TeamSTEPPS TM National Implementation Creighton as a Living Lab & TRC

1. TeamSTEPPSTM National Implementation Creighton as a Living Lab & TRC

2. High Quality Accessible Cost effective Private companies offer Team Training - Quality? Cost? TeamSTEPPs Met our needs Creighton’s Search for Team Training

3. Sponsoring VP & Guiding Coalition • Monitors and guides the initiative • Includes objectives in Walking Rounds • Unblocks organizational bottlenecks • Integrate outcomes into Org Report Card • In-unit Change team • Formal and informal leaders • Plan & prepare • Train & Instruct • Coach • Develop & work • teamwork improvement plans • Staff • Train • Create teams • Develop & maintain team climate • Engage behaviors Clear Organizational Roles and Actions

4. Team structure Leadership Situation monitoring Mutual support Communication Combine this with a “culture of safety” Effective Teamwork Fundamentals

5. Impact Evaluation • In FY 08-09, TeamSTEPPS will: • Continue to collect quantitative data for Level 1 and Level 2 evaluation • Develop and implement standardized Level 3 & 4 assessment tools • Include sustainment as part of system-wide evaluation Level 5 – Return on Investment Was the training worth the cost? Kirkpatrick’s Model Level 4 – Results Did the change in behavior positively affect the organization? Level 3 – Behavior / Training Transfer Did the participants change their behavior on-the-job based on what they learned? Level 2 – Learning What skills, knowledge, or attitudes changed after training? By how much? Level 1 – Reaction Did the participants like the training? What do they plan to do with what they learned?

6. CUMC Surgical Scores Pre- and Post TeamSTEPPS Training Scores

7. CUMC Surgical Scores Pre- and Post TeamSTEPPS Training Scores

8. Employee Communication and Teamwork Engagement Ratings by Area Score Both OR scores showed significant change (p<0.05)

9. Safety Culture Survey:Overall Patient Safety Grade

10. Things “fall between the cracks” when transferring patients Safety Culture Survey: Handoffs %

11. Outpatient Surgical Patient Satisfaction Scores

12. Outpatient Surgical Patient Satisfaction Scores

13. Outpatient Surgical Patient Satisfaction Scores

14. Outpatient Surgical Patient Satisfaction Scores

15. Outpatient Surgical Patient Satisfaction Scores

16. What is a culture? • “Shared values (what is important) and beliefs (how things work) that interact with an organization’s structures and control systems to produce behavioral norms (the way we do things around here).”

17. National Implementation Project • Goals: • Create a national infrastructure to support the adoption of TeamSTEPPS • Quality Improvement Organizations • Patient Safety Improvement Corps • Make training available to early adopters! • ACTION Partners • Academic Medical Centers • Others • Spread TeamSTEPPS

18. National Implementation Team Minnesota -TRC Delmarva AIR Lumetra Carilion TRC Creighton TRC Duke TRC Booz | Allen | Hamilton

19. Program Progress

20. Creighton’s Role as a TRC • Provide a Team Resource Center where training can be conducted • Serve as a living lab where training is given • Trainees can take from the lessons learned at Creighton because of our rollout • After training our staff serves as expert resources for all those trained in this program • 79 Master Trainers trained at Creighton thus far.

21. Feedback on Our Work