Team-Based Care Pathway Stage 2

Team Building

In this stage, your team is preparing to work together, and will need to work on things like building trust, establishing a team vision, communication and roles/responsibilities. Setting aside time to connect as a team will support team cohesion, shared understanding and trust.

Unsure where to begin? The Team Effectiveness Tool can help you determine what steps you and your team may need to take together.

What is our shared purpose?

The Teamwork Agreement and the Shared Purpose Facilitation Guide can be helpful tools for teams to set a foundation for how to work together. Co-creating a shared vision that is based on values, trust and respect should be conducted early, should include all team members, and can be built upon over time.

Moving to a team-based approach involves a shift in culture, or “the way we do things.” As teams explore new ways of working together, the Culture Change Toolbox can support how you might approach this, together.

How will we work together towards our shared goals?

When all members understand their own role, and the roles of others, they can begin to work on improving processes and optimizing patient care. Often, several members of the team can perform similar roles, so building trust and using effective communication is important. Stay curious, and seek to learn from others on your team!

How will our team establish a way to connect regularly?

Did we mention the importance of team communication? In high-functioning teams, communication takes a variety of forms and is conducted regularly to build trust, understanding and cohesion. When in doubt, make communication your focus in the early stages! Relationships are the foundation of optimal teamwork.

How can we learn about your team members’ roles and scope?

By participating in activities like huddles, care conferences, team mapping and even joint visits with other team members, role understanding and optimization will begin to occur as teams create a collaborative environment to work in.

  • Not sure where to start? Ask questions, shadow team members, and read about various primary care roles here.
  • Spending time with other team members, including administrative and non-clinical staff, can support role optimization and clarity, which can result in increased efficiency and job satisfaction.
  • Review the Creating Patient Centred Team Based Primary Care white paper to learn more about implementing patient-centred care principles and practical strategies.
  • Remember that the patient is also part of the team, so include them whenever you can! The Patient Voices Network has a wide variety of resources available.

For additional supports for your TBC journey see:

As always, if you know of a great resource or tool that should be added to this pathway or the website, please contact us at

Even for well-established teams, it can be useful to revisit things like vision and purpose, and consider elements like team complement and efficient space design. Communication is an essential element to effective, high-quality team-based care, so finding time to work on this is key! Investing in time to huddle, connect and communicate will pay off in the long run for your patients, and your practice. Finally, the most important aspect of team-based care is the patient. Remember to place the patient at the centre of the team, and ensure that cultural safety and humility are guiding your practice. We wish you all the best in your TBC journey!