Effective Teamwork

Michelle Schneidermann, MD

Objectives

Identify characteristics of effective teams

Develop skills that enable successful team-based practice

Appreciate the value of community partnerships

Team building

Extending the team

Partnering

What should a winning sports team and a highly functional

health care team have in common?

Golden State Health Home

“It is naive to bring highly diverse skilled professionals together and assume that, by calling this group a team, it will act like a team.”

Baldwin & Tsukuda

Geriatric Medicine, 1984

Creating an effective team is NOT easy

Every team is made up of individuals with their own:

history

culture & disciplinary acculturation

adaptive behaviors

Presents certain challenges

Intentional Team Building is Critical

IOM 5 Principles of Effective

Team-Based Care

Should be defined early in team development:

Shared goals

Clear roles

Mutual trust

Effective communication

Measurable processes and outcome

Shared Goals

Clear Roles

Effective Communication

Drill Down on 3 Principles

Identifying Shared Goals

Why do we need team goals?

Process for creating team goals?

Organizational factors that enable development of

shared goals?

Clear Roles/Responsibilities

Why do we need to clarify roles?

Process for establishing roles/responsibilities?

Organizational factors that enable establishing and

maintaining clear roles?

Effective Communication

Why do we need to communicate effectively?

Potential barriers to effective communication?

Process for establishing an effective communication culture?

Organizational factors that sustain effective communication?

Case Example30 minutes

Role Play #1: 3-4 minutes

Discussion at your tables: 15 minutes

Report Back: 10 minutes

Role Play #2: 2 minutes

Engaging Partners outside the Health Home

Partnerships

Benefits:

Relationship building

More effective delivery of services and referral to programs

Elimination of duplicative efforts

Pooling of resources

Generation of new and innovative approaches to care

Identify Potential Partners

Health system

Emergency department social workers or physicians

Community mental health

Substance use treatment programs

Skilled nursing facilities

Palliative care/Hospice

Faith-based

Churches or church groups

Forensic

Law enforcement

Legal services

Community-based

Home health organizations

Homeless shelters

Adult day and multi-purpose senior programs, memory care programs, programs for people with developmental disabilities,

Government-based

Emergency Medical Services/Fire Departments

Department of Aging and Adult Services/Adult Protective Agency/Public Guardian

In-Home Support Services

Inventory Local Community Resources

Evaluate Potential Partners

Assess:

What could each organization accomplish by working together?

Other benefits and challenges of building partnerships?

Resources to build and support partnership?

Level of trust and commitment?

Triage/Strategize:

What organizations key for our success?

Building Partnerships

Identify and engage the stakeholders

Establish personal relationships

Clarify the goals and objectives each partner wants to accomplish

and establish a shared purpose

Engage in active listening

Bring flexibility and willingness to collaborate

Establish procedures, ground rules, and decision-making structure.

Partnership Goals Worksheet

10-15 minutes

Work individually or in your teams

Worksheet at the back of the effective teamwork tab

Inventory local community resources

Choose and evaluate one potential partner

Clarify your goals for this partnership

Next steps and goal timeline

Resources for Sustainable Change

Your services

Client’s

resilience and

natural

supports

coming together is a beginning

working together is a process

staying together is a triumph

- adapted from a quote by Henry Ford