1. GAPP Coaching Call Worker Safety Working Session March 27, 2014 Denise Flook Lynne Hall Jean Allred

2. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 2 Appreciative Moment Tell us one positive thing that happened since last week 2

3. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 3 AGENDA 1. EMPLOYEE RESILIANCE: Through the Eyes of the Workforce Perception of Punitive Culture 2. PRESENTATION: EMPLOYEE SUPPORT Larry Connelly (Content Expert): Hospital Chaplain Services 3. SPOTLIGHT ON BEST PRACTICES: 1. “Return to Work Program”: Chatuge Regional Hospital 2. “Tranquility / Zen Room” Midtown Hospital, Columbus 3. “Serious Patient Event Investigation”: Atlanta Medical Center 4. “Safety Clarity Policy”: DeKalb Regional Medical Center 5. “Hard Stop: Disruptive Behaviors” : Ty Cobb Regional Medical Center 4. GAPP UPDATES 3

4. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 4 Slide 4 4

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6. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 6 “Workplace safety is inextricably linked to patient safety. Unless caregivers are given the protection, respect, and support they need, they are more likely to make errors, fail to follow safe practices, and not work well in teams” 6 THROUGH THE EYES OF THE WORKFORCE:

7. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 7 VULNERABLE WORKFORCE -60% of surveyed physicians are thinking of leaving practice because they feel discouraged - 33% of new registered nurses seek another job within a year. CHALLENGES: 1.Lack of respect 2.Burdens of regulation and record keeping 3.Tolerance of disrespectful and non-team-promoting behaviors. 7 THROUGH THE EYES OF THE WORKFORCE:

8. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 8 WORKPLACE VIOLENCE “Health care has a long history of toleration of disrespectful behavior by physicians, and to some degree by nurses” “Emotional abuse, bullying, and even threats of physical assault and learning by humiliation are all often accepted as “normal” conditions of the healthcare workplace” 8 THROUGH THE EYES OF THE WORKFORCE:

9. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 9 AGENCY FOR HEALTHCARE RESEARCH AND QUALITY RESULTS (AHRQ) AHRQ 2011 User Comparative Database Report: Non-punitive Response to Error—This composite has the lowest average percent positive response (44 percent), indicating it is an area with potential for improvement for most hospitals. 9

10. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 10 THROUGH THE EYES OF THE WORKFORCE: What Can Be Done? 1. Am I treated with dignity and respect by everyone? 2. Do I have what I need so I can make a contribution that gives meaning to my life? 3. Am I recognized and thanked for what I do? 10

11. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 11 HOSPITAL CHAPLAIN SERVICES: Larry Connelly Current: Chaplain at Peachtree Christian Hospice-Duluth Experience: Director of Spiritual Care Services – Piedmont Atlanta Hospital 1980-2009 Co-Founder and Past-President Georgia Chaplain Society Education: The Southern Baptist Theological Seminary Master of Divinity (M.Div.), Pastoral Studies / Counseling Carson-Newman College Bachelor of Arts (BA) Sociology, Psychology 11

12. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 12 HOSPITAL CHAPLAIN SERVICES Critical Incident Debriefing Training Group and Individual Counseling Psychological First Aid ? Other 12

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15. 15 The Critical Incident Stress Management (CISM), Group Crisis Intervention training is a 2-day course designed to develop and/or further prepare the Acute Care Hospital, Community Health Center, Community Service Boards (CSB) and Emergency Medical Services CISM teams. The training will include a wide range of crisis intervention services, including pre- and post- incident crisis education, significant support services, on-scene support services, crisis intervention for individuals, demobilizations after large scale traumatic incidents, small group defusings and the group intervention known as Critical Incident Stress Debriefing (CISD). The course prepares participants to provide interventions, specifically demobilizations, defusings and the CISD. The Critical Incident Stress Management (CISM), Peer Counseling Support training is a 2-day course designed to develop and/or further prepare the Acute Care Hospital, Community Health Center, Community Service Boards (CSB) and Emergency Medical Services CISM teams. The training will include a wide range of crisis intervention services, including pre- and post- incident crisis education, significant support services, on-scene support services, crisis intervention for individuals, demobilizations after large scale traumatic incidents, small group defusings and the group intervention known as Critical Incident Stress Debriefing (CISD). The course prepares participants to provide interventions, specifically demobilizations, defusings and the CISD. The Advanced Group Crisis Intervention builds on the knowledge base which was obtained through the Group Crisis Intervention course and/or in publications. At the conclusion of this course, participants will have been exposed to specific, proven strategies to intervene with those suffering the ill effects of their exposure to trauma. Emphasis will be on advanced defusings and debriefings in complex situations. This course is designed for EAP, human resources and public safety personnel, mental health professionals, chaplains, emergency medical services providers, firefighters, physicians, police officers, nurses, dispatchers, airline personnel and disaster workers who are already trained in the critical incident stress debriefing format. This course requires previous training and experience. *ICISF’s “Group Crisis Intervention” should be viewed as a prerequisite.

16. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 16 SPOTLIGHT ON BEST PRACTICES: “Return to Work Program”: Dexter Shook, Risk Quality & Workers Compensation Director Chatuge Regional Hospital 16

17. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 17 SPOTLIGHT ON BEST PRACTICES: “Tranquility / Zen Room” Speaker TBD Midtown Hospital, Columbus Regional Hospital 17

18. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 18 SPOTLIGHT ON BEST PRACTICES: “Worker Injury and Serious Patient Event Investigation”: Kathleen Pendleton, Director of Risk Management, Atlanta Medical Center 18

19. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 19 SPOTLIGHT ON BEST PRACTICES: “Safety Clarity Policy”/ CUS: Nancy Curdy, Director of Patient Safety DeKalb Regional Medical Center 19

20. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 20 SPOTLIGHT ON BEST PRACTICES: “Hard Stop – Handling Disruptive Physicians”: Tina Thomas, Performance Improvement Director Ty Cobb Regional Medical Center 20

21. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 21 UPCOMING WORKER SAFTEY April 24, 2014 Coaching Call: Worker Safety Topic TBD May 1, 2014 (GAPP meeting breakout session) May 22, 2014 Topic “ Reducing the Impact of RN Fatigue on Patient and Nursing Safety” Ergonomic / Safe Patient Handling “Train the Trainer” Workshop (Date TBD) 21

22. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 22 GAPP Updates Mandatory Meeting Attendance – Coaching Call and Sepsis Discussion Second Thursday of month. Must complete an evaluation – Second topic call (no evaluation) – If you miss a call you can listen to the recording within 1 week. Complete eval if applicable, and notify topic lead that you listened to get credit. Data Submission: – Due 3 rd or each month – send to Lynne Hall (lhall@gha.org)lhall@gha.org TOC (1 for sepsis and 1 for additional topic area) Checklist (1 per hospital) – Worker Safety Data (if in WS group) Send to Jean Allred (jallred@gha.org)jallred@gha.org due 15 th of month (about 45 days after end of reporting month). Coaching Call In person meeting (mandatory): May 1, 1- 4 pm. after regional HEN meeting, Atlanta (tentative) 22