Team Communications

Inpatient Goal Sheet

The Inpatient Goal Sheet is a multi-disciplinary rounding tool to help to set daily goals for the hospitalized patient. It may be useful for a variety of patients, and not only those with heart failure. The goal sheet creates an integrated home for team communication and addresses the myriad issues in preparing a patient for the discharge transition. It also serves as a reminder in case the patient is not progressing toward the identified goals, so that a re-assessment and review of the planned interventions can take place.

Developed by the SHM Heart Failure Initiative Team Communications Workgroup (View the project team page for information on the workgroup members).

View the Inpatient Goal Sheet.

Conceptual Model for Teamwork

The Conceptual Model for Teamwork helps to frame the processes of care for a patient with heart failure. It can be used in the daily team-based care of the hospitalized patient and may be especially helpful in the care of complex patients who have multiple clinical issues and co-morbidities. The team leader/clinician should consider using the model when reviewing a patient’s daily care plan.

Developed by the SHM Heart Failure Initiative Team Communications Workgroup (View the project team page for information on the workgroup members).

View the Conceptual Model for Teamwork.