Team Coaching Program

Helping teams to achieve improvements that they have only imagined

The Team Coaching Program is grounded in multiple disciplines, theories, and original research focused on cultivating improvement and group dynamic capabilities at the front line of health care. These skills contribute to value, safety, and quality of care, especially during times of uncertainty and challenge.  The discipline of team coaching builds on Edgar Schein’s wisdom in “helping” rather than “telling” what to do. Engaging in dialogue based on curiosity and humble inquiry to develop supportive relationships, explore new possibilities, innovate, and assess desired improvements is core to the program.

The Team Coaching Program is an intensive, dynamic, and highly interactive 6-part series that offers a unique curriculum that blends the art and science of team coaching,  improvement science including measurement and effective communication and team-building knowledge and skills. The applied theory of team coaching comes to life with the coach learning to help individual team members successfully work together to achieve their improvement goals. This program provides the overview and the individual components of the three phases of "The Team Coaching Model.”  Each participant will benefit from group and one on one learning with an assigned faculty member.

Coaches in Training (CITs) in this program will learn:

  • Fundamentals in applied clinical microsystem theory and practice.
  • A structured organized process (The Team Coaching Model) for coaching interprofessional teams who are working to improve healthcare, communication, relationships, and team dynamics.
  • Team coaching skills and capabilities to advance leadership.
  • An individualized coaching plan for personal and professional development as a team coach.

Who should take this course?

Anyone interested in helping and coaching improvement teams including:

  • Coaches of teams
  • Improvement team leaders or facilitators
  • Leaders/managers at all levels
  • Patients and Families
  • Quality Improvement staff

Enrolled participants are required to have an improvement team or other interprofessional team to practice the team coaching skills and knowledge continuously throughout Team Coaching program. Advanced identification of the team members and sharing the Team Coaching timeline with them is helpful preparation. You will coach the team every week for 60 minutes or at a minimum every other week for 90 minutes.



Margie Godfrey, PHD, MS, BSN, FAAN

Randy Messier, MT, MSA, PCMH CCE 

Elizabeth Godfrey MSN, RN, SCRN

Margie Godfrey is Founder and Executive Director of the Institute for Excellence in Health and Social Systems (IEHSS) at the University of New Hampshire College of Health and Human Services as well as a Research Professor in the Department of Nursing. Margie is a national and international leader, designing and implementing improvement strategies targeting the place where patients, families, and care teams meet the clinical microsystem. Her primary interest is engaging interprofessional health care professionals in learning about and improving local health care delivery systems with a focus on patients, professionals, processes, and outcomes. Margie is co-author of the bestselling textbooks, Quality by Design (2007), Quality by Design 2nd Edition (In press) and Value By Design (2011), and the lead author and architect of the Clinical Microsystems: A Path to Healthcare Excellence series and

Randy Messier is Director of Team Coaching at the Institute for Excellence in Health and Social Systems (IEHSS) at the University of New Hampshire College of Health and Human Services. He is a Clinical Microsystem Coach (Level 3), teacher, and consultant, helping coaches, leaders, and interdisciplinary teams improve the value and quality of systems of care. Randy coaches organizations to increase awareness and knowledge about their own cultures through interdisciplinary leadership teams and engaged front line teams. He has over 30 years of experience in all aspects of health care from laboratory, hospital facility-based management, outpatient primary care clinic management, behavioral health integration, and national organizations such as the Cystic Fibrosis Foundation.  Randy is a Certified Content Expert on the National Committee for Quality Assurance Medical Home.  Randy is a member of the Advisory Committee in the Medical Laboratory Sciences program at the University of Vermont.

Elizabeth Godfrey is Senior Program Manager at the Institute for Excellence in Health and Social Systems (IEHSS) at the University of New Hampshire College of Health and Human Services. She is a Clinical Microsystem Coach (Level 3). In her role as Quality Team Coach at the Cystic Fibrosis Foundation Learning and Leadership Collaborative, she helps interprofessional improvement teams, including patients and families, to improve outcomes for people with Cystic Fibrosis. Elizabeth works with teams to build local and national learning collaboratives, assess local contexts, and enhance measurement tracking. She has extensive experience managing front line teams as a nurse manager at The Johns Hopkins Hospital in Baltimore and also other nursing leadership positions at Jackson and Baptist Health Systems in Miami. Elizabeth has an MSN from Florida Atlantic University and is currently pursuing a DNP from the University of Central Florida.

Past Participants Say...

I now see coaching as helping the team to understand their microsystem, determine what’s important for patients, families, and staff and figure out how to bring excellence to their unit. Ownership and accountability for the outcomes of the unit lie with the members of the microsystem and the coach’s role is to support them towards independently being able to continuously improve.

— Past Participant

Course Materials

Required Books (to be purchased by the participant)

Nelson, E., Batalden, P., Godfrey, M. Quality by Design, San Francisco, CA: Jossey-Bass, 2007.
Nelson, E., Batalden, P., Godfrey, M., Lazar, J. Value by Design, San Francisco, CA: Jossey-Bass, 2011.
Scholtes, P.R., Joiner, B.L., Streibel, B.J. The Team Handbook, Methuen, MA: Goal/QPC, 2018.
Schein, E. Helping, San Francisco, CA: Berrett-Koehler Publishers, Inc., 2009.
Schein, E. Humble Inquiry, San Francisco, CA: Berrett-Koehler Publishers, Inc., 2013.
Schein, E. Humble Consulting, San Francisco, CA: Berrett-Koehler Publishers, Inc., 2016.
Senge, P., Kleiner, A., Roberts, C., Ross, R., Smith, B. The Fifth Discipline Fieldbook, New York, NY: Doubleday, 1994.
Provost, L., Murray, S. The Health Care Data Guide, San Francisco, CA: Jossey-Bass, 2011.
Buckingham, M., Harter, J, Gallup. First Break All The Rules, New York, NY: Simon & Schuster, 1999.

Suggested Books

Batalden, P., Daley, J., Deyo, R., Edwards, W., Headrick, L., Holmboe, E., Kaplan, G., Kerrigan, C., Krumholz, H., Lee, T., Margolis, P., Meyer, G., Pryor, D., Swensen, S. Lessons Learned in Changing Healthcare, Toronto, ON: Longwoods Publishing Corporation, 2010.
Stone, D., Patton, B., Heen, S. Difficult Conversations, New York, NY: Penguin Group, 2010.
Fisher, R. Getting to Yes, New York, NY: Penguin Group, 2011.
Ston, D., Heen, S. Thanks for the Feedback, New York, NY: Penguin Books, 2015.
Clifton, J., Harter, J. It's the Manager, New York, NY: Gallup, 2019.


Participants are expected to have access to a personal computer, updated software, and reliable internet access. Online learning sessions are conducted via ZOOM, and participants are strongly encouraged to use a web camera during all online learning sessions. Participants will have access to course materials and upload assignments via a learning management platform such as Canvas.


Course and Coach QI Toolkit - $2,900 (plus books and applicable fees)

Books (to be purchased by the participant) - Around $350

If a group of 3 or larger from your organization is attending, please contact to discuss discounts.

Spring 2021 course is all virtual - no travel expenses will be incurred

Spring 2021 Length and Dates

The Team Coaching Program consists of six virtual sessions over five months (four 3.5 hour sessions, one special measurement session, and one intensive three-day session). This intensive session is typically held in-person, but we have adapted them to take place virtually. 

(REGISTRATION DEADLINE: 5:00 pm ET on January 15, 2020)

Session #1: Pre Phase (Virtual)

Thursday, February 11, 2021 - 10 am-1:30 pm ET

Aim: Intro to series and microsystem, develop effective meeting skills, assessing the 5Ps in Pre Phase

Content/Topics: Overview of Team Coaching Program, Effective Meeting Skills, Assessing the 5Ps in Pre Phase

Session #2: Pre Phase and Action Phase Intensive (Virtual)

Monday, March 1, 2021 - 9 am-Noon and 1:30-5 pm ET

Tuesday, March 2, 2021 - 9 am-Noon and 1:30-5 pm ET

Wednesday, March 3, 2021 - 9 am-Noon and 1:30-5 pm ET

Aim: Coaches-in-training (CITs) continue developing improvement and coaching skills to support interprofessional microsystem development.  Exercises are completed to practice coaching teams to adapt and apply the Dartmouth Microsystem Improvement Curriculum including measurement.

Content/Topics: Team Coaching Model, Active Listening, reflection, empathic communication, proactive conflict management, mental models of change, managing resistance managing up in organizations-M3, effective meeting skills, 5Ps, global & specific aim, fishbones, flowcharts, measurement.

Session #3: Pre Phase and Action Phase (Virtual)

Thursday, April 1, 2021 - 10 am-1:30 pm ET

Aim: CITs continue to learn and implement new skills, continue measurement/data collection

Content/Topics: Helping discussion, Run charts.  Coaching a positive culture.  Reflecting together to share and learn together about team coaching experience in own setting.

Session #4: Action Phase (Virtual)

Thursday, May 6, 2021 - 10 am - 1:30 pm ET

Aim: Sharing Team Coaching Program knowledge with leaders/organizations.

Content/Topics: Compare & Contrast of Team Coaching Experience

Special Session with a Focus on Measurement (Virtual)

Thursday, May 13, 2021 - 12 - 1 pm ET

Session #5: Transition Phase (Virtual)

Thursday, June 3, 2021 - 10 am - 1:30 pm ET

Aim: CITs develop transition tools, playbooks, evaluations, data sharing, and celebration.

Content/Topics: Review Team Coaching Model, PDSA-SDSA, Playbooks, Final Deliverables, How to welcome New Members and keep the improvement team vibrant, Virtual Coaching, Compare & Contrast of Team Coaching Experience.

Final Deliverables Due

Monday, June 21, 2021


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