Skip to Main Content

Team-Based Care Design

Tools and resources leaders can use to help support the review, design or redesign of team-based care models.

Application of the Three-factor Framework: An Overview

Step 1: Patient Care Needs

Output:

  • Identifying core patient care needs

Step 2: Provider Profiles

Input:

  • Core patient care need themes/trends

Output:

  • Required provider competencies to support needs
  • Potential roles required based on patient care needs, required provider competencies/provider scope

Step 3: Practice Environment 

Input:

  • Core patient care needs/trends
  • Practice environment assessment data/findings
  • Provider profile (experience mix and competency requirement analysis, etc.)

Output:

  • Gap analysis of required vs. actual care processes & practice supports

Step 4: Putting the Pieces Together 

Input:

  • Integrated review of all findings
  • Internal and external HPPD data for a comparable unit/setting

Output:

  • Required team composition/team processes and practices, and team-based care delivery model and implementation plan for required changes
  • Favorable patient outcomes - Examples include favorable rates/trends with:
    • pressure injury prevalence
    • falls with injury
    • central-line infections
    • catheter-induced urinary tract infection (UTI)
    • nosocomial Infections (Cdiff, MRSA, VRE)
    • sitter usage
    • medication errors

See also: Putting the Pieces Together: Integrated Review Examples

NOTE: Although represented as steps, the process of reviewing, designing and redesigning team-based care models is iterative.