Health Care Team’s Health and Wellness: A Canadian Forces Health Services Group Priority Col Marc Bilodeau, MD 29 November 2017

Disclosures Presenter has no interest to disclose. AMUS and PESG staff have no interest to disclose. This continuing education activity is managed and accredited by Professional Education Services Group in cooperation with AMSUS. PESG, AMSUS, planning committee members and all accrediting organizations do not support or endorse any product or service mentioned in this activity.

Learning Objectives At the conclusion of this activity, the participant will be able to: Describe the uniqueness of health care team members’ health and wellness in a military setting Demonstrate how health care team members’ health and wellness impacts on the quality of care and Quadruple Aim deliverables Describe the Canadian Forces Health Services Group’s Wellness Framework Apply the learned concepts to their respective organization

Surgeon General Integrated Health Strategy The foundation of any health care system is the people that work within it.

SGIHS: Key Objectives Treat everyone with respect and dignity Understand and remove barriers to care for uniform health care team members Establish a system for building resilience and providing support for all health care team members Create a workplace culture and environment conducive to attraction and retention, managing talent through succession planning activities Provide the appropriate professional development, military, leadership and clinical

New Surgeon General Appointment of a Wellness Champion Significant attrition in some trades Lots have been done for our supported members, nothing for our own Looking at trends in the civilian health care community, we know we are at significant risk

Uniqueness of the Canadian military health care environment Deployed care and associated stressors Intensity Hypervigilance Proximity Barriers to access to care for uniformed personnel Size Financial model Occupational medicine Constant pressure on in-garrison care professionals Short staff Sort notice

Provider’s Wellness and the Triple Aim HappyMD

Provider’s wellness and Quality

Canadian Forces Health Services Quadruple Aim

Our people and the Quadruple Aim Incorporate People Wellness in one of the existing aim? Incorporate People Wellness in all 4 aims? Create a fifth aim?

A wellness framework Ensure Respect and Dignity Create a healthy workplace Meaning, sense of purpose Work-Life Integration Remove barriers to care Build resilience Attraction and Retention Clinical PD Leadership PD Staff Engagement Manage talent Military PD

= Hypothesis - Employer of Choice - Improved Quality of Care - Enhanced CAF Operational Readiness = Investing in our HERO

Centre of Gravity Our HS personnel WELLNESS What can we do to improve it? How the decision we are making impact it? How can we engage our people in defining a better workplace? H: health and wellness our people E: access to care and stigma R: management of our human resources O: fitness of our own people to support mil operations

A Resilience program tailored for the health care team Road to Mental Readiness To be rolled out Several phases

Talent Management Changes to succession planning More flexibility in career management More transparent system Better management of expectations

Leadership Development Key component of organization and individual resilience Changes in decision making Our people as a center of gravity

A decision framework What will the impact of this initiative on our own people’s wellness be? How can we mitigate this impact? Can we tweak the initiative to make sure it supports our people wellness? How can we engage our people in making this initiative more relevant to them?

A Research Study Access to care for uniformed personnel Barriers to be removed Health status/wellness to be monitored?

Conclusion People are health care organizations’ single most important resources An investment in our people is an investment in quality of care An investment in our people is an investment in military readiness This should be an ongoing priority

CE/CME Credit If you would like to receive continuing education credit for this activity, please visit: http://amsus.cds.pesgce.com