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 in curiosity using 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 the 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.


Contact us at

Fall 2020


Margie Godfrey, PHD, MS, BSN, FAAN

Randy Messier, MT, MSA, PCMH CCE 

Elizabeth Godfrey MSN, RN, SCRN

Margie Godfrey is a national and international leader, designing and implementing improvement strategies targeting the place where patients, families, and care teams meet the clinical microsystem. Margie’s 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 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.

Testimonials for Past Participants

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.

— eCTC 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.

Length and Dates

The Team Coaching Program consists of six virtual sessions over five months (five 3.5 hour sessions 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 Thursday, August 27, 2020)

Session #1: Pre Phase (Virtual)

Thursday, September 10, 2020 - 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, October 5, 2020 - 9 am - noon ET and 1:30 - 5 pm ET

Tuesday, October 6, 2020 - 9 am - noon ET and 1:30 - 5 pm ET

Wednesday, October 7, 2020 - 9 am - noon ET and 1 - 3 pm ET

Aim: Onsite (Virtual now!) session where 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, November 5, 2020 - 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, December 3, 2020 - 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, December 10, 2020 - 12 - 1 pm ET

Session #5: Transition Phase (Virtual)

Thursday, January 7, 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.


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.

Fall 2020 course is all virtual - no travel expenses will be incurred

Registration for the fall course has closed. Please contact with any questions.

Spring 2021

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

Session #1: Pre Phase (Virtual)

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

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

Monday, March 1, 2021 - Wednesday, March 3, 2021 

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

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

Session #4: Action Phase (Virtual)

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

Session #5: Transition Phase (Virtual)

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

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