As unit-based teams take root as the platform for performance improvement, managers' and employees' problem-solving experience will grow. For some, so will their frustration. Teams bring the insight, expertise and buy-in necessary to solve difficult issues, but they also can take more time to make decisions. And for many people, that's the rub.

How to focus on getting results for our members and patients—and avoid getting bogged down in internal team processes? Patrick Lencioni, author of the best-selling book "The Five Dysfunctions of a Team," offered this advice in a recent interview: "The key is to build the team around real business issues—clarifying for people what they are doing and why they're doing it. Do not have team sessions in the absence of business issues."

To tackle real business issues effectively, Lencioni says teams first need to answer six questions. It's worth taking time out regularly to discuss the following:

Why do we exist?

Define your core purpose—what you're here to accomplish, and how your team supports the work of the larger organization.

What do we actually do?

Describe how you help accomplish the team's purpose. Identify the value your team contributes to the organization.

What are our values?

Based on your team purpose and contributions, agree on the one or two qualities that make someone a good fit on the team. Promote and upheld those team values.

The key is to build the team around real business issues—clarifying for people what they are doing and why they're doing it.

What is our strategy?

Given the skills, values and resources available, determine the direction, approach or course of action the team should pursue.

What is our current top priority?

Focus the team around the most urgent task or issue you face today.

What do we have to do?

Be sure the team understands everyone's roles and responsibilities. Identify gaps and build on strengths.