This week you will be completing the first two components of the Communication Strategic Plan: Assessment and Diagnosis.


The requirements for the outline are as follows:

  • Setting the Stage
    1. Assessment
      • Define the problem, challenge or opportunity for improvement:
        • Identify a problem, challenge, or opportunity related to patient safety that you feel could be improved with enhanced communication and or teamwork. (This was completed in Module 1.)
          • Identify any HCAHPS data for your health care facility or patient outcome data collected by the health care organization that can be linked to the identified problem.
        • Describe the applicable work setting, including the following:
          • Organizational /unit description (check the organization’s website for a description of the organization with regard to size, services offered, population served, for-profit or nonprofit. Describe the unit: type of unit, services provided, number of beds etc.)
          • Resources available: for example (but not limited to), human resources (staff), educational resources, equipment, supplies, technology, and leadership.
      • Describe the process by which the target problem, challenge, or opportunity occurs by stating what the process is, who is involved, and when and where it occurs.
      • Identify potential root causes of the problem:
        • Break the problem apart: Perform a root cause analysis using the Root Cause Analysis Chart in Module 1.
        • Create a simple flowchart, or map the process during which the problem, challenge, or opportunity occurs: Write the process steps as they currently occur, identifying who is doing what, when, and with what tools.
        • Study the process to identify a minimum of 2 risk points where things could go wrong and lead to a recurrence of the target problem.
    2. Diagnosis
      • Define the aim (what are you hoping to accomplish) of your TeamSTEPPS communication and/or teamwork strategy.
      • Describe how this strategy will improve the identified problem.
      • Define measurable goal(s).

Here is an example of a measurable goal for a surgery unit experiencing an increase in postoperative infections that implemented CUS strategy to address surgical team handwashing: The surgical unit at XYZ Hospital will experience a 5% reduction in postoperative infection rates from January 1, 2019, to April 1, 2019