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Toward spanning the quality chasm: an examination of team functioning measures
Dale C Strasser1, Andrea Backscheider Burridge2, Judith A Falconer3
1Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA.
Archives of Physical Medicine and Rehabilitation
|July 11, 2014
Summary
Improved team functioning, including physician engagement and teamness, was linked to better patient outcomes like shorter hospital stays and increased community discharge. These findings highlight the impact of modifiable team attributes on healthcare quality.
Area of Science:
- Healthcare Management
- Clinical Operations
- Patient Outcomes Research
Background:
- Team functioning is crucial in healthcare settings.
- Understanding the link between team dynamics and patient results is vital for quality improvement.
Purpose of the Study:
- To investigate the association between five measures of team functioning and three patient outcomes.
- To determine if specific aspects of team collaboration impact clinical results.
Main Methods:
- An observational, exploratory study analyzed data from 27 Veterans Affairs medical centers.
- Team functioning surveys and patient outcomes were collected one year apart from staff and patients.
- Hierarchical generalized linear models assessed the relationship between team functioning scales and changes in patient outcomes.
Main Results:
- Higher Physician Engagement scores correlated with a shorter patient length of stay (P=.017).
- Increased Teamness (P=.044) and Team Effectiveness (P=.049) scores were associated with higher rates of community discharge.
- Three out of 15 analyses showed statistically significant associations between team functioning and patient outcomes.
Conclusions:
- Team functioning demonstrates a measurable effect on patient outcomes in clinically relevant ways.
- Enhanced team functioning, particularly physician engagement and teamness, is linked to improved patient discharge and reduced hospital stays.
- These findings support further research into optimizing team effectiveness for better healthcare quality.
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