Www.RxForSanity.com Rx For Sanity: Resuscitating a Passion for Healthcare ! Patricia L Raymond MD...

www.RxForSanity.com

Rx For Sanity:Resuscitating a Passion

for Healthcare !

Patricia L Raymond MD FACP FACGRx for Sanity, Norfolk VA

www.RxForSanity.com

“Does It Make Your Ears Wiggle?”

-N.E. Raymond

www.RxForSanity.com

Caught Between…

• Frustrated administrators who want a full (and happy) staff at yesterday’s prices.

• Angry caregivers who have to do more, faster with less staff and equipment, and are feeling squeezed like a grape!

www.RxForSanity.com

www.RxForSanity.com

Sometimes you have to take your brain and stomp on it a little.

It just gets caked up.

Mark Twain

www.RxForSanity.com

www.RxForSanity.com

Your Prescription for Sanity

• Triage: your professional life• Love: Family, finances, & mental

health• Laughter: Personal health

And we’ve only a little over an hour to change your

life!

www.RxForSanity.com

Triage: Your Professional Life

www.RxForSanity.com

www.RxForSanity.com

Problems in Healthcare Human Resources today…

• Hiring freeze of nurses given economic crunch • Need for 'out of the box' solutions to enhance

retention, given limitations on new hires • Generational issues amongst staff • Wellness issues, or "Do as I say, not as I do" • Customer service and satisfaction scores

www.RxForSanity.com

“Please back in for prompter service.”

Sign on our endoscopy suite door

www.RxForSanity.com

No time for Metrics, Metrics, Metrics

• Benefits expenses per FTE• Vacancy rates as a percentage

of all employees• Turnover rates as a

percentage of all employees• Net revenue per FTE• Total salary expenses per FTE• HR employees per 100 FTEs

• WHO has time to keep up!

www.RxForSanity.com

www.RxForSanity.com

“I thought of resigning in the last six months.”

• 37% of YOUR current employees responded “Strongly agree” or “Agree”

The reasons :Other – 38%

Career Advancement – 15%

Pay – 23%

Benefits – 5%

My Supervisor/Manager – 18%

2008 HR Solutions, Inc

www.RxForSanity.com

What’s “Other” at your hospital?

www.RxForSanity.com

Union Buster!• Data from nurses’ strikes

in New York State from 1984 to 2004 : 38,228 patients

• In-hospital mortality up 19.4 % – 138 more individuals died

• Hospital readmissions up 6.5 %.– 344 more readmitted

Do Strikes Kill? Evidence from New York State (NBER Working Paper No. 15855), J Gruber, S Kleiner

www.RxForSanity.com

You’re unique…

Just like everybody else.

pairshare

www.RxForSanity.com

If you had a magic wand,

& could wave it over your staff

& get them to do any one thing differently,

what would you choose and why?

www.RxForSanity.com

If the people in your hospital were singing a blues song

about their job,

what would they be singing about EXACTLY?

www.RxForSanity.com

It’s not my job.

www.RxForSanity.com

www.RxForSanity.com

Exercise: The Perfect Day

www.RxForSanity.com

Rxs for Human Resources

• Ergometrics– Chair, keyboard, mouse– Desk & monitor set up

www.RxForSanity.com

www.RxForSanity.com

Metrics Yourself:How do you measure up?

• ASHHRA’s

HR Leadership Self-Evaluation Tool

www.RxForSanity.com

Employee Engagement=Patient Satisfaction

• Teach them to own their own engagement

• Are your staff sitting back passively, waiting for someone to engage them? Change the culture!

Why the Lopsided Look atEmployee Engagement ??? HR Solutions

www.RxForSanity.com

Get your staff off their buts…(but THEY didn’t try to engage me…)

1. Adopt a more positive “can-do” attitude 2. Accept some ownership for being proud of where you

work.3. Ask for clarification if instructions from your

supervisor are somehow unclear.4. Set yourself up to be recognized. 5. Request a career planning meeting with your manager.6. Get to know your Senior Leadership.

www.RxForSanity.com

Get your staff off their buts…(but THEY didn’t try to engage me…)

7. Actively participate in, and contribute to, decisions that

affect your work environment.

8. Ask for feedback about your work performance and act on it.

9. If you don’t have the tools/resources to perform your job effectively, ask for them!

10. Seek learning, knowledge, and satisfaction from your

co-workers and most of all, don’t forget to instill FUN into

your everyday work activities.

www.RxForSanity.com

What’s “Other”?

• Are you working on disruptive behaviors

with your CMO, CNO or other administrators?

• NOT JCAHO zero-tolerance level issues, but…

www.RxForSanity.com

Medical costs fall about $3.27, absenteeism costs fall by about $2.73

for every dollar spent on wellness programs

• Use More, Pay Less– $25/mo x 3 mo, – then -$5 if 5-9/mo, -$10 if 10 or more

• Catch a Flight• W@W• Commit to Quit• Team behavior management games

www.RxForSanity.com

Recognition/Appreciation

Best in Class, Circle of ExcellenceOr noted for longevity only

www.RxForSanity.com

Other interesting ideas

• Buddy program• Administration lunch table• Nurse fellows program• Nurse shift bidding

www.RxForSanity.com

“The great use of a life is to spend it on something that will

outlast it.”

William James

www.RxForSanity.com

Professional Rxs: Find your Windmill

Where are the opportunities for you to make a difference with your

Passion and Position?

www.RxForSanity.com

Possible HR Windmills

• Employee wellness• Staff enrichment• Insidious intimidation (bullying)• Diversity • Recognition• Employee financial health

www.RxForSanity.com

Your mission in life is whereyour deep joy

and the world’s deep hunger meet.~Richard Nelson Bolles

www.RxForSanity.com

Attend conferences like this one, where you can interact with others

who share in your

problems and your passions!

www.RxForSanity.com

Love:Family, Finances &

Mental Health

www.RxForSanity.com

The Art of HealingW.H. Auden

Most patients believe

Dying is something they do,

Not their physician,

That white-coated sage,

Never to be imagined

Naked or married.

www.RxForSanity.com

Family and Medicine

• “Being a physician is one of the few socially acceptable reasons for abandoning a family.” Ann Int Med 2001

• Divorce rates 10-20% higher than general population

Ann Int Med 2001Sou Med Jou 2000

www.RxForSanity.com

Financial stresses

• 35 to 45 y/o average personal debt equals 95% of annual income

• Most spend less than 1 hour per month on retirement planning

• 2 of 3 HCPs does not have a will

www.RxForSanity.com

www.RxForSanity.com

Exercise: Focus Points

• People• Work• Food• Clothing

• Shelter• Money• Fun

Repeat q 3 months

www.RxForSanity.com

Personal & Family Rxs• Take control

– Make time for family/ delegate or hire out– Network with other professionals

• Fee only financial advisor• Marital counseling

www.RxForSanity.com

Laughter:Personal Health

& Wellness

www.RxForSanity.com

The Science of Wellness

www.RxForSanity.com


• Stop smokingTobaccoFreeNurses.org

www.RxForSanity.com


• Stop smoking • Eating habits

www.RxForSanity.com

www.RxForSanity.com


• Stop smoking • Eating habits• Exercise 30 minutes

daily

www.RxForSanity.com

Exercise as MedicineCardiovascular disease, CHF,

CVA, PVD, Type II Diabetes, Obesity, Dyslipidemia, Cancer (breast, colon, prostate, pancreas, melanoma), Asthma, COPD, Osteoarthritis, Rheumatoid Arthritis, Cognitive

Dysfunction

Booth, J Applied Physiology 2002;93:3-30

www.RxForSanity.com

Hi,

This is a hassle to remind you to Have you exercised today? Remember that your health is more important than what you do. Meditate and journal today too. Be in balance. Breathe. So get to it!

You'll be sent one of these hassles roughly every 2 days.

Thanks, -- The HassleMe Team http://hassleme.co.uk/

http://hassleme.co.uk/

www.RxForSanity.com

HassleMe http://hassleme.co.uk

Because sometimes in life,you just need to be nagged...

www.RxForSanity.com


• Stop smoking • Eating habits• Exercise 30 minutes

daily• Sleep 8 hours a night

www.RxForSanity.com

Aging and sleep• Lancet 1999• 8 hours verses 4 hours in normal college students• glucose intolerance identical to early adult type

diabetes• TSH & cortisol levels like elderly

Mall study:

13 % less max happy with each hour < 8

7 = 87% 6 = 74%

5 = 61%

www.RxForSanity.com


• Stop smoking • Eating habits• Exercise 30 minutes daily• Sleep 8 hours a night• See a physician

www.RxForSanity.com

Scott Adams/Dilbert: W.A.D. found

1998- 2 polyps

1999- 2 polyps

2002- no polyps

2007- 5 polyps

www.RxForSanity.com


• Meditate/ breathe/ journal/ spiritual

www.RxForSanity.com

Spirituality & medicine

• Meditation– Psoriasis, heart disease, chronic pain– UCLA meditation tapes to BP patients 73%

reduction in medication, 50% stop meds altogether

• Journaling– Smith Annals Internal Medicine COPD RA

www.RxForSanity.com

Spirituality & medicine

• Optimism– Mayo clinic: pessimists risk factor for

premature death, overall lower level of health, more use of medical resources and higher medical costs

– Internal Medicine News: pessimism worsens lung function; pessimism equivalent to 20 pack- year smoking

www.RxForSanity.com

www.RxForSanity.com


• Meditate/ breathe/ journal/ spiritual

• Happiness list

www.RxForSanity.com

may my mind stroll about hungry, and fearless, and thirsty, and supple.

ee cummings

may my heart always be open

www.RxForSanity.com

www.RxForSanity.com

ColonoscopyJoke.com RxForSanity.com

www.RxForSanity.com

www.RxForSanity.com


• Meditate/ breathe/ journal/ spiritual• Happiness list

• Have Sex• Reassess quarterly

www.RxForSanity.com

The Caerphilly Study: Smith, Frankel, Yarnell, BMJ 1997

• N=918 males(45-59 y/o), 10 year f/u• Stratified to self-reported frequency of

intercourse– Low: Less than q month– Intermediate– High: BIW or more frequent

• Data adjusted for variables of age, social class, systolic blood pressure,

smoking, baseline CAD, cholesterol

www.RxForSanity.com

The Caerphilly Study: ResultsLow

FrequencyIntermediate Frequency

High Frequency

All Cause Mortality

1.9 CI 1.0-3.4P<0.04

1.6 (CI 1.0-2.8) 1.0

Coronary Heart Disease

2.1 CI 0.9 -5.1

P<0.10

1.8 (CI 0.8-4.0) 1.0

www.RxForSanity.com

Women vs. MenQuality vs. Quantity

• Sexual dissatisfaction for women is an independent risk factor for MI– Abramov, Psychosom Med 1976

• Lack of sex associated with death in men• Lack of enjoyment associated with death in

women• Duke Study on Ageing

– Palrnore, Gerontologist 1982

www.RxForSanity.com

Rx Yourself Now:

If you really want to do something you’ll find a way.

If you don’t,

you’ll find an excuse.

www.RxForSanity.com

The Science of Wellness• Stop smoking• Moderate your eating habits• Exercise 30 minutes daily• Sleep 8 hours a night• See a physician • Seek the spiritual• Make a “Happiness List”• Have more/better sex• Reassess quarterly

www.RxForSanity.com

SSDT: Not sex!

www.RxForSanity.com

This is your prescription for sanity:

• Choose your windmill• Focus Points• Happiness List

• Have more (or better) sex

www.RxForSanity.com

“Does It Make Your Ears Wiggle?”

-N.E. Raymond

www.RxForSanity.com

Don’t wait for a second opinion!

www.RxForSanity.com

Www.RxForSanity.com Rx For Sanity: Resuscitating a Passion for Healthcare ! Patricia L Raymond MD...

Documents

Transcript of Www.RxForSanity.com Rx For Sanity: Resuscitating a Passion for Healthcare ! Patricia L Raymond MD...