Apply to have your team coached Question Title * 1. Please enter your microsystem details - Name of Microsystem Lead Name Location Email Telephone Question Title * 2. Is your team a clinical microsystem? (Defined as a multidisciplinary team of professionals that come together to treat a patient in a defined place or pathway) Yes No Question Title * 3. If your answer to Q1 is 'No', can your team be described as a supporting microsystem i.e. a team with a defined customer that provides essential support to allow the clinical microsystems within the healthcare system to function? Yes No Not Applicable Question Title * 4. Please describe the microsystem that will be involved in this work i.e. the people involved, the practice area Question Title * 5. Have you discussed the possibility of doing microsystem quality improvement work with the team? Yes No If no please specify how you plan to do this. Question Title * 6. If so did the team respond positively to the prospect of doing this improvement work? Yes No If no please describe and indicate if the MCA could help with this Question Title * 7. Microsystem Improvement requires around 1-2 hours a week for microsystem multi-disciplinary team meetings with another 1-2 hours for team members to collate and analyse data collected.Can this time be built into the routine of the microsystem? Yes No Please describe what has been agreed with the team Question Title * 8. Have you any further questions or comments regarding microsystem improvement and the MCA? Done
