So I'd like to welcome Kristen Morse from Mount Pacific Quality help for our afternoon planary session.
Kind of minus Rx. The novel community gratitude based approach to increasing COVID-19 vaccination rates and improving culture Kristen Morse has been with mountain pacific quality health and on nonprofit health, care improvement, organization in the Medicare quality, innovation network
quality, improvement, or organization, since 2,017, she is advanced.
Regional efforts in patient and family engagement, in improving health care and in quality, improvement in clinics, critical access hospitals, perspective payment systems, hospitals, nursing homes, and other targeted healthcare settings, crystal convenes, and facilitates, collaboration
Collaboration to promote sharing and learning among health, care communities, and she has spoken at State regional and national events and conferences, including being spotlighted by the Cdc.
For leading infection prevention efforts in Wyoming as part of project. First line.
Good afternoon, crystal, the floor is yours.
Thank you.
Okay, so I can mute. For some reason I need to re-share, because all of my screen is different from when I
The first time, so do we have time to. Can I re-share my screen, Brian
Yes, please do. You're ready to go
Alright.
We can.
Okay. Can you see me now and hear you okay. Well, good deal.
Well, thanks again for the introduction, like Brian said.
Today's presentation is, I'm gonna talk to you about kindness campaign.
It's called Kindness Rx. A novel community.
Grace, community community graduate, based approach to increasing Covid.
19 vaccination rates while improving culture
So thank you, Brian, for that nice introduction. Just a few details.
I'd like to add, is, I think you'll find my brat.
My background is a solo worker, strongly influenced by this campaign, having worked with them within Wyoming health system for the past 25 years I have a strong personal investment?
In this initiative, which was meant to engage clinicians and providers, who, I call my friends, colleagues, and partners.
So? Who are we, and what do we do? So Matt Pacific quality?
Health is a nonprofit health, care, employment organization that serves vulnerable and diverse populations by connecting individuals in our communities with the services they need we provide.
Expertise advice, support and data analysis to help plan providers, medical professionals and communities.
So we can work together to improve health, improvement, outcomes across our regions.
Our regions include Montana, Wyoming, Alaska, Hawaii, and the Us.
Pacific territories. Our team works incredibly hard to increase high quality care that is affordable, safe and valuable to the patients.
We serve, and I'm thrilled in honor to highlight their work today.
So we couldn't do the work we do without our partners and our partners help us drive innovation.
I wanna thank all of our health care communities for their dedication and hard work throughout these past couple of years each of our partners show the true mean of resiliency by working tirelessly to care for us our loved ones and our communities I also want to thank the centers for medicare
and Medicaid Services Center for clinical standards and quality for selecting our campaign to share with you all today.
But most important. I want to express my gratitude to our Wyoming community coalitions, otherwise we call them now our partnership for community health, or Wyoming Department of Health the University of Wyoming Center on Aging and Mount Pacific quality Help Patient and family advisors, for the success the
Best cap. This campaign is brought
So as we know the health care workforce was impacted tremendously by the by, the pandemic, and these last past few years have been extremely tough on our health.
Systems so today's presentational. It'll tell you a story that many of you may have experienced first hand and November of 2,021 Mount Pacific, along with our partners worked to launch what was named the kindness Rx.
Campaign. This campaign took a pandemic it took an AIM at pandemic fatigue and staff, burnout by recognizing the hard working health professionals for their resiliency, and kindness in the care they provide this campaign also included an infection.
Prevention component where each individual recognized, had the opportunity to share why getting vaccinated was important to them, and the work they do with Wyoming showing one of the lowest vaccination rates in the country.
We knew we had to start with the systems approach by utilizing our community coalitions to help encourage and promote better health to the uptake of the COVID-19 vaccine as well, as to address clinician burnout and improve overall overall wellbeing so all kind
Of campaign participants for volunteers. No one was paid for their participation.
The goal is to feature best practices, including why participants, chose to get vaccinated.
The campaign was able to provide a softer approach to vaccination, promotion.
So we were sure to you to avoid harsh words, such as mandatory, and required rather than campaign, focused on.
Gratitude, kindness, and taking care of one another. Our mission was to create a culture change within that workforce and workplace, with unscripted unlimited and positive messaging which it which activates ways to connect with colleagues and peers something that had been missing since the pandemic
Began. We use participants, evaluations, centers for disease, control, and provision.
COVID-19 Data Tracker and the National Health Care safety network immunization data for our measurement.
We also felt this was an engaging way to include the local interactive network sharers otherwise known as the links.
So Cms. Refers to the links is non clinical.
Local support, that participant participate within coalitions to improve health outcomes due to the response and the challenges posed by Covid.
19. So examples of the links includes senior centers, patient family advisors, community centers, all who set forward to actively participate in this campaign
So the campaign represented skilled nursing facilities federally qualified health centers, a senior center.
Tribal Health acute care, hospitals, assisted livings, and primary care clinics with our largest contributors being nursing homes, participants that were wreck were that were recognized included a certified medical assistant a nurse practitioner a
Physician, environmental services, directors, registered nurses, certified nursing assistance, a dietary, director, a social worker, and an administration
So here, you're viewing a map of the State of Wyoming, where this originated.
So we are live in a state with a population of just under 600,000 people, and then math.
You see here is broken up into 6 counties. So then, kind of ourx campaign began in Central Wyoming, Casper, Wyoming, where I can located and quickly spread throughout the State to other community coalitions.
So the red, yellow, green, blue, and gold areas shown on the map are all active community coalitions representative during the campaign the red stars on the map represent specific counties that participated in the campaign.
Some organizations in these counties chose to participate more than once, and provided and recognize more than one deserving employee
So I'd like to share this article from January's edition of Make nice long term care news.
The title sometimes is not about the money is the way you treat people.
This was a qualitative study that research staff turn over throughout the nursing homes in Michigan, and I collected responses from staff including administration, nursing cnn's and family members with over 50% of the respondents being Cnn's so I'd like to share a
Great couple of these quotes that I pulled from this article.
So this quote was from a Cna. The wage increase would kind of maybe outweigh being shorthanded, but at the same time there's not an amount of money the money is not gonna buy your happiness if it's being short handed and you're burning the candle at both
Ends, and you you don't get any help, and it's just like that constantly.
The money's not worth it. Here's a quote from a registered nurse from this article who responded: more money doesn't always fix everything, but just some little thing that makes people feel appreciated and gives them that little boost so I want to bring your attention back to the the screen
To the paragraph on the side the State that states, and even stronger theme across respondents was the need for Staff to feel appreciated, respected, and listened to
So shown, here is some paragraph from a letter that was sent out locally from the Community Health Center in Casper, Wyoming.
This was a letter that was brought to our coalition and addressed to the public, and signed by the CEO Carl Harris.
So I want to read it to you and this in the article or the letter it was tied.
We are on the same team. So last year frontline workers were praised as health care heroes.
Today, more than ever before. We need your support and patience we're pleading with you to be kind and considerate when you enter our facilities and engage with our staff as soon as a small percentage of interactions.
Are resulting in verbal abuse of the very people who are here to serve you in the time of need.
So along with our coalition members, we approached Community Health Center and said, Hey, we have this campaign and we're part of the Coalition group would you like to purchase.
And so, Mr. Harris said, Yes, not only will will Casper Clinic participate at all.
4 of our Fqhc. Throughout Wyoming will participate.
So the video that I'm gonna play for you now was created to try to combat that harshness and bring the focus back to those health care heroes that and the amazing work that they do so let's take a look and I hope I think you'll enjoy it
You're probably wondering what this is all about. I am.
I'm gonna tell you here. Just okay.
So, Lonora, you're here today because I nominated you for the kindness, because every time that we have a patient that we call you over to the clinic for for Spanish translation you come over with a smile on your face and the first thing that I notice about, you is you
don't just pay attention to what? We're doing with life.
Patient. You go to every member in the pod, and you tell them.
Hi, you go out front, and you tell the reception staff. You can always go out and greet everybody, not everybody does that. And that's the true heart of somebody that's really kind and really focused on the people that work here and all the things that they do when I
We don't see this in a lot of people, and we really haven't seen it in a lot of people over the last year with Covid.
So I wanted to let you know that I think you're probably the kindness per kindest person that we have in the building.
I appreciate that. And when you're in appointments with me you can always make a tough situation better.
You always have a smile on your face, and you always reach out and you.
Touch people, and you make those appointments that are tough.
You lighten and break the mood because you're just such a kind, sweet person, and I wanted to thank you for that.
And so I nominated you for the kindness campaign.
Oh, my goodness, thank you, and I want to hug you because you're so school, honey.
Thank you. You're so kind. It is so sweet and so nice, so glad that you're good.
You're welcome. Thank you, honey. I'm so glad to be here.
Because good. Thank you so much
So this last part of joining the conversation and follow the pound kindness, Rx.
So, we wanted other. We wanted to in keep the train going. We wanted others to recognize others, for the great work they do, but we also wanted to put the join the conversation in there as part of that psychological safety that it's okay, to talk about it whether you're a for or against the vaccine
bring it forward, and let us know your concerns
So as it turns out, kindness is contagious, so our authenticity and creativity didn't make all the difference.
Our engagement was, our engagement was infectious. With this campaign we reached all operating collisions across our State, and I'm happy to report that our team, along with our partners we're able to in aid in the increase of the COVID-19 vaccination numbers in wyoming so
We were driven by innovation. We led with our hearts.
We trusted each other, and we achieved our goals together
So here's our outcomes. So once the campaign was completed, a study was conducted among campaign participants with a 93% right response rate.
So the responses showed significant improvements in the following categories: workplace recognition, satisfaction, culture, co-worker immunization, update in the campaign recommendation so relative improvement was measured by a participant agreement to agree and strongly agree so considering the category status pre and post campaign
Implementation, so recognition category. I felt recognized and valued as a team member.
So before the campaign participates, rated participants, rated their satisfaction rate at 53, point, 8 after the campaign.
The respondents reported improved to 92, point, 3.
So the relative improvement rate of 38 point, 5 satisfaction category.
My satisfaction within my work, environment improved after the kindness.
Rx. Campaign. So 76% reported they felt they're more satisfied within that workplace through the use of this campaign.
The culture, category, so the culture in my work price improved by participating in the campaign 38.5% or reported to a relative improvement rate within their culture.
And a 100% said: Yes, I would recommend this campaign to a health care or community member
So as I mentioned earlier, nursing homes were our largest contributors, so I wanted to include the Nursing Home staff.
Kovat 19 vexation rates which were assessed before and after the implementation.
So the average staff vaccination rate increase from our baseline, which is the red vertical line.
October of 2021, from 50 80.4 6% to almost 80% in May of 2022.
When the campaign ended
So the population, so our community held outcomes so covid.
19 immunization coverage also increased during the implementation of the kindness campaign.
So Cdc data shows that the code 19 Statewide vaccination rate Amongst Wyoming populations did increase from 41.6% to about 50% so 51.1% during the implementation phase again we took our Baseline data from October first 2,020
one. We can't implemented in November of 2,021.
We can't actually ended in May of 2,022
So here's some of the qualitative data that I thought was worth sharing.
So I felt more valued, so it was easier for me to maintain a positive attitude at work.
My testimonial did influence my co-worker to get vaccinated for Covid.
19, and the flu. Others saw the the impact and wanted to participate as well, and I was totally surprised with this recognition.
It made me feel good about my workplace
So here's some. You know. How are you recognized before, and how are you recognized after?
And so a lot of them said, you know. Yeah, we had recognition yearly amiversaries.
We had systems in place through our health system. We were recognized via email, and this was sort of sad.
They had no recognition at all. We are just expected to do whatever, and I just kinda wanted to share this, because I got a chuckle out of somebody one telware in a raffle one time.
So after it looks like the recognition increased to yeah.
We were recognized quarterly. We were given an award by our CEO, and did raise vaccination awareness.
Our video was played around our organization. I was recognized by employees and peers, and it's show more gratitude for what I do
So one of the common themes that I get asked is what barriers did you face during this campaign?
And I would say, Yes, we did experience some barriers, I would say, travel restrictions made it difficult for us to promote the campaign, so we were not traveling.
And we weren't visiting locations and organizations.
So this is all via Zoom. Again. The organizations, even our coalition members we could not get into visit these places to visit them and to promote the campaign.
So we really had to rely on our already exact exhausted and overworked staff to promote and provide the videos, to us competing campaigns were running concurrently.
So everybody everybody was trying to promote the uptake of the vaccine, and so there was tons of marking materials and resources and educational products out there and then again the campaign.
Did, receive, pushback, some organizations simply did not want to participate due to the contract burial.
COVID-19 vaccine messaging.
So each of these videos clearly show that words matter so in most of the videos created the participants showed warm and emotional reaction to the recognition and the kind words spoken to them, and many of the videos some participants even displayed a reaction in the form of warm hugs and happy tears all of which
Are heard organically. Nobody was scripted to do this
And just you know from the raw footage that I took a you know.
Obviously it was cut down, but I just wanted to give you some some clips of what what I heard on that raw footage.
So words, matter, so people are thriving in their jobs because of this campaign it's a gift that keeps on giving another.
One is expected that we do our job. However, this campaign encouraged me to continue on with during such difficult times, and this recognition met more to me than any financial incentive.
It's just what I needed.
So I'm gonna leave you with one last video to share.
And this was actually the very first video that was created for this campaign.
So it's taking you back to that qualitative nursing study that I shared earlier.
It's not all about the money it's about the weight people are treated
Whoops.
Skipping.
I wanted to let you know that how much I appreciate the fact that she's always well cared for.
She always looks as happy as she can look. Wanted to let you know that I appreciate the way that care for my wife.
And even more than that, I appreciate the way that you love my life, and I wanted to say Thank you.
Think you're walking. It's my pleasure to be.
It really is
Important to me to take care of people so
And then treat everyone the way I would want to be treated. Second.
So if you'll notice in both of those, videos not one word was said about the vaccine by anybody.
But we snuck it in there as a quote of why why they chose to get vaccinated
So. This campaign truly came into full circle. The very last video was a surprise from our partners.
Thanking Mount Pacific and me for the creation of the kindness campaign.
The impact it had, I can tell you firsthand, that it brought me joy and brought me again an uplifting message of appreciation, and it really made it just made my me smile.
It made my week. It just it! It. I can tell you how I described it to somebody.
Is, that it felt like we had very, very long winters in Wyoming, and when you go to a warm, sunny place on vacation, and you step off that airplane.
You feel the sunshine hit your face, and you're just you.
You feel so good. That's how that campaign made me feel.
But it also made me feel that the joy that I contributed to something so meaningful to others.
So the campaign requires little investment, but it generated very high return.
It did. It created a ripple effect to which each gesture of kindness and helping one person resulted in even bigger impact on the entire workplace and community so ultimately it brings us back to the why why, we even chose a Hill.
Care for profession. In the first place.
So I want to thank all of you again for listening to the presentation today, and I will hand it over to back to you.
Brian.
Alright. Thank you so much, Crystal. I hope everybody had a tissue or 2 with them, some very moving videos I think, is everybody kind of test.
So thank you. That was