Fostering Partnerships and Teamwork in the Pediatric Medical Home:

A “HOW TO” Webinar Seriesbrought to you by the National Center for Medical Home Implementation

Implementing Team Huddles

February 28, 2014Noon – 1 pm (Central)

Fostering Partnerships and Teamwork in the Pediatric Medical Home:

A “HOW TO” Webinar Seriesbrought to you by the National Center for Medical Home Implementation

Moderator:

Christopher Stille, MD, MPH, FAAPGeneral PediatricsUniversity of Colorado School of Medicine, CO

Fostering Partnerships and Teamwork in the Pediatric Medical Home:

A “HOW TO” Webinar Seriesbrought to you by the National Center for Medical Home Implementation

Faculty:

Lester Hartman, MD, MPH, FAAPWestwood/Mansfield Pediatrics, MA

Fostering Partnerships and Teamwork in the Pediatric Medical Home:

A “HOW TO” Webinar Seriesbrought to you by the National Center for Medical Home Implementation

Faculty:

Courtney Nelson, BSN, RNWestwood/Mansfield Pediatrics, MA

Disclosures

We have no relevant financial relationships with the manufacturers(s) of any commercial products(s) and/or provider of commercial services discussed in this activity.

I do not intend to discuss an unapproved/investigative use of a commercial product/device in my presentation.

The best 5 unreimbursed minutes you will ever spend…

It’s 3:15 PM on a Tuesday. Patients are starting to back up. The nurse on your team stops you between patients to tell you that your 2:45 PM patient with autism is starting to get really cranky because he doesn’t like to wait in the exam room. She also tells you that you need to reorder different shots for your 2:30 PM patient because of that vaccine shortage that keeps going. As you hurry to your 2:45 patient, the MA on your team tells you she has to leave early because of her kids’ school play she told you about last week. And you see that your 3 PM patient with special needs is only booked for a 15 minute visit.

What choices do you have?

a. Run faster

b. Behave badly

c. Get a colleague to see one of your patients

d. Ignore the whole thing and keep plugging along

e. Vow that next time, you will prevent all this with a…

TEAM HUDDLE

Webinar Objectives

By the end of this webinar, the participant will be able to:

Define the term “team huddle” and explain its effectiveness as part of a team-based approach to providing care.Describe strategies for implementation of team huddles within a pediatric practice. Provide examples of successful team huddle implementation in a pediatric practice.

Pediatric Medical Home

• Team-based approach• Team huddles provide a strategy to providing team based

care within a medical home

Defining Team Huddles

Regularly scheduled short meetings for a practice team Goals:

Improve team’s ability to work together Enhance quality of patient care

• Multiple levels:• Periodic, longer team huddles• Daily, shorter team huddles

Benefits of Team Huddles

Frequent communicationFull participationAbility to plan for changesForesightImproved organizationImproved patient outcomes, care coordination, overall safetyEnhanced work environmentImproved patient, family, and staff satisfaction Improved team culture

Starting a Team Huddle

Discuss concept with staff and providersHighlight the benefitsPropose schedulingAlert all team members

Conducting a Team Huddle

Limit to 15 minutesChoose a central locationCreate expectations, objectives, and an agendaDesignate leader and note takerPrepare necessary supporting documentsReview previous work; allow participants to see progressDesignate a person to bring the patient schedule for each day

Suggested Team Huddle Agendas

Patients that require more time/assistancePreventing backlogOpenings which can be filled, chronic no-shows, special

instructions for patientsProvider and staff schedulingPath of patient flowLab tests, results, notes from physiciansVaccinations

Team Huddles Best Practice

Lester Hartman, MD, MPH, FAAP

Courtney Nelson, BSN, RN

Westwood Mansfield Pediatrics

Westwood Mansfield Pediatrics

Macro or Regular Huddles Standardizing Care 2 times per day

Morning Evening

Staff involvement Staff and Triage RNs, NPs, MDs, soon to include a therapist

5 minutes long Agenda Items

Westwood Mansfield Pediatrics

Mini Huddles Individualizing Care Staffing:

1:1 Staff nurse and assigned MD or NP 5 minutes long Agenda Items

Westwood Mansfield Pediatrics

Team huddles from a nursing perspective Scheduling Issues Know Your Patient’s Needs Boost Morale Introducing New Employees

Conclusion

Team huddles are an effective part of a team-based approach to primary care.

Benefits of team huddles include improved ability of a clinical team to work together and increased quality of patient care.

Resources

Institute for Health Care Improvement: Team Huddles California Health Care Safety Net Institute:

Embracing Daily Team Huddles US Department of Defense: Briefs and Huddles ToolkitThe Checklist Manifesto: How to Get Things Right, Atul

Gawande

NCMHI Educational Video Series

Don’t forget to view the National Center for Medical Home Implementation (NCMHI) Video Series. Topics Include: Team Huddles Care Partnership Support Family Advisory Groups

Save the Date

Fostering Partnerships and Teamwork in the Pediatric Medical Home:

A “HOW TO” Webinar Series

Enhancing Care Partnership Support

March 27, 2014, 1 – 2 PM CST

REGISTER NOW

Starting and Supporting Family Advisory Groups

April 24, 2014, 11 am – Noon CST

REGISTER NOW

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Save the Date

Fostering Partnerships and Teamwork in the Pediatric Medical Home:

A “HOW TO” Webinar Series

Enhancing Care Partnership Support

March 27, 2014, 1 – 2 PM CST

REGISTER NOW

Starting and Supporting Family Advisory Groups

April 24, 2014, 11 am – Noon CST

REGISTER NOW