Overcoming Barriers to Collaborative Team Practice: A System Approach.

Area of Science:

• Healthcare Management
• Health Services Research
• Team-Based Care

Background:

• Healthcare systems face challenges in providing adequate access to care, exacerbated by clinical shortages.
• Team-based care models, where professionals practice at the top of their license, are proposed solutions.
• Barriers such as regulatory, payment, and interprofessional knowledge gaps hinder the widespread adoption of team-based care.

Purpose of the Study:

• To describe CommonSpirit Health's multifaceted strategy for implementing team-based care.
• To identify and address the complex barriers preventing effective team-based care models.
• To promote a more efficient and effective model of healthcare delivery.

Main Methods:

• Implementation of new executive roles and dyad leadership models.
• Development of shared multidisciplinary education programs.
• Targeted advocacy, creation of best practice playbooks, and flexible local model individualization.

Main Results:

• A comprehensive, multi-pronged approach was adopted to mitigate barriers to team-based care.
• The strategy integrated regulatory, payment, and educational interventions.
• Focus on a combination of solutions rather than isolated tactics.

Conclusions:

• Addressing complex barriers requires a multifaceted strategy to successfully implement team-based care.
• CommonSpirit Health's approach demonstrates a commitment to optimizing care delivery through collaborative models.
• The initiative aims to enhance efficiency and effectiveness in healthcare services through systemic changes.