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Module 7: Summary: Putting It All Together

Welcome to. Office-Based Care Online Course. Module 7: Summary: Putting It All Together. The Materials You Will Use. The Participant Workbook : Exercises Video reflections Scenarios AHRQ TeamSTEPPS website : Classroom slides Instructor Guide (select to view) Videos

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Module 7: Summary: Putting It All Together

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  1. Welcome to Office-Based Care Online Course Module 7: Summary: Putting It All Together

  2. The Materials You Will Use The Participant Workbook: Exercises Video reflections Scenarios AHRQ TeamSTEPPS website: Classroom slides Instructor Guide (select to view) Videos Ancillary materials

  3. Module Objectives After completing this module, you will be able to: Review the tools and principles of TeamSTEPPS Review the role of Practice Facilitators and the change team in introducing TeamSTEPPS in an office-based care setting

  4. Putting It All Together This module pulls together everything you have learned in the Fundamentals modules of TeamSTEPPS for Office-Based Care You'll also be introduced to thePractice Facilitator model Begin to think about weavingTeamSTEPPS into your qualityimprovement initiatives

  5. TeamSTEPPS Core Teamwork Skills

  6. Communication Tools SBAR • Situation • Background • Assessment • Recommendation Call-out Check-back: Closed loop communication Handoff Record your answers to these questions on page 33 of your Workbook Which communication tools make sense and could work in your office?

  7. Leading Teams Tools Briefs • Short session prior to start • Assign roles, establish expectations,anticipate outcomes Huddles • Ad hoc planning to reestablish/reinforceand assess or adjust plans Debriefs • Information exchange after the action How useful did you think briefs, huddles, and debriefs would be? Record your answers on page 34 of your Workbook

  8. Situation Monitoring Tools Situation Monitoring = Scanning and assessing what is going on around you and with you Cross-Monitoring • Watching each other’s backs • Ensuring mistakes/oversights are caught STEP checklist • Status of the patient • Team members • Environment • Progress toward the goal What was your reaction to the idea of cross-monitoring? Record your answers on page 35 of your Workbook

  9. Mutual Support Tools Two-Challenge Rule CUS DESC Script Provide task assistance Provide feedback to overcome a problem Advocacy and assertion Work through conflict How have you thought about putting one of these tools in place? Record your answers on page 36 of your Workbook

  10. Barriers to Team Effectiveness and Solutions • TOOLS and STRATEGIES • Communication • SBAR • Call-Out • Check-Back • Handoff • Leadership • Brief • Huddle • Debrief • Situation Monitoring • STEP • Mutual Support • Task Assistance • Feedback • Assertive Statement • Two-Challenge Rule • CUS • DESC Script BARRIERS Inconsistency in Team Membership Lack of Time Lack of Information Sharing Hierarchy Defensiveness Conventional Thinking Complacency Varying Communication Styles Conflict Lack of Coordination and FollowupWith Coworkers Distractions Fatigue Workload Misinterpretation of Cues Lack of Role Clarity OUTCOMES • Shared Mental Model • Adaptability • Team Orientation • Mutual Trust • Team Performance • Patient Safety!!

  11. What Is Practice Facilitation? Provides a service to office-based care settings by trained individual(s) Uses a range of approaches and methods from: • Organizational development • Project management • Quality improvement/practice improvement Builds internal capacity of the practice to conduct improvement activities over time Differs from other types of consulting: • Longer term relationship, closer connection • Supports broad range of improvement activities

  12. Who Is a Practice Facilitator? Generalists trained in office-based care improvement Competencies in many areas: • Quality improvement methods • Project management • Team facilitation May be an internal employee or externalconsultant May work in one office or across many (select to open)

  13. Model of Practice Facilitation for TeamSTEPPS Practice Facilitator Change Team Staff

  14. External Model of Practice Facilitation Practice Facilitator Office Champion Change Team Staff

  15. Beginning Your Journey Watch the video on the next slide to see the beginnings of a TeamSTEPPS initiative started at one office. In the clip, Valerie has received TeamSTEPPS training from an external Practice Facilitator. She is not a Practice Facilitator herself, but she is the office champion. Consider: How does Valerie combine her knowledge ofperformance improvement methodology with herTeamSTEPPS initiative? Record your answers on page 37 of your Workbook

  16. Video: Beginning Your Journey https://youtu.be/oIaNZfmrIKQ

  17. Module 7 Summary In this module you learned to: Review the tools and principles of TeamSTEPPS Review the role of Practice Facilitators and the change team in introducing TeamSTEPPS in an office-based care setting

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