Well-Being Program Initiative Addresses Work Place Burnout System-Wide
In July 2018, UNC Health Care, UNC Physicians, and the UNC School of Medicine formally launched the System-Wide Well-Being Initiative – in the following months, more than 5,000 employees have participated in the Well-Being Index to gauge their stress and well-being. Behind the scenes, the Well-Being program has begun a number of initiatives that you will see in the coming year. Many of these are focused on care redesign to improve the provider experience.
Share your ideas and submit questions to the Well-Being team.
Well-Being Index follow-up
While all information you submit to the Well-Being Index (WBI) is anonymous, the Well-Being Program team receives aggregate data by specialty and by entity. In the coming months, the team will reach out to areas that are exhibiting high levels of stress to offer targeted strategies to improve well-being. Additionally, the team will work with high-performing teams to learn best practices and share them throughout the system.
- To date, 32,000 people across the UNC Health Care have received the Well-Being Index invite. If you have not yet signed up, please click here.
- Starting Jan. 28, 2019, colleagues on the Network Health Plan can receive 50 Limeade points for taking the Well-Being Index.
Care Redesign Pilot with Hospitalist Medicine
In the fall of 2018, the Well-Being Program along with Drs. Lukasz Mazur and Sara Baker Stokes from the Division of Health Care Engineering (DHE) led an innovative pilot project using a human factors engineering approach with Hospitalists at UNC Medical Center and UNC REX. During the pilot, the team captured qualitative and quantitative data through shadowing, town hall meetings, and a survey.
This approach allowed for identification and prioritization of the most pressing burdens. An action plan was developed through contributions from the Hospitalist teams, key stakeholders, and senior leadership at UNC Medical Center and UNC REX.
The action plan is now being implemented and results will be closely tracked. Based on the positive response from this care re-design Hospitalist pilot, the Well-Being Program will continue to utilize the human factors engineering approach extending the team to other departments.
UNC Faculty Physicians Embedded Epic@UNC Professionals
A team of Embedded Epic@UNC Professionals (EEPs) are now providing at-the-elbow support across UNC Medical Center to providers and clinicians in Medical Oncology, Internal Medicine, and Women’s Health (inpatient & outpatient), Surgical Oncology, and Ophthalmology to improve efficiency and decrease time in Epic@UNC through customized training, workflow development, and specialty specific projects.
Contact the Embedded Epic@UNC Professionals team at email@example.com.
Team-Based Care Project
During a visit in September 2018, Dr. Christine Sinksy from the American Medical Association toured multiple primary care clinics and offered specific tools to improve workflows, staffing, and team documentation.
Based on feedback from Dr. Sinsky, the Team-Based Care group is working to evaluate the feasibility of a certified medical assistant (CMA) team documentation model across a variety of practice settings within UNC Health Care.
Partnership with ISD
One of the ISD FY19 Organization Goals is Provider Well-Being:
- Teams are on track to provide personalized provider coaching consults for 300 providers with a high patient workload who may benefit from an efficiency boost.
- There is a dedicated option on the ISD Service Desk phone tree to help providers experiencing Epic@UNC issues to ensure providers get real-time assistance with issues impacting their ability to care for patients. To contact the provider Epic@UNC help line, call the ISD Service Desk at 984-974-4357 and select option 7.
- Rollout continues for the MyDesktop@UNC Virtual Desktop Infrastructure, which enables badge-tap login and streamlines single sign-on access for staff and providers.
- Epic@UNC will be upgraded on April 6, 2019 – view details.
- The new cloud-based Dragon Medical One Dictation software has been successfully implemented to save time and clicks and improve accuracy and accessibility
Practice Quality, Innovation & Population Health Services
Partnership initiatives with Practice Quality, Innovation & Population Health Services includes several efforts led by the nine nurses on its Clinical Implementation Coaching (CIC) team
- The CIC team worked with providers to create a clinical efficiency checklist containing over 50 items to help make the day more efficient.
- The “Top 2 Bottom” Transformation Project provides coaching support to ensure a successful transformation in each clinic.
- During the first 30 days of the pilot process, clinics achieved a 3-minute reduction in time spent by the clinical staff during the rooming process.
- After improving in basket workflow, clinical staff noted a reduction of voicemails by 84%, as well as a 4% increase in team contributions for placing orders in Epic@UNC.
- Provider Onboarding Support allows CICs to assist providers new to the Health Care System, including building templates, incorporating preference lists, and most efficiently completing an office visit.
Continuation and Expansion of Emotional Support Resources
- The Integrated Emotional Support Program connects healthcare professionals with emotional support resources, with a specialized focus on providing resources after adverse patient events.
- The Employee Assistance Program provides free visits to counselors in the community as well as workshops on topics related to well-being.
- The Critical Incident Stress Management Team provides trained group-focused and individual support to health care professionals experiencing critical incident-related stress after a traumatic event.
- UNC’s Peer Support Program provides one on one support after events related to patient care or interactions.
- The Taking Care of Our Own Program is designed to address burnout syndrome and other mental health concerns in attending and resident physicians and is a highly utilized program.
Monthly wellness tips
Starting in March 2019, look for monthly tips from the Well-Being Program to help improve your health and wellness. Preview our first tip and don’t forget our monthly Wellness Webinars, too. If you have ideas for a future wellness tip, send them to firstname.lastname@example.org.
To ensure the initiatives detailed above are accessible across UNC Health Care and the School of Medicine, the Well-Being Program is developing a toolkit of best practices that can be tailored as appropriate to meet the specific needs of individual teams at each entity.
The Well-Being Program is reaching out to representatives system-wide to find participants interested in contributing ideas and disseminating information to help us adopt best practices across the system to enhance work culture and relationships.
If you would like to contribute to the toolkit, please contact the Well-Being team.
The Well-Being Program is made possible through a partnership between UNC Health Care, UNC Physicians, and the UNC School of Medicine. More information on the program can be found on the Well-Being Program site.