Join providers and other health leaders coming together from across the country to share ways to proactively support the mental and emotional health of our healthcare workforce during the COVID-19 crisis. Nearly a thousand people from 11 states and two countries have participated.
As healthcare and mental health leaders share implementation strategies and practices in real time, ICSI collects and curates them to build a shared knowledge network and playbook.
CLICK HERE FOR RESOURCES THE GROUP HAS CURATED AND SHARED.
Diversity, Equity and Inclusion leaders in healthcare share how they have built up and centered their efforts over the past year, and how they are now targeting support for people during this time of continued racial tensions and unrest.
Many thanks to the panelists:
Jacqueline Thomas-Hall, Diversity, Equity & Inclusion Director
Kerri Gordon, VP Government & External Relations
M Health Fairview
Myat T.Tun, Diversity, Equity & Inclusion Program Manager
Erich Stolz-Spencer, System Executive HR & DEI Strategy Director
DEI must be centered and also be top-down; you must have leaders involved and advocating for these efforts. Implicit bias training, listening sessions and healing spaces/courageous conversations – with guidance and tools – help people learn how to sit with discomfort, learn, and agree to disagree agreeably.
Key terminology to note includes:
Specifically this spring, Allina Health has
M Health Fairview is
The Mental Health Playbook walks you through key steps to assess, plan and implement an organization-wide strategy that supports the current and long-term mental and emotional health of your workforce. Practical examples from the field are provided, with contact info so you can reach out to learn more. Download the Mental Health Playbook here.
Michael Koopmeiners, MD, is the Medical Director of Physicians Serving Physicians (PSP). Physicians Wellness Collaborative, a program of PSP, provides independent, confidential counseling and peer support resources for all Minnesota physicians, residents, and medical students.
Dr Koopmeiners shared tips for identifying and addressing substance use disorder.
Catherine (Kate) Butler, MD, MA, Nephrologist, Bioethicist and Acting Instructor at the University of Washington.
Dr. Butler’s team studied clinician experiences around the country regarding resources allocation during the early phase of the COVID-19 pandemic. Here’s a link to the JAMI Network open paper. Watch the webinar here.
Some key themes:
-Difficulty in adapting crisis standards theory to practice and explaining new practices to patients
-Unexpected types of resource allocation and scarcity
-Difficulty in keeping boundaries between work and home
-Internal and external conflict on professional duties and personal protection
-Better collaboration and sense of camaraderie, but also fractured relationships
-Excitement in helping to save lives but also coming to terms with providing a different and sometimes substandard type of care
-Both positive and negative emotions in work – often not mutually exclusive
The results are divided into two themes:
1) Practice settings for crisis planning
2) Impact on clinicians on professional roles and relationships
Watch this lively December webinar where healthcare leaders across the state discuss challenges, tips, and solutions, featuring panel members Karly Horn, Essentia Health, Lisa Bershok of CentraCare, Jeff Leichter of Sanford Health, and Joel Spoonheim of HealthPartners.
The panel discussed how the current surge in late 2020 is affecting staff – see the webinar/recording for myriad ways healthcare partners are addressing:
See this summary for ways organizations are addressing these needs.
Here’s the SAMHSA – Stages of adaptation to disaster shared by Jeff Leichter
An article shared by Lisa Bershok of CentraCare: Beyond Burnout: A Physician Wellness Hierarchy Designed to Prioritize Interventions at the Systems Level
Sanford’s Going Home Checklist for Staff (at end of shift):
•The approach to clinician well-being almost certainly requires a pivot in the midst of crisis
•Shifting needs and drivers of well-being may lead to shifting priorities as well as consideration of societal level factors
•But, pre-COVID models can still apply in many respects https://www.icsi.org/wp-admin/options-media.php
•Trauma and Moral Distress will likely lead to significant long-term consequences including a large burden of PTSD, MDD and Anxiety
•Pre-existing well-being infrastructure can be critical in crisis
•Uncertainty is a huge source of anxiety and stress during a pandemic
•Regular, authentic, transparent and supportive communications can’t be overemphasized
•Everyone needs support, some will need treatment. Anticipating and providing for ongoing needs is necessary
Dr. Sue Scott, University of Missouri
Dr. Scott presented on the forYOU peer support model and also important research on the “second victim” experience of physicians and other healthcare providers:
Dr. George Everly, Johns Hopkins School of Public Health, Medicine
Leadership for Organizational Resiliency, Rapid Psychological First Aid
Dr. Everly supports and trains on crisis intervention and Psychological First Aid in communities and for governmental agencies nationally and internationally. Key takeaways from this webinar include:
The Rapid PFA course Dr. Everly developed and teaches is FREE in 2020 on Coursera: https://www.coursera.org/learn/psychological-first-aid
Wednesday, July 29, 2020
Dr. Liselotte Dyrbye, Mayo Clinic:
Clinician Well-being programs during COVID-19, including new bereavement policy
Dr. Dyrbye presented on the high rate of clinician burnout prior to COVID-19, and that this time of crisis presents a need and opportunity for innovation to take a systems approach to support people:
NOTE from Mental Health Minnesota: COVID Cares support phone line now has a toll-free number: 833-HERE4MN. The line offers free, confidential, anonymous support for healthcare workers, essential personnel and others. Staffed by volunteer mental health professionals, open 9AM to 9PM, seven days / week.
Tuesday, July 14, 2020
Dr. Albert Wu, Johns Hopkins University:
RISE Peer Support Program
Using Johns Hopkins’ integrated program RISE – Resilience in Stressful Events – Peer Support Program as an example, Albert Wu, MD, MPH described steps healthcare institutions can take to support healthcare workers. The presentation describes:
Presenter: Dr. Wu leads the PhD program in health services research, the Masters of Applied Science in Patient Safety & Healthcare Quality, and the Certificate program in Quality, Patient Safety and Outcomes Research in the Johns Hopkins Bloomberg School of Public Health. He maintains a clinical practice in general internal medicine.
ARTICLE: COVID-19: Peer Support and Crisis Communication Strategies to Promote Institutional Resilience
Rapid Psychological First Aid, developed by Dr. George Everly. This online course is free on Coursera.
Wednesday, July 1, 2020
Resiliency Rooms – a highly utilized program/space for healthcare workers
This presentation reviewed best practices around resiliency rooms – how to get buy-in from leadership, how to set them up, and how to maintain them. The call highlighted the resiliency rooms that have been created at Children’s MN. These resiliency rooms are located at both hospital campuses and since COVID-19 started, the resiliency rooms have had 10,521 visits to date. In addition, S.E.L.F care plans were introduced as a useful tool to write down triggers and coping strategies, and the Going Home Checklist is another tool intended to help ALL staff reflect and re-center before changing gears for life at home. Overall, the presentation confirmed why Children’s MN peer support program has been such an important resource during COVID.
Very much a work in process for all, presenters shared specific implementation tips and challenges, including ways they have worked to increase uptake by expanding the scope to not be COVID specific, increasing/changing hours, and/or by expanding eligibility to other groups of people. Uptake has been slow for most, although has risen recently for some following the death of George Floyd. There was discussion about potential barriers when confidentiality seems not assured, and about whether we will see increased need over time, as per analysis from Washington state. See resources below.
COVID Cares website, anonymous, for any healthcare worker, teachers, others
Leaders from University of Minnesota and MHealth Fairview presented the Minnesota Resilience Action Plan (MinnRAP): Providing Peer and Emotional Support to Frontline Workers. MinnRAP uses a buddy system, a model used by US Army (Battle Buddy) for peer mentoring and support. Having a Buddy helps to:
In light of current events in our community and the nation, the topic of racism and its effect on health was greatly discussed and the group acknowledged the disproportionate impact of COVID deaths on people of color. The group also started out the discussion with how stress impacts brain and ways to manage it individually and collectively.
On Tuesday, April 14 we dove into ways to determine interventions for specific populations within the workforce.Thank you to Jeff Leichter of Sanford and Lisa Bershok of CentraCare for sharing their work.