1

Level 1

Dimension / Level 1 Pre-Team Climate / Achieved by UBT? / Criteria / Actions Required for Dimensions with “No” to Move to Level 2 / “No” Action Plan
Sponsorship / + Sponsors are identified and introduced to team. / Yes / Labor & Managementsponsors have been identified and communicated to the team.
Co-Leads have identified a plan with the sponsors to be connected to the teams work.
No / All UBTs should have a sponsor identified. If you do not, please contact the co-leads of the strategy group or your union leads.
Leadership / + Team Co-leads are identified or process of identification is under way. / Yes / Each UBT must have at least one management co-lead and one labor co-lead.
  1. The labor representatives of the UBT have selected their labor co-lead
  2. The management members of the UBT have selected their management co-lead.

No / Selection of co-lead(s) is on the agenda of the next schedule UBT meeting.
Training / +Co-lead training scheduled or complted / Yes / Co-Leads have completed or registered for Co-Lead Workshop
No / Contact LMP Coordinator or UBT Consultant to register for Co-Lead Workshop
Team Process / + Traditional; not much change evident.
+ Team meetings scheduled and/or first meeting completed. / Yes / Team has identified regular meeting dates
Teams meeting dates have been shared with both labor and management sponsors.
Co-Leads jointly develop the agenda
No / Schedule regular team meetings and communicate to UBT members, representatives and sponsors
Team Member Engagement / + Minimal. Member involvement in meetings is minimal. / Yes
No / Representative team members attend UBT meeting.
Use of Tools / + Not in use. Team not using performance improvement tools. / n.a. / No action required to move to Level 2
Goals and Performance / + Team does not have goals yet. / n.a. / No action required to move to Level 2

Level 2

Dimension / Level 2 Foundational UBT / Achieved by UBT? / Criteria / Actions Required for Dimensions with “No” to Move to Level 3 / “No” Action Plan
Sponsorship / +Sponsors trained.
+Charter completed. / Yes
No / Sponsors are trained in local sponsorship orientation and the Rapid Improvement Model.
Charter has been completed and shared with all UBT members.
Leadership / +Co-leads have
developed a solid working
relationship and
are jointly planning the
development of the team. / Yes
No / Co-leads are using and adjusting working agreements made at Co Lead Workshop.
Co-leads have agenda planning meetings prior to the team meeting.
Co-leads jointly lead or facilitate the meeting.
Training / +Team member
training (e.g.
UBT-O, RIM+) scheduled or
completed.
CDM, RIM or RIM+, UBTO or LMPO and UBTM or UPR training. / Yes
No / Representative team members (including Co-Leads) have completed or registered for:
( ) UBTO, ( ) UBTM, ( ) RIM
When new team representative is selected, notify the LMP Coordinator to request training for UBTO, UBTM and RIM
Co Leads have discussed and assessed the need to attend Planning Successful Meetings. If needed, contact Learning and Development Consultant for schedule of classes.
Team Process / +Staff meetings
operating as UBT
meetings (no
parallel structure).
Separate staff
meetings and
UBT meetings are
OK. UBT-related
content in Staff
meetings should be presented jointly.
+Co-leads jointly planning and leading meetings. / Yes
No / Team using appropriate meeting management tools: ( ) agenda, ( ) meeting notes, ( ) talking points, ( ) parking-lot ( ) capture/review action items
UBT-related content is an agenda item at each staff meeting and jointly presented.
Team executes upon identified communication methods to department. (talking points, newsletter, huddles, etc)
Labor and management co-leads jointly:
- Rotate leading the topic discussions (yes) (no)
- Use the CDM process (yes) (no)
Team Member Engagement / +Team members
understand
Partnership processes. / Yes
No / The UBT is using CDM and RIM appropriately.
Use of Tools / +Team members receive training on RIM, etc. / Yes
No / UBT members have received training on RIM
Goals and Performance / +Co-leads discuss
and present data
and unit goals to teams. / Yes
No / Co-leads share data and unit specific goals for: Service, Affordability, Quality, WPS, Attendance, People Pulse, Healthy Workforce, Access

Level 3

Dimension / Level 3 Transitional UBT / Achieved by UBT? / Criteria / Actions Required for Dimensions with “No” to Move to Level 4 / “No” Create Action Plan
Sponsorship / + Sponsors regularly
communicating with Co-leads.
Minimum monthly / Yes
No / “Regular communication” means, at a minimum, monthly contact via e-mail
Leadership / + Co-leads are seen by team members as
jointly leading the team. / Yes
No / The team representatives can agree that:
-The co-leads rotate leading the topic discussions (yes) (no)
-One co-lead does not dominate the meeting (yes) (no)
-The co-leads facilitate the CDM process and RIM (yes) (no)
Training / + Advanced training (e.g. business
literacy, coaching
skills, metrics) scheduled or
completed. (as needed)
+ Co-leads have
received UBT Tracker training. / Yes
No / 1) Co-Leads are attending the Co-Lead Support Meetings
2) In consultation with their sponsors, teams should determine which types of training are appropriate (trainings related to Performance Improvement and Learning and Development)
3) Co-Leads have received UBT Tracker training
4) It is expected that representative team members have completed Business Literacy training
Team Process / + Team meetings are
outcome-based; team
members are actively
participating in team meetings and
contributing to team progress and decision
making.
+ Co-leads moving from direction to facilitation. / Yes
No / 1) UBT meeting agendas have well formed outcomes listed on the agenda. (yes) (no)
2) Team discusses department goals and metrics during team meetings. (yes) (no)
3) Active participation:
- Team representatives provide input. (yes) (no)
-Problems and solutions are actively voiced by team representatives. (yes) (no)
(4) Co-leads are leading the meeting by:
-Asking open-ended questions that encourage feedback and engagement from team members. (yes) (no)
-Encouraging other UBT representatives to lead discussion on agenda topics. (yes) (no)
Team Member Engagement / + Team members
understand key performance metrics.
+ At least half of team
members can
articulate what the
team is improving and
what their contribution is. / Yes
No / 1) Department team members are able to articulate department goals and what is specifically being measured (ex. Attendance- reducing last min sick leave and total sick leave)
2) Team members are able to articulate that department is or is not achieving department goals and how they can influence the goals.
Use of Tools / + Team is able to use
RIM and has
completed two testing cycles. / Yes
No / 1) The team uses RIM
2) The team has completed two PDSA testing cycles for one project and documented test of change in the UBT tracker
3) Teams should have completed at least two testing cycles in the last 180 days
Goals and Performance / + Team has set
performance targets
and targets are
aligned with unit,
department, and regional priorities. / Yes
No / 1) The UBT goals align with the medical center strategic plan related to: Service, Quality, Finance, People, Access
2) Representative team members are able articulate specific performance targets (ex. Last min sick-leave target is: minimum 3 days, maximum 4 days)

UBT Name: ______Date Completed: ______

Management Co-Lead ______Labor Co-Lead ______

Team Sponsors ______, ______

Current Level: ______Projected Date to achieve level 3: ______

Completed & signed by Co-Leads & Sponsors:

Level 4

Dimension / Level 4 Operational UBT / Achieved by UBT? / Criteria / Actions Required for Dimensions with “No” to Move to Level 5 / “No” Create Action Plan
Sponsorship / + Sponsors visibly support teams
+ Minimal outside support needed / Yes
No / Visibly support means, at a minimum, monthly contact plus quarterly in-person visit.
Leadership / + Co-leads are held jointly accountable for
performance by sponsors and executive leadership / Yes
No / 1) Co-leads ensure that the UBT Tracker is updated with project information, including results and tests of change
2) UBT Co-leads are prepared to report to the LMP Council on the team’s performance
3) Sponsors review Path to Performance with Co-Leads
4) Trust has been built between co-leads to the extent that either co-lead can lead meetings in the other’s absence.
Training / + Advanced training (e.g. Facilitative
Leadership,
Breakthrough
Conversations)
+ Focus area-specific
training (e.g. patient safety or improvement tools to address human error-related issues)
As needed / Yes
No / In consultation with their sponsors, teams should determine which types of training are appropriate (trainings related to Performance Improvement and Learning and Development)
Team Process / + Co-leads jointly facilitate team meetings using outcome-focused agendas, effective meeting skills &
strategies to engage all
team members in
discussion & decision
making
+ Team makes use of daily huddles to reflect on tests and changes made
+ Team collects own data & reviews to see whether changes are helping improve performance / Yes
No / 1) Team members use huddles to communicate status of tests and changes made
2) Team has data collection methods and ensures that data is visible to department members (ex. use display of run-charts)
Team Member Engagement / + Unit performance data is discussed regularly
+ Large majority of team members are able to articulate what the team is improving and their contribution / Yes
No / 1) Department performance data is reviewed at least monthly in at least one or more department forums (staff meeting, huddles, representative UBT meetings, etc.)
2) Majority of the department team members are able to articulate UBTgoals and what is specifically being measured (ex. Attendance- reducing last min sick leave & total sick leave)
3) Majority of department team members are able to articulate that UBT is or is not achieving goals and how they can influence the goals
Use of Tools / + Team has completed
three or more testing
cycles, making more robust changes. (e.g., workflow improvement rather than training) / Yes
No / The team has completed at least three PDSA testing cycles attached to one project and has documented testing cycles in the UBT tracker
Teams should have completed at least three testing cycles or tests of change in the last 270 days.
Goals and Performance / + Team has achieved at least one target on a key performance metric / Yes
No / What key performance target did the team meet?
The team has monitored goal for sustainability (yes) (no)
The achieved goal is documented in UBT Tracker

UBT Name: ______Date Completed: ______

Management Co-Lead ______Labor Co-Lead ______

Team Sponsors ______, ______

Current level: ______Projected date to achieve level 4: ______

Completed & signed by Co-Leads & Sponsors:

Dimension
Level 5 / Level 5 High Performing UBT / Achieved by UBT? / Criteria / Actions Required to Maintain Level 5 Status / “No” Action Plan
Sponsorship / + Sponsors holding teams accountable for performance and
reporting results to senior leadership / Yes
No / 1) Visibly support means, at a minimum, monthly contact plus quarterly in-person visit.
2) UBT sponsors are able to articulate the status/projects of the team
3) UBT Co-leads are prepared to report to the LMP Council on the team’s performance. Sponsors help prepare the Co-lead for their report.
Leadership / + Team beginning to operate as a
“self-managed team” with most day-to-day decisions made by team members / Yes
No / 1) “Self-managed” team means, at a minimum, that trust has been built to such an extent that work/meetings can proceed in the absence of both co-leads
2) Leadership encourages team members to identify day-to-day issues or opportunities collaborate with department members to develop solutions (ex. dept member calls ad hoc huddle to discuss areas of opportunity, brainstorm solution(s) & implement tests-of-change or needed changes)
3) Formalized meeting process not required, while continuing to utilize LMP processes (CDM, RIM)
Training / +Focus area-specific training
+ Advanced performance
improvement training (e.g., deeper data analysis, control
charts, improvement methods via operational manager training)
As needed / Yes
No / 1) In consultation with their sponsors, teams should determine which types of training are appropriate (trainings related to Performance Improvement and Learning and Development)
2) Co-Leads have assessed the need to receive more advanced training including: Understanding Data Variation & Use of Run Charts, Basic Budgets, Understanding ROI
Team Process / + Team beginning to move from joint-management to self-management with most day-to-day decisions made by team
members
+ Unit culture allows team to respond to changes quickly
+ Team can move from first local project to next improvement project & can apply more robust changes
+ Team measures progress using annotated run charts / Yes
No / 1) Team members identify day-to-day issues or opportunities and collaborate with department members to develop solutions
2) Formalized meeting process not required, while continuing to utilize LMP processes(CDM, RIM)
3) Team is using annotated run charts
Team Member Engagement / + Team members able to connect unit performance to broader strategic goals of company
+ Full transparency of
information
+ Team is working on questions of staffing, scheduling, and
financial improvement / Yes
No / 1) Team members are able to articulate how unit performance goals (attendance, WPS, service, finance, etc.) connect to the FMC Integrated Goal Plan
2) All team performance data is available to all team members (visible displays, handouts, etc. available to team members)
3) At least one team project is related to staffing, scheduling and/or financial improvement
Use of Tools / + Team using advanced
Performance improvement
training
+ Team can move from initial project to next improvement
effort, applying deeper data and improvement methods / Yes
No / Team uses advanced PI Tools: process maps, fishbone diagram, run charts, control charts, voice of the customer
Goals and Performance / + Team is achieving targets and sustaining performance on
multiple measures / Yes
No / Team achieved targets in two or more areas maintained targets for at least 3 consecutive months

UBT Name: ______Date Completed: ______UBT Level ______

Management Co-Lead ______Labor Co-Lead ______Management Sponsor______Labor Sponsor______