6242016

1

CREATING A

CULTURE OF WELLNESS

Lisa Hardmeyer Gray

Founder Intrinsic LLC

In partnership with Northwest Primary Care Association

LEARNING OBJECTIVES

Understanding Burn-out

Trends in Employer-of-ChoiceEmployee Engagement

What is Workplace Wellness and why do we need it

Experience Mindfulness as an effective tool to address Wellness

Explore Resiliency

Have Fun

6242016

2

Mindful Check-In

Standing with awareness

Scanning body sound thoughts emotions

Working with wandering attention

Debrief with a neighbor

What did you notice in your experience

What seem to be the results of doing this

Why do you think we opened with this activity

Practice The Mindful Check-In

WHAT IS BURN-OUT

6242016

3

BURN-OUT IMPACTS

Physicians (and their families)

Patients

Institutions

Healthcare Delivery

COSTS TO PATIENTS SOCIETY INSTITUTIONS

Early retirementphysician shortagecost of replacement

Medical errorsmalpractice

Patient centered care and satisfaction

Currency of perception

6242016

4

WHAT DO YOU NOTICE NOW

Mindful Check-In

Sitting with awareness

Scanning body breath thoughts emotions Working with

wandering attention

Debrief as group

What did you notice in your experience

Practice The Mindful Check-In

The Antithesis of Burn-out is Engagement

Of Body Mind Spirit

6242016

5

State of the American Workplace a 2013 Gallup Study

WHO ARE WE TAKING CARE OF

ldquoWe must find ways to engage our nurses administrative staff physicians housekeeping staff supervisors switchboard operators etc so that they WANT to provide great service to their patients Itrsquos not that we think patients are not important But there is a direct correlation between employee loyalty and customer loyalty And with more restrictive reimbursements on the horizon the pressure will continue to rise on patient acquisition and retentionrdquo

6242016

4

WHAT DO YOU NOTICE NOW

Mindful Check-In

Sitting with awareness

Scanning body breath thoughts emotions Working with

wandering attention

Debrief as group

What did you notice in your experience

Practice The Mindful Check-In

The Antithesis of Burn-out is Engagement

Of Body Mind Spirit

6242016

5

State of the American Workplace a 2013 Gallup Study

WHO ARE WE TAKING CARE OF

ldquoWe must find ways to engage our nurses administrative staff physicians housekeeping staff supervisors switchboard operators etc so that they WANT to provide great service to their patients Itrsquos not that we think patients are not important But there is a direct correlation between employee loyalty and customer loyalty And with more restrictive reimbursements on the horizon the pressure will continue to rise on patient acquisition and retentionrdquo

6242016

5

State of the American Workplace a 2013 Gallup Study

WHO ARE WE TAKING CARE OF

ldquoWe must find ways to engage our nurses administrative staff physicians housekeeping staff supervisors switchboard operators etc so that they WANT to provide great service to their patients Itrsquos not that we think patients are not important But there is a direct correlation between employee loyalty and customer loyalty And with more restrictive reimbursements on the horizon the pressure will continue to rise on patient acquisition and retentionrdquo

6242016

6

GREATEST ASSET EMPLOYEES

But only 23 of respondents believe their organization is now attracting and retaining best talent

WHO ARE WE ENGAGING 4 GENERATIONS

2015 Arthur Maxwell

6242016

7

CONSIDERATIONS

Harvard Business Review

National birthrates are dropping talent pool is shrinking

Our work is more knowledge-based--need to attract more educated employees

Engagement and retention will become even more important than it is today

TRENDS IN EMPLOYER-OF-CHOICE

OLD MODEL

Security in exchange for compensation

Harvard Business Review

NEW MODEL

Meaningful work that solves social problems

Professional Development

Autonomy

Flexibility to innovate and have ownership of projects

Co-create with customers

Trust and Transparency

6242016

7

CONSIDERATIONS

Harvard Business Review

National birthrates are dropping talent pool is shrinking

Our work is more knowledge-based--need to attract more educated employees

Engagement and retention will become even more important than it is today

TRENDS IN EMPLOYER-OF-CHOICE

OLD MODEL

Security in exchange for compensation

Harvard Business Review

NEW MODEL

Meaningful work that solves social problems

Professional Development

Autonomy

Flexibility to innovate and have ownership of projects

Co-create with customers

Trust and Transparency

6242016

8

WHAT DOES YOUNG TALENT WANT

Harvard Busines Review

THE GOOD NEWS CHCS HAVE MOST IMPORTANT FACTOR SOCIAL VALUE

6242016

9

EMPLOYEE ENGAGEMENT ndash GALLUP Q12

LEADERSHIP

A recent study by Accenture

31 of employees quit because they donrsquot like their boss

21 leave due to lack of empowerment

Leigh Branham survey of 20000 employees

The 1 reason people quit their job loss of trust and confidence in senior leaders

2 Feeling undervalued in recognition reward and pay

6242016

9

EMPLOYEE ENGAGEMENT ndash GALLUP Q12

LEADERSHIP

A recent study by Accenture

31 of employees quit because they donrsquot like their boss

21 leave due to lack of empowerment

Leigh Branham survey of 20000 employees

The 1 reason people quit their job loss of trust and confidence in senior leaders

2 Feeling undervalued in recognition reward and pay

6242016

10

ldquoIf you hire people just because they can do a job theyll work for your

money but if they believe what you believe theyll work for you with blood

and sweat and tearsrdquo -Simon Senek Leadership Consultant

SERVICE LEADERSHIP

Available

Engaged

Listen

Empower

MOVING FROM HEALTH AND WELLNESS

TOhellip

WELL-BEING

6242016

11

Back to BlogPosted on 05-31-2015

MINDFUL MOVEMENT

bull -

bull raise body awareness

bull lower stress

bull decrease the incidence of injury

bull increase energy

bull improve concentration

bull promote relaxation

6242016

11

Back to BlogPosted on 05-31-2015

MINDFUL MOVEMENT

bull -

bull raise body awareness

bull lower stress

bull decrease the incidence of injury

bull increase energy

bull improve concentration

bull promote relaxation

6242016

12

WELL-BEING PHYSICAL AND MENTAL HEALTH

Anxiety Depression Stress and Burn-out

One-fourth of employees view their jobs as the number one stressor in their

lives

-Northwestern National Life

Three-fourths of employees believe the worker has more on-the-job stress

than a generation ago

-Princeton Survey Research Associates

Problems at work are more strongly associated with health complaints than

are any other life stressor-more so than even financial problems or family

problems

-St Paul Fire and Marine Insurance Co

BENEFITS OF WELLNESS PROGRAMS

Lowering health care costs

Reducing absenteeism

Achieving higher employee productivity

Reducing workersrsquo compensation and disability-related costs

Reducing injury

Improving employee morale and loyalty

Healthier employees are happier and more productive employees

Society for Human Resource Management

6242016

13

WELLNESS PROGRAMS

Cost Savings

Average savings $337 for every dollar invested

Johnson and Johnson leaders estimate that wellness programs have cumulatively saved the company $250 million on health care costs over the past decade from 2002 to 2008 the return was $271 for every dollar spent

Lower Absenteeism - absenteeism costs fall by about $273 for every dollar spent

US National Library of Medicine

National Institutes of Health

doi 101377hlthaff20090626 HEALTH AFFAIRS 29NO 2 (2010) ndashcopy2010 Project HOPEmdash

The People-to-People Health Foundation Inc

STEPS TO IMPLEMENT Set up with the help of a health insurance broker

Usually administered through HR department

Larger companies invest in on-site workout facilities relaxation rooms

personal trainers healthy meals stress-reduction classes

Smaller companies offer incentives using health club memberships

healthy eating programs stress-reduction classes

Penalties and Incentives

6242016

13

WELLNESS PROGRAMS

Cost Savings

Average savings $337 for every dollar invested

Johnson and Johnson leaders estimate that wellness programs have cumulatively saved the company $250 million on health care costs over the past decade from 2002 to 2008 the return was $271 for every dollar spent

Lower Absenteeism - absenteeism costs fall by about $273 for every dollar spent

US National Library of Medicine

National Institutes of Health

doi 101377hlthaff20090626 HEALTH AFFAIRS 29NO 2 (2010) ndashcopy2010 Project HOPEmdash

The People-to-People Health Foundation Inc

STEPS TO IMPLEMENT Set up with the help of a health insurance broker

Usually administered through HR department

Larger companies invest in on-site workout facilities relaxation rooms

personal trainers healthy meals stress-reduction classes

Smaller companies offer incentives using health club memberships

healthy eating programs stress-reduction classes

Penalties and Incentives

6242016

14

STEPS TO IMPLEMENT (CONT)

Health Assessment Screening

May be encouraged to participate in

Weight Loss Programs

Smoking Cessation Programs

Nutritional Improvement Programs

Stress Reduction classes

Positive Incentives

lower health care premiums (subsidized by insurance provider or organization) reimbursements for health club memberships bicycles I-pad gift cards

employees lose trust when forced to act against their wishes

BEST PRACTICES IMPLEMENTATION

Multi-level Leadership-Need buy-in and participation

on all levels

Alignment-Culture shifts take time

Scope Relevance and Quality-Itrsquos more than just

cholesterol

6242016

15

FEDERAL REGULATION INCENTIVES

Patient Protection and Affordable Care Act of 2010 (PPACA) permits

employers to offer cash incentives to employees for participating in

Wellness Programs and reaching certain targets

Current law limits the value of Wellness incentives to 30 of the total

health care premium spent per worker The law also allows 50 in

programs targeting tobacco use

CONCERNS

Concern that health promotion programs are discriminatory

mdash allowing employers to shift medical costs to workers in

poor health

In October 2014 the EEOC filed a claim against Honeywell

claiming its biometric testing program violated the ADA

6242016

16

INEXPENSIVE Flowers when employee is sick

Birthday cards and celebrations

Laundry Service or Meal delivery for mandatory over-time

Healthy snacks

Community gardens

ldquoField tripsrdquo connect to mission

Appreciation

Culture of Fun

Monthly outings

Engage Staff What motivates them

Be careful Be Authentic

PING-PONG 1 BRAIN SPORT

(INEXPENSIVE AND FUN)

ENHANCED

motor functions

strategy function

long-term memory functions

6242016

15

FEDERAL REGULATION INCENTIVES

Patient Protection and Affordable Care Act of 2010 (PPACA) permits

employers to offer cash incentives to employees for participating in

Wellness Programs and reaching certain targets

Current law limits the value of Wellness incentives to 30 of the total

health care premium spent per worker The law also allows 50 in

programs targeting tobacco use

CONCERNS

Concern that health promotion programs are discriminatory

mdash allowing employers to shift medical costs to workers in

poor health

In October 2014 the EEOC filed a claim against Honeywell

claiming its biometric testing program violated the ADA

6242016

16

INEXPENSIVE Flowers when employee is sick

Birthday cards and celebrations

Laundry Service or Meal delivery for mandatory over-time

Healthy snacks

Community gardens

ldquoField tripsrdquo connect to mission

Appreciation

Culture of Fun

Monthly outings

Engage Staff What motivates them

Be careful Be Authentic

PING-PONG 1 BRAIN SPORT

(INEXPENSIVE AND FUN)

ENHANCED

motor functions

strategy function

long-term memory functions

6242016

16

INEXPENSIVE Flowers when employee is sick

Birthday cards and celebrations

Laundry Service or Meal delivery for mandatory over-time

Healthy snacks

Community gardens

ldquoField tripsrdquo connect to mission

Appreciation

Culture of Fun

Monthly outings

Engage Staff What motivates them

Be careful Be Authentic

PING-PONG 1 BRAIN SPORT

(INEXPENSIVE AND FUN)

ENHANCED

motor functions

strategy function

long-term memory functions

6242016

17

IN GOOD COMPANY

YOUNG OR OLD

TEAM BASED CARE BREAKING THE ISOLATION

6242016

18

MINDFULNESS FAST-GROWING PROGRAM FOR

STRESS REDUCTION AND BURN-OUT

PREVENTION

CASE STUDY AETNA INSURANCE

Divided employees into quintiles by stress markers such as heart rate

Found that the most stressed group had average medical costs $2500 a year higher than the least-stressed group

After mindfulness and yoga training for 12 weeks the costs drop markedly

Company pegged the added cost for the most-stressed employees in the study of 458 people at nearly $2000rdquo

That figure even seems a bit low if you consider that obesity could be linked to stress

TRENDING

Anderson Cooper

6242016

19

September 2330 2009 Vol 302 No 12 gt

Original Contribution | September 23 2009CLINICIANS CORNER

Association of an Educational Program in Mindful Communication With Burnout Empathy and Attitudes Among Primary Care PhysiciansMichael S Krasner MD Ronald M Epstein MD Howard Beckman MD Anthony L Suchman MD MA Benjamin Chapman PhD Christopher J Mooney MA Timothy E Quill MD

[+] Author Affiliations

JAMA 2009302(12)1284-1293 doi101001jama20091384

Mindfulness is paying

attention in a particular

way

on purpose

in the present moment

and non-judgmentally

What is Mindfulness A processhellip

Jon Kabat-Zinn

6242016

20

WHAT MINDFULNESS IS

Training the Mind

Turning off ldquoauto-pilotrdquo

Cultivating presence

WHAT MINDFULNESS ISNrsquoT

New-Agey or a Religion

Escaping

Relaxation technique

ldquoMyrdquondfulness

6242016

21

EVIDENCE-BASED RESEARCH

Study

70 physicians in Rochester NY

8 wk MBSR (29-33 hrs)

10 mo follow-up

Measurements

Maslach Burn-out Inventory

Jefferson Scale of Physician Empathy

Physician Belief Scale

Profile of Mood States

AsPhysicianssociation of an Educational Program in Mindful Communication With Burnout Empathy and Attitudes Among Primary Care

Michael S Krasner MD Ronald M Epstein MD Howard Beckman MD Anthony L Suchman MD MA Benjamin Chapman PhD Christopher J Mooney MA Timothy E Quill MD

JAMA 2009302(12)1284-1293 doi101001jama20091384

Results

Improvements in Well-being

Increased Patient-Centered

Orientation

FURTHER RESEARCH

1 Reduced professional isolation

2 Improved the participantsrsquo perceptions of their ability to be attentive and listen deeply to their patientsrsquo concerns and respond to them more effectively

3 Greater self-awareness was positive and transformative

The Impact of a Program in Mindful Communication on Primary Care Physicians

Howard B Beckman MD Melissa Wendland Christopher Mooney MA Michael S Krasner MD Timothy E Quill MD Anthony L Suchman MD and Ronald M Epstein MD Academic Medicine Vol 87 No 6 June 2012

Copyright copy by the Association of American Medical Colleges Unauthorized reproduction of this article is prohibited

6242016

22

EVIDENCE-BASED RESEARCH ABBREVIATED

Study

30 primary care physicians

Weekend course ndash 18 hrs

Baseline and 3 follow-up points

Measurements

Maslach Burnout Inventory

EMOTIONAL EXHAUSTION

DEPERSONALIZATION

PERSONAL ACCOMPLISHMENT

Depression Anxiety Stress Scales-21

DEPRESSION

ANXIETY

Perceived Stress ScaleAbbreviated mindfulness intervention for job satisfaction quality of life and compassion in primary care clinicians a pilot study

Fortney L1 Luchterhand C Zakletskaia L Zgierska A Rakel D

Ann Fam Med 2013 Sep-Oct11(5)412-20 doi 101370afm1511

Conclusions

SIGNIFICANT BETTER SCORES

Participation associated with

reductions in

indicators of job burn-out

depression

anxiety

stress

WHY IT MATTERS SCIENCE OF MINDFULNESS

Anterior Cingulate Cortex (ACC) ndashThinking and emotion

Self-regulation

Hippocampus ndashLearning memory self-awareness compassion and introspection

Increased gray matter

6242016

22

EVIDENCE-BASED RESEARCH ABBREVIATED

Study

30 primary care physicians

Weekend course ndash 18 hrs

Baseline and 3 follow-up points

Measurements

Maslach Burnout Inventory

EMOTIONAL EXHAUSTION

DEPERSONALIZATION

PERSONAL ACCOMPLISHMENT

Depression Anxiety Stress Scales-21

DEPRESSION

ANXIETY

Perceived Stress ScaleAbbreviated mindfulness intervention for job satisfaction quality of life and compassion in primary care clinicians a pilot study

Fortney L1 Luchterhand C Zakletskaia L Zgierska A Rakel D

Ann Fam Med 2013 Sep-Oct11(5)412-20 doi 101370afm1511

Conclusions

SIGNIFICANT BETTER SCORES

Participation associated with

reductions in

indicators of job burn-out

depression

anxiety

stress

WHY IT MATTERS SCIENCE OF MINDFULNESS

Anterior Cingulate Cortex (ACC) ndashThinking and emotion

Self-regulation

Hippocampus ndashLearning memory self-awareness compassion and introspection

Increased gray matter

6242016

23

BRAIN SCAN FMRI

bull Stress Reduction

bull Reduced Absenteeism

bull Greater Productivity

bull Better Communication

bull Relationship Satisfaction

bull Boosts Working Memory

BENEFITS

Increases Focus

Increases Cognitive Flexibility

Decreases Emotional Reactivity

Increases Self-awareness

Increased Job Satisfaction

What are the benefits of mindfulnessBy Daphne M Davis PhD and Jeffrey A Hayes PhD

JulyAugust 2012 Vol 43

J Consult Clin Psychol Author manuscript available in PMC 2010 Apr 1Published in final edited form as

J Consult Clin Psychol 2010 Apr 78(2) 169ndash183doi 101037a0018555

ArticleJournal of Behavioral Medicine

June 1985 Volume 8 Issue 2 pp 163-190First online

The clinical use of mindfulness meditation for the self-regulation of chronic painJon Kabat-Zinn Leslie Lipworth Robert Burney

6242016

24

BENEFITS FOR PATIENTS

bull Increased immune

functioning

bull Improvement to well-

being

bull Improves symptoms

of

bull Anxiety

bull Depression

bull Chronic pain

bull Cardiovascular

disease Family amp Community Health January 2003 - Volume 26 - Issue 1 - p 25ndash33 Complementary and Alternative Therapies

Mindfulness Meditation Anxiety Reduction and Heart Disease A Pilot Study

Tacoacuten Anna M PhD McComb Jacalyn PhD Caldera Yvonne PhD Randolph Patrick PhD

J Consult Clin Psychol Author manuscript available in PMC 2010 Apr 1

Published in final edited form asJ Consult Clin Psychol 2010 Apr 78(2) 169ndash183 doi 101037a0018555

ArticleJournal of Behavioral Medicine June 1985 Volume 8 Issue 2 pp 163-190

First online The clinical use of mindfulness meditation for the self-regulation of chronic pain

Jon Kabat-Zinn Leslie Lipworth Robert Burney

Studies by the National Institute of Health UK the University of Massachusetts and the MindBody Medical Institute at Harvard University suggest that mindfulness at work is good for business

6242016

25

Mindfulness can help all employees but it can be particularly

beneficial for senior leaders

ldquoThe main business case for (mindfulness) is that if yoursquore fully present

on the job you will be a more effective leader

you will make better decisions and you will work

better with other peoplerdquo

--William George Harvard Business School

former CEO Medtronic

FT Magazine (Gelles 2012)

Mindful Leadership

6242016

26

Bringing Mindfulness to Work

Beware of the PeddlersCompanies are rushing to teach staff mindfulness But

some need to find more experienced teachersBy Stephany Tlalka | February 25 2015 Mindful Magazine

Practice Awareness of Breathing

TITLE

PORTABLE

CALMING

OXYGENATION

ACTIVATES PARA-SYMPATHETIC NERVOUS SYSTEM

6242016

27

RESILIENCY

the ability to adapt to

and bounce back

from stress

MINDLESS REACTION

Unawareness

Disconnection (from experience)

Out of Balance

6242016

28

MINDFUL RESPONSE

Awareness

Connection (to

experience)

Balance

THE OLD WAY TO DEAL WITH STRESS

Suppress

Deny

Workaholism

Busyness

Chemical

Food

Shopping

6242016

28

MINDFUL RESPONSE

Awareness

Connection (to

experience)

Balance

THE OLD WAY TO DEAL WITH STRESS

Suppress

Deny

Workaholism

Busyness

Chemical

Food

Shopping

6242016

29

REAL LIFE POSSIBILITIES - INFORMAL

PRACTICES- UPON ARISING-Mindful tooth brushing or

shower or movement while

coffee brews

Mindful breakfast

Mindful check-in

No radio or phone driving in

Formal practices shift the baseline

Sitting amp Walking Practices

MovementBody Practices

Regular is key

Taking a class

Workshops and Retreats

Becoming More Mindful Formal Practices

6242016

30

REAL LIFE POSSIBILITIES - INFORMAL

PRACTICES-DURING THE DAY

Stop breathe be vs ldquoemail apneardquo

3 minute meditation

Etch a sketch

REAL LIFE POSSIBILITIES - INFORMAL

PRACTICES-DURING THE DAY

Washing hands

Flight of stairs

Walk to meeting

Move your body

6242016

31

Before you enter a room for a meeting

or to see a patient

-Feel your two feet on the floor

-Take a breath

-Proceed

TWO FEET AND A BREATH

REAL LIFE POSSIBILITIES - INFORMAL

PRACTICES-DURING THE DAY- NOTICE

YOUR BODYClenched fist or jaw

Heart rate

Hunger

Where are your shoulders

6242016

32

REAL LIFE POSSIBILITIES - INFORMAL

PRACTICES-COMING AND BEING HOME

Device free

dinnereveningbedroom

Gratitude or ldquoheartrdquo Journal

Mr Rogers moment

USE REMINDERS

Low tech (dots post its door knock red light phone

ring)

High tech

httpstopbreathethinkorg

httpswwwheadspacecomheadspace-meditation-

app

httpintrinsictrainingscom

6242016

33

DEVELOPING A MINDFULNESS PROGRAM

Initial training

in-person training

online classes

recorded materials

Offer MINDFULNESS-BASED STRESS REDUCTION training followed

up with opportunities for group or individual practice

Identify champions

Set up a morning or lunch-time group weekly to start then daily

using guided meditation with a pre-recorded session or with

a live instructor online

in person

Integrated Mindfulness into existing wellness programs

Remain voluntary

Support from management and the Board

Leadership

Mindful Leadership

Deepening Leadership Presence

Sessions

Facilitating Mindfulness

Parallel Paths and Multiple Offerings for Systemic Change

Front-Line Staff

Mindful at Work

Drop in Mindful Sessions

Specific subgroups

(Physicians Customer Service Providers)

Opt In

Extended

Offerings

MBSR

Day

LongWeekend

Workshops

Team Workshops

Mindful CultureDrives Improved

Wellbeing

Creativity

Productivity

Employer amp Provider

of Choice

6242016

34

COST EFFECTIVENESS

8 wk Mindfulness-based Stress Reduction class ndash 5K ndash 7K for up to 25

participants Some institutions subsidize classes- participants pay $100

Roughly $400-500 participant for 8 wk class

27 Training hours

Approx $10hr per participant

Replacement of physician ndash min $350000

Center for Mindfulness in Medicine Health Care and Society

KINDNESS MEDITATION

6242016

30

REAL LIFE POSSIBILITIES - INFORMAL

PRACTICES-DURING THE DAY

Stop breathe be vs ldquoemail apneardquo

3 minute meditation

Etch a sketch

REAL LIFE POSSIBILITIES - INFORMAL

PRACTICES-DURING THE DAY

Washing hands

Flight of stairs

Walk to meeting

Move your body

6242016

31

Before you enter a room for a meeting

or to see a patient

-Feel your two feet on the floor

-Take a breath

-Proceed

TWO FEET AND A BREATH

REAL LIFE POSSIBILITIES - INFORMAL

PRACTICES-DURING THE DAY- NOTICE

YOUR BODYClenched fist or jaw

Heart rate

Hunger

Where are your shoulders

6242016

32

REAL LIFE POSSIBILITIES - INFORMAL

PRACTICES-COMING AND BEING HOME

Device free

dinnereveningbedroom

Gratitude or ldquoheartrdquo Journal

Mr Rogers moment

USE REMINDERS

Low tech (dots post its door knock red light phone

ring)

High tech

httpstopbreathethinkorg

httpswwwheadspacecomheadspace-meditation-

app

httpintrinsictrainingscom

6242016

33

DEVELOPING A MINDFULNESS PROGRAM

Initial training

in-person training

online classes

recorded materials

Offer MINDFULNESS-BASED STRESS REDUCTION training followed

up with opportunities for group or individual practice

Identify champions

Set up a morning or lunch-time group weekly to start then daily

using guided meditation with a pre-recorded session or with

a live instructor online

in person

Integrated Mindfulness into existing wellness programs

Remain voluntary

Support from management and the Board

Leadership

Mindful Leadership

Deepening Leadership Presence

Sessions

Facilitating Mindfulness

Parallel Paths and Multiple Offerings for Systemic Change

Front-Line Staff

Mindful at Work

Drop in Mindful Sessions

Specific subgroups

(Physicians Customer Service Providers)

Opt In

Extended

Offerings

MBSR

Day

LongWeekend

Workshops

Team Workshops

Mindful CultureDrives Improved

Wellbeing

Creativity

Productivity

Employer amp Provider

of Choice

6242016

34

COST EFFECTIVENESS

8 wk Mindfulness-based Stress Reduction class ndash 5K ndash 7K for up to 25

participants Some institutions subsidize classes- participants pay $100

Roughly $400-500 participant for 8 wk class

27 Training hours

Approx $10hr per participant

Replacement of physician ndash min $350000

Center for Mindfulness in Medicine Health Care and Society

KINDNESS MEDITATION

6242016

31

Before you enter a room for a meeting

or to see a patient

-Feel your two feet on the floor

-Take a breath

-Proceed

TWO FEET AND A BREATH

REAL LIFE POSSIBILITIES - INFORMAL

PRACTICES-DURING THE DAY- NOTICE

YOUR BODYClenched fist or jaw

Heart rate

Hunger

Where are your shoulders

6242016

32

REAL LIFE POSSIBILITIES - INFORMAL

PRACTICES-COMING AND BEING HOME

Device free

dinnereveningbedroom

Gratitude or ldquoheartrdquo Journal

Mr Rogers moment

USE REMINDERS

Low tech (dots post its door knock red light phone

ring)

High tech

httpstopbreathethinkorg

httpswwwheadspacecomheadspace-meditation-

app

httpintrinsictrainingscom

6242016

33

DEVELOPING A MINDFULNESS PROGRAM

Initial training

in-person training

online classes

recorded materials

Offer MINDFULNESS-BASED STRESS REDUCTION training followed

up with opportunities for group or individual practice

Identify champions

Set up a morning or lunch-time group weekly to start then daily

using guided meditation with a pre-recorded session or with

a live instructor online

in person

Integrated Mindfulness into existing wellness programs

Remain voluntary

Support from management and the Board

Leadership

Mindful Leadership

Deepening Leadership Presence

Sessions

Facilitating Mindfulness

Parallel Paths and Multiple Offerings for Systemic Change

Front-Line Staff

Mindful at Work

Drop in Mindful Sessions

Specific subgroups

(Physicians Customer Service Providers)

Opt In

Extended

Offerings

MBSR

Day

LongWeekend

Workshops

Team Workshops

Mindful CultureDrives Improved

Wellbeing

Creativity

Productivity

Employer amp Provider

of Choice

6242016

34

COST EFFECTIVENESS

8 wk Mindfulness-based Stress Reduction class ndash 5K ndash 7K for up to 25

participants Some institutions subsidize classes- participants pay $100

Roughly $400-500 participant for 8 wk class

27 Training hours

Approx $10hr per participant

Replacement of physician ndash min $350000

Center for Mindfulness in Medicine Health Care and Society

KINDNESS MEDITATION

6242016

32

REAL LIFE POSSIBILITIES - INFORMAL

PRACTICES-COMING AND BEING HOME

Device free

dinnereveningbedroom

Gratitude or ldquoheartrdquo Journal

Mr Rogers moment

USE REMINDERS

Low tech (dots post its door knock red light phone

ring)

High tech

httpstopbreathethinkorg

httpswwwheadspacecomheadspace-meditation-

app

httpintrinsictrainingscom

6242016

33

DEVELOPING A MINDFULNESS PROGRAM

Initial training

in-person training

online classes

recorded materials

Offer MINDFULNESS-BASED STRESS REDUCTION training followed

up with opportunities for group or individual practice

Identify champions

Set up a morning or lunch-time group weekly to start then daily

using guided meditation with a pre-recorded session or with

a live instructor online

in person

Integrated Mindfulness into existing wellness programs

Remain voluntary

Support from management and the Board

Leadership

Mindful Leadership

Deepening Leadership Presence

Sessions

Facilitating Mindfulness

Parallel Paths and Multiple Offerings for Systemic Change

Front-Line Staff

Mindful at Work

Drop in Mindful Sessions

Specific subgroups

(Physicians Customer Service Providers)

Opt In

Extended

Offerings

MBSR

Day

LongWeekend

Workshops

Team Workshops

Mindful CultureDrives Improved

Wellbeing

Creativity

Productivity

Employer amp Provider

of Choice

6242016

34

COST EFFECTIVENESS

8 wk Mindfulness-based Stress Reduction class ndash 5K ndash 7K for up to 25

participants Some institutions subsidize classes- participants pay $100

Roughly $400-500 participant for 8 wk class

27 Training hours

Approx $10hr per participant

Replacement of physician ndash min $350000

Center for Mindfulness in Medicine Health Care and Society

KINDNESS MEDITATION

6242016

33

DEVELOPING A MINDFULNESS PROGRAM

Initial training

in-person training

online classes

recorded materials

Offer MINDFULNESS-BASED STRESS REDUCTION training followed

up with opportunities for group or individual practice

Identify champions

Set up a morning or lunch-time group weekly to start then daily

using guided meditation with a pre-recorded session or with

a live instructor online

in person

Integrated Mindfulness into existing wellness programs

Remain voluntary

Support from management and the Board

Leadership

Mindful Leadership

Deepening Leadership Presence

Sessions

Facilitating Mindfulness

Parallel Paths and Multiple Offerings for Systemic Change

Front-Line Staff

Mindful at Work

Drop in Mindful Sessions

Specific subgroups

(Physicians Customer Service Providers)

Opt In

Extended

Offerings

MBSR

Day

LongWeekend

Workshops

Team Workshops

Mindful CultureDrives Improved

Wellbeing

Creativity

Productivity

Employer amp Provider

of Choice

6242016

34

COST EFFECTIVENESS

8 wk Mindfulness-based Stress Reduction class ndash 5K ndash 7K for up to 25

participants Some institutions subsidize classes- participants pay $100

Roughly $400-500 participant for 8 wk class

27 Training hours

Approx $10hr per participant

Replacement of physician ndash min $350000

Center for Mindfulness in Medicine Health Care and Society

KINDNESS MEDITATION

6242016

34

COST EFFECTIVENESS

8 wk Mindfulness-based Stress Reduction class ndash 5K ndash 7K for up to 25

participants Some institutions subsidize classes- participants pay $100

Roughly $400-500 participant for 8 wk class

27 Training hours

Approx $10hr per participant

Replacement of physician ndash min $350000

Center for Mindfulness in Medicine Health Care and Society

KINDNESS MEDITATION

6242016

35

ACTIVE LISTENING

THANK YOU

For more information

wwwnwrpcaorg

Workforce Resources

or

Sadie Agurkis Lisa Hardmeyer Gray

sagurkisnwrpcaorg lgrayintrinsictrainingscom