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User Guide for stryker models including: Code Lavender Program, Lavender Program, Program
Jun 20, 2024 — A quick start guide. This quick start kit outlines how a Code Lavender ... The caring professions demand a lot of doctors, nurses and other care team members.
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DocumentDocumentCode Lavender® program A quick start guide This quick start kit outlines how a Code Lavender program can be implemented to support the physical, emotional and spiritual wellbeing of patients, families and care team members. Heart of Safety Coalition Inspiring transformation for care team safety and wellbeing Executive summary In today's healthcare ecosystem, the definition for exceptional care has expanded from only meeting quality and safety standards to creating a healing ecosystem that meets both the physical and emotional needs of patients, family members, physicians, nurses and staff. That's why more organizations are investing in programs such as Code Lavender. A Code Lavender program is a formalized rapid response designed to support patients, families, physicians, nurses and staff members in times of emotional distress. When a stressful event occurs, care team members, patients or families may call upon a Code Lavender response team, typically comprised of pastoral care, wellness or integrative medicine, social work, palliative care or other In a perfect world, support services teams. The Code Lavender responders provide support that may include healing presence, for every Code Blue comforting resources, emotional or spiritual counseling called to resuscitate and connection to additional support as needed. the heart and lungs Organizations investing in Code Lavender programs have seen positive results, including improved nurse and physician wellbeing, staff experience, patient-family experience and quality/safety outcomes. there is a Code Lavender called directly after to A Code Lavender program is a simple yet powerful way for organizations to invest in the wellbeing of care team members, patients and families. Nevertheless, it requires a thoughtful approach to ensure appropriate communication, resources and cultural shift to produce its intended effect. This toolkit was created to help you design, launch and spread a Code Lavender program at your organization. resuscitate the mind, body and spirit. ~ M. Bridget Duffy, MD Supporting patient, family and care team member emotional wellbeing through approaches such as Code Lavender programs is foundational to transforming healthcare and achieving the Quadruple Aim of improved outcomes, lower costs, a better patientfamily experience and restoring joy to healthcare. What you'll learn in this toolkit · How a Code Lavender program supports an optimal human experience · How to co-design and implement an effective Code Lavender program · Resources and examples from organizations with successful programs Heart of Safety Coalition | 1 Why emotional wellbeing matters Impact of emotional wellbeing on care team members The caring professions demand a lot of doctors, nurses and other care team members. Healthcare professionals tap into their intellectual, emotional and physical resources to deliver exceptional care to their patients. Continually giving to others without renewal leads to emotional exhaustion, depersonalization and loss of self-efficacy.1 Burnout symptoms among physicians are widespread and rising. Care team members who are unable to renew their personal emotional resources are likely to develop apathy, treat patients and family members inappropriately, become dissatisfied with their work and suffer in both personal and professional relationships.2 By contrast, low levels of clinician stress and burnout have been linked to: · Reduced medical errors. Surgeons with lower levels of emotional exhaustion report fewer major medical errors.3 · Improved patient adherence. Physician job satisfaction is directly correlated with medical treatment adherence for patients with major chronic diseases.4 · Increased patient satisfaction. The patients of physicians who consider themselves "very or extremely satisfied" with work show higher satisfaction scores. When nurses are dissatisfied or report burnout, their patients are more likely to report lower satisfaction levels.5 · Reduced turnover. Physicians experiencing lower levels of burnout are less than half as likely to change jobs than those experiencing higher levels of burnout.6 · Lower medical liability. Burnout has been linked to increased risk of lawsuits.7 Impact of care team emotional wellbeing on patients and families Several studies link patient perception of provider empathy with improved patient satisfaction.8, 9 A New England Journal of Medicine Catalyst article notes most definitions of patient-centered care specify that "care focuses on physical comfort as well as emotional wellbeing."10 And one study found that nurses in clinics where compassion practices were commonly used reported less emotional exhaustion and felt more energized than those in clinics without regular compassion practices. Patients in the former group of clinics reported more positive interactions with nurses and of their care experience overall.11 Heart of Safety Coalition | 2 Quick start guide A Code Lavender program is a formalized rapid response designed to support patients, families, physicians, nurses and staff members in times of emotional distress. When a stressful event occurs, care team members, patients or families may call upon a Code Lavender response team, typically comprised of pastoral care, wellness or integrative medicine, social work, palliative care or other support services teams. The responders provide support that may include healing presence, comforting resources, emotional or spiritual counseling and connection to additional resources as needed. Here are brief instructions to help you design, launch and spread a Code Lavender program at your organization. If you want a copy of the Code Lavender toolkit with detailed use cases of the program implemented at other hospitals and health systems, please email heartofsafetycoalition@stryker.com. Align · Recruit program champions: Engage an executive sponsor and a multidisciplinary team to co-design the Code Lavender program. · Inventory existing resources: Discover and consider resources that already exist to support the emotional wellbeing of care team members, patients and families at your organization. Co-design · Enlist your program responders: Identify who will be on the Code Lavender responder team and what their roles and responsibilities are. · Determine when to deploy: Decide in which situations and events someone can activate a Code Lavender response. · Map your workflow: Create a process map to plan what happens when a Code Lavender response is called. Test · Design your pilots: Draw up a small pilot of the program, launch the pilot and use observational research and survey tools to capture preand post-pilot data. · Define your metrics: Choose process and outcomes metrics to measure and determine the frequency and method of measurement. Spread · Plan your rollout: Assess the program pilot, determine your communication strategy, decide where and how to spread and scale the program and refine your measurement approach. Heart of Safety Coalition | 3 Endnotes 1. Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Organizational Behavior, 2(2), 99-113. 2. Maslach, C., & Leiter, M. P. (2016). Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry, 15(2), 103-111. 3. Shanafelt, T. D., Balch, C. M., Bechamps, G., Russell, T., Dyrbye, L., Satele, D., ... & Freischlag, J. (2010). Burnout and medical errors among American surgeons. Annals of Surgery, 251(6), 995-1000. 4. DiMatteo, M. R., Sherbourne, C. D., Hays, R. D., Ordway, L., Kravitz, R. L., McGlynn, E. A., ... & Rogers, W. H. (1993). Physicians' characteristics influence patients' adherence to medical treatment: results from the Medical Outcomes Study. Health Psychology, 12(2), 93. 5. McHugh, M. D., Kutney-Lee, A., Cimiotti, J. P., Sloane, D. M., & Aiken, L. H. (2011). Nurses' widespread job dissatisfaction, burnout, and frustration with health benefits signal problems for patient care. Health Affairs, 30(2), 202-210. 6. Hamidi, M. S., Bohman, B., Sandborg, C., Smith-Coggins, R., de Vries, P., Albert, M., ...Trockel, M. T. (2017, October). The economic cost of physician turnover attributable to burnout. Paper presented at the First American Conference on Physician Health, California. Retrieved from http://wellmd.stanford. edu/content/dam/sm/wellmd/documents/2017-ACPH-Hamidi.pdf 7. Crane, M. (1998). Why burned-out doctors get sued more often. Medical Economics, 75(10), 210-2. 8. Gold Foundation. (2013, July 3). How does physician empathy affect patient outcomes? Retrieved from http://www.gold-foundation.org/how-does-physician-empathy-affect-patient-outcomes/; 9. Riess, H. (2015). The impact of clinical empathy on patients and clinicians: Understanding empathy's side effects. AJOB Neuroscience, 6(3), 51-53. 10. NEJM Catalyst. (2017, January 1). What is Patient-Centered Care? Retrieved from https://catalyst.nejm. org/what-is-patient-centered-care/ 11. McClelland, L. E., Gabriel, A. S., & DePuccio, M. J. (2018). Compassion practices, nurse well-being, and ambulatory patient experience ratings. Medical Care, 56(1), 4-10. Heart of Safety Coalition | 4 About the Heart of Safety Coalition The Heart of Safety Coalition places care team member safety and wellbeing at the heart of healthcare. This national community of leaders, learners and advocates ensures that voices are heard, connections are made, and standards are raised to inspire systemic and individual change. The Coalition works to advance the Heart of Safety Declaration of Principles, which intersects health justice, physical safety, and psychological and emotional wellbeing to accelerate transformation. Driven by its mission to make healthcare better, Stryker supports and manages the Coalition. Learn more at www.stryker.com/HeartofSafetyCoalition. Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Code Lavender, Stryker and Vocera. All other trademarks are trademarks of their respective owners or holders. The provided resources in this report may contain links to external websites or third-party content. 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