Appendix A. Team Roster This template provides suggestions about roles, characteristics, and responsibilities for members of your improvement team. Develop your team and document influential and respected leaders, clinicians, frontline staff, and residents and families who will provide primary and backup support for each core team member’s role. Create a Team To assemble a core team of influential leaders and members necessary to drive successful implementation Objective: of the AHRQ Safety Program for Long-Term Care: Preventing Catheter-Associated Urinary Tract Infections (CAUTI) and other healthcare-associated infections (HAIs) at your facility. Instructions: Review key characteristics of each core team member role and suggested responsibilities to determine who should be on the team. We recommend that you include backup (alternate or deputy) team members to support each suggested core team member’s role and responsibilities. On the next page, use the matrix to build consensus and determine each role’s responsibilities. Team Name(s) Member Role Key Characteristics Suggested Responsibilities 1. Team Leader Ability to engage staff Understand and clearly articulate program goals. through persistence, Recruit, guide, and manage the team. 2. commitment, continuity, Establish systems for implementation, delegate tasks, and style, and collaboration hold others accountable. Ensure all staff, on all shifts, are educated about CAUTI Energized; positive and/or other HAI interventions. attitude Track and facilitate a review of data/progress. Data driven
Appendix A. Team Roster This template provides suggestions about roles, characteristics, and responsibilities for members of your improvement team. Develop your team and document influential and respected leaders, clinicians, frontline staff, and residents and families who will provide primary and backup support for each core team member’s role. Create a Team Objective: To assemble a core team of influential leaders and members necessary to drive successful implementation of the AHRQ Safety Program for Long-Term Care: Preventing Catheter-Associated Urinary Tract Infections (CAUTI) and other healthcare-associated infections (HAIs) at your facility. Instructions: Review key characteristics of each core team member role and suggested responsibilities to determine who should be on the team. We recommend that you include backup (alternate or deputy) team members to support each suggested core team member’s role and responsibilities. On the next page, use the matrix to build consensus and determine each role’s responsibilities. Name(s) Team Member Role Key Characteristics Suggested Responsibilities 1. 2. Team Leader Ability to engage staff through persistence, commitment, continuity, style, and collaboration Energized; positive attitude Data driven Understand and clearly articulate program goals. Recruit, guide, and manage the team. Establish systems for implementation, delegate tasks, and hold others accountable. Ensure all staff, on all shifts, are educated about CAUTI and/or other HAI interventions. Track and facilitate a review of data/progress.
team-roster.docx