Moving from Surviving to Thriving

THANK YOU FOR JOINING US AT THE RESILIENCE CONFERENCE: MOVING FROM SURVIVING TO THRIVING

DECEMBER 7-8, 2016 : CROWNE PLAZA MINNEAPOLIS WEST

HEALTHCARE PROVIDER RESILIENCE CONFERENCE OVERVIEW

Making a difference in the lives of others – this is the reason many of us were drawn to our roles in healthcare. We enter into the lives of our patients, their families, and our communities at times of stress, trauma, and uncertainty. We bring comfort, relief, and presence.

This care, however, comes at a cost. The stories we hear and the care we provide to our patients affects us. Regulatory requirements, pressures to reduce healthcare costs, increasing time constraints, and being rated and measured on everything we do have become a part of our everyday realities.

In response, we cut ourselves off from feeling. We numb our emotions. We look for escape in unhealthy ways. These are the reasons burnout rates continue at alarming rates.

How do we begin to get off the merry-go-round? How do we become more present not only at work, but at home? How do we begin to reclaim the care we need for ourselves so that we can better care for others? This work is the focus of this conference, and the speakers understand the challenges and the chaos we each face in our professional and personal lives.

While none of us has mastered this work, we’ve learned the power of sharing our stories, our experiences, and tools that can be used to make a difference. We’re learning to develop resilience, a strong sense of well-being, greater social connection, improved sleep, and better working memory.

This conference represents a unique collaboration of physicians, nurses, and hospital leaders from multiple health systems who have come together for one purpose – to impact the lives of individuals, communities, and organizations by promoting health through resilience.

Wherever you are in your own journey, this is a great place to start. We hope you join us!

CONFERENCE AGENDA

 DECEMBER 7, 2016
6:00 PM Social Connections Gathering Crowne Plaza
7:00 Hippocrates Cafe Jon Hallberg, MD
University of Minnesota Physicians
8:00 Social Connections Crowne Plaza
 DECEMBER 8, 2016
7:00 AM Breakfast Crowne Plaza
8:00 Introduction & Welcome Karla Heeter
Buffalo Hospital/Allina Health
8:15 Who is Going to Heal the Healers? Laurie Drill-Mellum, MD
Midwest Medical Insurance Company (MMIC)
9:30 Breakout Sessions:

Being Data Driven, Burnout Across Minnesota
Rahul Koranne, MD, Minnesota Hospital Association

Thriving as Leadership
Val Ulstad, MD, Cascade Bluff

Making Stress Work for You
Christy Secor, DNP, Buffalo Hospital/Allina Health

10:15 Break Crowne Plaza
10:40 Breakout Sessions:

Panel: Resilience When Your Spouse has a Life Threatening Illness
Mark Matthias, MD, CentraCare Health
Mark Heggem, MD, Riverwood Healthcare Center
Dave Romans, DO, Unity Hospital/Allina Health

Mindfulness: Physician Heal Thy Self
Kathleen Mahon, CNP, CentraCare Health

Panel: Organizational Approaches to Clinician Vitality
Steve Sterner, MD, Hennepin County Medical Center
Matthew Luedke, MD, Essentia Health
Brad Skogen, Chaplain, Lake Region Healthcare

11:30 This Emotional Life — Story of Resilience Michael Maddaus, MD
Thoracic Surgeon
12:00 PM Lunch Crowne Plaza
12:45 The Secret to Caring for the Patient is Caring for the Caregivers Bridget Duffy, MD
Vocera
2:00 Breakout Sessions:

Focus on the Positive, A Primer on Positive Psychology
Jason Halvorson, MD, Stellis Health

Resiliency Doesn’t Happen in a Vacuum: The Value of Teamwork
Ken Flowe, MD, Rice Memorial Hospital

The Surgeon & Purpose
Steven Kern, MD, North Memorial Health Care

2:40 Break Crowne Plaza
3:10 Growing in Gratitude Corey Martin, MD
Buffalo Hospital/Allina Health
4:10 Inspiring You to Live the Life You Imagined
Crowne Plaza

INTENDED AUDIENCE

This program is designed for physicians, administrative leaders, physician assistants, nurse practitioners, pharmacists, physical therapists, nurse leaders, social workers, chaplains, and other clinicians involved in patient care. Other members of the care team may also find it beneficial.

CONFERENCE OBJECTIVES

» Share knowledge, the results of research, and lessons learned on the prevalence, drivers, and consequence of burnout among healthcare providers.

» Discuss strategies addressing the challenges and barriers we face as a healthcare provider in today’s complex healthcare environment.

» Identify and discuss best practices and experiences in building individual and organizational resilience.

» Foster resilience through the building of relationships and social connections.

HIPPOCRATES CAFE

Hippocrates Cafe

Hippocrates Cafe combines performing arts and medicine. It is a live show that uses professional actors and musicians to explore healthcare topics through story and song.

Performances are designed to educate, entertain, and heal through a combination of poetry, short stories, essays, letters, historical documents, and music. Pieces are carefully picked to illuminate the chosen topic in a way that is thoughtful, respectful, and creative.

Since its debut in 2009, Hippocrates Cafe has performed more than 80 unique shows in eight states. Topics have included family medicine, cancer, influenza, aging, and more.

 

JON HALLBERG, MD
University of Minnesota Physicians jon-hallberg

Hippocrates Cafe founder, director and host, Jon Hallberg, MD, introduces show topics and provides narration throughout, giving
context for all pieces.

Medical director of the award-winning, innovative University of Minnesota Physicians Mill City Clinic, Hallberg serves as regular medical analyst on Minnesota Public Radio’s Hallberg’s Picture of Health. He also manages the Fisch Art of Medicine Student Awards, which enables University of Minnesota medical students to explore the arts.

CONFERENCE SPEAKERS

Laurie Drill-Mellum

LAURIE DRILL-MELLUM, MD
Midwest Medical Insurance Company (MMIC)

Who would expect an insurance company to focus on well-being, resiliency, empathy, and communication? Laurie Drill-Mellum has spearheaded this work since her appointment in 2012 as MMIC’s first Chief Medical Officer. She is a board-certified emergency medicine physician and a Bush Medical Fellow. She is a graduate of the Emergency Medicine Residency Program at Hennepin County Medical Center and completed a fellowship in Integrative Medicine at the University of Arizona.

Michael Maddaus

MICHAEL MADDAUS, MD
Thoracic Surgeon

Dr. Michael Maddaus was a high school dropout who went on to become a professor of thoracic surgery at the University of Minnesota. After serving in the Navy, obtaining his GED, finding his path through medical school, and through general and thoracic surgery training, he joined the University of Minnesota faculty where he practiced thoracic surgery for 20 years, becoming a full Professor of Surgery. He has been recognized for several honors and awards including Best Doctors in America and was also named a Top Doctor in Thoracic Surgery.

Bridget Duffy

BRIDGET DUFFY, MD
Vocera

Dr. Bridget Duffy is currently the Chief Medical Officer for Vocera, a group that restores humanity to healthcare. Previously Dr. Duffy co-founded and served as CEO of ExperiaHealth and was the Chief Experience Officer (CXO) of the Cleveland Clinic, the first position of its kind in the nation. She has also been featured in HealthLeaders magazine as one of “20 People Who Make Healthcare Better.” Dr. Duffy completed her training at the University of Minnesota and Abbott Northwestern Hospital.

Corey Martin

COREY MARTIN, MD
Buffalo Hospital/Allina Health

Dr. Corey Martin is the Director of Medical Affairs for Buffalo Hospital and leads Allina Health System’s approach to address burnout in caregivers. He is one of the creators of the award winning Bounce Back Project which promotes resilience in community and healthcare settings. Dr. Martin is a practicing Family Physician and a graduate of Yale School of Medicine. He is a recovering perfectionist and aspiring “good enoughist.”

THE DAY IN DETAIL

WHO’S GOING TO HEAL THE HEALERS?

  • Review historical and cultural context for the practice of medicine
  • Review theories of psychological and behavioral drivers
  • Review current state of burnout in physicians and the tie to quality, safety, experience and retention
  • Review resources for addressing burnout and building resiliency for individuals and organizations
  • Give examples of programs and tools to address burnout for providers and organizations
Laurie Drill-Mellum

LAURIE DRILL-MELLUM, MD
Midwest Medical Insurance Company (MMIC)

Who would expect an insurance company to focus on well-being, resiliency, empathy, and communication? Laurie Drill-Mellum has spearheaded this work since her appointment in 2012 as MMIC’s first Chief Medical Officer. She is a board-certified emergency medicine physician and a Bush Medical Fellow. She is a graduate of the Emergency Medicine Residency Program at Hennepin County Medical Center and completed a fellowship in Integrative Medicine at the University of Arizona.

BREAKOUT SESSION ONE

Being Data Driven, Burnout Across Minnesota

  • Learn about the statewide framework to collect data on physician and advanced practice professional burnout in Minnesota
  • Hear about data collected thus far across Minnesota on burnout
  • Discuss implications and future work on burnout based upon currently available data
Rahul Koranne

RAHUL KORANNE, MD, MBA, FACP

Dr. Koranne has served as the first chief medical officer of the Minnesota Hospital Association since 2015. He is board-certified in internal medicine and geriatrics and received his MBA from the University of Minnesota. Dr. Koranne worked in the smallest Critical Access health system in rural Minnesota for 5 years and one of the largest integrated delivery systems in Minnesota for 10 years before joining the Minnesota Hospital Association.

Rahul has been very active at the Minnesota state level with various health reform activities since 2008 including Health Care Home and MN’s State Innovation Model. He serves on faculty at several schools at the University of MN including Carlson School of Management, Family Medicine and Community Health, School of Nursing and School of Dentistry.

Thriving as Leadership

  • Identify at least one boundary you need to set in order to be more generous
  • Name at least two practices of self-compassion
  • Name two positive physiologic correlates of mindfulness practice
  • Describe how you can more optimally manage the polarity of care of self and care of others
  • Describe the power of ah hah moments
  • Describe the neurophysiological positive effect of decision making in taking the next best step
Val Ulstad

VAL ULSTAD, MD, MPA, MPH

Dr. Val Ulstad brings over 25 years of academic and private cardiology practice, deep physician leadership experience and award-winning teaching skills to her current role as an educator in independent practice and a process consultant, emphasizing leadership capacity building in health care. Refocusing a life of “heart work” toward the challenge of facilitating human development, she now works deeply and broadly within organizations and teams to catalyze transformative change. She is a Distinguished Alumna of the University of Minnesota’s Medical School and a recipient of the Minnesota Medical Foundation’s Lifetime Distinguished Teacher Award.

In 1996 she was awarded Archibald Bush Foundation Leadership and Medical Fellowships. She used her awards to support obtaining additional training and graduated with honors from the University of Minnesota School of Public Health, and from the Kennedy School of Government at Harvard University, where she was a student of Dr. Ron Heifetz and was named a Lucius N. Littauer Fellow for distinction in academics. Val is a certified coach of the Hudson Institute of Santa Barbara and a trained Facilitator for the Center for Courage and Renewal, which promotes the work of Parker Palmer and the Circles of Trust approach.

Making Stress Work for You

  • To identify the advantages of stress in their own lives.
  • To describe strategies that can change the way we respond to stress.
  • To evaluate the steps that are a part of strengthening our mindset
Christy Secor

CHRISTY SECOR, DNP, RN

Dr. Christy Secor has brought her experience as a nurse in military and civilian hospitals as well as in higher education to her current role at Buffalo Hospital in Quality / Regulatory and Patient Experience. She is also an adjunct faculty member for Indiana Wesleyan University for students in their RN-BSN program. Dr. Secor received her baccalaureate degree from the University of North Carolina – Chapel Hill and her master’s degree from Indiana Wesleyan University. She completed her Doctor of Nursing Practice (DNP) degree at St. Catherine’s University. Her doctoral work focused on building self-care among nurses in order to decrease burnout, compassion fatigue, and to promote resiliency.

Dr. Secor has been honored for her work with nursing students with an award for faculty excellence. She is also the recipient of two Florence Nightingale Professional Nursing Achievement awards. Most recently, her work with the Bounce Back Project was recognized by Allina Health in 2016 with the Commitment to Care award.

BREAKOUT SESSION TWO

Panel: Resilience When Your Spouse has a Life Threatening Illness

  • Discuss the emotional, psychological and intellectual challenges of having a spouse with a life threatening illness
  • Understand the unique aspects of being a physician in this situation
  • Top Ten Pearls for Resilience
Mark Matthias

MARK MATTHIAS, MD

Dr. Mark Matthias joined St. Cloud Hospital in September 2011 as Vice President of Medical Affairs. In October 2015 he became the Vice President of Medical Affairs and the Acute Care Division.

Dr. Matthias trained at the University of Minnesota Medical School and completed his residency in Family Practice and Community Health at Methodist Hospital in St. Louis Park. He has been a physician leader in Mankato, Hutchinson and Willmar.

Mark Heggem

MARK HEGGEM, MD

Dr. Mark Heggem is a family medicine physician in Aitkin, Minnesota. He also serves as chief medical officer for Riverwood Healthcare Center. Dr. Heggem has been licensed in Minnesota since 1986 and is certified by the American Board of Family Medicine. He trained in physician leadership at the University of St. Thomas and served his residency at Bethesda Hospital, St. Paul, Minnesota. He received his medical degree from the University of Minnesota Medical School and his bachelor’s degree from Gustavus Adolphus College.

Dave Romans

DAVE ROMANS, DO

As an emergency physician, Dr. Dave Romans provides front-line care at Allina Health’s Unity and Mercy Hospitals.   As Medical Director of the Unity Hospital Emergency Department and Chief of Staff elect, he relentlessly pursues development of a collaborative, high-functioning clinical team. Dr. Romans also chairs the Allina Health Emergency Medicine Program Committee, a multi-hospital emergency medicine team with a focus on quality improvement that shares best practices, and serves on the board of directors for Emergency Physicians Professional Association and the Minnesota Zoo Foundation.

A defining characteristic of Dr. Romans’ leadership is equal prioritization to both patient experience and clinician wellness. Dr. Romans understands clinician burnout is the healthcare crisis of his generation. Leading by example, he helps fellow clinicians discover that a commitment to the practice of mindfulness and a focus on clinician wellness will restore joy and compassion to the everyday challenges of medicine. Dr. Romans believes a provider’s positive spirit, once healed, becomes contagious.

Mindfulness: Physician Heal Thy Self

  • Define mindfulness and its potential role in physician/provider wellbeing.
  • Summarize some of the important benefits based on the current evidence including a look at CCH’s Mindfulness Program’s preliminary outcome data.
  • Explain how mindfulness affects resilience and quality of life.
  • Incorporate some quick and simple mindful tools into the work setting.
Kathleen Mahon

KATHLEEN MAHON APRN, CNP

Kathleen Mahon holds a Masters Degree in Nursing from the University of St. Catherine. She is board certified as both an adult and holistic nurse practitioner. She has completed training at Massachusetts General Hospital in Mind-Body Medicine. She has also been trained to teach mindfulness through the University of Massachusetts. She is the coordinator of the women’s and men’s heart disease prevention programs at the CentraCare Heart and Vascular Center. She teaches mindfulness and resilience skills to both staff and cardiac patients.

Panel: Organizational Approaches to Clinician Vitality

  • Identify a strategy to improve resilience among surgeons
  • Identify actions Essentia Health is taking to help improve well-being within their organization
  • Learn about a functional peer based, small group wellness model for physicians or other healthcare providers and professionals in rural or small community practice.
Steve Sterner

STEVE STERNER, MD

Dr. Sterner practices emergency medicine at HCMC. He is board certified in emergency medicine and a fellow of the American College of Emergency Physicians. He is the Chief of Ambulatory Care, in charge of the HCMC clinic system and a member of the HCMC Executive Leadership Team.

Dr. Sterner graduated from the University of Minnesota Medical School. He also completed his residency in Family Practice at the University of Minnesota in Minneapolis. He has a fellowship in Emergency Medicine from Hennepin County Medical Center.

Matthew Luedke

MATTHEW LUEDKE, MD

Dr. Matthew Luedke is a family practice physician for Essentia Health in Hayward, WI. He serves as the Division Chair for regional operations with Essentia Wisconsin clinics and is the Physician Lead for resiliency and wellbeing in the Essentia East region.

Dr. Luedke graduated from the University of Nebraska Medical School. His family medicine residency was completed at the McLeod Regional Medical Center in Florence, S.C. Dr. McLeod is also board certified by the American Board of Family Medicine in Family Medicine.

Chaplain Bradley Skogen

BRAD SKOGEN, CHAPLAIN

Brad is Chaplaincy Services Director at Lake Region Healthcare, Fergus Falls, MN. He partnered with Patricia Lindholm, MD, to create a local physician wellness group in 2008 and was a member of the Minnesota Medical Association Physician Wellness Taskforce in 2010.

Brad has training in congregational and healthcare ministry, with emphases in spiritual direction, grief, crisis/disaster response, traumatic/post-traumatic stress and professional resiliency, compassion fatigue and burnout. He has served as a full-time Chaplain since 2002 and as Chaplaincy Services Director, Lake Region Healthcare since 2007. Brad is an ordained minister by the Evangelical Lutheran Church in America, a Board Certified Chaplain by the Association of Professional Chaplains and a Certified Spiritual Director.

THIS EMOTIONAL LIFE — STORY OF RESILIENCE

  • Discuss the importance of mindset on our happiness
  • To identify the advantage of stress in their own lives
Michael Maddaus

MICHAEL MADDAUS, MD
Thoracic Surgeon

Dr. Michael Maddaus was a high school dropout who went on to become a professor of thoracic surgery at the University of Minnesota. After serving in the Navy, obtaining his GED, finding his path through medical school, and through general and thoracic surgery training, he joined the University of Minnesota faculty where he practiced thoracic surgery for 20 years, becoming a full Professor of Surgery. He has been recognized for several honors and awards including Best Doctors in America and was also named a Top Doctor in Thoracic Surgery.

THE SECRET TO CARING FOR THE PATIENT IS CARING FOR THE CAREGIVERS

  • Map the gaps in efficiency and empathy to create an ideal healthcare experience.
  • Link the patient, family, physician and care team experience with quality and safety practices.
  • Define new clinical standards of care that restore humanity to healthcare
  • Discover how to engage patients and families in the co-creation of innovations
  • Identify tactics to optimize staff wellbeing and patient experience
  • Develop strategies to improve patient, family and care team communication and collaboration
  • Understand how to create a consistent, reliable healthcare experience for all
Bridget Duffy

BRIDGET DUFFY, MD
Vocera

Dr. Bridget Duffy is currently the Chief Medical Officer for Vocera, a group that restores humanity to healthcare. Previously Dr. Duffy co-founded and served as CEO of ExperiaHealth and was the Chief Experience Officer (CXO) of the Cleveland Clinic, the first position of its kind in the nation. She has also been featured in HealthLeaders magazine as one of “20 People Who Make Healthcare Better.” Dr. Duffy completed her training at the University of Minnesota and Abbott Northwestern Hospital.

BREAKOUT SESSION THREE

Focus on the Positive. A Primer on Positive Psychology

  • Practice the technique of active constructive responding
  • Discuss the health effects of living a life of positivity
Jason Halvorson

JASON HALVORSON, MD

Dr. Halvorson is currently the President of Stellis Health, PA working at clinics in Buffalo, Monticello, and Albertville-St. Michael. He obtained his undergraduate degree at St. Olaf College and graduated from the University of Minnesota School of Medicine having participated in the University of Minnesota-Duluth School of Medicine program. He completed his specialty training through the University of Minnesota Department of Family Practice Residency program at St. Joseph’s Hospital in St. Paul, MNH. Dr. Halvorson is also a graduate of the University of St. Thomas Physician Leadership College.

Resiliency Doesn’t Happen in a Vacuum: The Value of Teamwork

  • Review the literature demonstrating value of communication
  • Describe examples of good communication and teamwork
  • Describe an example of bad communication and teamwork, and recovery strategies for when that happens.
Ken Flowe

KEN FLOWE, MD

Dr. Flowe is the Chief Medical officer at Rice Memorial Hospital in Willmar where he practices emergency and administrative medicine. His passion in caring for patients is reflected in both practices – individually in the emergency department, and with his colleagues to facilitate access and great care among populations of patients.

Dr. Flowe received his M.D. degree from Wake Forest School of Medicine in Winston-Salem, North Carolina, and his Master of Business Administration degree from Duke University in Durham, North Carolina. Before coming to Rice, Flowe was the CMO of Person Memorial Hospital in Roxboro, North Carolina. He was a consultant for the Joint Commission Resources and has visited hospitals throughout the United States. He served on the Board of Trustees for the American Association of Physician Specialists, just retiring as Immediate Past President in June, 2016 and has served as chair of the Continuing Education Committee and as Senior Editor of their journal, The American Journal of Clinical Medicine. He is an instructor for the Advanced Trauma Life Support course, and has a long history of enjoying teaching other core clinical courses for paramedics, nurses and physicians. He is a Master Trainer for TeamSTEPPS, a national initiative to encourage teamwork in healthcare. He has long been passionate about quality of care, and fully believes this can only be achieved in an environment of teamwork.

The Surgeon & Purpose

  • Identify a strategy to improve resilience among surgeons
Steven Kern

STEVEN KERN, MD

Dr. Kern earned his undergraduate degree in biology and MD from Creighton University in Omaha, NE. He is a board certified general surgeon with Specialists in General Surgery. Dr. Kern has served as the Chief of Surgery at Maple Grove Hospital and currently is the Vice Chief of Staff at Maple Grove Hospital. He is the chairman and medical director of the North Memorial Ambulatory Surgery Center in Maple Grove.

GROWING IN GRATITUDE

  • Discuss tools used to combat burnout and promote resilience
  • Discuss the benefits of gratitude on happiness
  • Understand how to write a gratitude letter
Corey Martin

COREY MARTIN, MD
Buffalo Hospital/Allina Health

Dr. Corey Martin is the Director of Medical Affairs for Buffalo Hospital and leads Allina Health System’s approach to address burnout in caregivers. He is one of the creators of the award winning Bounce Back Project which promotes resilience in community and healthcare settings. Dr. Martin is a practicing Family Physician and a graduate of Yale School of Medicine. He is a recovering perfectionist and aspiring “good enoughist.”

THANK YOU

The Bounce Back Project was born out of loss when two highly respected and loved Buffalo Hospital physicians died in 2014. These deaths caused us to pause and ask some important questions – not only about how fragile life is, but the choices we make each day. A group of physicians and hospital leaders later participated in a resilience conference hosted by the Minnesota Hospital Association. At this conference, we learned about a number of tools that promote resiliency and decrease burnout. Our physicians recognized this work held not only personal meaning, but would be meaningful for our patients and our communities.

In our first year, more than 6000 people were a part of our Bounce Back presentations. Individuals are experiencing renewed purpose and meaning. Our physicians are changing the way they practice medicine.

The Bounce Back Project has been privileged to partner with other like-minded individuals across Minnesota who recognize the need and value of this work. We would like to thank the members of our planning team who have provided their time, feedback, and expertise in making this conference possible.

David A. Romans, DO – EPPA / Unity Hospital
Karla Heeter – Bounce Back / Buffalo Hospital
David Beddow, MD – Allina Health
Christy Secor, DNP – Bounce Back / Buffalo Hospital
Lea Fairbanks, MD – Minnesota Perinatal Physicians
Leah Schmoyer – Bounce Back / Buffalo Hospital
Michael Maddaus, MD – University of Minnesota
Rahul Koranne, MD, MBA, FACP – Minnesota Hospital Assoc.
Ken Flowe, MD – Rice Memorial Hospital
Matthew J. Luedke, MD – Essentia Health
Rachel Mendel – Bounce Back / Buffalo Hospital
Andrew J. Houlton, MD – North Memorial Medical Center
Mark E. Heggem, MD – Riverwood Healthcare Center
Corey Martin, MD – Bounce Back / Buffalo Hospital

ADDITIONAL INFORMATION

CONFERENCE LOCATION

Crowne Plaza – Minneapolis West
3131 Campus Drive, Plymouth, MN 55441
763-559-6600

ACCREDITATION

Minnesota Academy of Family Physicians is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medication education for physicians. The Minnesota Academy of Family Physicians designates this live activity for a maximum of 6.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participating in the activity.

This activity has been designed to meet the Minnesota Board of Nursing continuing education requirements for 7.2 hours of credit. However, the nurse is responsible for determining whether this activity meets the requirements for acceptable continuing education.

Individuals representing other professional disciplines may submit course materials to their respective professional associations for 6.0 hours of continuing education credit.