Systematic Approach for Comparing Team-based Care Processes.

Area of Science:

• Healthcare Management
• Process Improvement
• Sociotechnical Systems

Background:

• Current team-based care process modeling often focuses on single-site solutions.
• Tailoring care processes for multi-site implementation remains a challenge.
• Effective cross-site adaptation requires understanding process variations.

Purpose of the Study:

• To propose and demonstrate an approach for analyzing and comparing team-based care processes across two different sites.
• To inform redesign opportunities for multi-site implementation efforts.
• To identify sociotechnical system element differences relevant to process goals and strategies.

Main Methods:

• Abstracting goals and strategies of team-based care processes.
• Identifying differences in sociotechnical system elements (phase, tasks, roles, information, technology).
• Analyzing whether identified differences impact process goals and strategies.

Main Results:

• The approach was demonstrated using an operating room to intensive care unit handoff protocol.
• It can distinguish between system element differences that are relevant and irrelevant for redesign.
• Facilitates informed decision-making for tailoring processes.

Conclusions:

• The proposed approach aids in analyzing and comparing team-based care processes across sites.
• It provides a framework for identifying and evaluating necessary adaptations for multi-site implementation.
• Researchers and practitioners can use this method to tailor successful team-based care models effectively.