January Provider Wellness Commi3ee: A3 mid- year report

Transcription

1 January Provider Wellness Commi3ee: A3 mid- year report

2 January 20, 2016 UHA Provider Wellness Commi;ee Time: 12:30 1:30 PM LocaCon: 7999 Gateway Plaza, Newark Giants Conference Room & WebEx AGENDA ITEM Presenter Time Welcome & Introduc=ons Announcements 2016 Provider Wellbeing Survey launches Feb 1, 2016 Andrea Hausel 12:30-12:40 A3 Mid Year Report Outs Prac=ce champions & leaders 12:40 1:20 1:20-1:25 Q&A Open Forum Andrea Hausel 1:25-1:30 Announcements and provider wellness info on the UHA blog: h3p://myuha.org/providers/physician- wellness/ Next Meeting: February 17, 12:30-1:30. Guest speaker: Robert (Bo) Woods

3 2016 Provider Wellness Survey Time frame: February 1-29 Required for wellness incen=ve Announcement and link to survey will be sent to all ac=ve providers New communica=on strategy New addi=ons self- compassion, nutri=on ques=ons

4 Affinity 2016 Wellness Interven=ons AFP: clinical topic lunches Alameda Peds: staff/provider engagement lunches Alliance San Pablo/Pinole: staff/ provider lunches and a\er work events

5 What went well AFP: clinical lunches happening! Posi=ve feedback, high a3endance, learning together Peds: two lunches to date, fun and tasty, good way to meet/welcome new staff Alliance: 2 dinner support mee=ngs, lunch medical topics, improved providers/staff morale

6 Lessons Learned AFP: advance scheduling; effort to secure guest speakers Peds: scheduling (rotate day of week), mix up sea=ng Alliance: change takes =me; coping with impact of model clinic

7 Bay Valley Medical Group Goal = To decrease burnout rates over 2 years 1. Physician apprecia=on: re- introduce C- I- CARE thank you cards 2. Resilience training 3. Promote peer support 4. Encourage all providers to complete Resilience module on AMA s Steps Forward

8 What went well Comment cards implemented effec=vely used at huddles and encouraged apprecia=on of providers and staff (used by pa=ents to comment as well as staff to recognize colleagues) best doctor I ve ever seen; commend your customer service at each encounter; we con@nue to drive 100 miles to see you; my doctor is a compassionate listener; doctor is awesome beyond words; never have to wait Resilience class will be scheduled by Q Two BVMG providers are awai=ng Peer Support Training Steps Forwards Module: goal for Q2 2016

9 Stack of comment cards (mid- Oct January 2016)

10 Lessons Learned Received construc=ve comments on cards as well (56 total cards, 4 cards with construc=ve feedback) Want to be seen in manner; experienced horrible customer service, but another employee apologized and turned it around; lab results don t show normal range Learned that simple tools can help encourage regular feedback & boost morale The cards have provided a mechanism that can be used to recognize the support staff & ancillary services

11 Cardiovascular Consultants Medical Group Problem 12.9% of providers at CCMG report high professional fulfillment, as compared to 20% in both UHA and Stanford. By improving the number of providers who are highly professionally fulfilled, we seek to retain skilled specialists. 30% 25% 20% 15% Causes Insufficient =me spend on most meaningful work Inefficient technology Target is to increase high professional fulfillment to 17% in one year and to 22% in two years as measured by the UHA Provider Wellness Survey. 10% 5% Low self- awareness of burnout signs Low High Professional Fulfillment 0% Countermeasures Current What Who When Complete 1. Inves=gate proximity badges and Epic solu=ons to technological inefficiencies 2. Inves=gate speech- to- text technology or scribing 3. Three hours of provider mindfulness training during Journal Club Mooney, Hausel, Ludmer Mooney, Ludmer, Hausel Benn, Hausel, DeVane 2017 Target 11/1/15 Karen Sharpe came to Oakland Nov. with vendors to observe- no updates since 11/1/15 2 Dr s and 2 APPs have been trialing and ramping up with IT to more pracctoners 10/30/15 Finished 3 mindulness meecng s with David Perls Model clinic/standardiza=on doesn t take different work styles into account Support staff training needs Causes in order of importance Based on the data, causes in order of importance: - Inefficient technology - Decreased =me on most meaningful work - Standardiza=on doesn t recognize unique work styles - Lack of provider recogni=on of their burnout - Support staff training/oversight 4. Medical Assistant training 11 Mooney, site coordinators 12/1/15 Winkler: Refined standard work training tool

12 Interven=ons, What Went Well, Lessons Learned What Who When Complete 1. Inves=gate proximity badges and Epic solu=ons to technological inefficiencies Mooney, Hausel, Ludmer 11/1/15 Karen Sharpe came to Oakland Nov. with vendors to observe- no updates since 2. Inves=gate speech- to- text technology or scribing Mooney, Ludmer, Hausel 11/1/15 2 Dr s and 2 APPs have been trialing and ramping up with IT to more praccconers 3. Three hours of provider mindfulness training during Journal Club Benn, Hausel, DeVane 10/30/15 Finished 3 mindfulness meecngs with David Perls 4. Medical Assistant training Mooney, site coordinators 12/1/15 Winkler: Refined standard work training tool 12

13 Menlo Medical Clinic Brief summary of A3 interven=on: Survey of physicians completed and shared with the group 9/21. MA lunch and learn 45 minute MA educa=on x 12 weeks to December, and now once per month. Op=mize workflow efficiency: ongoing Disseminated SHC resources available.

14 What went well Physician control of schedule emphasized MA educa=on was very highly a3ended through first 12 sessions. We provided lunch, a3endance was voluntary. Dr. Trockel provided a lunch=me resilience discussion 12/16. A3en=on to staffing support is increased. A physician has helped about a third of the clinic with improving MD workflows

15 Lessons Learned Physicians are not necessarily willing to admit that there is a wellness concern at the clinic. High quality staff are hard to come by. When one leaves, it creates a vacuum that you need to be prepared to fill ahead of =me. Improving Epic efficiency is an ongoing project

16 UMG South Interven=on focus: Low Perceived Peer Support Goal: Increase group cohesion Hosted one social event and have an open house/cocktail event next month Incorporate new provider groups into exis=ng peer group Find common educa=onal interests among physicians (journal club, hikes with talks, golf tournament)

17 What Went Well/Lessons Learned Had opportuni=es to bring the staff together Unsure if all providers feel a lack of peer support plan to poll them at upcoming event Poten=ally offer new ideas to support professional fulfillment in the group (Autonomy, Mastery and Purpose) Nurture exis=ng connec=ons within the group Be curious about poten=al solu=ons and resources

18 AIM Brief summary of A3 interven=on: Yogilates class 1 hour a week for 8 weeks Open to providers and staff In wai=ng room a\er chairs cleared Started 5:15 pm

19 What went well Those who a3ended enjoyed it and asked if the class would be extended beyond the 8 weeks Convenient Team building and many stayed to talk a\erwards

20 Lessons Learned - Started with 15 par=cipants and by the end only 5-7 consistently a3ended (Did the staff feel uncomfortable par=cipa=ng with providers?) - It is hard to find a common day when many people can a3end

21 East Bay Family PracCce Brief summary of A3 interven=on: Walking mee=ngs Quarterly First Fridays Wellness ac=vi=es Healthy office environment: fruit delivery

22 What went well Ordered stair steppers for standing desks and to encourage rou=ne physical ac=vity Focusing on wellness of our en=re staff Plan to start the first wellness a\ernoon (massage) the first quarter of 2016 Office delivery of fruit to start next week

23 Lessons Learned Recruited a new Provider Champion to help support wellness efforts at prac=ce While walking mee=ngs not always feasible, stair steppers were ordered

24 OB GYN Partners for Health Brief summary of A3 interven=on Focus: Increasing Apprecia=on Delivery of organic fruit to the Oakland and Lafaye3e offices twice a month. An a\ernoon off twice a year, with a massage available in the office that a\ernoon.

25 What went well The fruit delivery was not a success. The fruit arrived in a box, with bruises and marks and never looked appe=zing. Most of the fruit was not eaten. The massage/=me off was in Oakland this week, and Lafaye3e s date is 1/28/16. This was successful, and appreciated. Some le\ early, others finished work, some just relaxed.

26 Lessons Learned The delivery of the fruit was discon=nued due to quality concerns. However, if con=nued, consider a3rac=ve packages, such as from Harry & David. Instead of the fruit, I suggest a min. chair massage monthly. The Wellness A\ernoon is very popular. Many enjoyed the massages. I would recommend con=nuing these.

27 Ques=ons + Open Forum Mark your calendars Next mee=ng, February 17 th 12:30 1:30 Guest speaker: Bo Woods *Healthy lunch is served for those who join in Newark