Making Health Teams Work

Abstract

There is no doubt that those who are concerned with the delivery of child health care face serious difficulties in finding the resources and mechanisms to insure that all children in need of preventive, maintenance, and curative services receive them. No matter how the pediatric health care pie, as it presently exists, is sliced, all of the appetites will not be satisfied. This is true for those who seek these services and more so for the greater numbers who are in need, yet do not recognize that need or have the resources to seek the appropriate care. This symposium will address these issues in examining the changing roles and relationships in the delivery of child health care. It will look at the ways and means available now, and in the future, of bridging what has become a serious gap in the provision of health care for children. It will move from the challenge of change presented to the individual pediatri¬ cian and to organized pediatrics through the development of team care, the ways in which nurses and pediatricians will alter their practice patterns and organizational arrange¬ ments, and end with how the focus of the educational process for health workers will need to be altered to ac¬ commodate those changes.

Developing patient-centered teams: The role of sharing stories about patients and patient care.

“…Furthermore, participants enjoyed the meetings and reported that the emotional support and camaraderie improved job satisfaction and morale. Similar processes have been identified in the literature as critical features of positive team functioning and key indicators of team effectiveness (Bélanger & Rodriguez, 2008; Bronstein, 2003; Grumbach & Bodenheimer, 2004; Johnson et al, 2010; Lanham et al, 2009; Mickan & Rodger, 2000, 2005; Miller & Cohen-Katz, 2010; Mohr, Young, Meterko, Stolzmann, & White, 2011; Molyneux, 2001; Poulton & West, 1999; Sargeant et al, 2008; Twaddle, 2012; Wise, 1972; Wise et al, 1974).…”

“…Additionally, a large body of literature details the characteristics associated with the improved outcomes mentioned above (Grumbach & Bodenheimer, 2004;Mickan & Rodger, 2000;Sargeant, Loney, & Murphy, 2008;Wise, Rubin, & Beckard, 1974). Mickan and Rodger (2005) conducted a two-stage study in which they used strategic informants to develop and refine a model of effective teams, which was then validated with a group of 202 diverse health care professionals.…”

“…In their study surveying members of 68 interdisciplinary health care teams in the United Kingdom, Poulton and West (1999) found that having shared objectives had the single largest impact on health care team effectiveness. Others discuss additional attributes, including collaboration, trust, clarity of roles, and interdependence (Bronstein, 2003; Lanham et al, 2009; Miller & Cohen-Katz, 2010; Poulton & West, 1999; Roth & Markova, 2012; Twaddle, 2012; Wise et al, 1974). Taken together, these attributes highlight the central role of intrateam relationships in determining team function (Howard, Brazil, Akhtar-Danesh, & Agarwal, 2011; Lanham et al, 2009).…”

Developing patient-centered teams: The role of sharing stories about patients and patient care.

“…Furthermore, participants enjoyed the meetings and reported that the emotional support and camaraderie improved job satisfaction and morale. Similar processes have been identified in the literature as critical features of positive team functioning and key indicators of team effectiveness (Bélanger & Rodriguez, 2008; Bronstein, 2003; Grumbach & Bodenheimer, 2004; Johnson et al, 2010; Lanham et al, 2009; Mickan & Rodger, 2000, 2005; Miller & Cohen-Katz, 2010; Mohr, Young, Meterko, Stolzmann, & White, 2011; Molyneux, 2001; Poulton & West, 1999; Sargeant et al, 2008; Twaddle, 2012; Wise, 1972; Wise et al, 1974).…”

“…Additionally, a large body of literature details the characteristics associated with the improved outcomes mentioned above (Grumbach & Bodenheimer, 2004;Mickan & Rodger, 2000;Sargeant, Loney, & Murphy, 2008;Wise, Rubin, & Beckard, 1974). Mickan and Rodger (2005) conducted a two-stage study in which they used strategic informants to develop and refine a model of effective teams, which was then validated with a group of 202 diverse health care professionals.…”

“…In their study surveying members of 68 interdisciplinary health care teams in the United Kingdom, Poulton and West (1999) found that having shared objectives had the single largest impact on health care team effectiveness. Others discuss additional attributes, including collaboration, trust, clarity of roles, and interdependence (Bronstein, 2003; Lanham et al, 2009; Miller & Cohen-Katz, 2010; Poulton & West, 1999; Roth & Markova, 2012; Twaddle, 2012; Wise et al, 1974). Taken together, these attributes highlight the central role of intrateam relationships in determining team function (Howard, Brazil, Akhtar-Danesh, & Agarwal, 2011; Lanham et al, 2009).…”

The Institutional Context that Supports Team-Based Care for Older Adults

“…While an effective team can quickly assess a situation, decide what professionals need to be involved, and work closely together to reach a solution, assigning a team to a project may not always be the most effective or efficient use of health care resources. Some tasks can be more efficient if assigned to just one person who has the knowledge, skill, and time to do the task independently (Cashman, Reidy, Cody & Lemay, 2004;Lemieux-Charles & McGuire, 2006;Reeves, 2010;Wise, 1974). The appropriate use of teams requires an institutional and organizational commitment to support a truly interdisciplinary approach.…”

Difficult Psychiatric Consultations

“…The care-team model was developed in 1948 at New York's Montefiore Hospital, then later adopted at medical centers across the East Coast and, still later, throughout the USA (Wise et al 1974). The treatment team's task is to carefully examine the patient, documenting their presenting signs and symptoms, to formulate a working diagnosis, and then to implement and actively manage a best-practice treatment plan for the best reasonable outcome.…”

Developing patient-centered teams: The role of sharing stories about patients and patient care.

“…Furthermore, participants enjoyed the meetings and reported that the emotional support and camaraderie improved job satisfaction and morale. Similar processes have been identified in the literature as critical features of positive team functioning and key indicators of team effectiveness (Bélanger & Rodriguez, 2008; Bronstein, 2003; Grumbach & Bodenheimer, 2004; Johnson et al, 2010; Lanham et al, 2009; Mickan & Rodger, 2000, 2005; Miller & Cohen-Katz, 2010; Mohr, Young, Meterko, Stolzmann, & White, 2011; Molyneux, 2001; Poulton & West, 1999; Sargeant et al, 2008; Twaddle, 2012; Wise, 1972; Wise et al, 1974).…”

“…Additionally, a large body of literature details the characteristics associated with the improved outcomes mentioned above (Grumbach & Bodenheimer, 2004;Mickan & Rodger, 2000;Sargeant, Loney, & Murphy, 2008;Wise, Rubin, & Beckard, 1974). Mickan and Rodger (2005) conducted a two-stage study in which they used strategic informants to develop and refine a model of effective teams, which was then validated with a group of 202 diverse health care professionals.…”

“…In their study surveying members of 68 interdisciplinary health care teams in the United Kingdom, Poulton and West (1999) found that having shared objectives had the single largest impact on health care team effectiveness. Others discuss additional attributes, including collaboration, trust, clarity of roles, and interdependence (Bronstein, 2003; Lanham et al, 2009; Miller & Cohen-Katz, 2010; Poulton & West, 1999; Roth & Markova, 2012; Twaddle, 2012; Wise et al, 1974). Taken together, these attributes highlight the central role of intrateam relationships in determining team function (Howard, Brazil, Akhtar-Danesh, & Agarwal, 2011; Lanham et al, 2009).…”

The Institutional Context that Supports Team-Based Care for Older Adults

“…While an effective team can quickly assess a situation, decide what professionals need to be involved, and work closely together to reach a solution, assigning a team to a project may not always be the most effective or efficient use of health care resources. Some tasks can be more efficient if assigned to just one person who has the knowledge, skill, and time to do the task independently (Cashman, Reidy, Cody & Lemay, 2004;Lemieux-Charles & McGuire, 2006;Reeves, 2010;Wise, 1974). The appropriate use of teams requires an institutional and organizational commitment to support a truly interdisciplinary approach.…”

Difficult Psychiatric Consultations

“…The care-team model was developed in 1948 at New York's Montefiore Hospital, then later adopted at medical centers across the East Coast and, still later, throughout the USA (Wise et al 1974). The treatment team's task is to carefully examine the patient, documenting their presenting signs and symptoms, to formulate a working diagnosis, and then to implement and actively manage a best-practice treatment plan for the best reasonable outcome.…”

Developing patient-centered teams: The role of sharing stories about patients and patient care.

“…Furthermore, participants enjoyed the meetings and reported that the emotional support and camaraderie improved job satisfaction and morale. Similar processes have been identified in the literature as critical features of positive team functioning and key indicators of team effectiveness (Bélanger & Rodriguez, 2008; Bronstein, 2003; Grumbach & Bodenheimer, 2004; Johnson et al, 2010; Lanham et al, 2009; Mickan & Rodger, 2000, 2005; Miller & Cohen-Katz, 2010; Mohr, Young, Meterko, Stolzmann, & White, 2011; Molyneux, 2001; Poulton & West, 1999; Sargeant et al, 2008; Twaddle, 2012; Wise, 1972; Wise et al, 1974).…”

“…Additionally, a large body of literature details the characteristics associated with the improved outcomes mentioned above (Grumbach & Bodenheimer, 2004;Mickan & Rodger, 2000;Sargeant, Loney, & Murphy, 2008;Wise, Rubin, & Beckard, 1974). Mickan and Rodger (2005) conducted a two-stage study in which they used strategic informants to develop and refine a model of effective teams, which was then validated with a group of 202 diverse health care professionals.…”

“…In their study surveying members of 68 interdisciplinary health care teams in the United Kingdom, Poulton and West (1999) found that having shared objectives had the single largest impact on health care team effectiveness. Others discuss additional attributes, including collaboration, trust, clarity of roles, and interdependence (Bronstein, 2003; Lanham et al, 2009; Miller & Cohen-Katz, 2010; Poulton & West, 1999; Roth & Markova, 2012; Twaddle, 2012; Wise et al, 1974). Taken together, these attributes highlight the central role of intrateam relationships in determining team function (Howard, Brazil, Akhtar-Danesh, & Agarwal, 2011; Lanham et al, 2009).…”

The Institutional Context that Supports Team-Based Care for Older Adults

“…While an effective team can quickly assess a situation, decide what professionals need to be involved, and work closely together to reach a solution, assigning a team to a project may not always be the most effective or efficient use of health care resources. Some tasks can be more efficient if assigned to just one person who has the knowledge, skill, and time to do the task independently (Cashman, Reidy, Cody & Lemay, 2004;Lemieux-Charles & McGuire, 2006;Reeves, 2010;Wise, 1974). The appropriate use of teams requires an institutional and organizational commitment to support a truly interdisciplinary approach.…”

Difficult Psychiatric Consultations

“…The care-team model was developed in 1948 at New York's Montefiore Hospital, then later adopted at medical centers across the East Coast and, still later, throughout the USA (Wise et al 1974). The treatment team's task is to carefully examine the patient, documenting their presenting signs and symptoms, to formulate a working diagnosis, and then to implement and actively manage a best-practice treatment plan for the best reasonable outcome.…”