How do you spell better teamwork and

communication? TeamSTEPPS®!

November 30, 2017

Objectives of the call:

3

• Learn more about the experience of each organization on their TeamSTEPPS journey.

• Discover how each organization has been working to implement TeamSTEPPS.

• Learn how you can use TeamSTEPPS to improve teamwork, communication and patient safety in your practice and your organization.

Jennifer Braun Chris Hund

Guest Speakers from the American Hospital Association:

TeamSTEPPS® in the U.S.

AHA Team Training

Chris Hund, MFA and Jen Braun, MPH

6

WHAT IS TEAMSTEPPS?

Team Strategies and Tools to Enhance

Performance and Patient Safety

• An evidence-based teamwork system designed to improve: quality,

safety and efficiency of health care

• Practical and adaptable

• Provides ready-to-use materials for training and ongoing teamwork

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GOAL

Produce highly effective teams who optimize the use of information,

people and resources to achieve the best outcomes.

WHY NOW?

8

• Cause of death in the United States:

• Heart disease: 611,000

• Cancer: 585,000

• Medical error: 251,000

• COPD: 149,000

• Suicide: 41,000

• Firearms: 34,000

• Motor vehicle: 34,000

Makary, M., & Daniel, M. (2016). Medical Error – The Third Leading Cause of Death in the U.S. BMJ, 353.

HISTORY OF TEAMSTEPPS IN THE U.S.

Patient Safety

and Quality

Improvement

Act of 2005

Executive

Memo from

President

DoD

MedTeams®

ED Study

Institute for

Healthcare

Improvement

100K lives

Campaign

“To Err

is Human”

IOM Report

TeamSTEPPS®

1995 1999 2001 2003 2004 2005

JCAHO National

Patient Safety

Goals

2006

TeamSTEPPS

Released to the

Public

2007

TeamSTEPPS

National

Implementation

Program Began

2008

National

Implementation

of CUSP

Centers for

Medicare and

Medicaid Services

Partnership for

Patients Campaign

2011

Medical Team Training

TeamSTEPPS

2.0,

TeamSTEPPS

Online, and

TeamSTEPPS

for Office-Based

Care

2014

TeamSTEPPS

Advanced

Course

2016

TEAMSTEPPS ACROSS THE CARE CONTINUUM

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• Versions: Core Curriculum, Office-Based Care, Long-Term Care,

Rapid Response, LEP

• All available for free at www.ahrq.gov/teamstepps

NATIONAL IMPLEMENTATION OF TEAMSTEPPS

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• Courses

• In-person at our Regional Training Centers

• Online

• National conference

• Technical assistance

• Monthly webinars

• Hotline

• New content development

• Evaluation

SUCCESS OF NATIONAL IMPLEMENTATION

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42,688 participants

in the national program

6,419 participants at

Master Training Courses

32,976 individuals attended monthly webinars

3,293 attendees at six national conferences

REGIONAL TRAINING CENTERS

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SUCCESS STORY: METROHEALTH

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• Background

• Implemented TeamSTEPPS in 2013

• Became a RTC in 2014

• Successes

• Staff training

• Reduced C. difficile by 36%

• Reduced blood clots which resulted in cost savings of nearly $500,000

• OR and Central Sterilization increased the quality of their trays from 30% to almost 100%

WHAT NEXT? AHA’S TEAM TRAINING

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• Commitment to continuing to offer:

• Courses at Regional Training Centers across the United States

• An annual conference

• Free monthly webinars

• Growing the movement by:

• Fostering partnerships with a diverse group of individuals and

organizations

• Creating new, innovative material

• Working to support implementation at individual health systems

TEAM TRAINING NATIONAL CONFERENCE

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CONTACT INFORMATION

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Web: www.aha.org/teamtraining

Email: TeamTraining@aha.org

Phone: 312-422-2609

Debbie Gillis Karen Chapman

Guest Speakers from Michael GarronHospital:

TeamSTEPPS Implementation at MGH

November 2017

Create Health. Build Community.

Goals

• Review current state of TeamSTEPPS

implementation at MGH.

• Share stories and lessons learned about

the implementation of TeamSTEPPS

Tools in the MGH ICU.

• How you can do it too!

TeamSTEPPS Implementation Journey at MGH

2014

Development of competency

framework. Sets groundwork for need

for enabling behaviours.

2015

Roll-out of selected communication tools to

RNs, RPNs, PCAs. Embedded in orientation.

Master Trainer certified in ICU.

2016Roll-out of

communication tools to IPP staff. ICU pilot.

Chief of StaffQuality and Safety Team

2017Development of a Quality Plan

Integration of TeamSTEPPS

tools in competency renewal

and resuscitation programs

2015 Initial Training:

Communication Tools

• Feedback

• CUS

Lessons Learned

• Giving feedback – challenging skill

• Constant reinforcement

• Leadership engagement

Implementation of TeamSTEPPS Tools

In the MGH ICU

November 2016

TeamSTEPPs Tools Implemented

in MGH ICU

Team Briefing

CUS

SBAR

Bedside Safety Check List

Closed Loop Feedback (“Call-Back”)

Team Huddle

Critical Event Debriefing

Quality and Safety Planning

• Engagement-all stakeholders

• Review of present state, including

incident reports, patient safety survey,

work being done

• Our Goal: Thoughtfulness not to create

new work and to increase our

coordinated efforts for alignment across

the organization

You can do it too!

• Start Simple

• Repetition/embed it

• Make it Stick

Start Simple and Make it Easy

• Leadership involvement

• Briefing - template

• CUS

• SBAR

• Closed Loop Communication

• Huddles

• Debriefing - template

Repetition

• Reintroduce/ remind

• Reinforce

• Integrate into other programs or training

• Include in debriefings

• Accountability feedback – annual reviews

• Embed into organizational standards

• Physician and leadership engagement

Make it Stick

Our Priorities

High Performing Teams

Speak Up for Safety

Early Warning Systems

System

Team

Individual

Guiding Principles and Alignment

with Corporate Priorities and

Opportunities

• Optimizes the use of information, people

and resources

• Increases team awareness and clarify

team roles and responsibilities

= alignment with strategic directions of the

organization

Next Steps:

• Confirm roles and responsibilities to coordinate

our focus

• Align with our QIP process including metrics

• Monitor and early planning for sustainability

• Develop corporate implementation plan

including evaluation strategy Build capacity for

future roll-out by training additional master

trainers

Create Health. Build Community.

825 Coxwell Avenue

Toronto, Ontario M4C 3E7

T: 416.461.8272

F: 416.469.6106

www.tegh.on.ca

Questions?

Tricia Swartz

Guest Speakers from the Canadian Patient Safety Institute:

Patient safety movement

1999

“To Err

Is Human”

IOM

Report

2001 2002

Halifax

Symposia on

Medical

Error

CPSI

established

(SHN in 2005)

2003

“Build a

Safer

System”

report

2004

Canadian

Adverse

Events

Study

2017201620112006

DoD

MedTeams®

ED Study

1995

PFPSC

groundwork

&

established

1.36

2015Three ground breaking

reports released which

necessitated a change

in thinking

• Cancer 75,112

• Heart Disease 49,891

• Patient Safety Incidents – 28,000

• Cerebrovascular Disease – 13,400

• Chronic Lower Respitory Disease – 11,976

• Accidents – 11,425

• Diabetes Mellitus 7,045

Why now?

Statistics Canada (Table 102-0561) 2013; RiskAnalytica

• Risk Analytica diagram

Cost to our system

• Patient safety incidents resulted in 28,000 death across Canada in acute and homecare (2013)

Over the next 30 years• 400,000 pt. safety incidents (PSI) within home care

and acute care• This equates to an additional 2.75 billion in healthcare

costs• The Patient Safety Incidents and costs incurred as

considered preventable

Patient safety today and future

• TeamSTEPPS Canada Master Trainer Education CentresPilot project to launch January 2018 in partnership with Health Quality Council of Alberta

• TeamSTEPPS Canada call series and community buildingdetails to be announced soon

• TeamSTEPPS Master Trainer education through CPSI

What’s Next?

Questions