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Restructured care team design. Managing the trade-off between cost and performance.

The trade-off between team performance and cost-effectiveness is pivotal to identifying care teams that have the best odds for success in a newly restructured environment. Use the framework to picture how those teams might operate. Think about how they may share work or work side-by-side. Use the team performance characteristics as a guide, but don't be afraid to overrule them. By clearly communicating to the organization how each dimension of performance and cost-effectiveness can be used to identify the best teams, you can allay some of the fears and concerns staff may be feeling. Similarly, if administration, using the same criteria, recognizes that every effort has been made to maximize care and minimize expense, their concerns will be met. Both groups can then complete the job of creating effective care team designs.