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Oregon Home Visiting
MIECHV & Babies First! Meeting
Joy in Work!
October 8th, 2019
Maternal and Child Health Section
Public Health Division
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WELCOME!
Maternal and Child Health (MCH) works to create courageous spaces to collaborate and share ideas respectfully. We acknowledge that a variety of backgrounds, skillsets, communication styles, and beliefs are present. While we acknowledge that there are power differentials among us, all attendees bring equally valuable opinions. Each participant is encouraged to provide leadership.
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Welcome!
Opening
remarks:
Benjamin
Hazelton,
Home Visiting
Manager
Maternal & Child Health SectionPublic Health Division 4
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Oregon MIECHV Staff
Jordan Kennedy
Community Systems Manager
Zach
Owens
Fiscal Analyst
Benjamin Hazelton
Home Visiting Manager
Ramila Bhandari
Administrative Specialist
Tina Kent
Data Manager
Kerry Cassidy-Norton
Workforce Development Coordinator
Drewallyn Riley
CQI Coordinator
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Julie Plagenhoef
(NFP and BF!)
Anna Stiefvater
(BF! and Policy)
OHA MCH Nurse Consultants
Kacey Dudrey
(BF!)
Cynthia Ikata (NFP)
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Agenda
for this
Morning
Maternal & Child Health SectionPublic Health Division
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APPRECIATIVE INQUIRY ACTIVITY
WHY FOCUS ON JOY IN WORK AMONG HOME VISITING
STAFF
BREAK WHAT MATTERS TO YOU
CONVERSATIONS
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Objectives
for this
morning
Maternal & Child Health SectionPublic Health Division
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Provide an opportunity for participants to meet each other
Practice a technique for increasing resiliency
Provide an overview of the findings from the Region X Workforce Study
Provide a rationale for why Joy in Work was selected for the FY2020 CQI Topic
Introduce participants to the concept of Joy in Work
Engage in effective, meaningful conversations with each other about What Matters to You
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Announcements
Maternal and Child Health Public Health Division
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“I feel Joy” Wall Break time
Presentation
SlidesQuiet Space
Nursing Parent Room
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Appreciative Inquiry
• Think of something that went well in your work last
week, and what was your role in it (1 minute)
• Pair up with someone whom you have never met
• Take turns asking:
• 3 minutes for each person
• Will share elements of success back to larger group11
“Please tell a story about something that went well in your
work last week. What is the story and what was your role in it
going well?”
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3 Good Things
Maternal and Child Health Section
Public Health Division
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©2014 MidMichigan Health
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©2014 MidMichigan Health
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©2014 MidMichigan Health
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©2014 MidMichigan Health
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©2014 MidMichigan Health
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©2014 MidMichigan Health
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©2014 MidMichigan Health
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Purpose:
To identify the current strengths, gaps, and unmet needs
in the home visiting workforce in Region X
To inform workforce recruitment, retention, and
professional development efforts
20All Design: Butler Institute for Families, Graduate school of social Work, University of Denver
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Methodology
Workforce Survey (online and paper options):
• Personal characteristics
• Nature of the work
• Quality of the work environment
• Turnover/retention
• Well-being
Exit Survey (online):
• 12 items
• Reasons for leaving
• Factors to encourage staying
• Supervisor relationship
• Current job status
Interviews (phone):
• Semi-structured
• Career and educational trajectories
• Job challenges
• Professional preparation
• Management of job stresses
• Supervision structures
• Career plans
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Home visitors report:
Spending about 13 hours each week delivering face-to-face home visitation services
spending about 10 hours each week completing paperwork
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Region X Home Visitors earn:
$15-$25 per hour 62%
$25+ per hour 29.7%
less than $15 per hour 8.1%
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27All Design: Butler Institute for Families, Graduate school of social Work,
University of Denver
➢ 23.4% of home visitors and 17.4% of supervisors
receive public assistance
➢ Home visitors and supervisors use an average of 2.2
and 1.6 public assistance services, respectively.
➢ The most common public assistance services received:
child health subsidies, Medicare/Medicaid, and free and
reduced lunch.
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29 All Design: Butler Institute for Families, Graduate school of social Work,
University of Denver
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30 All Design: Butler Institute for Families, Graduate school of social Work,
University of Denver
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OR BRFSS 2016:
68% with at least 1
ACE in adults over
18 and 21.7% with 4
+ ACEs
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RECOMMENDATIONS
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Reduce PaperworkReduce
Promote work-life balance and self-carePromote
Provide benefits and promote access to mental health services
Provide
Recruit and retain a more diverse workforceRecruit and
retain
Ensure home visitors and supervisors are paid equitably for their expertise
Ensure
Ensure workplaces are psychologically supportive and include reflective supervision
Ensure
Increase access to paid family leaveIncrease
Increase Access to Training & Professional developmentIncrease
Create pathways for home visitors to advance their educationCreate
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For more information:
https://www.dcyf.wa.gov/services/child-dev-
support-providers/home-visiting/innovation-grant
Franko, M., Schaack, D., Roberts, A., Molieri, A.
Wacker, A., Estrada, M., & Gann, H. (2019). The
Region X Home Visiting Workforce Study. Denver, CO:
Butler Institute for Families, Graduate School of
Social Work, University of Denver.
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Thank you!
Kerry Cassidy Norton
Home Visiting Workforce Development Coordinator
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Introducing the 2020 Joy in Work CQI
Learning CollaborativeMaternal and Child Health Section
Public Health Division48
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Background:Selection of Joy in
Work for 2020Maternal & Child Health Section
Public Health Division
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Home Visiting is as Tough as it is Rewarding
Home visitor stress and burnout affects staff, clients and the organization
– Decreased productivity
– Higher staff turnover
– Increased staff absenteeism (sick)
– Lower staff morale
– Impacts on family retention
– Reduced program quality and fidelity
– Direct and indirect expenses of retraining and hiring
Maternal & Child Health Section
Public Health Division50
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“Take care of staff so
she can take care of
parents so they can
take care of children”
~ Brenda Jones Harden
Child
Family
Home visitor
Supervisor
Director
State home visiting team
Maternal & Child Health Section
Public Health Division
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A Parallel Process
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Joy in Work in Healthcare and Home Visiting
• Institute for Healthcare Improvement (IHI) White
paper and virtual course on Joy in Work
Maternal & Child Health Section
Public Health Division
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– Strength-based approach
– Beyond reducing staff burnout to
incorporating wellness and resiliency
– Not only individual staff engagement and
satisfaction, but client satisfaction and
experience with home visiting
– A crucial component of the “psychology of
change” necessary for quality improvement
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Final selection of Joy in Work for FY2020
CQI Topic Interest Survey
Engagement of CQI
Advisory Workgroup
Final selection of Joy in Work for FY2020
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What will our Joy in Work Process and Change Package Look Like?
Maternal & Child Health Section
Public Health Division
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Why have a Collaborative Charter for CQI Projects?
• Describes and launches the collaborative effort
• Establishes a common vision
• Provides aim and rationale
• Identifies aim and measures
• Sets expectations for participation and leadership
Maternal & Child Health Section
Public Health Division
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The Process for Engaging in Joy in Work
Maternal and Child Health Section
Public Health Division 56
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Oregon’s Critical Components for Joy in Work
• Meaning, Purpose and
Recognition
• Physical and Psychological
Safety
• Camaraderie and
Teamwork
• Wellness and Resiliency
• Choice and Autonomy
Maternal & Child Health SectionPublic Health Division
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Maternal & Child Health SectionPublic Health Division
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Pulse Survey for Joy in Work
Maternal and Child Health Section
Public Health Division
59
Pulse Survey Questions
Response options: Likert Scale 1-5 (Strongly disagree, Disagree, Neither Agree nor Disagree, Agree, Strongly Agree)
PD1. Meaning, Purpose and Recognition1 My job makes me feel like I am part of something meaningful2 I am recognized and thanked for what I do3 I feel leadership cares about the work that I doPD2. Physical and Psychological Safety4 People at my organization respect and take into consideration all views expressed5 My organization recognizes the importance of my personal safety during home-visitsPD3. Camaraderie and Teamwork6 My work environment encourages camaraderie and conversation7 I feel part of a team, working together toward something meaningfulPD4. Wellness and Resiliency8 I feel satisfied with my work/life balance9 My workplace provides a supportive environment for self-care10 My work brings me joy most days
PD5. Choice and Autonomy11 I have opportunities in my organization to voice what matters to me12 My current roll enables me to build my professional skills
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How is leadership be engaged in the Joy in Work CQI Learning Collaborative?
• Informational leadership webinar
• Memo to program administrators
• Act as a senior leader champion
• Communicate “boulders” to the larger organization and to the MIECHV program staff
Maternal and Child Health Section
Public Health Division 60
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QUESTIONS?
Maternal & Child Health Section
Public Health Division 61
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Health Break!
Please sit
with your
team when
you return
from break
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Let’s do Some Belly Breathing!
Maternal and Child Health Section
Public Health Division 63
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What Matters to You?
64Maternal & Child Health SectionPublic Health Division
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“What matters to you?”:
Building on assets and “bright spots”
Share with each other:
❖ Why I decided to work in this field
❖ What makes me proud to work here
❖ What matters to me in my work is…
❖ What is the most meaningful or best part of my work
❖ I feel I make a difference when…
❖ When we are at our best, it looks and feels like…
❖ What makes a good day is…
Maternal & Child Health Section
Public Health Division65
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Identify unique impediments to joy in work:
The “pebbles in our shoes”
Share with each other:
❖What gets in the way of what matters (the “pebbles in our shoes”) is…
❖What gets in the way of a good day is…
❖What frustrates me in my day is…
Maternal & Child Health Section
Public Health Division66
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Oregon’s Critical Components for Joy in Work
• Meaning, Purpose and
Recognition
• Physical and Psychological
Safety
• Camaraderie and
Teamwork
• Wellness and Resiliency
• Choice and Autonomy
Maternal & Child Health SectionPublic Health Division
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Where might we go from here?
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Lunch
COMMENSALITY
(noun) com·men·sal·i·ty
Definition:
➢ the practice of eating together
➢ a social group that eats together
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