provide accurate patient information
 Comply with the prescribed plan of care (e.g.,
schedule and attend appointments as directed)
 Ask questions and/or voice any concerns regarding
the plan of care
 Monitor and report changes in the patient’s condition
 Manage family members
 Follow instructions of the clinical team

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Structure

Multi-Team System (MTS) for Patient Care

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Structure

A Core Team is…

A group of care providers
who work interdependently
to manage a set of
assigned patients
from point of
assessment to
disposition
Core Team
members have

the closest
contact with
the patient!

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 Team
Structure

A Contingency Team is…

A time-limited team formed

for emergent or specific
events and composed
of members from
various teams

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Structure

A Coordinating Team is…

A team comprising those
work area members who are
responsible for managing
the operational
environment that
supports the
Core Team

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Structure

Ancillary & Support Services

Ancillary Services provide
direct, task-specific, time-
limited care to patients.
Support Services provide
indirect service-focused tasks
which help to facilitate the
optimal health care experience
for patients and their families.

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Structure

The Role of Administration is to…

 Establish and communicate
vision
 Develop policies and set
expectations for staff
related to teamwork
 Support and encourage
staff during implementation
and culture change
 Hold teams accountable
for team performance
 Define the culture of
the organization

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 Team
Structure

Team Structure Video

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 Team
Structure

Team Structure Video Analysis

 What members of the following teams were involved in
the scenario?
 Core team
 Coordinating team
 Contingency team
 Ancillary and support services
 Where did the breakdowns occur between the
components of this multi-team system?
 What could the individuals involved in this scenario
have done differently to produce a better outcome?

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Applying TeamSTEPPS Exercise

1. Who are the members of the team experiencing a

teamwork issue?
2. Which team or teams within your multi-team system
are experiencing the teamwork issue? Which team
or teams interact with or are otherwise affected by
the team(s) experiencing the issue?

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