SHARE-UMass Memorial Unit Based Teams
Welcome to a new way of working. A Unit-Based Team (UBT) is a group of front-line employees, managers, and providers who work together to improve both patient care and their own experience at work.
Co-Leads and Co-Sponsors from many departments exchange wisdom and best practices at Peer Learning events
Why UBT’s?
SHARE members want to make a difference. We want UMass Memorial to be the best place to receive and to give care. We’re working together to develop a culture in which all employees treat each other with kindness and respect. Our Hospital and our Union have committed to a partnership that can make those things happen.
For that to work, SHARE members must be respected partners. “As we move toward a high performance partnership organization,” our contract agreement states, “we envision team-based work systems, which require different roles for SHARE members and for supervisors.”
The UBT creates a structure for cultural change, and it also relies heavily on techniques from Quality Improvement science. We experiment. We measure and track our results. We assess and adjust. And we keep making things better.
SHARE and UMass Memorial manager Co-Leads and Sponsors with Kaiser Permanente management and union leaders at our 2017 trip to Kaiser Permanente to learn about UBTs
“Our Partnership makes it possible to improve the day-to-day work experience for everyone —SHARE members and the rest of the front-line workforce, front-line supervisors, managers, SHARE leaders, and senior leaders — through working together to improve quality for our patients. We choose Unit-Based Teams (UBTs) as the way to deeply involve front-line staff in continuous improvement at the department level.”
INtro RESOURCES
2019 IHI National Forum Storyboard
team spotlights
Heart & Vascular Intervention Lab
blog updates
#UBTs: all recent posts
#UBTSpotlight: team profiles
#UBT’s: archive of posts before 2020
about our inspiration:
BUILDING a structure for partnership
Each Unit-Based Team has a union member and manager Co-Lead. Together, the Co-Leads make sure that the team’s projects move forward. Co-Leads coordinate meetings of the core Unit Based Team committee, communicate progress, encourage participation by everyone in the broader work area, and work to ensure that front-line staff are deeply involved as respected partners.
Union and management representatives at our 2017 UBT kickoff event
“ “We started from needing more staff, and ended up streamlining the process. We saved an FTE.”
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Accountability and Support
Our own in-house Coaches — who are themselves highly-trained and experienced in Quality Improvement science methods — consult with each team. A designated Coach guides each UBT as they select improvement projects, find methodologies to address problems, and measure outcomes.
Union and management Co-Sponsors work together to designate new teams. The Co-Sponsors support existing teams by removing barriers, coordinating interdepartmental communication, and aligning each UBT’s goals with the broader, system-wide goals. The Co-Sponsors are accountable to the SHARE-UMass Memorial Labor Management Partnership Council.
““We’re constantly learning and changing and making it work smoother and better for us. We do or meetings more frequently – we’ve grown so much!”
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making it happen
“UBT’s give us the time to fix the process, and to share our best practices,” as it was put by Jonna Dube, a pioneering management UBT Co-Sponsor, and Senior Director of Ambulatory Services. UBT Co-Leads compare their experiences and celebrate their successes at Peer Learning events.
Our goal is to make UBTs available to all SHARE members, wherever they work. The first five UBTs launched in 2017; those teams continue to produce meaningful results, doing work that they’re proud of. Since then, we’ve added roughly a couple dozen teams every year, measuring the growth of each one using a “Path to Performance,” and continually adding more.
We hope you’ll explore the ideas and the results on this website, and reach out to SHARE if you have questions or would like to know how to set up a Unit Based Team in your work area.
The Primary Care Clinic UBT in the Benedict Building, seen here at a team huddle, tackled the problem of walk-in patients first, because every walk-in causes huge disruption for the staff. Team members measured how much time was wasted, brainstormed better ways, and tried them out until they found what worked. Now everyone knows how to handle walk-ins, patients are being seen, the clinic is being paid for those visits when they often didn’t before, and staff feel great!