Three Phases of Microsystem Improvement - The Team Coaching Model

Microsystem improvement requires commitment and ownership from the team.  Engagement from stakeholders and a willingness to get involved are prerequisites.  Leaders will need to give the staff time and space to work on improvement.

The work breaks down into three key phases:

1. Pre-Phase - The coach works with the leader and the team to set the scene for improvement.  This involves expectation setting and agreement, a site visit, and other introductory meetings so the coach can understand the context of the microsystem and the team can start to learn about the improvement approach.

2. Action Phase - This is where the team work on improvement using weekly meetings.  Ground rules will be set with the team.  Time is precious so the coach will introduce effective meeting skills to maximise the benefit of this time.  The team will then work through the structure of assessing, diagnosing, and treating the system.  The action phase can take around a year and often the first PDSA are small scale changes to build confidence before the team move on to larger and more complex improvements.

3. Transition Phase - Once the team have confidence using the improvement tools, the coach will begin to transition out so the team can continue without the active weekly involvement of the coach.  This phase includes assessing and reflecting what has been learnt through the process and celebrating success.  The coach will be mindful of this process and will teach the team the skills to carry on improving their own system after this transition phase.  The coach will then move on to coach a new team.

(Ref - Marjorie M Godfrey 2012)

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