Effective teams actively consider tasks, interactions and the environment within which they take place to help all team members gain a deeper understanding of how these factors relate to each other, for the purpose of both problem-solving AND improving shared goals and vision.
Effective teams engage in continuous learning by regularly (and in the moment) collaborating to incorporate new understandings, information, data, and skills to optimize care delivery.
Effective teams actively adopt and agree upon a set of goals and objectives with clearly articulated criteria for achievement, which motivates them as a team and measures their progress.
Effective teams maintain an open mind to new ideas and perspectives that they apply to their role and understanding of others roles and relationships, allowing roles to change over time.
Effective teams are able to act in a manner that reflects confidence in the ability and reliability of other team members, are able to be vulnerable by bringing problems to the group for resolution and believe that each team member will strive toward the goals of the group.
Effective practice teams exhibit honest, self-confident and appreciative interaction, actively seek out and value the roles and opinions of others, freely share opinions that may be unpopular and willingly change their minds in response to new meaning created within the practice.
In effective primary care teams, individuals pay attention to the task at hand, and the way their roles and actions affect the roles and actions of others and coordinate their actions to complement those of other team members.
In effective primary care teams, individuals and the group as a whole feel connected to and exhibit a sense of belonging to the team, are dedicated to group goals and values, and exhibit this loyalty to the group by consistently performing their roles even in difficult situations.
Effective practice teams keep each other informed with timely and accurate information, using multiple and appropriate modes of information transfer that facilitate problem solving.
Effective practice teams adapt established routines to provide for unforeseen or unusual circumstances by flexible improvisation.
Effective practice teams develop a relational capacity to address conflict by openly discussing disagreements or tension among team members using an effective resolution process.
In effective practice teams leadership promotes high quality care by encouraging each team member to develop and express new ideas, encouraging their engagement in testing them, and guiding the team towards improvement.
There are between one and ten measures included in the instruments in this category.
There are between 11 and 20 measures included in the instruments in this category.
There are between 21 and 30 measures included in the instruments in this category.
There are 31 or more measures included in the instruments in this category.
What Is the Atlas of Instruments to Measure Team-based Primary Care?
Team-based care holds promise to improve patient outcomes, care processes, and patient and provider experiences of care. However, the understanding of how teams should function is hampered by a lack of a strong theoretical conceptual framework and validated measures, specific to and appropriate for use in the primary care setting. Successful primary care redesign efforts such as the Patient-centered Medical Home require a high-functioning primary care team that delivers team-based care. Thus, having a robust measure or measures of team-based care appropriate for the primary care setting is of utmost importance to evaluate and improve team functioning and patient outcomes.
The Atlas of Instruments to Measure Team-based Primary Care (the Team Care Measures Atlas) supports the advancement of team-based primary care by:
- Presenting a Conceptual Framework of Team-Based Primary Care that identifies areas that are important to effective functioning of primary care teams;
- Providing an inventory of 48 instruments that can be used to measure team-based primary care for purposes of quality improvement, evaluation, and research; and
- Organizing the instruments in a web-based searchable format to facilitate selection of instruments on key characteristics.
Related Resources and Content
How to Use the Atlas
Users can identify instruments that meet their specific needs by following these four steps:
- Step 1: Identify Mediator Constructs of Interest – First, users should review the Conceptual Framework of Team-based Primary Care, including definitions and example scenarios of each construct to help identify the construct of potential relevance to your measurement needs.
- Step 2: Search for Instruments – Users can select instruments using the “Choose Categories” search box on the left sidebar on the Home page or on the Search page and may wish to search by:
- Construct (e.g., continuous learning or respectful interactions)
- Type of Instrument (e.g., survey or observational checklist)
- Degree of Adaptation (e.g., ready, minor, or major adaptation)
- Number of Items
- Setting (e.g., healthcare inpatient, unspecified, or non-health care); or
- Respondent Type (e.g., administrators, registered nurses, or physicians).
- Step 3: Review Instrument Profiles – A link to the Instrument Profiles is available on the Search Results Page to help users learn more about the instrument characteristics (e.g., information on the validity and reliability of the instrument or items relevant to each construct).
- Step 4: Retrieve the Selected Instrument(s) – A citation for the source article for the instrument is found in the Instrument Profile, and can be used to retrieve it. In most cases, the full text of the instrument is contained in the article itself. In a few cases, the user may need to contact the corresponding author to retrieve the instrument. The instrument can then be reviewed item by item, using the Instrument Profile to identify specific items that map to specific constructs of interest.