Compassion In Action Archive

Creating a Culture of Compassion Using Appreciative Inquiry

Richard Frankel is professor of Medicine and Geriatrics at Indiana University School of Medicine(IUSM) and a staff member in the Education institute of Cleveland Clinic. Dr. Frankel is a medical educator and health services researcher who has spent the past 35 years focusing on strategies to improve communication and relationships between individual doctors and patients and more recently in teams and organizations. He has consulted to a number of large medical organizations on ways to transform their culture based on their positive accomplishments. He is a member of the Cleveland Clinic Professionalism Council and at IUSM leads the ASPIRE (Advanced Scholars Program for Internists in Research and Education).

Harry (Bud) Isaacson, MD, FACP is the Assistant Dean for Clinical Education and Associate Professor of Medicine at the Cleveland Clinic Lerner College of Medicine (CCLCM). He currently oversees all clinical training for CCLCM and co-directs the “Foundations of Clinical Medicine Course”. In addition he serves Chair of the Professionalism Council and a member of the Board of Governors at Cleveland Clinic . He helped develop and lead a new Cleveland Clinic on-boarding program in 2011 which includes the “To Act as a Unit” series on professionalism Dr. Isaacson is currently leading an effort to enhance the Annual Professional Review (APR) at Cleveland Clinic using Appreciative Inquiry. He has led the American Board of Internal Medicine Foundation’s Roundtable on Professionalism for 5 years and is a Fellow of the American College of Physicians.

Service economies, like healthcare, are relationship-based and sensitive to the local cultural context in which they operate. In the 1980’s, David Cooperrider, a professor at Case Western University and a student of organizational behavior, noted that when organizations focused on what they were doing well, and how to get more of it, the quality of both goods and services improved. Dubbed “Appreciative Inquiry” (AI), this positive approach to organizational culture has grown exponentially and there is evidence to show that it is good for both employees and the bottom line.

In this webinar, we will review the history of AI and focus especially on the use of appreciative story telling as an organizational culture change strategy. We will also illustrate some simple techniques for bringing AI to participants’ organizations with optimal chances for success.

Learning Objectives: At the conclusion of the webinar, participants will be able to:

  • Describe the difference between production- and relationship based organizational culture
  • Understand the role and power of story-telling in organizational work life
  • Immediately implement one or more appreciative practices in their workplace

Resilience on the Front Lines of Care: Organizational Strategies to Foster Compassion and Sustain Resilience in the Face of Trauma and Emotional Suffering

Micheline St-Hilaire teaches Mindfulness Based Stress Reduction, Mindful Self Compassion, Compassion Cultivation Training and a variety of tailor-made mindfulness-based programs. As director of strategic initiatives and innovation with the Catholic Health Corporation of Manitoba, she consults for a wide range of organizations to foster resilience in support of personal, interpersonal and organizational well-being. Micheline co-founded the Compassion Project in 2010, an organizational change and development process aimed at co-creating the conditions for compassion to flourish in health and human service.

The Compassion Project, a contemporary contemplative pathway designed as an initial step to organizational change and development, will be presented. It serves as an effort to begin to re-found the heart of health and human service and nurture resilience and healing intra-personally, interpersonally, and organizationally.

Learning Objectives
At the end of this webinar, participants will be able to:

  • Explore sources of depletion and learning in health and human service
  • Identify ways to co-create the conditions for meaning, purpose and service to flourish in our workplaces and beyond
  • Explore the relationship between personal, interpersonal and organizational health and wellness
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Awakening Compassion in the Social Architecture of Health Care Organizations

This webinar will inspire ideas for awakening compassion at the organizational and system levels in health care. While more and more evidence mounts that compassion matters for people doing the work of providing health care—it increases safety, promotes learning, prevents burnout, and fosters collaboration—our organizations and systems are often poorly set up to make compassion part of our everyday working lives. Monica Worline and Jane Dutton, authors of the new book Awakening Compassion at Work, draw from over 15 years of research on compassion in organizations to offer an accessible and practical framework for understanding how to awaken compassion across organizations and systems in a more competent and sustainable fashion. They have developed a research-grounded framework they refer to as the “social architecture” of organizations and they show how tapping into this social architecture can inspire new ways of bringing compassion into workplaces. Going beyond just culture and values, this webinar will invite you to consider your organization’s network ties, role definitions, and routines as keys to fostering more compassion. Monica will introduce the social architecture framework and illustrate it with stories and examples of how it can be used in any organization to inspire change. We will conclude with a blueprint of generative questions and ideas for awakening compassion by understanding and using the social architecture your system.

Learning Objectives
At the end of this webinar, participants will be able to:

  • Define the social architecture of an organization and explain its relevance to promoting compassion in work environments
  • Articulate an evidence-based case for focusing on compassion at the organization and system level in health care
  • Engage in creative and generative conversations that foster awakening compassion in organizations beyond a focus on culture and values to include change in an organizations network structures, role definitions and role crafting, and routines
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Compassion Integration: Connecting Hearts and Minds with Action

This webinar will describe the process that Providence St. Joseph Health has undertaken toward embedding compassion in the culture of the organization. Rebecca and Dr. Rosenberg will take you through their compassion journey, articulating successes and barriers to this work. They will describe how a message integrating suffering, compassion and burnout resonated with leadership and caregivers. In addition, they will demonstrate how creating collaboration and synergy among key partners facilitated the incorporation of compassion into clinical services, quality, high reliability and several work strands of human resources. Finally, they will include specific examples of compassion innovations that have been particularly impactful.

In this presentation, Becca and Dr. Rosenberg describe key concepts connecting suffering, compassion and burnout, discuss the integration and collaboration process for embedding compassion in a system and finally, adapt compassion innovations to their own healthcare system’s needs.

Additional Resources

A Culture of Safety is a Culture of Compassion

At the heart of healthcare is our purpose and moral duty to provide the highest quality, safest and most compassionate care to all of our patients, families and colleagues. Yet so often, our best intentions to ensure compassionate care are thwarted by many reasons – some pernicious, some explicit – but most of which relate to macro- and microsystems that lack a full commitment to a culture of safety as not only our priority, but our purpose. This presentation will illuminate several of the root causes and challenges to creating and sustaining a culture of safety, as well as the importance of a total systems approach to safety that is pre-conditional for compassionate care. Designed for all audiences (including healthcare professionals, executives, patient and family members, patient and family advocates and experience professionals, and others), this webinar will provide participants with meaningful recommendations and resources to accelerate and sustain a culture of safety and optimize compassionate care.

In this presentation, Patricia teaches participants how to characterize the relationship between a culture of safety, patient and workforce safety and compassionate care, identify at least three detractors and three critical success factors that are related to a culture of safety and finally, apply at least one essential recommendation to their patient safety and workforce safety activities or programs that may optimize compassionate care in their organization.

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Connecting to Care: Promoting Compassion through Staff Self-Discovery and Engagement

Learn about how one of the country’s leading children’s hospitals has prioritized compassionate, collaborative care to enhance the experience of care for patients and families by enriching the experience of care for staff. The journey includes the initial program developed by doctors, for doctors, to optimize connections with patients and families, which then evolved into an institution-wide effort to promote and support a culture of compassion for patients, families and staff. Through a process called facilitated self-discovery, Dr. Baden and his team have worked to promote presence and empathy in all interactions, with a belief that this increases fulfillment and resiliency and thereby mitigates burnout. The process requires genuine commitment from hospital leadership that integrates well with their existing commitments to family-centered care, continuous improvement (Lean), safety (high-reliability) and staff well-being.

In this presentation, Dr. Baden teaches participants how to recognize the value of focusing on staff satisfaction and well-being to promote a culture of compassion in their organization and how to understand the importance of engaging staff through facilitated self-discovery to develop effective and sustainable strategies and solutions.

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Predictors for Compassionate Care

This presentation presents the results of an independent study (commissioned by the Schwartz Center) of the predictors of compassionate care, including attendance at Schwartz Rounds™.

In each of three sites, an online survey was conducted of all caregivers who were invited to attend Schwartz Rounds, whether they attended or not. The survey included questions about caregivers’ perceptions of success in providing compassionate care, teamwork related to compassionate care, the hospital’s support of compassionate caregiving and demographic information.

During this webinar, Colleen helps participants describe the Schwartz Center Compassionate Care Scale (SCCCS), a tool for measuring compassionate care, the predictors of compassionate healthcare and finally, describe what caregivers need to provide more compassionate healthcare.

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Conversations That Count: Improving Care for Patients with Serious Illness Through Engagement of Providers and Patients

This presentation tells an engaging story of discovery, occasional failure and growing success in improving care for patients with advancing serious illness while achieving triple aim improvement. Dr. Shulman and her colleagues’ strategy combines data, education and workflow optimization to dramatically improve advance care planning. In order to take the next step and engage providers, patients and families in difficult conversations, Dr. Shulman and her colleagues teamed up with the Serious Illness Conversation Project to provide a structured tool and coaching for their teams to push their organization closer to providing goal-concordant care for their patients with serious illnesses. Their results are measurable and dramatic, and while they still have a long way to go, they are seeing a change in their practice that goes beyond metrics.

During this webinar, Dr. Schulman allows participants to identify the importance of conversation as part of comprehensive advance care planning and how challenging this can be for providers. She also allows participants to understand the need for a multifaceted approach to education and training of primary care teams and the importance of a team-based approach, with diversity of skills, for advance care planning.

Sustainable Compassion for Health Professionals

Sustainable Compassion Training (SCT) is a method designed to empower people who work in all areas of care and service. SCT is designed to help people realize a power of unconditional care from within that is deeply healing and sustaining, that makes them more fully present to self and others, and that empowers a strong, active compassion for persons that is not subject to empathy fatigue and burnout. In this webinar, Dr. Lavelle explores methods for cultivating more sustainable care and compassion. She also considers systemic and organizational conditions that impede compassion and explores ways of creating the conditions necessary to support and sustain compassionate care for all.

During this webinar, Dr. Lavelle helps participants understand the importance of receiving care, self care and extending care for avoiding empathy fatigue and burnout, as well as obstacles to compassion and care at the individual and systems level. Dr. Lavelle also allow participants to apply tools for enhancing compassion and care in daily life and in the workplace.

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