Milford Regional Medical Center uses a holistic approach with a focus on diversity, equity and inclusion

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Bert Thurlo-Walsh, R.N.
Milford Regional Medical Center
Chief Quality Officer & Vice President

What is your organization doing to improve employees’ experiences, address burnout and grow the workforce?

At Milford Regional, we’re working on many fronts to respond to the needs of our clinicians and staff as they cope with persistently high workloads and the long-term stress of the pandemic. One of those efforts is to redesign and relaunch our Peers-Supporting-Peers Program, which in the past focused on the frontline: physicians, nurses, physical therapists and other clinicians.

Efforts support equity and inclusion for staff and patients

We are preparing to expand the program across our workforce and want to be sensitive to their cultural, ethnic and racial backgrounds. Working with the Betsy Lehman Center, Milford’s Director of Care Management, Chief Medical Officer and I have held focus groups with people in our environmental services, dietary, nursing assistance and transport groups to examine peer support from a perspective of diversity and inclusion. For example, working with an interpreter, we have talked with our Spanish- and Portuguese-speaking staff to learn how they define support.

We’re also creating an Engagement and Experience Work Group focused on staff engagement, patient experience and service excellence, bringing the three together in a holistic approach. I will help lead the group, together with the Director of Quality, Patient Safety and Experience; the Director of Human Resources; and the Vice President of Human Resources, who is the group’s executive sponsor. We’ll also have members representing frontline staff, patients and family members. This group, too, will address diversity, equity and inclusion from a staff and patient perspective.

Measuring staff engagement and resilience has proven useful

We started measuring staff engagement and resilience — the burnout component — in 2019 using a tool from Press Ganey, in addition to their safety culture survey. And to get an idea of where we stood, we did a modified pulse safety-culture survey in August 2021. We wanted to know what our staff thought about our performance in the middle of this pandemic. It was both helpful and encouraging. Although our scores slipped in some domains, our staff reported being less hesitant to report safety problems — a positive sign of staff engagement. We will survey staff again in September on engagement and resilience and bring the results to the Engagement and Experience Work Group to discuss where to go from here.

Digital tools offer team-building incentives

On a different level, we offer an employee assistance program for individual referrals as well as digital tools, including a resource called Ginger, which provides confidential mental health support on demand. As an alternative to the EAP, staff can use the Ginger app on their phone or their watch to reach a counselor 24/7. Our human resources department also offers an online program and app called Wellable, which supports staff wellbeing through stress reduction tips and exercise challenges, with raffles and positive team-building incentives. And, last, our HR team sends emails on a regular basis with inspirational quotes in a program called Kindness Counts, focusing in on the question, “How can we be kind to each other?”

Reflecting on the past couple of years, I want to say that our quality and safety team has been phenomenal. Early in the pandemic, we opened a community vaccine clinic here on campus, led by our Director of Quality, Patient Safety and Experience. Our quality nurses helped get over 13,000 doses into staff and community members. In addition, we worked with the housing authorities in Milford, Hopedale and Franklin to vaccinate people who weren’t able to travel. Our quality and safety colleagues kept close tabs on each other during that time as they stepped up to do whatever was needed.

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We want to hear from you!

Email us your feedback and comments: PatientSafetyBeat@BetsyLehmanCenterMA.gov