Transcript Slide 1

TeamSTEPPS Implementation: Fostering
Buy-in from the Front Lines to the C-suite
February 25, 2015
Fostering Buy-in:
Front Lines to
C-Suite
TeamSTEPPS®
Rules of Engagement
 Audio for the webinar can be accessed in two
ways:
1. Through the phone (*Please mute your computer speakers)
2. Through your computer
 A Q&A session will be held at the end of the
presentation
 Written questions are encouraged throughout the
presentation and will be answered during the Q&A
session

To submit a question, type it into the Discussion Area and
send it at any time during the presentation
 The lines may open for call-in questions during the
Q&A session
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Acknowledgements
 Project Sponsors
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Jim Battles, PhD (AHRQ)
Heidi King, MS (DoD)
 Project Team
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Health Research & Educational Trust (HRET)
 Barb Edson (Project Director)
 Chris Hund (Project Manager)
IMPAQ International
 David Baker (Team Lead)
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TeamSTEPPS Master Training
 Two-day training course
 Train-the-trainer approach
 Prepares you to serve as a TeamSTEPPS Master
Trainer by

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Providing instruction on TeamSTEPPS tools and strategies
Providing an opportunity to develop and plan your
TeamSTEPPS implementation
 Prepares you to serve as a leader for
implementing TeamSTEPPS within your
organization
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Upcoming TeamSTEPPS Events
 Monthly Webinars
 Scheduled through September 2015
 Topics, speakers, and registration information will be posted on
the portal

Register now for the March webinar:
Coaching Teamwork Behaviors: Strategies to
Reinforce TeamSTEPPS Skills
 Master Training Courses
 Registration available for April and May 2015 courses
 Online Course Availability

Not able to travel? TeamSTEPPS 2.0 Online Master Trainer
Course now available

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Register and enroll at: https://tslms.org
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Upcoming TeamSTEPPS Events
(Cont’d)
 Annual Conference
 June 16-18, 2015
 Denver, Colorado at the Westin Downtown Denver
 Learn more and register for all events at
www.TeamSTEPPSportal.org
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Help Line (312) 422-2609
Or email: [email protected]
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Today’s Presenter
 Robert Smith, Ph.D.
 Director, Medical Staff Assistance Program,
MetroHealth System
 Assistant Professor of Psychiatry, Case Western
Reserve University, School of Medicine and
MetroHealth System
 Organizational Champion for TeamSTEPPS
 Director, TeamSTEPPS Regional Training Center
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Objectives
 Describe strategies for gaining buy-in for
TeamSTEPPS from executive staff
 Discuss the engagement of physicians and other staff
 Discuss how buy-in and other factors are used to
determine the readiness of a unit or department for
TeamSTEPPS implementation
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Who is MetroHealth?
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TeamSTEPPS®
• Serving Cuyahoga County
in Cleveland since 1837
• One of the largest
healthcare organizations
in Northeast Ohio
• 700-bed medical center
• 17 community health
centers
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 Over 476 Primary Care/ Specialty
Physicians
 1,230 Registered Nurses
 145 Advanced Practice Nurses
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 Twenty-four Residency Programs
 374 Interns/Residents
 Fifteen Fellowship Programs
 55 Fellows
 1st and 2nd Year Medical Students, etc.
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1035 “students”
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Patient Care at MetroHealth
 Care provided in 2014
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28,000 inpatients
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2,900 newborns delivered
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Over 1,000,000 visits in outpatient centers
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Over 107,000 visits to the Emergency Department
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How to Get Started:
Select your “Champion”
and “Change Team”
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Champion
 Passionate
 Confident
 Respected, knowledgeable, influential
 Able to dedicate time
 Willing to own the project and take risks
 Comfortable making presentations
 Understands culture and politics
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Change Team
 Influential and passionate
 Respected by peers
 Understands culture and politics
 Has access to information and resources
 Models leadership and communication
 Represents all key areas
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Change Team Tasks
 Determine department’s/organization’s
“real” interest
 Review literature
 Talk with organizations that have
implemented TeamSTEPPS
 Ask “what is our commitment?”
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Organizational
Change Team
 Quality Department
 Ambulatory Care
 OB/GYN
 Medical ICU
 Emergency Medicine
 Organizational Develop
 Surgery
 Simulation Center
 Trauma / Burn Units
 Communication
 Medicine
 Diversity and Inclusion
 Pediatrics
 Marketing
 Geriatrics
 MetroHealth Union
 PM&R
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Unit Change Team
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Unit Change Team
 Medical Director
 Nurse Manager
 Representatives of all disciplines
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Nursing
Attendings
Physical Therapy
Respiratory Therapy
Environmental Services
Unit Secretary
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Target Administration
for Buy-In
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Persuading Administration
 Research regarding Medical Teams
 Tell the story of TeamSTEPPS
 “Data tells, stories sell”
 “Why our organization?”
 Use existing internal data: quality, risk
management, patient satisfaction, etc.
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Persuading Administration
 Cost of errors to your organization
 Risk Management Data, Malpractice Data
 Investment / Cost
 Estimate resources needed, time away from work
for training, etc.
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Persuading Administration
 Expected outcome
 Review literature
 Not an educational program
“A change in culture”
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Persuading Administration
 Provide overview of plan
 Do not “oversell”
 Avoid tight deadlines
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Anticipate “results” 6 months to one year after
implementation

Plan for sustainability and measurement from
the start
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Examples of
MetroHealth’s
Administrative Buy-In
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New MetroHealth Mission
“Leading the way to a
healthier you
and a healthier
community
through service,
teaching, discovery
and
teamwork.”
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New MetroHealth Values
 Service to Others
 Make a Connection
 Teamwork
 Support Each Other
 Accountability
 Say What You’ll Do, and Do What You Say
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New MetroHealth Values
 Respect
 Treat Everyone with Compassion and Dignity
 Inclusion and Diversity
 Embrace Individual and Cultural Differences
 Quest for Excellence
 Take Pride in Going the Extra Mile
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Master Trainers
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 Carefully select your Master Trainers
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Respected as a team player
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Passion for teamwork
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Comfortable talking in front of a group
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Able to educate and facilitate discussion
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Creative and “fun”
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Able to commit time
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Preparing Departments
for Implementation
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Determining “Readiness”
 Develop an Implementation Team
 Standardize your process:
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Brief presentation regarding TeamSTEPPS
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Survey the staff (AHRQ survey)
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Review role of instructors and ask for volunteers
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Return and present survey data
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Determining “Readiness”
 Low return of surveys
 Minimal response to request for
instructors
 Feedback – “this is just another training”
 Push back - “we don’t have time for this”
 Minimal support from Chair, Director, etc.
Recognize that they may need to wait and
that you may need to help them get ready.
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TeamSTEPPS
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Overcome Resistance
 Enlist Chairperson, Director, etc.
 Acquire survey data
 “Drill down” to identify issues
 Share survey data
 Conduct small focus groups to discuss staff
reactions
 Be patient, but persistent
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Engaging Staff
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Key Elements
 No Consultants
 Program is flexible and nothing is
imposed
 Design program to make it relevant
 Instructors from each area will teach staff
and serve as coaches
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Adult Learner Model of Instruction
 Limited lecture - avoid “death by PowerPoint”
 Opportunity for questions and discussion
 Role-play and simulation
 Avoid “one size fits all”
 Enjoyable experience - “fun”
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If you believe and
you have a quality team,
You can take something wonderful
and turn it into something…
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Magical
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Questions and Answers
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Thank You!
For more information, please contact our team at:
[email protected]
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