Team Evaluation and Assessment Measure - quality improvement (TEAM-QI)
Start date
01 February 2021End date
30 June 2024Overview
- Multi-disciplinary team (MDT) working is the cornerstone of health and social care services, however the MDT structures and effectiveness are variable, and failures in teamwork are often reported when poor outcomes occur.
- TEAM-QI has been developed by leading experts multidisciplinary in teamwork and builds on the success of the award-winning MDT-FIT, an evidence-based team improvement programme for cancer.
- TEAM-QI has been developed to provide a process by which health and social care teams can assess and improve their MDT working.
- Informed by our previous work, TEAM-QI is designed by academic and clinical leaders in healthcare workforce and teamwork. It has been co-designed through cycles of testing and refinement with healthcare staff.
- It is designed to require minimal time and organisational resources and is a team-owned process (developmental not judgmental), enabling anonymous honest feedback from every team member about their strengths and areas for improvement.
Aims and objectives
We are currently recruiting partner organisations to test our enhanced TEAM-QI process.
If you are interested in learning more about how TEAM-QI could help your organisation or team please contact Dr Jenny Harris (jen.harris@surrey.ac.uk) or Professor Cath Taylor (cath.taylor@surrey.ac.uk).
Why use TEAM-QI?
- It works! Most MDT members (74%) are positive about MDT-FIT and its capacity to facilitate improvements to team-work and want to use it again (it is designed to be used annually).
- On average MDTs set 8 actions for improvement, with 90% being implemented/or in the process of being implemented 9-months later.
- Team-based assessment can be used as evidence for revalidation and appraisal processes.
- TEAM-QI is both diagnostic and interventional, for example it could be used to identify team training priorities to meet the ‘staff training and working together’ essential action arising from the Ockenden Report (2020).
Funder
Team
Principal investigators
Professor Cath Taylor
Professor of Healthcare Workforce Organisation and Wellbeing
Biography
I am Professor of Healthcare Workforce Organisation and Wellbeing in the School of Health Sciences at the University of Surrey. I have worked in Health Services Research since 1997, following completion of a Psychology degree at Swansea University. My academic career began at Imperial College London (1997-2002) followed by Kings College London (2002-2017).
My main research interests are improving the wellbeing of the NHS workforce and assessing and improving multidisciplinary team working in healthcare teams. In relation to the wellbeing of NHS staff, I have conducted national cohort studies of mental health in hospital consultants, and worked alongside Professor Jill Maben (also at University of Surrey) to complete a national evaluation of Schwartz Center Rounds in the UK, funded by the NIHR. I am currently funded by NIHR to complete a realist synthesis aimed at understanding how to improve mental wellbeing in nurses, midwives and paramedics. My work in relation to multidisciplinary teams led to the development of a cancer multidisciplinary team assessment and feedback tool (named MDT-FIT) that won QiC Oncology Digital Innovation of the Year in 2016. I am currently working with Surrey and Sussex Cancer Alliance to support and evaluate improvements to multidisciplinary team meetings across three tumour pathways.
Dr Jenny Harris
Senior Lecturer in Cancer Care and Health Statistics
Biography
Jenny is a Senior Lecturer in Cancer Care and Health Statistics the School of Health Sciences at the University of Surrey. Her on-going programme of work focuses on optimising health care delivery and outcomes based on data-driven approaches often informed by psychological and behavioural insights.
Jenny has a particular interest in psychosocial care for people living with cancer and using data driven insights to improve multidisciplinary teamworking and quality of care, patient experience and clinical outcomes.
My recent work has been particularly focused on the intersection of cancer and maternity care, and exploring how insights from cancer health services research might be adapted and implemented for other conditions or areas of care, notably maternity and obstetric care (TEAM-QI) and peripheral artery disease.
Methodological interests include predictive risk modelling incorporating questionnaires, surveys and questionnaire design and validation, mixed-methods evaluations of complex interventions (quasi-experimental designs, feasibility studies, RCTs) and real-world implementation of electronic Patient Reported Outcome and Experience Measures.
Co-investigators
Professor James Green
Urology Network Director, Academic Director of Quality Improvement, Bart Health NHS Trust
Outputs
Multi-Disciplinary Team Feedback for Improving Teamworking
Watch our video about MDT-FIT and why cancer MDTs should use this assessment tool.
Selected publications
Harris J, Beck MS, Ayers N, Bick D, Lamb MB, Aref-Adib MM, Kelly T, Green JS, Taylor C (2022). Improving teamwork in maternity services: a rapid review of interventions. Midwifery, Feb 13:103285.
Taylor, C., Harris, J., Stenner, K., Sevdalis, N. and Green, J.S. (2021), A multi-method evaluation of the implementation of a cancer teamwork assessment and feedback improvement programme (MDT-FIT) across a large integrated cancer system. Cancer Med, 10: 1240-1252. doi.org/10.1002/cam4.3719
Jenny Harris, Cath Taylor, Nick Sevdalis, Rozh Jalil, James S.A. Green, Development and testing of the cancer multidisciplinary team meeting observational tool (MDT-MOT), International Journal for Quality in Health Care, Volume 28, Issue 3, June 2016, Pages 332–338, doi.org/10.1093/intqhc/mzw030
Taylor, C., Brown, K., Lamb, B. et al. Developing and Testing TEAM (Team Evaluation and Assessment Measure), a Self-assessment Tool to Improve Cancer Multidisciplinary Teamwork. Ann Surg Oncol 19, 4019–4027 (2012). doi.org/10.1245/s10434-012-2493-1
Research themes
Find out more about our research at Surrey: