{"id":884,"date":"2020-12-11T17:40:10","date_gmt":"2020-12-11T17:40:10","guid":{"rendered":"https:\/\/www.hospitalinnovate.org\/covid19\/?p=884"},"modified":"2020-12-21T18:33:11","modified_gmt":"2020-12-21T18:33:11","slug":"01-what-frameworks-or-approaches-for-addressing-provider-wellness-in-response-to-covid-19-have-been-suggested","status":"publish","type":"post","link":"https:\/\/www.hospitalinnovate.org\/covid19\/2020\/12\/11\/01-what-frameworks-or-approaches-for-addressing-provider-wellness-in-response-to-covid-19-have-been-suggested\/","title":{"rendered":"01. What frameworks or approaches for addressing provider wellness in response to COVID-19 have been suggested by professional societies?"},"content":{"rendered":"

[vc_row full_width=”stretch_row_content_no_spaces” equal_height=”yes” content_placement=”bottom” css=”.vc_custom_1600728786278{margin-top: 0px !important;border-bottom-width: 4px !important;padding-top: 0px !important;padding-right: 20px !important;padding-bottom: 0px !important;padding-left: 20px !important;background-color: #f2f2f2 !important;border-bottom-color: #2c5d73 !important;border-bottom-style: solid !important;}”][vc_column width=”2\/3″ css=”.vc_custom_1599247143020{padding-right: 20px !important;padding-left: 10px !important;}”][vc_custom_heading text=”Provider Wellness and Support” font_container=”tag:h2|text_align:left|color:%23f7941d” use_theme_fonts=”yes” css=”.vc_custom_1607708064237{margin-top: 0px !important;padding-top: 40px !important;}”][\/vc_column][vc_column width=”1\/3″][vc_column_text]<\/p>\n

Home<\/a> \/ Provider Wellness Overview<\/a> \/ Key Clinical Questions<\/a><\/p>\n

[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=”stretch_row_content_no_spaces” gap=”20″][vc_column width=”3\/4″ css=”.vc_custom_1599596059091{padding: 20px !important;}”][vc_custom_heading source=”post_title” use_theme_fonts=”yes”][vc_column_text]The Press-Ganey \u201cCaring for the Caregivers: A Leadership Checklist<\/a>,1<\/sup><\/a> released on March 20, 2020, emphasizes the difference in strategies to prevent physical harm versus emotional harm. The checklist is as follows:[\/vc_column_text][vc_column_text]<\/p>\n

Physical Harm<\/h3>\n

\u2610\u00a0Develop robust protocols for triaging, quarantining, and distancing to minimize exposure.
\n\u2610\u00a0Minimize contact with patients by using telehealth when possible and cutting back on schedules.
\n\u2610\u00a0Provide sufficient access to personal protective gear.
\n\u2610\u00a0Ensure the availability of and easy access to hand hygiene products.
\n\u2610\u00a0Communicate and enforce guidelines for reducing risk of transmission.
\n\u2610\u00a0Communicate and enforce return-to-work guidelines for infected workers.[\/vc_column_text][vc_column_text]<\/p>\n

Emotional Harm<\/h3>\n

\u2610 Communicate frequently and empathically to build trust.
\n\u2610 Consistently employ universal leadership skills such as communication, awareness, honesty, and transparency.
\n\u2610 Organize peer support groups.
\n\u2610 Promote and support health and wellness practices around nutrition, sleep, exercise, and social connections.
\n\u2610 Offer and suggest anxiety-reduction strategies and opportunities such as mindfulness exercises and buddy systems.
\n\u2610 Provide professional counseling and mental health services through employee assistance programs.
\n\u2610 Establish and communicate clear policies around time off, sick time, and pay.
\n\u2610 Design solutions for providing childcare coverage.
\n\u2610 Develop and communicate clear guidelines to minimize family exposures.
\n\u2610 Offer support for families of caregivers.[\/vc_column_text][vc_column_text]The Society of Hospital Medicine<\/a> (SHM)3<\/sup><\/a> held a webinar on April 22,2020, and recommended the following strategies:[\/vc_column_text][vc_column_text]<\/p>\n

    \n
  1. Transparent and frequent communication from leadership<\/li>\n
  2. Increase collaboration within\/between groups to reduce patient loads and increase time for self-care<\/li>\n
  3. Build partnerships between the group\/institution and the local community to address personal stressors<\/li>\n
  4. Provide resources to help with stress management; increase access to optional counseling sessions<\/li>\n
  5. Create opportunities to recognize and share positive news and success<\/li>\n<\/ol>\n

    [\/vc_column_text][vc_column_text]The American Medical Association<\/a> (AMA),2<\/sup><\/a> on June 17, 2020, updated their recommendations to include the following strategies for health care leadership to support staff:[\/vc_column_text][vc_column_text]<\/p>\n

      \n
    1. Assess physician stress and identify specific drivers<\/li>\n
    2. Build a resilient organization<\/li>\n
    3. Workload redistribution<\/li>\n
    4. Institutional policies \u2013 changes in paid time off and sick days, ensure no expense for COVID-related illness<\/li>\n
    5. Meals \u2013 providing access to meal delivery<\/li>\n
    6. Providing childcare and pet care<\/li>\n
    7. Adequate access to PPE<\/li>\n
    8. Paying attention to emotional and mental well-being<\/li>\n
    9. Providing adequate social support<\/li>\n<\/ol>\n

      [\/vc_column_text][vc_column_text]All three organizations recognize the importance of addressing barriers to both the physical and emotional wellness of their providers during the pandemic. The Press-Ganey checklist provides a concrete list of goals that it recommends institutions achieve whereas the SHM and AMA provide broader guidelines for categories of initiatives that should be addressed, and examples of good practices.<\/p>\n

      While the Press-Ganey checklist provided an initial framework to address hospitalist well-being needs, it did not adequately address how to best support hospitalist workload through adequate staffing, nor how to appropriately assess stressors at individual sites–both of which we thought were fundamental to evaluate. For this reason, we developed a questionnaire based on the Press-Ganey checklist with modifications recommended by the AMA and conducted a directed assessment of how HOMERuN institutions addressed provider wellness during the pandemic. The questionnaire<\/a> was sent to 26 sites.[\/vc_column_text][\/vc_column][vc_column width=”1\/4″ css=”.vc_custom_1600127223223{border-top-width: 1px !important;border-right-width: 1px !important;border-bottom-width: 1px !important;border-left-width: 4px !important;padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 20px !important;padding-left: 20px !important;border-left-color: #2c5d73 !important;border-left-style: solid !important;border-right-color: #2c5d73 !important;border-right-style: solid !important;border-top-color: #2c5d73 !important;border-top-style: solid !important;border-bottom-color: #2c5d73 !important;border-bottom-style: solid !important;border-radius: 4px !important;}”][vc_raw_html]JTVCdWx0aW1hdGVfcG9zdF9saXN0JTIwaWQlM0QlMjI4OTclMjIlNUQ=[\/vc_raw_html][vc_wp_custommenu nav_menu=”17″ el_class=”subNavButton” title=”Provider Wellness and Support”][\/vc_column][\/vc_row][vc_row full_width=”stretch_row_content_no_spaces”][vc_column][cesis_line_divider width=””][vc_column_text font_size=”10px” css=”.vc_custom_1607708684773{padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 20px !important;padding-left: 20px !important;background-color: #f9f9f9 !important;}”]<\/a><\/p>\n

        \n
      1. Press Ganey \u201cCaring for Caregivers\u201d Checklist https:\/\/www.pressganey.com\/blog\/caring-for-caregivers-a-leadership-checklist<\/a><\/li>\n
      2. American Medical Association Resources for Health Care Leadership List on Caring for our Caregivers https:\/\/www.ama-assn.org\/delivering-care\/public-health\/caring-our-caregivers-during-covid-19<\/a><\/li>\n
      3. Society of Hospital Medicine Strategies for Hospitalist Wellbeing Initiatives during COVID-19 https:\/\/www.hospitalmedicine.org\/globalassets\/practice-management\/practice-management-pdf\/pm-20-0011-strategies-for-hospitalist-wellbeing-during-covid19-m.pdf?v=jHaUUdv3v_0<\/a><\/li>\n<\/ol>\n

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        Nineteen percent of protocols recommended standard pharmacologic VTE prophylaxis dosing for all COVID-19 patients regardless of estimated VTE risk. Ten percent recommended…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15],"tags":[],"_links":{"self":[{"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/posts\/884"}],"collection":[{"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/comments?post=884"}],"version-history":[{"count":8,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/posts\/884\/revisions"}],"predecessor-version":[{"id":932,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/posts\/884\/revisions\/932"}],"wp:attachment":[{"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/media?parent=884"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/categories?post=884"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/tags?post=884"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}