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Description

Concerns about funding, compliance, and documentation dominate the activities of rehabilitation professionals and threaten core tenets of inpatient services including interdisciplinary team care. This session utilizes a training intervention originally developed for a successful VA funded trial to improve patient outcomes through changes in team functioning. Participants learn a four part strategy to analyze and improve team functioning in context of a pressing clinical concernWe utilize a model of rehabilitation team effectiveness where the team is a transformational variable between Inputs (organization; therapies; and patients) and Outcomes (function, discharge destination, and costs). In part 1, a review of current research and a conceptual model of team effectiveness is presented and discussed in terms of common clinical vignettes of interdisciplinary care such as goal-setting, staff-splitting, bladder management programs, and carryover of skills from therapies to the nursing service. Leadership, the team conference, and care coordination have been targeted areas in previous work. In part 2, participants work on self-identified problematic areas. Working in small groups, the participants use a four- step problem-solving process of 1) problem definition / formulation; 2) solutions from brainstorming; 3) identification of pro and cons of solutions; and 4) Monitoring progress / definition of success. In part 3, action plans are critiqued, refined, and formatted.

Learning Objectives

  • Critique the utility of the team effectiveness model and the “diamond" of team functioning as an approach to improve team care and patient outcomes.
  • Recognize common problematic areas of rehab team care.
  • Describe feasible action plans to address common issues in team functioning.
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