Colleague Care Team Live Your Whole Life Trinity

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Colleague Care Team Live Your Whole Life Trinity Health’s home for colleague health and

Colleague Care Team Live Your Whole Life Trinity Health’s home for colleague health and well being Overview for Health Ministry Leadership June 2020 Directions (remove this gray box before presenting): Customize and use this slide deck to engage leaders and managers in conversation to create awareness/understanding, belief in and commitment to your ministry’s Colleague Care effort. Approximate time: 45 60 minutes, depending on how much local material is added and how much conversation v. presentation you desire.

Today’s Flow • • Reflection WHY we are doing this work The VISION Our

Today’s Flow • • Reflection WHY we are doing this work The VISION Our COLLEAGUE CARE work Resources ALL LEADERS need to know Q&A Appreciation © 2019 Trinity Health 2

Reflection © 2019 Trinity Health 3

Reflection © 2019 Trinity Health 3

Our Mission We, Trinity Health, serve together in the spirit of the Gospel as

Our Mission We, Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities. Our Core Values Reverence Commitment to Those Who are Poor Safety Justice Stewardship Integrity Now, more than ever, our Mission calls us to be a transforming, healing presence for those we serve and for those WHO serve. ©Trinity Health 2020, All Rights Reserved 4

For Equilibrium: A Blessing Like the joy of the sea coming home to shore,

For Equilibrium: A Blessing Like the joy of the sea coming home to shore, May the relief of laughter rinse through your soul. As silence smiles on the other side of what's said, May your sense of irony bring perspective. As the wind loves to call things to dance, May your gravity by lightened by grace. As time remains free of all that it frames, May your mind stay clear of all it names. Like the dignity of moonlight restoring the earth, May your thoughts incline with reverence and respect. May your prayer of listening deepen enough to hear in the depths the laughter of God. As water takes whatever shape it is in, So free may you be about who you become. ~John O’Donohue © 2019 Trinity Health 5

Check in (optional) © 2019 Trinity Health 6

Check in (optional) © 2019 Trinity Health 6

Check in Questions (optional) • As a leader, when it comes to the impact

Check in Questions (optional) • As a leader, when it comes to the impact of Covid 19 on the health and well being of the colleagues who report to you, what are you noticing/experiencing? • What strategies/ideas have you already implemented to build resilience and support behavioral health on your team? • As we look to the next 12 18 months, what do you anticipate the longer term impact of this crisis to be on the health and well being your team? Directions (remove this gray box before presenting): Invite participants to have conversation around these questions in pairs or small groups; then ask for a few to share with large group to engage participants in the discussion on resilience. © 2019 Trinity Health 7

WHY we are doing this work © 2019 Trinity Health 8

WHY we are doing this work © 2019 Trinity Health 8

Covid 19 presents unprecedented potential for post traumatic stress and PTSD among our colleagues

Covid 19 presents unprecedented potential for post traumatic stress and PTSD among our colleagues Five sub groups of colleagues at risk. Those who: 1. 2. 3. 4. 5. Serve in high volume, high stress areas. Frontline caregivers and staff, cross continuum. Have personally become ill or have family members who are ill and self isolating. Serve remotely – working from home. Have been redeployed to areas outside their comfort zones; have had their work reduced or put on pause. Have had their hours reduced or have been furloughed and/or have family members who have had hours reduced, been furloughed or have experienced job loss. © 2019 Trinity Health 9

Post traumatic stress • A normal response to an abnormal situation • Adaptive strategy

Post traumatic stress • A normal response to an abnormal situation • Adaptive strategy to survive • Reactions are heightened sympathetic defense responses of fight, flight, freeze, or parasympathetic response of collapse. • In prolonged stress or life threatening situations, the amygdala continues sending an alarm signal (always in heightened state) • Symptoms can present as depression and anxiety • Can initially be 2 4 weeks of symptoms • High risk for first responders that experience traumatic stress • At risk for Post Traumatic Stress Disorder (PTSD) © 2018 Trinity Health 10

We need to act now and anticipate long term impact. Colleagues are likely in

We need to act now and anticipate long term impact. Colleagues are likely in the Heroic Stage of the disaster timeline. During this time, most are tending to basic needs and may even be voicing stress; but are not thinking about their behavioral health needs. Crisis Recovery Graph Substance Abuse and Mental Health Services Administration (SAMHSA) © 2019 Trinity Health 11

A Message of Hope Caregivers who proactively address their mental health are better able

A Message of Hope Caregivers who proactively address their mental health are better able to optimally care for patients and sustain their resilience in the face of stress. © 2019 Trinity Health 12

Our response has short and long term employer brand implications • Our recovery as

Our response has short and long term employer brand implications • Our recovery as a local and national system begins internally. • Our proactive work to help colleagues recover will shape the future story about national and ministry brands after we emerge from the crisis. Employer brand: We must protect and retain our employer of choice brand image to attract new talent and retain top talent in the short and long term. Consumer brand: Our 125, 000 active and in transition colleagues are brand ambassadors in the communities. To their network of family, friends and acquaintances, our colleagues’ words shared directly and on social media about how we care for them are more powerful in swaying consumer opinion than our paid advertising. © 2019 Trinity Health 13

The VISION © 2019 Trinity Health 14

The VISION © 2019 Trinity Health 14

Resilience and Behavioral Health Task Force Goals • While we cannot eradicate all the

Resilience and Behavioral Health Task Force Goals • While we cannot eradicate all the stress and suffering brought on by this crisis, we are committed to doing all we can to: Promote and model resilient behaviors/practices as part of TH culture Create person to person contact Provide and relentlessly communicate tools/resources that support the natural recovery process that occurs with time for the majority of the affected population Mitigate the development of serious behavioral health disorders The Task Force views this work as a doubling-down of Trinity Health’s commitment to the health and well-being of our colleagues that will be sustained in the new normal, not just in crisis, ramp down and recovery. © 2019 Trinity Health 15

Current Inventory of Resources and Efforts The GOOD NEWS: Trinity Health has a robust

Current Inventory of Resources and Efforts The GOOD NEWS: Trinity Health has a robust and varied portfolio of health and well being resources at both the system and individual ministry levels. Technologyenabled EXAMPLES Live Your Whole Life Web based links, videos, articles, communications Virtual EXAMPLES Carebridge EAP Webinars Webex sessions Leadership Development Ministryspecific efforts EXAMPLES Comfort rooms, nap rooms, healthy food/snacks, meals to go, high demand grocery items onsite, emergency funds, etc. High-touch, P real time GA Colleague Care Teams providing support, comfort, care and counseling for colleagues in high volume, high stress areas. The BIGGEST GAP RIGHT NOW: To expand awareness and utilization of these resources by providing high touch, real time support, comfort, care and counseling for our colleagues in high volume, high stress work environments. 16

Program Design: Colleague Care Team Live Your Whole Life, Trinity Health’s home for colleague

Program Design: Colleague Care Team Live Your Whole Life, Trinity Health’s home for colleague health and well being Each ministry forms a Colleague Care Team to provide oversight, coordination and implementation of the following components: Resiliency Rounding by behavioral health professionals and others in high volume, high stress areas to provide high touch comfort and support real time. Rounding can be done in person or virtually. It may also include making outreach calls. Expanded on-site, near-site, telephonic or virtual therapeutic sessions (EAP)* Ongoing environmental interventions and onsite services – ideas, suggestions from across ministries for comfort rooms, meals to go, high demand grocery items on site, etc. to promote body, mind and spirit well being. *All ministries have access to telephonic Carebridge EAP sessions. Additional delivery options may vary by location. © 2019 Trinity Health

High touch, real time focus: Resiliency Rounding* • Touch base with colleagues working all

High touch, real time focus: Resiliency Rounding* • Touch base with colleagues working all shifts in high volume, high stress environments to provide active listening and empathy around any concerns. • Provide brief supportive messaging and identify emerging issues within department units or amongst colleagues. • Connect colleagues with available resources. • Continuous connection. Ministries can leverage existing unit based and safety/Tier 3 huddles to support this program. *Colleague Care Team members will not provide onsite therapy or therapeutic interventions while rounding. © 2019 Trinity Health 18

Resiliency Rounding Roles* • Behavioral health clinician colleague from local RHM (LMSW, LMFT, Counselor

Resiliency Rounding Roles* • Behavioral health clinician colleague from local RHM (LMSW, LMFT, Counselor or other like professional) Masters prepared (preferred) behavioral health professional able to identify early warning signs of distress, depression, anxiety, and post traumatic stress • Non clinician colleague from local RHM (hospital leader/influencer, HR, Mission leaders, chaplains or other support colleague) Skilled in active, empathic listening *Ideally, in-person rounding would occur in teams of two, but this is not always be possible. © 2019 Trinity Health 19

Priority Areas for Resiliency Rounding Every ministry is different; focus should be in high-volume,

Priority Areas for Resiliency Rounding Every ministry is different; focus should be in high-volume, high-stress areas like: • Emergency Departments • Intensive Care Units • Med/Surg Units • FURI Clinics • Other hospital units of high stress identified locally (e. g. lab, facilities, food services, etc. ) • Outpatient units also exposed to COVID 19 (e. g. radiology, retail pharmacy, primary care, etc. ) • Other departments facing particularly high levels of stress (e. g. coding, human resources, etc. ) • Long term care © 2019 Trinity Health 20

High touch, real time support focus: Alternatives or Additions to In person Resiliency Rounding

High touch, real time support focus: Alternatives or Additions to In person Resiliency Rounding There is no substitute for in person care and comfort. However, it may not always be feasible to provide this service in person during the COVID 19 crisis due to staffing or other logistical issues. Local leadership is encouraged to explore virtual rounding, or targeted outreach that maintains the spirit of Resiliency Rounding, which is to actively reach out to colleagues and not wait for them to seek help if they are struggling. • Virtual Rounding – Video technology brought into priority areas to touch base with • colleagues during identified times. This process would need to be facilitated and encouraged by unit leaders. Post-shift Calls – Video or audio calls to colleagues after they complete shifts in high stress units. Like the Resiliency Rounding process, these calls are not meant to be assessments or evaluations, they are brief calls expressing gratitude, empathy and linking colleagues to additional supportive resources if requested. © 2019 Trinity Health 21

Our COLLEAGUE CARE work © 2019 Trinity Health 22

Our COLLEAGUE CARE work © 2019 Trinity Health 22

Placeholder section of slides to tell local Colleague Care story including… • • •

Placeholder section of slides to tell local Colleague Care story including… • • • Who is on team? What is current assessment of efforts locally? What is being expanded/added? How/when? What can leaders/managers expect? What is ASK of leaders/managers? Where to go with questions, feedback, ideas © 2019 Trinity Health 23

Resources ALL LEADERS need to know © 2019 Trinity Health 24

Resources ALL LEADERS need to know © 2019 Trinity Health 24

Live Your Whole Life and Carebridge EAP • • Live Your Whole Life is

Live Your Whole Life and Carebridge EAP • • Live Your Whole Life is the integrated health & well being strategy for all Trinity Health colleagues* Provides education, tools, and resources to support colleagues and their family members in achieving their well being goals Register or log in at http: //mybenefits. trinity health. org/lywl or via the Virgin Pulse mobile app Carebridge, our Employee Assistance Program (EAP) and Work Life benefits partner, offers free, direct support to you and any person(s) living in your household. It is a 24/7, confidential resource, providing counseling, information and referral services to help address personal, family and work related concerns. Individual counseling, virtual stress check ins, virtual grief and loss support groups, bi weekly webinars Contact Carebridge at (800) 437 0911 Visit www. myliferesource. com to access online resources • Please use the Trinity Health access code: BKKR 5 to create a personal account on your first visit to www. myliferesource. com. *excluding Mercy Chicago © 2020 Trinity Health, All Rights Reserved 25

Placeholder for additional local resources all leaders need to know © 2019 Trinity Health

Placeholder for additional local resources all leaders need to know © 2019 Trinity Health 26

Conversation Questions (optional) • What do you appreciate about the Colleague Care concept? •

Conversation Questions (optional) • What do you appreciate about the Colleague Care concept? • What do you anticipate will be most helpful? • What ideas/suggestions might you have to make this work even more effective? • What else should we keep in mind as we implement? © 2019 Trinity Health, All Rights Reserved 27

Questions ©Trinity Health 2019, All Rights Reserved 28

Questions ©Trinity Health 2019, All Rights Reserved 28

Trinity Health System Resilience and Behavioral Health Task Force • Communications Jody Lamb •

Trinity Health System Resilience and Behavioral Health Task Force • Communications Jody Lamb • Community Health and Well-being and Behavioral Health Mouhanad Hammami, MD; Julia Kyle • HR – Organization Effectiveness, Culture, Change and Engagement Kelly (kp) Putnam, Grant Rice • HR – Total Rewards • • • Mission Services Mario Brunetta Innovation Jim Purvis, Alicia Roth Performance Excellence/THLS Peter Karadjoff, Faisal Kahn, Josh Stack Safety Tom Peterson, MD (Lead) Trinity Health of New England Tom King Tammie Hansen, La. Tasha Frye, Tiana Samuels © 2019 Trinity Health 30