Team Coordination Research Articles

Use of a community care coordination team to reduce emergency department utilization and hospital readmissions for the highest utilizers.

A small percentage of patients comprise a high proportion of healthcare utilization, particularly the costs associated with Emergency Department (ED) visits and inpatient hospitalization readmissions. The purpose of this study was to demonstrate a decrease in ED utilization and hospital readmissions in a selected group of super-utilizers post-intervention by a Community Care Coordination (CCC) team and to determine cost avoidance. This was a retrospective chart analysis of selected super-utilizers enrolled in our CCC program. Each patient served as their own historical control to compare utilization rates, and a cost-benefit analysis was performed. A total of 368 patients participated in the CCC program during the specified time period. We found a significant reduction in ED visits and hospital admissions post-enrollment. The cost-benefit analysis showed an overall cost avoidance of $2,508,899.40, which is a 46 % cost reduction. Our study demonstrates a reduction in healthcare utilization and provides critical information to fix the significant, national burden that ED super-utilizers impose on the healthcare system. This program aligns well with the osteopathic principles of the whole-person approach, emphasizing prevention and wellness and prioritizing dignity in healthcare.

Updates in Non-Operating Room Anesthesia.

With an increase in the number and complexity of procedures in nonoperating room anesthesia (NORA) locations, navigating the landscape of planning, scheduling, workflow, and patient and clinician safety adds to the challenges of NORA space, requiring coordination of multiple teams and regulatory platforms. With the constant increase in cases performed in the NORA space, expected to reach 50% of all anesthetics in the next decade, significant strides must be made in assuring patients' and clinicians' safety. New procedures have been developed and approved in all procedural areas, and anesthesiologists are leading the charge in getting all stakeholders together. Anesthesia departments face increased demand for those services, so establishing a NORA leadership to collaborate and coordinate the efforts is very important. The review summarizes new developments in different procedural areas and their anesthetic management, and new recommendations by the American Society of Anesthesiology and Anesthesia Patient Safety Foundation for the safe conduct of anesthesia in the NORA space.

Effectiveness of Implementation Teams in Enforcing Minimum Service Standards Policies in Provinces and Regencies/Cities Across Papua

Basic mandatory affairs or better known as Minimum Service Standards are the Government's efforts in realizing community welfare through service indicators that have been determined through policy regulations, namely Education, Health, Public Works, Public Housing, Trantibumlinmas and Social. However, there are still problems in the implementation of the policy because the policy implementing actors are still not optimal in the implementation of coordination which should be represented in the SPM implementation team which is legalized through a Regional Head Decree. Tanah Papua is an object of discussion in the effectiveness of the coordination team because there are still many provinces and districts/cities that have not formed SPM implementation teams, which can be a potential problem in implementing SPM in Tanah Papua. Transaction cost theory analysis is the basis of the research, supported by opinions from Provincial and District/City stakeholders according to factual conditions in Papua. The result of this policy paper is that a strong coordination commitment and reduced sectoral ego will optimally reduce transaction costs in SPM implementation, although transaction costs in coordination cannot be eliminated but can be reduced. The policy recommendations in this paper are that Regional Heads, Deputy Regional Heads and Regional Secretaries as well as Heads of Regional Apparatus Organizations who are members of the SPM implementation team in Papua can formulate SPM policies for the people in their areas.

Statistics on Small Networks in Construction Design Offices

This study explores communication structures in construction design offices using social network analysis (SNA) to compare directed and undirected networks. The objective is to understand how these network types influence hierarchy, information flow, and collaboration within small design teams. Data were collected from nine construction design offices, constructing both directed and undirected networks based on survey responses. Various graph theory metrics, including clustering coefficient, network diameter, centrality, and connectivity, were analyzed to assess communication efficiency. The results show that directed networks emphasize hierarchical structures with limited reciprocal exchanges, while undirected networks confirm mutual interactions, fostering collaboration. Despite variations in size, most networks exhibit small-world properties, indicating that key individuals act as bridges, ensuring effective communication. These findings highlight that network structure, rather than size, plays a crucial role in team coordination. This study contributes to Architecture, Engineering, and Construction (AEC) research by providing insights into optimizing team dynamics, balancing hierarchical control with flexible collaboration, and improving project management strategies. Doi: 10.28991/CEJ-2025-011-03-02 Full Text: PDF

Developing future teachers’ working skills in a cohesive pedagogical team at school

Introduction. Professional development of cohesive pedagogical teams is becoming an important aspect of modern school management which is supposed to prepare the new generation for environmental, technological and social changes and challenges. Pedagogical education should be transformed to meet these requirements and form due skills demanded on students – future teachers, including skills of working in a collective body, in a team. Developing skills of working in a cohesive pedagogical team is actualised in future teachers’ training. The skill of working in a school team ensures the effectiveness of the teacher’s activity as a representative of a cohesive team. The application of new technologies for the development of working skills in a cohesive pedagogical team is the key to efficient training of future teachers and their professional creativity. The aim of the work is to elaborate on the technology of developing future teachers’ working skills to be applied in a cohesive pedagogical team at school and its approbation. Materials and methods. A total of 468 students of the State University of Education (Russian Federation) mastering the profile “Pedagogical education” took part in the experimental survey. To evaluate the effectiveness of the technology for developing future teachers’ skills of working in a cohesive school team, the authors used the integrative methodology of O’Neill et al., M. Havenga et al., M. Thurlings et al., A.M. Nejad et al. in the form of an evaluation matrix and A.N. Lutoshkin’s methodology “What kind of team we have”. Mann-Whitney U test was used for statistical analysis of the results. KEYWORDS Results. The technology of developing due skills of future teachers’ work in a cohesive pedagogical team includes: joint goal setting, prioritisation of tasks, setting the work team composition; intensification of team tasks; monitoring, evaluation and teamwork reflection. The effectiveness of the developed technology was confirmed experimentally (Uemp= 564.5; p≤0.01). Conclusion. The novelty of the study lies in the development of a strategy, technological stages and diagnostic tools for assessing the development of future teachers’ skills of working in a cohesive school teaching team, as well as in identifying the skills necessary for successful work in a cohesive school teaching team (conflict management, role distribution, strategy and planning, team monitoring, goal achievement and coordination of efforts, contribution and trust, constructive interaction, etc.).

Practices and perceptions in hamstring training for injury risk mitigation: A survey-based mixed-methods analysis

In this study, the practices and perceptions of sport and exercise practitioners regarding hamstring training for injury risk mitigation were investigated. Hamstring strain injuries (HSIs) remain a prevalent issue across sports, despite extensive research. An anonymous survey was conducted to assess how practitioners integrate evidence-based strategies, such as the Nordic hamstring exercise (NHE) and high-speed running (HSR), into their training programmes. The survey included both fixed-response and open-ended questions, enabling a mixed-methods analysis of training approaches. A total of 47 practitioners responded, revealing that most incorporate the NHE and HSR into both in-season and off-season training. However, there were notable differences in volume, with higher HSR distances and NHE volumes programmed in the off-season. Despite widespread adoption of the NHE, practitioners indicated that the volumes of NHE used are still likely higher than the smallest effective dosages reported in the literature. Thematic analyses highlighted several key challenges practitioners face, including athlete compliance with training programmes, multi-disciplinary team coordination, and time limitations. Practitioners emphasised the importance of exposing athletes to maximal running efforts to reduce HSI risk, while also integrating strength training exercises that target the hamstrings. The study serves to highlight a need for further improvements in communication among teams and better athlete education which could enhance the effectiveness of hamstring training programmes. Additionally, the findings of the current study indicate a need for future studies that explore the combined effects of resistance training and HSR, as well as how scientific recommendations can be more effectively implemented in practical settings.

Based on the New Era of Financial Accounting Transformation Strategy Research

As China's market economy has developed, there has been a notable shift in the nature of industrial competition, with an increasing number of cases moving from the blue ocean to the red ocean market. In order to survive in the harsh environment, enterprises must adopt an innovative approach and adopt a more beneficial management attitude. This will improve the internal management level of enterprises and enhance team coordination ability. This is an important issue for many enterprises in the current context. The manner in which ideas are conceptualised will determine the most appropriate course of action. In order to enhance the internal management level of the enterprise and the ability of team coordination, the financial department has undergone a transformation from a traditional supervisory and accounting department to a partner of the business department, a core management function within the enterprise, and a catalyst for improved team coordination. In order to achieve this strategic objective, it is necessary for a number of parties to work together. This paper examines the circumstances and potential solutions for achieving this goal from multiple perspectives, and proposes six core competencies that an effective enterprise management accounting system should possess. Furthermore, the government is encouraged to prioritise the training of management accounting and establish a professional title system for the evaluation of management accounting proficiency. While opinions on the optimal training methodology for management accounting in higher education institutions vary, the necessity for innovative training approaches remains a crucial topic. To optimise the financial accounting management mode, a collaborative approach is essential, engaging all relevant stakeholders.

A research on the regulatory human resource allocation efficiency under the random examination system

ABSTRACT The traditional view is that the more regulatory staff is, the stronger regulatory enforcement is, and the better regulatory effect is. However, from the perspective of team coordination, the more regulatory staff is, the higher the regulatory team coordination cost is, and the worse regulatory effect is. Based on the CSRC’s random examination system, it is found that under this system, corporate financial misreporting decreases firstly and then increases with the increase of on-site examiners. Mechanism tests indicate that this result is more significant when the regulatory team coordination cost is higher, such as the time team members having worked together is shorter, team diversity is higher, or team members are busier. It is also found that auditors nonlinearly adjust their audit fees according to the change of regulatory pressure. The above results suggest that the regulatory team coordination cost does influence the regulatory human resource allocation efficiency.

Nurse-community health mediator pairs: a promising model for promoting the health of populations in remote areas of the French Amazon.

Multicultural Amazonian populations in remote areas of French Guiana face challenges in accessing healthcare and preventive measures. They are geographically and administratively isolated. Health mediation serves as an interface between vulnerable people and the professionals involved in their care. This approach aims to improve the health of Amazonian populations by addressing their unique challenges, including social and health vulnerabilities, as well as language and cultural barriers. A Mobile Public Health Team (MPHT) relying on health mediation was created in 2019. Comprising six nurse-community-health mediator pairs who receive ongoing specialised training, along with a coordination team of one physician and two public health nurses, the MPHT is connected to the 17 Prevention and Care Remote Centres across the territory. This article presents a community case study of the MPHT of the remote areas in French Guiana and the description of the activities of this health promotion programme in the context of the COVID-19 pandemic in 2021. The MPHT carried out health promotion initiatives, often in collaboration with partners, focusing on health priorities of the Amazonian territories. The interventions were co-designed with community leaders and local populations to ensure relevance and effectiveness. In response to the COVID-19 pandemic, the MPHT reached over 6,000 individuals in addition to more than 3,000 participants in a water, hygiene and sanitation education programme. The team performed 83 health promotion interventions on eight different topics, including 28 in the general population (922 people reached) and 55 in schools (n = 930). The MPHT produced 20 communication tools, which were adapted and translated into eight languages. The team also participated in managing six simultaneous epidemic events, including malaria, diphtheria, and tuberculosis. This study highlights how the combined expertise of healthcare professionals and the mediation skills of community health workers effectively addressed the specific health needs of the multicultural Amazonian populations. This model for addressing social and health inequities should encourage institutional recognition of the community health mediator model.

Health Information Exchange Implications for School Nursing: An Integrative Review.

School nurses coordinate care for school-age children with various chronic diseases but rarely are included in access to electronic health records or health information exchanges. This integrative review aimed to obtain evidence-based information on health information exchange (HIE) and health information exchange organizations (HIOs) in the United States and the implications for school nurses. The review found no instances in the published literature of school nurses' access to an HIE through a regional or non-vendor-based HIO. Information from the review was mapped to the four National Association of School Nursing School Nurse Practice FrameworkTM principles to provide knowledge on the importance of incorporating HIE in school-based healthcare. These results highlight a gap in identifying the school nurse as an essential use case for regional or national HIOs in care coordination for school-age children. School nurses can learn about HIE, advocate for their access to HIOs, and acknowledge their importance in the care coordination team.

Crisis Navigation: the Power of GPS and Autonomous Systems in Disaster Rescue

In the face of escalating natural disasters and global emergencies, efficient and timely rescue operations have become critical. This review explores the integration of GPS technology and autonomous systems as pivotal tools in enhancing disaster rescue efforts. GPS provides precise geolocation and navigation capabilities, enabling real-time tracking and coordination of rescue teams, while autonomous machines—including drones, robots, and unmanned vehicles—support search, rescue, and resource delivery in hazardous environments. By analyzing recent advancements, this paper highlights the synergistic potential of these technologies in overcoming challenges such as accessibility, communication gaps, and operational delays in disaster scenarios. The combined use of GPS and autonomous systems marks a significant step toward smarter, faster, and safer disaster rescue operations, paving the way for future innovations in the field.

Navigating the Cloud: Analysis of Product Deployment Timeline on Cloud Infrastructure for E-Commerce: A Case Study at Company X

This study seeks to analyze the factors affecting the efficiency of product launch timelines within the cloud infrastructure at Company X, which operates in the e-commerce sector. The primary issue identified is the prolonged product launch process, attributed to technical and operational challenges as well as inadequate team coordination. A review of the literature suggests that process automation through tools such as Terraform and Jenkins could enhance launch efficiency. This research utilizes a qualitative approach with thematic analysis to investigate various obstacles, including application compatibility issues, configuration errors, skills deficiencies within the team, and reliance on manual processes.The findings indicate that automation has the potential to reduce launch times by up to 50%, thereby significantly enhancing overall work efficiency. Nevertheless, challenges such as insufficient team training in automation tools and weak interdepartmental coordination were also noted. Recommendations include the implementation of comprehensive automation strategies, the development of training programs to improve team competencies, and the adoption of more effective cost management practices. This study contributes empirical insights within the e-commerce context and presents practical solutions aimed at improving product launch efficiency in cloud infrastructure.

The effect of electromyostimulation training on recovery and athlete performance in the sport of volleyball: a review of recent literature

Introduction: Electromyostimulation (EMS) training has become a popular method to improve muscle strength and speed up athletes' recovery, especially in the sport of volleyball. However, although many studies support the effectiveness of EMS in individual athletes, its application in volleyball sport, is still not widely researched. Objective: This study aimed to evaluate the effects of EMS on muscle recovery and specific performance in the sport of volleyball. Methodology: The research sought to identify potential benefits and challenges in integrating EMS into volleyball training programmes to maximise overall team performance. The research method involved a comprehensive literature review, with reference to articles published in databases such as PubMed and Scopus. The literature search followed PRISMA guidelines, and only articles relevant to the topic of EMS in volleyball sport were considered. Of the total 220 publications found, only five articles met all inclusion criteria and were further analysed. Results: The results showed that EMS can significantly improve muscle strength and accelerate recovery after intense training, especially in explosive movements such as jumping and change of direction. Discussion: The study also showed that combining EMS with functional training can improve VO2max capacity, muscle strength and physical endurance. However, the application of EMS in the sport of volleyball requires customisation to ensure that it does not disrupt team dynamics and coordination. Conclusions: EMS has the potential to be an effective tool in improving athlete performance and muscle recovery in volleyball sports. However, further research is needed to understand how EMS can be optimally integrated into team training programmes without disrupting team balance. Future research should also evaluate the long-term impact of EMS on team athlete performance.

Implementation of Poverty Reduction Policies in the Province of North Sulawesi

The purpose of the research was to find out, analyze and describe the coordination function mechanism in the Poverty Reduction Coordination Team (TKPK) of North Sulawesi Province in accelerating poverty alleviation in North Sulawesi and the determinant factors. This research used descriptive qualitative research methods. Data collection techniques used by researchers are observation, interviews and document studies. The informants in this study amounted to 16 people who were determined by purposive sampling technique. The indicators used in the coordination function mechanism are Organizational Structure, Coordination Process, Stakeholder Involvement, Program Implementation, and Monitoring and Evaluation. Meanwhile, the indicator for the determinant factor is Funding. The results showed that 1) The implementation mechanism of the poverty reduction coordination policy in North Sulawesi Province has not run optimally. Inappropriate program implementation was caused by the organizational structure, the involvement of relevant stakeholders, and the coordination process between team members that was not well established. Ineffective monitoring and evaluation resulted in obstacles that could not be anticipated and overcome; 2) Funding is one of the inhibiting factors in the implementation of poverty reduction coordination policies in North Sulawesi Province. There is a limited budget as a support system for the implementation of tasks that are not budgeted in the North Sulawesi Province Regional Budget (APBD).

Demographic Characteristics and Relational Coordination in ICU Teams: Implications for Building Diverse and Effective Healthcare Collaboration.

To determine if professional roles and demographic characteristics predict relational coordination (RC) among healthcare professionals in the ICU. Race, age, and sex diversity are increasing in the medical and nursing workforce, raising questions regarding how well healthcare professionals are collaborating. RC is a validated model for coordinating interdependent work among healthcare professionals. The research team conducted a secondary analysis from a 2-group parallel randomized controlled trial. Study variables were examined using multiple regression. One hundred two participants completed the survey. Professional role, race, age, and experience were not associated with RC. Sex and education were significantly associated with RC. Males and participants with bachelor's degrees reported higher RC within roles. Diverse and inclusive work environments are critical to patient and staff outcomes. Nurse leaders can use RC to foster teamwork and coordinate patient care among healthcare professionals, despite demographic characteristics and professional roles.

Analysis of implementation factors in the application of building information modeling (BIM) in construction projects: Enhancing disaster preparedness

Background: Building Information Modeling (BIM) technology is game-changing in the AEC industry. BIM can significantly improve team coordination, construction productivity, project performance, and profits. The conventional construction process, where there are often conflicts between stakeholders regarding the workflow in a job, will change with the application of BIM in construction projects. In the construction sector in Indonesia, the knowledge and experience of construction service provider companies (consultants and contractors) in Indonesia needs to be studied and documented academically to enrich the body of knowledge of BIM implementation. Methods: The data used in this study are primary data obtained through questionnaires. The data used in this study are quantitative data processed using the Partial Least Square (PLS) method with SmartPLS 4.0 software. Conclusion: From the results of this study, it is concluded that the implementation factor has a significant influence on Building Information Modeling (BIM). Based on the outer model analysis of the SmartPLS 4.0 software, it is found that the greatest influence of the implementation factor relationship on Building Information Modeling (BIM) is 0.757 or it can be said that it is 75.7%. Novelty/Originality of this article: This study provides a unique contribution by focusing on the implementation of Building Information Modeling (BIM) in the Indonesian construction sector, particularly through the lens of construction service providers' knowledge and experience, using a robust quantitative approach with SmartPLS 4.0 to analyze the influence of implementation factors on BIM adoption.

A service ecosystems perspective to explore social prescribing value co-creation for vulnerable young people in NEET situation

BackgroundSocial prescribing inherently embodies a co-productive nature, particularly within the ‘holistic’ model facilitated by the pivotal role of Link Workers. Most attention is focused on collecting evidence about the micro-level relationship between Link Workers and their clients. However, little is known about how this co-productive relationship influences or is influenced by value co-creation at different levels, given the involvement of multiple actors in delivering the intervention. To advance research on the operational processes underlying social prescribing, we propose a conceptual framework utilizing the Service Ecosystems perspective to investigate the application of social prescribing with young people in NEET situations in Italy.MethodsA single case study was conducted as part of the European C.O.P.E. (Capabilities, Opportunities, Places, and Engagement) initiative, examining the implementation of social prescribing targeting young NEETs (Not in Education, Employment, or Training) in Italy. Semi-structured interviews were conducted with 27 participants, including six members of the C.O.P.E. coordination team, six Link Workers, and 15 young people aged 15–34 years.ResultsFindings are presented showing the ecosystem dynamics at each intervention phase: the referral process, co-production of an individualized action plan, and connection with and activation of community assets.DiscussionThis research illustrates how social prescribing is not a linear path but rather a complex intervention with multiple interacting elements across ecosystem layers. The dyadic relationship between Link Workers and clients operates within broader care services, fostering continuity of care. The service ecosystem perspective offers a valuable framework for examining the dynamic interactions between actors and understanding how their resource integration processes and institutional arrangements foster the emergence of opportunities to support an invisible and hard-to-reach target group, such as young people in NEET situations.

Structuring organization architecture: towards a better understanding of distributed projects as an interplay between coordination and agility

The distributed project architecture is based on the coordination process by structuring activities and virtual teams. This architecture approaches the agile organization through sensitivity and organizational sustainability via the Task-Technology fit to construct a virtual product development organization. The design structure matrix is used to model the commitment of teams’ projects under trust for assessing coordination and communication in virtual project teams. An illustrative example from the Huawei project is provided to verify the proposed model. Results indicate that common expertise drives two-way communication among teams, and trust and commitment are the main sources of increasing the window of overlap and so the communication frequency. Task-technology fit is critical to increase the communication among virtual teams to strengthen their coordination. They also demonstrate that organizational agility reflects an efficient approach to encounter the product development project challenges such as geographical dispersion, time zone and cultural differences, project quality and duration.

Technostress, technosuffering, and relational strain: a multi-method qualitative study of how remote and digital work affects staff in UK general practice.

The introduction of remote and digital forms of working in UK general practice has driven the development of new routines and working styles. To explore and theorise how new forms of work have affected general practice staff. Multi-sited, qualitative case study in UK general practice. Using longitudinal ethnography by researchers in residence, we followed 12 practices for 28 months (September 2021 to December 2023). This core dataset was supplemented by workshops and stakeholder interviews. Data analysis applied theories from the sociology of work, organisation studies, and internet studies. Staff made significant efforts to adapt to and embed digital services into their work. When technologies work well they can offer improved convenience, efficiency, more comprehensive patient care, and workplace fulfilment for staff. However, for many clinical and administrative staff, compromises and frictions embedded in digitalised workplace routines and processes could also lead to job dissatisfaction, worsened wellbeing, and misalignments with professional values and identities. We found that this workplace suffering caused relational strain between team members and had an impact on team cohesiveness and coordination. The digitalisation of working routines in UK general practice poses a unique challenge to the workforce, risking technostress, workplace suffering, and increased relational strain within and between teams. To embed the benefits of digitalisation, we must first improve practice teams' readiness for change, which includes strengthening practices' relational structures that provide support during periods of adaptation. Practices must be empowered to determine a locally appropriate configuration of digital tools and given the resources and time to adapt working routines.

Cognition-Oriented Multiagent Reinforcement Learning.

Inspired by psychological insights into individual behavior, we propose a novel cognition-oriented multiagent reinforcement learning (CORL) framework. CORL equips agents with two distinct types of cognition-situational and self-cognition-derived from local observations. To enhance the informativeness and precision of these cognition types, we introduce two information-theoretical regularizers: one to align situational cognition with the global state and the other to align self-cognition with each agent's identity for improved role differentiation and team coordination. In addition, the centralized training and decentralized execution framework is adopted to train the policy network. Our simulations demonstrate that CORL effectively harnesses local observations for enriched cooperation, leading to pronounced performance improvements, particularly in challenging tasks.