team and team role and itsuse in the health care setting

7/26/2019 Team and Team Role and Itsuse in the Health Care Setting

1/31

TEAM AND TEAM ROLES

AND ITS USE IN THEHEALTH CARE SETTING


2/31

TEAMWORK IN HEALTH

CARE

The best and most cost-efectiveoutcomes or patients and clients are

achieved when proessionals worktogether, learn together, engage in clinicalaudit o outcomes together, and generateinnovation to ensure progress in practice

and service.

In terms of the deliver of !"re# te"ms h"ve$een re%orted to red&!e hos%it"li'"tion time"nd !osts# im%rove servi!e %rovision# enh"n!e%"tient s"tisf"!tion# st"( motiv"tion "nd te"minnov"tion)


3/31

*ENE+ITS O+ TEAMWORKTe"ms "re the $est ," to en"!t str"te- of

or-"ni'"tions)

Te"ms en"$le or-"ni'"tions to develo% s%eedil"nd deliver servi!es !ost e(e!tivel# ,hileret"inin- hi-h .&"lit)

Te"ms en"$le or-"ni'"tions to le"rn "nd ret"inle"rnin- more e(e!tivel)

Cross/f&n!tion"l te"ms !"n &ndert"0e e(e!tive%ro!ess re/en-ineerin-)

Time is s"ved)


4/31

*ENE+ITS O+ TEAMWORK Innov"tion is %romoted)

+l"t or-"ni'"tions !"n $e monitored#

!oordin"ted "nd dire!ted more e(e!tivel iff&n!tion"l &nit is the te"m r"ther th"nindivid&"l

As or-"ni'"tions h"ve -ro,n more !om%le1# so

too h"ve their inform"tion %ro!essin-re.&irements2 te"ms !"n inte-r"te "nd lin0 in,"s individ&"ls !"nnot)


5/31

REDUCEDHOS3ITALI4ATION AND

COSTSTe"m !"se m"n"-ers h"d sm"ller !"selo"ds#

m"de more home visits "nd h"d more !"se!onferen!es)

Te"ms ,ere more f"mili"r ,ith lo!"l!omm&nit reso&r!es "nd ,ere re%orted "s$ein- more res%onsive to %"tient !rises)

The te"m "%%ro"!h ,"s re%orted to o(er-re"ter intensit of !"se m"n"-ement# ,hi!hres&lted in more e5!ient !"re %rovision inhos%it"ls "nd home he"lth servi!es)


6/31

IM3RO6ED SER6ICE

3RO6ISIONTe"m m"0es s%e!i"list !"re more "v"il"$le to

%"tients ,ith severe ment"l illness ,ho ,o&ldnot h"ve %revio&sl re!eived !"re from ment"lhe"lth servi!es)

Te"m "lso %rovides !"re in " timelier m"nnerth"t ,"s "!!essi$le "nd !ontin&o&s)


7/31

ENHANCED 3ATIENT

SATIS+ACTION3"tients of the te"m re!eived "lmost t,i!e "s

m"n home visits "s the !ontrol -ro&% "ndvisited the !lini! si-ni7!"ntl fe,er times)

In!re"sed s"tisf"!tion $ %"tients ,ho h"d"!!ess to " %rim"r he"lth !"re te"m ,"sre%orted to in!l&de "hi-her me"n n&m$er ofso!i"l "!tivities# fe,er sm%toms "nd sli-htl

im%roved over"ll he"lth)


8/31

STA++ MOTI6ATION3rim"r !"re te"m ,or0in- h"s $een re%orted

to im%rove st"( motiv"tion sho,edrel"tionshi%s $et,een ,or0 te"m %ro!esses#role !l"rit# 8o$ s"tisf"!tion "nd le"der$eh"vio&rs)

E(e!tiveness of te"m,or0 ,"s "lso rel"ted to8o$ s"tisf"!tion "nd ment"l he"lth of te"m

mem$ers)


9/31

INNO6ATIONTe"m,or0 is re%&ted to %romote innov"tion in

or-"ni'"tions in!l&din- those in the he"lth !"rese!tor)

West "nd Anderson s&--ested in their st&d th"tte"m %ro!esses $est %redi!ted the over"ll level ofte"m innov"tion# ,hile the %ro%ortion of innov"tivete"m mem$ers %redi!ted the r"ted r"di!"lness ofinnov"tions introd&!ed)

West "nd W"ll"!e fo&nd th"t te"m !oll"$or"tion#

!ommitment to the te"m "nd toler"n!e of diversit,ere %ositivel rel"ted to te"m innov"tives)


10/31

TEAM COM3OSITION AND

3ROCESSHetero-eneit of s0ills in te"ms %erformin-

!om%le1 t"s0s is -ood for e(e!tiveness)

Hetero-eneit of s0ills "nd 0no,led-e"&tom"ti!"ll im%lies th"t e"!h te"m mem$er,ill $rin- " di(erent 0no,led-e %ers%e!tive tothe %ro$lem# " ne!ess"r in-redient for!re"tive sol&tions)

The -re"ter the diversit of individ&"l!h"r"!teristi!s of te"m ten&re# "-e "ndo!!&%"tion ,ithin te"ms# the more ne-"tiveldid te"m mem$ers "ssessed te"m f&n!tionin-)


11/31

GENDERGender is "n im%ort"nt in9&en!e on

!omm&ni!"tion ,ithin te"ms

Not onl "re men !onsistentl more "ssertivein %&$li! sit&"tions "nd !onfront"tions# $&t "lso!omm&ni!"tion e1%e!t"tions di(er for men "nd,omen)

Se1/role stereot%es %res!ri$e %"ssive#s&$missive "nd e1%ressive !omm&ni!"tion for,omen ,hile men "re e1%e!ted to $e "!tive#!ontrollin- "nd less e1%ressive !omm&ni!"tors)


12/31

GENDER3&nishment for viol"tion of e1%e!t"tions m"

in9&en!e $oth the %er!e%tions of ,omen inte"ms "nd their ,illin-ness to %"rti!i%"te inte"m !omm&ni!"tion)

Ale1"nder# Li!htenstein "nd D:A&nno re%ortedth"t the -re"ter the -ender diversit# the more%ositive ,ere te"m mem$ers: "ssessment of

ho, !ohesivel "nd h"rmonio&sl te"mso%er"ted)


13/31

TEAM ROLES It is im%ort"nt th"t te"ms h"ve the "%%ro%ri"te

mi1 of !le"rl de7ned te"m roles)

;"nsson# Is"!sson "nd Lindholm fo&nd th"t theinde%endent roles of n&rses "nd do!tors ,ereret"ined in the 3HC te"ms# "ll te"m mem$ersinter"!ted ,ith the %o%&l"tion in v"rio&ssit&"tions# in!l&din- home visits "nd

!om%lemented e"!h other "!ross di(erent!om%eten!ies)


14/31

TEAM A++ECTI6E TONEGeor-e s&--ests th"t if mem$ers of " te"m

e1%erien!e simil"r 0inds of "(e!tive st"tes "t ,or0


15/31

COMMUNICATIONTe"m mem$ers m&st h"ve sh"red so!i"l re"lit

,ithin ,hi!h the e1!h"n-e of mess"-es !"n t"0e%l"!e# in!l&din- " sh"red l"n-&"-e $"se "nd

%er!e%tion)

Te"m mem$ers m&st $e motiv"ted to!omm&ni!"tion) There m&st $e >ne-oti"ted "ndendorsed !ontr"!ts of $eh"vio&r)

The te"m m&st "ttri$&te !omm&ni!"tion di5!&lties"%%ro%ri"tel# so if one of the other %re!onditions is

not $ein- met# the te"m is "$le to !orre!tl identifthe %ro$lem "nd develo% " sol&tion)


16/31

DECISION MAKING?e"tts "nd Se,"rd@ te"m mem$ers of hi-hl

%erformin- te"ms re%orted th"t their "$ilit to%"rti!i%"te in ,or0 rel"ted de!isions -re"tl

in!re"sed their 8o$ s"tisf"!tion "nd desire to !ome to,or0)

The "do%ted " !onsens&s model of de!ision m"0in-#in ,hi!h the "re !l"ri7ed the %ro$lem# !onsidered"ltern"tives# ,ei-hed the stren-ths "nd ,e"0nesses

of e"!h "ltern"tive# "nd sele!ted the $est o%tion)

+ollo,in- their %"rti!i%"tion in m"0in- de!isions#te"m mem$ers re%orted "n enh"n!ed self/im"-e "ndself/!on7den!e# "nd the des!ri$ed more %ositiveinter"!tions "mon-st themselves "nd ,ith residents)


17/31

3RO*LEM SOL6INGTe"m %ro$lem solvin- im%roves ,hen mem$ers

e1"mine their de7nitions of " sit&"tion to ens&rethe "re solvin- the >ri-ht %ro$lem)

In !ontr"st# te"ms th"t dete!t %ro$lems too slo,lor misdi"-nose them often "re ine(e!tive)

E(e!tiveness ,"s im%roved ,hen te"ms.&estioned !&rrent "%%ro"!hes or !onsidered

other "s%e!ts of %ro$lems)

In some te"ms# the identi7!"tion of %ro$lems isdis!o&r"-ed "s %ro$lems "re re-"rded "s thre"tsto mor"le# or so&r!e of !on9i!t)


18/31

+ACTORS IN+LUENCING

TEAM:S E++ECTI6ENESSTEA A!" #$%A!&'AT!A( $E)A$"*

Te"m %erform"n!e is most e(e!tive ,hen re,"rds "re"dministered to the te"m "s " ,hole "nd not to

individ&"ls# "nd ,hen the %rovide in!entives for!oll"$or"tion "nd !omm&ni!"tion r"ther th"nindivid&"li'ed ,or0)

+(EA$ TEA #E+T&E* A!" /E$0#$A!+E0EE"A+1

;o$ s"tisf"!tion re.&ires "!!&r"te feed$"!0 from $oththe t"s0 "nd other te"m mem$ers)

Ho,ever# te"m feed$"!0 !"n $e di5!&lt to %rovide tote"ms ,ith either lon- !!les of ,or0 or one/o(%ro8e!ts)


19/31

+ACTORS IN+LUENCING

TEAM:S E++ECTI6ENESST$A&!&!% A!" TE+2!&+A( A**&*TA!+E

Kno,led-e "nd tr"inin- "$o&t te"m f&n!tionin- is

needed to s&%%lement te"m mem$ers: o,n

te!hni!"l "nd medi!"l s0ills "nd 0no,led-e)

Limited em%iri!"l eviden!e s&--ests tr"inin- is

!orrel"ted ,ith $oth self/re%orted e(e!tiveness"nd m"n"-ers: 8&d-ments of e(e!tiveness in

te"ms)

/23*&+A( )#$1 +#!"&T!*

3hsi!"l !onditions "re "nother sit&"tion"l

!onstr"int th"t "(e!t the rel"tionshi% $et,een%erform"n!e dimensions "nd te"m e(e!tiveness)


20/31

+ACTORS IN+LUENCING

TEAM:S E++ECTI6ENESS#$%A!&'AT!A( +(&ATE

Where the !lim"te is one of !h"r"!teri'ed $ hi-h

!ontrol# lo, "&tonom for em%loees# l"!0 of !on!ern

for em%loee ,elf"re "nd limited !ommitment totr"inin-# it is &nli0el te"m/,or0in- ,ill thrive)

&!TE$-TEA $E(AT!*2&/*

The he"lth !"re te"m m" fo!&s on in!re"sin- the7n"n!i"l $ene7ts to their te"m "t the e1%ense of the

,ider N"tion"l He"lth Servi!e)Te"ms !om%etin- "-"inst# r"ther th"n s&%%ortin-

e"!h other m" ,ithhold vit"l inform"tion or f"il too(er !Bv"l&"$le s&%%ort in the %ro!ess of trin- to"!hieve te"m -o"ls# ,itho&t referen!e to the ,ider-o"ls of the or-"ni'"tion)


21/31

+ACTORS IN+LUENCING

TEAM:S E++ECTI6ENESS+#!T$A+T* A!" A!A%EE!T *T$4+T4$E*

There "re fe, or-"ni'"tions ,here one or more seniorte"m mem$ers ,or0 "s inde%endent !ontr"!tors "nd

the rest of the te"m ,or0 ,ithin " v"riet ofor-"ni'"tions)

TEA *&'E

The si'e of the te"m is im%ort"nt# sin!e the $i--erte"ms e1%erien!e m&!h -re"ter str"ins on e(e!tive

!omm&ni!"tion)Kno,led-e of the m"n"-ement of !&lt&re# %o,er#

!on9i!t# s%"ns of !ontrol# str"te-ies# innov"tion "nd"$ove "ll# %eo%le is re.&ired)


22/31

MEM*ERS O+ THE HEALTH CARETEAM *? ROLE AND +UNCTION

Coll"$or"tion $et,een "nd "mon- he"lth%rofession"ls &s&"ll t"0es %l"!e "ro&nd te"me(orts of " form"l or inform"l n"t&re#

%"rti!&l"rl in the !"re of illnesses th"t "re!om%le1 or !hroni! in n"t&re)

Another ," to &nderst"nd he"lth!"re!oll"$or"tion is to view health care as a

s5stem o an organi6ational process th"tinvolves m"n di(erent f&n!tions th"t m&st $e"!!om%lished if the over"ll %ro!ess of !"re is to$e m"1im"ll e(e!tive)


23/31

Seven 0e f&n!tions th"t m&st $e !"rried o&t in"n e(e!tive te"m "!tivit@

3ro!ess "!!essentr %ointreferr"l -&ide

Clini!"l le"der!lini!"l de!ision m"0er

F Te!hni!"l e1%ert!ons&lt"nt

S&%%ort servi!e


24/31

3ROCESS ACCESSENTR?

3OINTRE+ERRAL GUIDEThe 7rst ste% in see0in- or o$t"inin- !"re is to

7nd "n entr %oint to the needed he"lth!"re%ro!ess2 then# if ne!ess"r# the %"tient "nd

%rovider !"n move on to more el"$or"te "nds%e!i"li'ed %oints of servi!e "nd !"re)

L"!0 of &s&"l he"lth !"re %rovider or medi!"lhome# l"!0 of 7n"n!i"l reso&r!es or ins&r"n!e

!over"-e# "nd l"!0 of l"n-&"-e !"%"!it of&nderst"ndin-# "ll !"n in9&en!e ,here# ,hen#"nd ho, " %erson !"n enter into he"lth!"re%ro!ess)

Dr"- %i!t&reto%l"!eholderor !li!0 i!on

to "dd


25/31

CLINICALLEADER


26/31

TECHNICAL

E3ERTCONSULTANT In "n !oll"$or"tive e(ort# " n&m$er of

te!hni!"l e1%erts "lso m" $e involved# "ndtheir roles "nd f&n!tions "re im%ort"nt to

identif "nd inte-r"te into l"r-er %ro!ess

*lendin- these s%e!i"li'ed te!hni!"l revie,s"nd interventions into the over"ll !"re %ro!ess!"n $e di5!&lt "nd sometimes d"m"-in- to

the smooth "nd timel o%er"tion of the $ro"der%ro!ess2 this !"n $e f"!ilit"ted $ medi!"lhome or !"re !oordin"tor)


to "dd


27/31

SU33ORT SER6ICE


28/31

COORDINATION O+ E++ORT3OINTO+ CONTINUING CONTACT +OR3RO6IDERS AND 3ATIENTS

The !oordin"tor hel%s "ll those involved in the%"tient:s !"re %ro!ess to 0no, ,h"t is h"%%enin-#,h"t is e1%e!ted of them# "nd ,h"t their "!tivities

sho&ld $e in rel"tion to the "!tivities of others)

The !oordin"tor hel%s individ&"l s0ills "nd servi!esmesh to-ether in "n o%er"tion"l ," th"tin!re"ses e5!ien!# .&"lit# "nd %"tient "nd%rovider s"tisf"!tion)

it is often %oorl re!o-ni'ed# &nder%"id "nd&nder"%%re!i"ted role "nd f&n!tion# $& tis !entr"lto e(e!tive "nd s&!!essf&l !oll"$or"tion)


to "dd


29/31

RESOURCEMANAGERRESOURCE

COORDINATORTheir role "nd f&n!tion is often !riti!"l for

%"tient:s "!!ess to !"re# for the %rovider:sreim$&rsement# "nd for "ll %"rti!i%"nts in the

he"lth!"re %ro!ess to h"ve some sense ofs"tisf"!tion "nd %e"!e of mind ,ith re-"rds tothe e!onomi! "s%e!ts of he"lth !"re)

The im%ort"nt %oint is th"t 7n"n!i"l "nd

ins&r"n!e iss&es in he"lth !"re "re in!re"sin-l!om%le1 "nd di5!&lt# "nd sometimes involveddeterminin- ,here "nd ho, %"tient re!eive!"re in " timel "nd s&%%ortive f"shion)


to "dd


30/31

IN+ORMATIONCOORDINATORCOMMUNICATO

R+or the %resent the inform"tion !oordin"tion

role "nd f&n!tion is %l"ed# not $ "n individ&"lhe"lth !"re %rofession"l# $&t $ "n ele!troni!

medi!"l re!ord# or more !orre!tl# $ " seriesof " ele!troni! medi!"l re!ords 0e%t $individ&"l %roviders "nd instit&tions)

The f&n!tion is f&l7lled not $ one %erson ,ho

!ontin&o&sl revie,s "nd &%d"tes "n individ&"l%"tient:s !om%lete he"lth re!ord# $&t $ "ninform"tion sstem s%e!i"list# &s&"ll "t "dist"n!e)


to "dd


31/31

/END/

THANK ?OU)

team and team role and itsuse in the health care setting

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