COVID-19 and Department of Psychiatry at URMC Our Journey Forward - Hochang Benjamin Lee, M.D. John Romano Professor and Chair Department of ...
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COVID-19 and Department of
Psychiatry at URMC
Our Journey Forward
Hochang Benjamin Lee, M.D.
John Romano Professor and Chair
Department of Psychiatry
1
Objectives
1. Introduce Department of Psychiatry at URMC.
2. List challenges posed by COVID-19 on delivery of psychiatric services
in both inpatient and outpatient settings at URMC.
• Emphasis on telepsychiatry and innovative models of care.
• Recent issues related to overcrowded CPEP
3. Discuss our journey forward as psychiatry is at the forefront of
socioeconomic and racial reckoning in our society.
4. Highlight the need to address the Staff and Faculty Wellness
2
Origin of Department of Psychiatry at URMC
Friendship between a psychiatrist and an
internist began in Boston (1941).
• Soma Weiss, Physician-in Chief at Peter Bent
Brigham Hospital
John Romano – an “embedded” psychiatrist
in the medicine unit.
George Engel – a “graduate assistant” in
the same medicine unit.
Recruited to Rochester in 1946 from
University of Cincinnati
3
University of Rochester:
Home of Biopsychosocial Model (Engel, 1977)
“Illness experience results from complex
interaction among biological,
psychological, and social factors that
impacts clinical care between the patient
and physician.”
THE organizing principle for training of
nearly all medical schools and psychiatry
residencies in the United States.
4
Our Vision: “Psychiatry without Boundary”
Rochester Psychiatry with what John Romano has once called a
“permeable boundary” across disciplines, roles, and departments.
1. A multi-disciplinary department that maximizes the strength of each
discipline while aspiring to move the field forward together as a team.
2. A department with integrated missions—clinical care, community
service, research, and education—and without the silos based on
academic and clinical roles (e.g. researchers, clinicians, educators, etc.)
3. A biopsychosocial department that strives to integrate
behavioral health service vertically and horizontally across the
URMC and deliver a world class, compassionate care for
psychiatric patients in our community and beyond.
5
URMC Psychiatry:
“Department of Permeable Boundaries”
Chair
Ben Lee
Associate Chair of
Research
Vice Chair of Steve Silverstein
Faculty Affairs
Yeates Conwell Associate Chair of
Clinical
Sue DiGiovanni
Associate Chair of
Associate Chair of
Diversity and
Education
Inclusion
Deborah King
Telva Olivares
Community Geriatric
Collaborative & Acute and Adult Psychiatry and
Child & Adolescent Psychiatry and
Consultative Psychiatry Memory Care
Psychiatry Psychiatry Outreach Medicine
Co-Chiefs Co-Chiefs
Co-Chiefs Co-Chiefs Co-Chiefs
Sue DiGiovanni EJ Santos
Michael Scharf George Nasra Rob Weisman
Wil Pigeon Anton Porsteinsson
Peter Wyman Susan McDaniel Steve Lamberti
(interim) Yeates Conwell
Department of Psychiatry at URMC
• Training and Education – largest pipeline of behavioral
health service providers outside of NYC (135-150 trainees
at any given moment)
• Psychiatry Residency (adult: 8 per year; child: 4 per year)
• Fellowship in Forensic, CL, Geriatric, and Child (Addiction next)
• Pre- and Post-doc Psychology Fellowship (16 per year) program.
• NIMH T32 post-doc fellowship in suicide prevention.
• Master’s degree in Family and Marriage Counseling (n = 26),
Social workers, LMHPs, CASACs,
• Partner with School of Nursing: Psychiatric APNs (n = 52)
7
Psychiatric Research: $21+ mil in 2020
Center for the Study and Prevention of Suicide
• The only CDC-funded suicide prevention research center in US (PI: Caine)
• The only VA Center of Excellence for Suicide Prevention in US (PI: Pigeon)
• Rochester Roybal Center for social Ties and Aging Research (PI: Kim Van Orden and
Kathy Heffner)
One of three Regional Center of Excellence in Substance Abuse education
• $9.5 million HRSA grant over next three years – Recovery Center of Excellence
Del Monte Neuroscience Institute – Psychiatry collaboration – NYFirst Grant
• Schizophrenia (Vision), Alzheimer’s disease (Clinical Trials), and Chronic Pain
research based on neuroimaging modalities – fMRI, DTI, EEG, PET, etc.
Developmental Psychology and Child Psychiatry
• The Rochester ECHO Project (PI: O’Connor)
• Sources of Strength in High School (PI: Peter Wyman)
8
Outreach/Advocacy Research in Psychiatry
• Forensic ACT team (PI: Lamberti), Women's Initiative Supporting Health-Transitions
Clinic (PI: Morse), Laboratory Interpersonal Violence and Victimization (PI: Cerulli)
URMC Psychiatry – A Clinical Department
• 140 full and part-time faculty members (45 faculty recruits in 3 years)
• About 1300+ employees in total.
• 93 certified psych inpatient beds (includes 24 child and adolescent beds)
• Operates a 20-bed Med-Psych Unit -to be expanded by additional 10 beds.
• Partial hospital programs for child and adolescents.
• 370K outpatient visits annually (largely from OMH-certified programs)
• CPEP (Psychiatric Emergency Program) seeing over 10,000 visits annually
• Telepsychiatry program – 60 nursing homes and 3 regional hospitals
• Numerous collaborative programs in primary care and specialty care settings –
inpatient and outpatient.
9
URMC Psychiatry has a broader scope than
most other academic psychiatry department
Vast majority of DEMENTIA CARE in our community is under Department of
Psychiatry through Memory Care Program (Director: EJ Santos, M.D.)
• AD-CARE Program also resides in Department of Psychiatry (Director: Anton
Porsteinsson)
• Finger Lake Center of Excellence – (Director: Carol Podgorski, Ph.D.)
URMC Psychiatry is the only academic department in US that operates MEDICINE
IN PSYCHIATRY (MIPS: Director: Telva Olivares)
• iMIPS inpatient unit (Director: Marsha Wittink, M.D.)
• MIPS Primary Clinic (Director: Kevin Brazile, D.O.)
URMC Psychiatry operates the employment-based wellness and behavioral
health programs – 65K UR employees, retirees, and adults dependents.
• EMPLOYEE ASSISTANCE PROGRAM
• BEHAVIROAL HEALTH PARTNERS
10URMC Department of Psychiatry
Volume: 10% inpt and 40% outpt increase between 2017-2019
Fiscal Year 2015 Fiscal Year 2016 Fiscal Year 2017 Fiscal Year 2018 Fiscal Year 2019
Adult Division
• Inpatient 18,490 18,912 19,089 19,241 20,046
• Outpatient 87,778 93,809 95,647 102,585 110,333
Child and Adolescent
• Inpatient 7,814 6,686 7,344 7,566 8,286
• Outpatient 24,929 26,172 26,660 40,352 50,273
Medicine in Psychiatry
• Inpatient 7,162 6,478 5,700 6,436 7,204
• Outpatient 5,500 6,413 7,924 8,414 8,180
Addictions Psychiatry
• Chemical Dependency 13,517 16,783 21,222 20,487 18,871
• Methadone (OTP) 62,607 68,118 69,842 89,721 110,295
Total Patient Volume 33,466 32,076
• Inpatient 32,133 33,243 35,536
194,331 194,512
• Outpatient 200,073 241,072 279,081
% Change Year over Year
• Inpatient (4.2%) 1.8% 3.5% 6.9%
• Outpatient 0.9% 2.9% 20.5% 15.8%Then comes the Age of COVID-19
Li Wenliang,M.D.
(died on 2/7/2020)
1213
South Korea becomes one of
the epicenter of COVID-19
Initial spike in COVID19
in South Korea was in a
geriatric psychiatry ward
Entire 101 patients and staff were
infected (except 2 people)
• Whole floor with units were
“cohorted” and quarantined.
• 7 died of COVID-19
14URMC Psychiatry Response to COVID-19
March 2nd – Faculty Meeting about coronavirus.
March 7th – “No More Handshakes and Hugs” Letter to Department
March 10th- Departmental COVID-19 Huddle – 12 PM (Tuesday, Friday)
• Steering Group: Ben Lee, Sue DiGiovanni, Carole Farley-Toombs,
Telva Olivares.
• Members: Clinical Chiefs of 5 Divisions (EJ Santos, George Nasra,
Rob Weisman, Michael Scharf, Sue DiGiovanni), Program/Service
Directors (Marsha Wittink, Noni Niculescu, Patrick Seche), Nurse
Liaison (Laura Inclema), and Social Work Liasion (Jewel Hopkins).
15Psychiatry Department: COVID Response
Psychiatry Dept huddle –
Tues/Friday
Ben Lee
Ambulatory Leadership Daily Inpatient Leadership
Huddle Daily Huddle
Carole Farley Toombs Sue DiGiovanni
Ambulatory Nursing Daily Inpatient Nursing Daily
Huddle Huddle
Kerri/Laura Inclema Kerri/ Heather Jackson
16Division-based Clinical Decision structure
Steering
Committee
Ben Lee , etc.
Child Geriatric Adult Collaborative Community
Michael Sharf EJ Santos Sue DiGiovanni George Nasra Rob Weisman
Strong
Child Amb Partial CPEP Partial Strong BH EAP/BHP
Recovery
Linda AG Charlene Weeks Noni AURELIAN Heidi Hakes Kathy Castle Ann Cornell Patrick Seche
17Dramatic rise in cases in US in March 2020
18COVID 19 Challenges to URMC Psychiatry
1. How do we preserve our psychiatry service lines that provides mental
health for our region?
• URMC Psychiatry is the “last line of defense” for regional mental health.
2. How do we protect our vulnerable patients?
• Our patients with SMI are physically vulnerable.
• Our 93 inpatient psychiatric beds are vulnerable ----- how do we bring
in medicine culture to psychiatry?
3. How do we support and protect our staff in terms of health and
employment??
19Clinical innovations in mental health service
during COVID-19
Child and Adult Partial Hospital Programs
• Converting to Zoom and telephone-based contacts
• Fully operating 4 hours of program all-online.
What about those who needs to be seen in-person?
• Methadone maintenance therapy – curve-side
• Group therapy – socially distanced, combined therapy
20Resilience – displayed by Department of Psychiatry
Strong Recovery Methadone Maintenance Team
Curve-side – “Drive Through”- Methadone Dispensing Program
21Psychiatry Call Telepsychiatry Psychiatry Billing /
Center Leads Team Leads Compliance Lead
Laura Inclema Lara Press-Ellingham Julie Moeller
Kristy Lamb Linda Williams
Lynn Dejonge
Steve Fasone
Jennifer Richman
Michael Hasselberg
TeleMental
Health
Champions
Child Psychiatry Community Collaborative Care Geriatric CPEP and Mobile
Division Division Division Psychiatry Division Crisis
Service Lines Service Lines Service Lines Service Lines Service Lines
In-person to Telepsychiatry Conversion
22UR Medicine Switch from
Announces TeleHOME Visit
Postponement Type to new
of Non-essential In- Dept. of Psych
person Visits Workflow
March 15 TeleMental March 25
Health
Champion TeleMental
Farley-Toombs and Bishop and Farley-Toombs and Meeting
Hasselberg Hasselberg Health
Hasselberg March 23 Ambulatory
Planning Sessions TeleHOME Champion
Planning Session Video Encounter
March 11-12 Meeting Meeting
March 17 March 25 MyChart
March 16 Hasselberg / Kelly “Go-Live”
Self Attestations
Submitted to 1st TeleMental Telemedicine March 30
OMH and OASAS Health TeleMental Zoom
TeleMental TeleMental
March 14 Champion Health Training for
Health Health
Meeting
March 17 Champion March 24 Training of Child
Providers
Champion Champion
Meeting Psychiatry Meeting
Telepsychiatry Meeting
March 18 Billing / Division on
Team and Dept. March 17 March 31
Compliance Video
of Psych Call
TeleHOME Encounters
March 25
Center TeleMental
Meeting
Planning Session Health
March 24
March 16 Champion
Ambulatory Ambulatory CPEP/Mobile Farley-Toombs and Meeting
Telepsychiatry Telephone Crisis Telephone Hasselberg March 30
Meeting Encounter Encounter Planning Session
March 13 “Go-Live” “Go-Live” March 26
March 17 March 23
March 2020
Telepsychiatry “Go-Live” by March 17th80% of Ambulatory care was delivered by telepsychiatry by end of March
TeleMental
Video Encounter Health
Scheduling Champion
Meeting Meeting
April 1 April 8
Ambulatory Final
Video Encounter TeleMental
Email Health
“Go-Live” Champion
April 2 Meeting
April 14
TeleMental
Health Start of Psych AV
Champion Zoom / Tech Daily 2pm
Meeting Office Hours
TeleMental April 3 April 15-present
Health
Champion
Meeting
April 2
April 2020
24URMC-wide: 60% of usual Volume: 46% telemedicine by April
Psychiatry: 96% of usual volume: 80+% telepsychiatry by April
25Year-Over-Year % Change in Volume by April
Psychiatry URMC – overall
26Telepsychiatry reduces cancellation and no show rates:
No show cancellation
2728
URMC Furlough – May 8th announcement Total: 3474/17,885 (19.4%) • About 20% was full furlough • 80% was partial Department of Psychiatry (
COVID-19 Challenge: Inpatient
COVID+ patients needing psychiatric inpatient admissions :
• 3 COVID+ psychiatric patients in CPEP one Saturday in March.
• How do we safely care for these patients while protecting the staff?
• Moved 3-9200 Geriatric Psych unit staff and patients to Rochester Psychiatric Center
–unoccupied inpatient unit – and protect the geriatric psychiatry inpatients – the
most vulnerable population to COVID-19 infection
• Developed COVID+ psychiatric unit at 3-9200 with assistance from Med-Psych and
Acute care clinicians.
• This ends up being an expansion of 12 psychiatric inpatient beds during
this challenging time.
30Inpatient planning for COVID+ Unit
1. Discussion started on 3/25/20
2. Task Force/planning started in 4/2/2020
3. DOH/OMH approval happened on 4/8/2020
4. By mid- April, we were already ready to act on the plan
• 3-9200 as COVID+ unit
• Moving 3-9200 to RPC
5. 2 patient threshold – COVID+ unit plan triggered – patients moved
to RPC on 4/22/20
31Creating a New COVID-19 Positive unit at URMC.
3233
Inpatient: CoVID-19
Relatively low utilization of COVID+ Unit
• Only triggered the plan twice. Highest number of COVID+ patient
was 6 patients at one point.
Two COVID-19 Outbreaks in inpatient Unit last year
• Had to quarantine an inpatient unit twice.
Remarkable work by the nursing but quite stressful for them.
• Staff wellness and overall level of stress in the unit
34New causes for Concern: Our CPEP
1. We have more “boarded” patients in our CPEP than ever.
• We routinely have 7-15 patients being boarded in our CPEP
• At one point, we had 20 patients boarded in our CPEP
• We transferred several to RRH during the last few weeks.
2. Our outpatients seems to be more anxious and depressed than
before – social isolation, economic downturn, and fear of COVID
• Brooks SK et al. The psychological impact of quarantine and how to reduce it: rapid review of the
evidence. The Lancet. 2020 Feb 26.
• McIntyre RS, Lee Y. Projected increases in suicide in Canada as a consequence of COVID-19.
Psychiatry research. 2020 May 19:113104.
35A Recent Survey: COVID-19 and Mental Health
Czeisler MÉ. Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic—
United States, June 24–30, 2020. MMWR. Morbidity and Mortality Weekly Report. 2020;69.
• Surveyed 5.412 above age of 18
• About 40% reported at least one
adverse mental or behavioral
health conditions.
• Suicidal thoughts (11%) were
more common among 18-24
years old, Hispanic or black
persons, “essential worker,” and
“unpaid caregivers.”Czeisler MÉ , Lane RI, Petrosky E, et al. Mental Health, Substance Use, and
Suicidal Ideation During the COVID-19 Pandemic — United States, June 24–
30, 2020. MMWR Morb Mortal Wkly Rep 2020;69:1049–1057
37Patient volume in CPEP has fluctuated
Individuals Seen
300
273 277
264
252 245 253 247 250
234 229 240
250 227 226 229 232 233
222 220 223 225 219
214 209 214 219 215 211 207
207 212 209 209 205
204 200 203 202 206
199
195 195 187 197 198
200 183 178 183 187 182
178 174 177
171 170 169 164
163 167
155
150 138 140 143
128 123 127 129
100
50
0
12/29/2019 1/29/2020 2/29/2020 3/31/2020 4/30/2020 5/31/2020 6/30/2020 7/31/2020
3839
Number of patients admitted to Inpatient
unit has been about the same or more.
Admissions to Inpatient
50
44
45
40
34 33 34
35 31 32 31
29 30 29
27 28 28 28 27 28
30 26 26
24 24 25
22 22 22 23 22 23 22 23
25 21
18 18
20 16 38
34 34 34
15 31 30 29 28 31 31 29 29
25 23 27 25 26 27 27 27 25 24 26 28 25 24 24 26 25
10 20 19
17
5 11
0
12/29/2019 1/29/2020 2/29/2020 3/31/2020 4/30/2020 5/31/2020 6/30/2020 7/31/2020
YEAR 2020 # of Admissions
40Why is our CPEP getting over-crowded?
30-40 patients in our CPEP with 7-15 patients boarding is our norm.
Number of patients being boarded in CPEP has gradually increased
over the last year due to:
• Slowed “throughput” in CPEP and Inpatient Unit – length of stay in
both areas have increased
• Reduced outpatient mental health resources
• Forensic/legal issues related to the bail reform
• Recent closures of inpatient psych units in the region.
• Overall COVID-related stress taking toll on our patient.
4142
Systemic solutions needed
Working with RRH to increase the bed capacity in the region
Working with RPC to transfer long stay patients from our unit
Develop mobile crisis teams to divert patients for ED
Increase staffing (e.g. SW) to improve the throughput issues.
Many meetings these days about the CPEP issues.
43Racial Injustice/George Floyd Protest in
Rochester – May 30th
44“Acknowledging Pain, Anger and Fear”
message from Psychiatry Office of DICE 5/26
Death of George Floyd in Minneapolis, MN
(May 26)
Death of Ahmaud Arbery in Atlanta, GA
(February 20 – May 7th)
AND
Amy Cooper/Christian Cooper incident in
Central Park, NYC (May 25th)
AND
Death of Breonna Taylor in Louisville, KY
(March 13) and othersJune 5th, 2020: White Coats for Black Lives
demonstration on Brighton Health Campus
46Shooting of Jacob Blake in Kenosha, WI (8/23/20)
47Death of Daniel Prude: September 2nd, 2020
48Death of Daniel Prude and URMC
9/2/2020 – News conference – highlighted the body camera video and
autopsy report of homicide as a result of “complications of asphyxia in
the setting of physical restraint.”
• Daniel Prude was evaluated and discharged several hours prior to
death.
9/4/2020 – URMC statement released to the press.
• “Medically appropriate and Compassionate care” after an internal
review”
4 external reviews – NY State OMH, DOH, Justice Center, and Joint
commission- have concluded and supported the initial
49 URMC statement.Department of Psychiatry Well-
being Survey 2020
Results and Future Direction
IDEA CORE Members
50Gratitude to IDEA (Implementation, Dissemination,
Evaluation, and Analysis)Core members
Wendy Cross, Ben Chapman, Daniel Maeng, and Patrick Walsh
51Survey Goal: Learn about Our level of Stress
and Wellness
Background, development
• COVID-19 outbreak declared a pandemic by the WHO (March 11)
• George Floyd murder (May 25)
• Consulted with Psychiatry Office of DICE
• Process required HR review
Constructs, measures
A) Job satisfaction, stress, burnout - [Mini Z burnout survey]
B) General wellbeing (sleep, exercise, perceived stress]) - [Perceived Stress Scale]
C) Experience (impact of COVID-19 and social justice protests, work expectations, working
remotely, Zoom fatigue)
D) Employee feedback: Feeling valued at work, satisfaction at work [Qualitative Items]
E) Work roleSurvey administration
Administered from 8/17 to 9/2/20
• REDCap online survey
• 1227 survey invitations (psychiatry all distribution list)
• 10 removed from list (email ‘failures’, no longer work in Psychiatry
Department)
• 13 unavailable during survey period
• 1204 potential participant population
Participation: 603 (50.1%)Survey participation
Participant population Participation rate (%)
Nonfaculty 46.8
Faculty (self report) 70.7
Faculty by division…
Acute and Adult Psychiatry 83.8
Child and Adolescent Psychiatry 84.4
Collaborative Care and Wellness 64.5
Geriatric Mental Health/Memory Care 73.7
Community Psychiatry 56.5
Still looking at which division had staff participation rateJob Satisfaction: 73.5% (12% - “neutral”)
Overall, I am satisfied with my current job: (missing
n = 5)
Job satisfaction category Faculty Staff
(strongly disagree – strongly agree, (n = 118) (n = 437)
5 pts.)
Not satisfied n (%) 24 (20.3) 123 (31.4)
Satisfied n (%) 94 (79.7) 314 (71.9)
*Satisfied = agree or strongly agree;
‘Mini Z’Burnout: 40.9% report symptoms of burnout
Using your own definition of "burnout” circle one:
(1-5, from “I enjoy my work. I have no symptoms of burnout” to …
I feel completely burned out. I am at the point where I may need to seek
help”)
Job burnout category* Faculty Staff
(n = 118) (n = 437)
Not burnout n (%) 77 (65.3) 251 (57.4)
Burnout n (%) 41 (34.7) 186 (42.6)
*Burnout = score 3 – 5.
‘Mini Z’
*Linzer et al. (2016). Worklife and wellness in academic general internal medicine: Results from a national survey. Journal
of General Internal Medicine, 31(9), 1004–1010. https://doi.org/10.1007/s11606-016-3720-4Sleep & Exercise SLEEP: More or less than before COVID-19? • More (9.7%) • Unchanged (61.6%) • Less (28.6%) EXERCISE: More or less than before COVID-19? • More (17.8%) • Unchanged (40.9%) • Less (41.3%)
Perceived Stress Scale*
10 items. Scoring range: 0-40, higher > stress
Department Mean=17.2 (SD 6.7)
Faculty = 16.0 (6.3) Staff = 17.4 (6.7)
Perceived Stress Scale by category
Low Moderate High
(0-13) (14-26) (27+)
Staff 27.7% 62.9% 9.4%
Faculty 34.7% 61.9% 3.4%
Total 29.2% 62.7% 8.1%
*Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and
Social Behavior, 24, 385-396As compared to before COVID-19, work-life
balance is: 48.5% - “worse”
48.5%
37.3%
14.2%IN THE PAST MONTH (August)…
…how much has COVID-19 and its consequences
impacted your:
None A little Somewhat A lot Extremely
Stress level (%) 4.0 15.9 32.2 36.3 11.6
Overall life Impact (%) 2.5 13.3 34.1 42.0 8.1
…how much have recent Black Lives Matter movement and
protests against racial injustice impacted your:
None A little Somewhat A lot Extremely
Stress level (%) 18.9 29.7 30.3 15.6 5.5
Overall life Impact (%) 17.2 36.0 28.4 14.4 4.0
* Pre Daniel Prude video (9/2/20)How have the expectations of your
work changed since COVID-19?
Summary: 72.8% report ‘more’
expectations
Faculty vs Non-Faculty. Work expectations
Faculty Staff
Work expectation (n = 118) (n = 437)
More n (%) 74 (62.7%) 330 (75.5%)
About the same OR less n (%) 44 (37.3%) 107 (24.5%)
More expectations: Staff > FacultyIN THE PAST MONTH, in a typical week you were
working, what percentage of your work time has
been spent remotely rather than onsite?
NA
(2.0%)
80-
100%
None
Staff: None= 44.2%
Faculty: None = 13.8%
40-In a typical week, the number of video calls
you participated/attended on work days
was...
Faculty: 0/day = 7.6%
3+/day = 61.0%
Staff: 0/day = 28.1%
3+/day = 31.4%
38.6%
23.8%
15.1% 15.7%
6.8%IN THE PAST MONTH, considering the nature, amount, and
length of calls, as a result of video call participation…
[respondents that reported 1+/day video calls]
I feel mentally exhausted …
Not at all A little bit Somewhat Quite a bit Very much
Faculty. & 18.5 20.9 22.0 30.1 8.5
Staff (%)
60+% report mental exhaustionQualitative: Total respondents: n = 487 (to 1+ items), 80.8% Q1: Impact of COVID-19 and protests Please use this space to comment, in any way you feel appropriate, on how your experiences have impacted your well-being IN THE PAST MONTH: Item respondents: n = 158 Q2: Valued at work Please take a moment to comment on feeling valued and satisfaction at work. Please list up to 3 things that contribute to you feeling valued at work: Item respondents: n = 455 Q3: Improve work satisfaction Please take a moment to comment on feeling valued and satisfaction at work. Please list 1 to 3 things that would improve work satisfaction if initiated: Item respondents: n = 411
What have we done so far?
Faculty data presented on November 7th – Faculty meeting
Divisional data presented on November 7th – All Chief’s meeting
• Divisional data distributed in early December
The short answer, qualitative data are being analyzed.
• Impact of COVID 19 and Protests
• What makes you feel valued at work?
• Suggestions to improve are listed and acted on.
66Announcement
• Autumn Gallego is appointed as our new
“Psychiatry Wellness Officer” as of
January 1st, 2021
• Will be in Office of DICE for the role and
develop a bridge to EAP/BHP
• Will coordinate departmental efforts to
assess and improve faculty and staff
wellness
• Will coordinate with URMC Chief Wellness
Officer (to be hired).
67Example: Strong Recovery Program
“Fun” Committee – three teams, takes turn in chairing.
• Develop “fun” activities.
• Fun Fridays
• NFL Jersey days (Go Bills!), Flannel Fridays, Jeans Day, etc.
• Recognizing “most valuable colleagues” and “Cool under pressure” award.
“Well U” Champion – Itza Morales for SRP
• Disseminate information from the “Well U” program
• Yoga, mindfoolness, meditation, workshops, “water challenges”etc.”
• “Wellness” Room – used to be a storage room
• Decorated and equipped with sound machine, candle (battery) and massage
68 chairWellness Room & SR Latinx Celebration (we had music and outdoor games)
Staff Wellness during COVID-19 Work stress and anxiety about Coronavirus? Life-Work Connections Employee Assistance Program (EAP) Created a COVID-19 hotline for UMRC A voluntary, work-based program that offers free and confidential assessments, short-term counseling, referrals and follow-up services to employees who have personal and/or work-related problems 70
Lessons learned during the COVID-19
1. Must establish a command structure to process new information and
make appropriate decision quickly.
• Must delegate and empower huddles and work groups and task
forces to achieve maximum efficiency and speed in decision making.
2. Telepsychiatry is here to stay.
• Must incorporate technology and develop new models of delivery to
meet the needs and evaluate for success and failure.
3. We are more connected to each other than ever.
• All “boundaries” are permeable.
71Conclusion
1. COVID-19 has posed tremendous challenge to delivery of mental
health services.
• However, by leveraging technology, innovation and teamwork, we
could overcome COVID-19 imposed challenges.
2. Social isolation, economic downturn, and racial unrest have all
increased mental health service needs in our region.
• It has affected our healthcare workers as well
3. Every crisis is an opportunity.
• Psychiatry has much to improve for our patients and
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