Jennifer Bouchet, LCSW and Hilary Drummond Roaring Fork ... for What Practical...Jennifer Bouchet,...

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Jennifer Bouchet, LCSW and Hilary Drummond Roaring Fork Family Physicians

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Two Rural Federally Qualified Health Community Health Centers with Integrated BH and Dental › Provider Team: 3 MDs 4 Pas 1 NP 1PsyD 3 BHPS 2 Dentists

Public Health Home Health and Hospice Assisted Living

We thought so, so we started to evaluate AND…

We found we had a lot to work on.

Better Care

Better Outcomes

Lower Cost

Great Workplace

Zero Burnout Survey (also Mini-Z) AMA Steps Forward https://www.stepsforward.org/modules/physician-

burnout

EMR Connection with leadership

Difficult conversations EMR Connection with Leadership Mindfulness

Grant for EMR training and eCW Consultant

Set up ongoing EMR training after grant ran out

Monthly In-Person Provider Meetings with Medical and Behavioral Health Providers

Leadership assigned to teams-meet quarterly

CEO meeting with providers quarterly

CEO sending quarterly video updates regarding organizational change

Timeliness Everything works Communication Attitudes of others Everyone pulling their weight Making a difference for a

patient Making a difference for a co-

worker

Lateness – patients, ourselves IT breakdowns – phones,

ECW, fax Poor communication –

rumors, facts vs. opinions Negativity – patients, co-

workers Feeling overwhelmed – plate

too full

Purple Team – Everyone promised to start each day with Gratitude – 1 good thing

Yellow Team – Everyone promised to say hello to someone that they don’t typically encounter in their typical work day

Green Team – Everyone promised to say “thank you” to another person at least once per day for something specific

Formal Group for Medical and BH Providers › 8 Sessions, Dr. Kristen Race › 1 Location › Practiced Mindfulness › Homework Exercises

Daily Practice of Mindfulness within Team › “One Good Thing”

Monthly Mindfulness Exercise at Provider Meetings

Joy in Work white paper Executive Leadership and Physician Well-being: Nine

Organizational Strategies to Promote Engagement and Reduce Burnout

MindfulLifehttps://mindfullifetoday.com/ AMA Steps Forward

https://www.stepsforward.org/modules/physician-burnout

Joy in Work on Strategic Plan Quarterly provider meeting with

CEO Mindfulness exercise at monthly

provider meetings In person provider meetings In person large team huddles with

leadership member present Yearly provider

assessments/surveys for burnout( Joy in work)

Ongoing EMR training, monthly Integrating Dental Providers into

Joy in Work Plan

Determine if joy in work is a priority?

Leadership buy in-reading about Burnout, blocking schedules to make space, be ok with having difficult conversations and be open to change

Providers need to communicate effectively and limit defensiveness

Assume good intent Time and space together