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TeamSTEPPS® in Home Health.

Matt Sevier1

  • 1Matt Sevier, EdD, APRN-BC , is the Chief Executive Officer, Rubicon International, Brentwood, Tennessee.

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Summary

TeamSTEPPS improved nurse retention and patient outcomes in home healthcare. This patient safety model enhanced situational awareness and mutual support, positively impacting staff and reducing hospital readmissions.

Area of Science:

  • Healthcare Management
  • Patient Safety
  • Nursing

Background:

  • TeamSTEPPS is a widely adopted patient safety model focused on optimizing team performance.
  • Clinician autonomy has presented challenges to TeamSTEPPS implementation in traditional settings.
  • Home healthcare agencies face unique challenges in patient care coordination and staff retention.

Purpose of the Study:

  • To evaluate the impact of implementing the TeamSTEPPS model in a home healthcare agency.
  • To assess the effects of TeamSTEPPS on nurse retention and patient outcomes.
  • To identify specific TeamSTEPPS tools that contribute to positive changes in the home healthcare setting.

Main Methods:

  • A home healthcare agency adopted the TeamSTEPPS patient safety model.

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  • Implementation focused on utilizing situational awareness, mutual support, handoffs, and huddles.
  • Outcomes measured included nurse retention, OASIS (Outcome and Assessment Information Set) scores, and 30-day hospital readmission rates.
  • Main Results:

    • The agency observed a positive impact on nurse retention.
    • Improvements were noted in OASIS outcomes.
    • A reduction in 30-day hospital readmissions was achieved.
    • Situational awareness and mutual support tools were key drivers of improved nurse retention.
    • Handoffs and huddles contributed to better OASIS outcomes and reduced readmissions.

    Conclusions:

    • TeamSTEPPS can be effectively implemented in home healthcare settings.
    • The model positively influences nurse retention through enhanced teamwork and support.
    • Specific TeamSTEPPS tools can lead to measurable improvements in patient care quality and reduce hospital readmissions.