Team-Based Care

Team-based care leads to better outcomes for patients and better experience for staff. It is one of the most effective things that you can do to improve care delivery. Effective team-based care supports improved cycle time, access to care, and clinical outcomes. The task of implementing team-based care includes improving processes and workflows, ensuring that staff work to the top of their licensure, and sharing accountability for care delivery.

Care Team Role Builder
The National Institute for Children’s Health Quality’s interactive online Care Team Role Builder enables pediatric practices to match their practice activities such as those associated with registration, population management or care coordination with the appropriate care team member.

Pharmacists’ Role in Chronic Care
This resource from the website highlights how pharmacists are able to serve as team members in chronic care management.

Team-Based Care
This Safety Net Medical Home Initiative resource contains implementation guides, tools, and webinars on ways to build effective, practice-based, care teams that meet patient needs and expectations.

University of New Mexico Project ECHO
The University of New Mexico School of Medicine’s Project ECHO is a lifelong learning and guided practice model that revolutionizes medical education and exponentially increases workforce capacity to provide best practice specialty care and reduce health disparities. The heart of the ECHO model™ is its hub and spoke knowledge sharing networks, led by expert teams who use multi-point videoconferencing to conduct virtual clinics with community providers.

Implementing Team-Based Care
This AMA STEPSforward module outlines the steps a practice can take to implement team-based care within the practice.

Observing Patient Care Rounds
Observing Patient Care Rounds is a section within the AHRQ CUSP hospital safety toolkit. This tool provides a structured approach for improving teamwork and communication behaviors that would otherwise bring down staff morale and patient care delivery across and between disciplines.

Conducting a Morning Meeting
Conducting a Morning Briefing is a section within the AHRQ CUSP hospital safety toolkit. This tool provides a structured approach to help physicians and nurses identify the problems that occurred during the night and potential problems that may occur during the clinical day.

Shadowing Another Professional
Shadowing another Professional Tool is a section within the AHRQ CUSP hospital safety toolkit. This tool provides a structured approach to identify, and improve communication, collaboration, and teamwork issues found among different practice domains that affect patient care delivery.

Embedding Pharmacists into the Practice
By providing tools and resources, this AMA STEPSforward module details steps a practice can follow to maximize the role of a pharmacist within the practice.

Medical Assistant Professional Development
This AMA STEPSforward module helps with the implementation and evaluation of a development program for medical assistants. The module helps enhance the roles of the front-line staff and improve practice culture, workflow, and team dynamics.

Implementing a Daily Team Huddle
This AMA STEPSforward™ module addresses the implementation of brief, in-person, scheduled meetings once or twice a day with team members helps to ensure an efficient day with fewer surprises in the ambulatory practice.

Daily Huddle Video
This 5-minute video created by Kaiser Permanente highlights how successful hospital-based teams use huddles, which are informal short meetings to share information and streamline daily work.