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Well-Being Toolkit

About

In 2018 the integrated Well-Being program was implemented to help improve work life by supporting co-workers and physicians across our health care system and School of Medicine. In 2019, a tookit was created to help connect co-workers to vital resources that help to prevent or mitigate workplace stress.

co-workers talking

The Process

Through our collaboration with other entities and departments, we have created a toolkit of best practices that health care leaders can access, and in turn tailor to meet the specific needs of their employees.  We strongly encourage our health care professionals to submit projects that they have successfully piloted to the toolkit.  Projects can be submitted here online.

Toolkit Overview

Category Title Contributor Summary Materials

Individual

Emotional

Support

Resources

Employee Assistance Program

Compsych 

The Employee Assistance Program provides a limited number of free face-to-face visits with counselors in the community. Services are completely free of charge. Counseling sessions are protected under HIPAA; employers and managers will not be notified.

Compsych access information for the following entities: Caldwell  (800) 272-7255  guidanceresources.com Web ID: COM589 Chatham   (800) 272-7255  guidanceresources.com Web ID: CHATEAP Johnston  (844) 729-5166 guidanceresources.com Web ID: JOHNSTONEAP Pardee  (844) 833-2006 guidanceresources.com Web ID: EAP@PARDEE 

Physicians Network  (866) 726-3619 guidanceresources.com Web ID: UNCPN Rex  (844) 869-2365 guidanceresources.com Web ID: REXEAP Rockingham   (844) 268-6502  guidanceresources.com Web ID: UNCRockingham UNCMC  (855) 394-5547  guidanceresources.com Web ID: UNCHC  UNCSOM  (855) 394-5547 guidanceresources.com Web ID: TARHEELS

Individual

Emotional

Support

Resources

Peer Support

Well-Being Program 

Peer Support Program offers one on one support from trained colleagues after adverse patient events including physical and verbal assaults from patients and visitors

Train the Trainer – Contact Jennifer Tauber

Individual

Emotional

Support

Resources

Taking Care of Our Own

Well-Being Program 

Taking Care of Our Own addresses burnout syndrome and other mental health concerns in attending and resident physicians

Contact Holly Krohn

Team Based

Work Process

Workplace Strategies to Reduce Pharmacy Leadership Burnout

Pharmacy 

Creates a series of email reduction guidelines, email availability expectations, instant messaging practices for short communications as well as suggestions for no-meeting zones and protected time to improve efficiency and reduce stress. Participants verbally reported improved efficiency during the work day with a reduction in perceived stress.

Materials:  Cisco Jabber or alternate secure form of instant messaging Resources: Article - American Journal of Health-System Pharmacists

Team Based

Work Process

Duty Free Breaks

Nursing UNCMC

Staff members select a Relief Buddy during huddle at the start of shift and the relief buddy covers their assignment during a 30 minute, duty-free break. Intershift Recovery improved and Persistent Fatigue decreased from pre-intervention to post-intervention.

Materials: “Relief Buddy” Standard Work “Relief Buddy” Kamishibai Picnic Sidekick instructions Resources: Article - Journal of Nursing Administration Article - Journal of Nursing Administration

Team Based

Resilience

Good Things Come in Threes: Applying a Simple Evidence-based Tool to Build Staff Resilience

Nursing UNCMC

During a two week period, nursing staff were asked to share positive reflections about each shift on a single “article of clothing,” which were displayed on a highly visible “clothesline” bulletin board in the break room, allowing all staff members to reflect on and appreciate one another’s reflections.  Unit nursing staff were surveyed pre-intervention to determine baseline data regarding work-life balance behaviors and overall resilience using the emotional exhaustion subscale of the Maslach Burnout Inventory and the Work-Life Climate Scale.  At the end of the two weeks, a post-intervention survey showed an improvement in all work-life balance behaviors and all measures of resilience.  The overall average of staff resilience measures increased from 49% to 71%. 

Bulletin Board Clothespins

Cutouts in shape of articles of clothing Resources: Article – American Nurse Today Article – American Nurse Today Article – Journal of Nursing Management

Team Based

Resilience

Mindfulness

Nursing Rex

Implement a stress-management/mindfulness practice to reduce negative perceptions of and reactions to stress. Participants demonstrated a reduction in perceived stress and an increase in their ability to be mindful.

Materials: Mediation supplies (sand timers, stress balls, meditation smartphone applications, meditation/mindfulness books) Resources: Powerpoint – Stress Management in the PACU with 3x3 method Document - Weekly mindfulness emails

Team Based

Resilience

The Use of Simulation to Improve Family Understanding and Support of Anesthesia Providers   

Department of Anesthesia 

Family Anesthesia Experience Day allowed family members to experience age-appropriate simulation activities to provide an immersion experience in the health care professional’s work environment. Support persons demonstrated improved understanding of work demands. 

Materials:  volunteers work-related materials/equipment space to hold event Resources: Article - Cureus 

Individual

Work Process 

Dragon DMO Epic@UNC integration 

ISD 

•Provide a more powerful, cloud-based voice recognition engine seamlessly integrated within Epic@UNC to improve usability, efficiency and reduces the time spent logging into another system for medical dictation

•A new cloud-based version called Dragon Medical One (DMO) is the system-wide software replacement of Dragon Medical Network Edition (DMNE)

•Key DMO benefits include: cloud-based voice engine accuracy, efficiency and accessibility 

Tip Sheet

Individual

Work Process

Epic@UNC 2018 Upgrade - Secure Chat 

ISD 

•Provide a powerful secure texting tool seamlessly within Epic@UNC to allow users to communicate with each other in the same EMR system they are using for patient care (to reduce the time spent logging into another system)

•Epic@UNC Secure Chat allows users to exchange secure text messages for quick communication and collaboration seamlessly within Epic@UNC and the Haiku/Canto/Rover mobile apps among colleagues across UNC Health Care

•Secure texting in Epic@UNC can include links to patients’ charts to enable clinicians to easily access chart review and respond securely with text or images 

Tip Sheet Video Training 

Individual

Work Process 

Epic@UNC 2018 Upgrade - SlicerDicer 

ISD 

•Provide a powerful data exploration tool seamlessly within Epic@UNC allows providers to examine data in the same EMR system they are using for patient care (to reduce the time spent logging into another system)

•Epic@UNC SlicerDicer is a robust data exploration and data visualization tool integrated seamlessly within Epic@UNC

•Seamlessly within Epic@UNC, users can investigate, customize and refine their data exploration on-the-fly

•Providers can take action on the data, examine trends, drill down to line-level details, and jump to related patient records to follow-up 

In LMS, search for HCSISDSLDICER.   Consists of a document and an online tutorial. 

Individual

Work Process

ISD Service Desk support for Epic@UNC users 

ISD 

•Resolve Epic@UNC issues on the first call to the Service Desk to reduce the time our providers spend on technical issues 

•24/7 Service Desk support for Epic@UNC users helps to ensure users get real-time assistance with issues that impact their ability to take care of our patients 

984-974-4357  or  https://unchc.service-now.com 

Individual

Work Process 

Most Viewed Epic@UNC Tip Sheets, videos and personalization materials and details about classes 

ISD 

•Showcase of key training content from Epic@UNC Tip Sheets, "It's Possible" videos and LMS classes to reduce the time providers spend searching for training content and highlight resources to boost efficiency 

Individual

Work Process 

Prescription Drug Monitoring Program (PDMP) Epic@UNC Integration 

ISD 

•Provide direct integration to NC CSRS seamlessly within Epic@UNC allows users to examine data in the same EMR system they are using for patient care to reduce the time spent logging into another system

•Epic@UNC integration with North Carolina's Prescription Drug Monitoring Program (PDMP) supports minimal interruption to clinician workflows and saves time/clicks 

Tip Sheet 

Individual

Work Process 

Epic@UNC Personalized coaching consults 

ISD 

Provide personalized Epic@UNC coaching and training to improve provider efficiency and EMR satisfaction 

Individual

Work Process 

Epic@UNC 2018 Upgrade -   IP Meds and Orders from Haiku 

ISD

Provide Epic@UNC functionality to boost efficiency and EMR personalization.  Physicians can now place most common orders from Haiku on their iOS device in the ED and hospital, this feature can save time and clicks 

Tip Sheet

Individual

Work Process

Epic@UNC 2018 Upgrade -  Personalized order panels (IP and OP)

ISD

Provide Epic@UNC functionality to boost efficiency and EMR personalization.  Physicians can now create their own order panel on the fly right within the ordering workflow, this feature can save time and clicks

Video Training

Individual

Work Process

         Epic@UNC 2018 Upgrade - Allow Clinicians to Close Care Gaps from a SmartSet

ISD

Provide Epic@UNC functionality to boost efficiency and EMR personalization.  Clinicians can more easily place orders to satisfy multiple care gaps in primary care or care management, this feature can save time and clicks for PCPs and care managers

Individual

Work Process

Epic@UNC 2018 Upgrade - Create your own copy of another user's order sets  (IP and OP)

ISD

Provide Epic@UNC functionality to boost efficiency and EMR personalization.  Physicians can now copy and modify order sets from their colleagues, this feature can save time and clicks

Tip Sheet

Individual

Work Process

Epic@UNC Precharting

ISD

Provide Epic@UNC functionality to boost efficiency and EMR personalization by helping clinicians get a head start on charting before the patient arrives in the clinic, this feature can help to save time

Current Contributors

Department of Anesthesia

Department of Pharmacy

Department of Psychiatry

Information Services Division

Nursing-Rex Nursing-UNCMC

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