TeamSTEPPS Introductory Webinar. July 19, 2018

Transcription

1 TeamSTEPPS Introductory July 19, 2018

2 Agenda Welcome & HIIN Update TeamSTEPPS Master Trainer Course Presentation --Duke University Health System Master Trainers Next Steps Questions / Discussion Pre-Meeting Reminders

3 HIIN Update Goals of the Hospital Improvement Innovation Network: Reduce Harm by 20% and Reduce Readmissions by 12% and improve culture and board/leadership engagement FHA MTC HIIN Resources: Focus Area-specific checklists, tools, etc. - MTC Website s & Trainings [Upcoming Events - MTC Newsletter National subject matter experts One-on-One Coaching Calls TeamSTEPPS Training Chasing Zero Infections Series Safety Culture Survey Cross-Cutting Strategies SOAP UP, GET UP, WAKE UP, SCRIPT UP

4 TeamSTEPPS Master Training Course

5 On This Call Duke University Health System Patient Safety Center Kyle Rehder, MD Physician Quality Officer Margaret Sturdivant, MSN, RN, CPPS Administrative Director Mod Page 5

6 Who Are We? Master Training Mod Page 6

7 Objectives for webinar What is TeamSTEPPS? What is a Master Training Course? What should I expect from this course? How does my team prepare for the training? Mod Page 7

8 WHAT IS TEAMSTEPPS? Mod Page 8

9 What is TeamSTEPPS? An evidence-based teamwork system Designed to improve: Quality Safety Efficiency of health care Practical and adaptable Provides ready-to-use materials for training and ongoing teamwork Mod Page 9

10 DoD MedTeams ED Study To Err is Human IOM Report Executive Memo from President TeamSTEPPS Evolution JCAHO National Patient Safety Goals Institute for Healthcare Improvement 100K lives Campaign TeamSTEPPS Patient Safety and Quality Improvement Act of 2005 TeamSTEPPS Released to the Public TeamSTEPPS National Implementation Program Began Centers for Medicare and Medicaid Services Partnership for Patients Campaign National Implementation of CUSP TeamSTEPPS 2.0, TeamSTEPPS Online, and TeamSTEPPS for Office-Based Care TeamSTEPPS Advanced Course Medical Team Training Mod Page 10

11 Why Use TeamSTEPPS? Goal: Produce highly effective medical teams that optimize the use of information, people and resources to achieve the best clinical outcomes Teams of individuals who communicate effectively and back each other up dramatically reduce the consequences of human error Team skills are not innate; they must be trained Mod Page 11

12 Why Invest in TeamSTEPPS? Cost of TeamSTEPPS is minimal compared to savings Annual cost of preventable medical errors is approximately 98,000 lives and $17-29 billion 1 Recent research estimates 400,000 lives 2 Errors can be reduced by changes to the health care system; specifically by providing interdisciplinary team training Mod Page Kohn LT, Corrigan, JM, Donaldson, MS. Eds. To err is human: Building a safer health system. Washington, DC: Committee on Quality of Health Care in American, Institute of Medicine, National Academy Press, James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Safe. 2013;9(3):

13 Evidence That TeamSTEPPS Works Master Training Capella, et al. (2010) Trauma resuscitation team implementation Pre- and post-teamstepps training results: Team performance improved across all teamwork skills: Leadership, Situation Monitoring, Mutual Support, Communication Significantly decreased times from arrival to CT scanner, endotracheal intubation, and operating room Thomas & Galla (2013) Systemwide implementation Pre- and post-teamstepps training results: Significant improvement in HSOPS scores on Feedback and Communication About Error, Frequency of Events Reported, Hospital Handoffs and Transitions, and Teamwork Across Units Incremental changes evident through reduction of nosocomial infections, falls, birth trauma, and other incidents Mod Page 13 13

14 What Comprises Team Performance? Master Training Knowledge Cognitions Think Attitudes Affect Feel Skills Behaviors Do team performance is a science consequences of errors are great Mod Page 14

15 Mod Page 15 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 Follow-Up with Co-Workers Distractions Fatigue Workload Misinterpretation of Cues Lack of Role Clarity TeamSTEPPS Tools TOOLS and STRATEGIES Brief Huddle Debrief STEP Cross Monitoring Feedback Advocacy and Assertion Two-Challenge Rule CUS DESC Script Collaboration SBAR Call-Out Check-Back Handoff OUTCOMES Shared Mental Model Adaptability Team Orientation Mutual Trust Team Performance Patient Safety!!

16 WHAT IS A MASTER TRAINING COURSE? Mod Page 16

17 Master Training Train-the-Trainer Model Refers to the approach in which the TeamSTEPPS Master Trainer Course provides training to a group of participants, who then conduct training of staff at the unit, department, or facility level. Participants will: 1. Become familiar with TeamSTEPPS tools and methodology 2. Be equipped to teach TeamSTEPPS tools to others at their organization 3. Be ready to implement and coach TeamSTEPPS at their organization Mod Page 17

18 WHAT TO EXPECT? Mod Page 18

19 Session Agenda Fundamentals Day 1 Module 1 Introduction Module 2 Team Structure Module 3 Leadership Module 4 Situation Monitoring Module 5 Mutual Support Module 6 Communication Module 7 Summary Putting It All Together Trainer/Coach Course Day 2 Change Management: How to Achieve a Culture of Safety Coaching Workshop Implementation Course Management Developing a Teamwork Improvement Action Plan Mod Page 19

20 Online Materials AHRQ s website ation/curriculumtools/teamstepps/index.html All materials are available here Additional versions of TeamSTEPPS Office-Based Care, Long-Term Care and many more Pocket Guide App Mod Page 20

21 HOW DOES MY TEAM PREPARE? Mod Page 21

22 Transforming your team Mod Page 22

23 Initiate Implementation Plan Day 1: Content Day 2: Implementation Planning Pre-work designed to help with implementation planning 10 action planning steps Pre-work: Steps 1 and 2 Mod Page 23

24 Implementation Planning Workshop Master Training Plan how TeamSTEPPS will be integrated into your organization What is the specific need to address? Who will be responsible for driving the change? Where is buy-in required? What TeamSTEPPS tools and/or strategies will be targeted? The product of the workshop will be a draft plan for implementing TeamSTEPPS in your organization Mod Page 24

25 Mod Page 25

26 Determine Readiness Determine whether stronger teamwork and safety culture is an appropriate strategy for addressing your organization s needs Determine readiness Factors for consideration Which units/areas are most ready for and in need of TeamSTEPPS? Is/are there any unit(s) in which TeamSTEPPS can be implemented now? Is the timing right in terms of avoiding competition with other major initiatives or changes? In which units/areas can success be expected and later used as an example for spreading TeamSTEPPS in the organization? Mod Page 26

27 Learn About Other TeamSTEPPS Efforts in Your Organization Master Training Gather knowledge related to other uses of TeamSTEPPS within your organization Has leadership been involved in TeamSTEPPS efforts? Have other unit/areas of your organization already implemented aspects of TeamSTEPPS? If so, which ones and were they successful? Are there TeamSTEPPS tools and/or strategies your organization already knows and/or uses? Mod Page 27

28 Involve Organizational Leaders Share information to promote awareness of TeamSTEPPS TeamSTEPPS Overview (Video) Course Management Guide Research/Evidence Base Conduct a Briefing with Hospital or System-Level Leaders Customizable TeamSTEPPS Leadership Brief Identify Potential Change Agents/Partners in Your Organization Not just executives but informal leaders who can effect change Mod Page 28

29 Identify Specific Areas for Improvement Master Training Define the need that is driving your organization to consider TeamSTEPPS What are the areas for improvement? In which units/organizations are the improvements needed? Mod Page 29

30 Identify Specific Areas for Improvement Review Existing Data RCAs, near miss events, FMEAs Culture survey Patient satisfaction Conduct a Site Assessment Interviews, observation Leadership Magic Wand Exercise Information will be useful during Implementation Planning Master Training Mod Page 30

31 Identify Your Change Team Executive Champion TeamSTEPPS Leaders Clinical / Technical Content Experts Front Line Staff Who has influence in your work area? Be inclusive! Mod Page 31

32 Step 2 Pre-work Define the Problem, Challenge or Opportunity for Improvement Master Training Mod Page 32

33 Next Steps Complete pre-work prior to July 31 August 1 course One pre-work assignment per team Attend in-person course Follow-up webinar Discuss implementation journey and successes Additional Resources Questions? Mod Page 33

34 Thank you Mod Page 34

35 Questions / Discussion

36 Pre-Meeting Reminders Consider who from your facility will attend the TeamSTEPPS Master Trainer Class (Jul 31-Aug 1 in Ft. Lauderdale) Register Online: Pre-Meeting Work: Participants are encouraged to develop a TeamSTEPPS implementation plan for prior to attending the in-person training

37 Contact Us FHA Mission to Care HIIN Team