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Transition out of Economic Recovery Plan (ERP) FAQs

Posted on February 26, 2021

Last updated: Friday, Feb. 26, 2021

Q1: Will the FY22 Merit Program align with the FY21 Performance Valuation?

A: Michigan Medicine’s FY22 merit-based salary program is designed to help managers reward employee performance documented in the FY21 annual performance valuation.

Q2: Will there be a merit program for FY22 and when will it take effect?

A: Yes, Michigan Medicine will have a Merit Program for FY22, and it will be effective in Fall 2021. Further information and instruction will be provided later this year regarding the program.

Q3: Will there be any market adjustments in FY21 or next FY22?

A: Beginning in March, we will start the process to assess market pay rates to ensure eligible employees are paid competitively with market rates. We will also make labor market adjustments for select job classifications, and plan to continue these assessments on an annual basis. Pay adjustments will occur in May 2021.

Q4: Will tuition advancements be available for classes that begin in May?

A: No, while the tuition assistance program will return in May, all payouts will be made in FY22, after July 2021.

Q5: If spring classes begin in May, will employees be able to receive tuition assistance for these classes?

A: Tuition assistance will be reinstated with eligible enrollments effective May 1, 2021 and later (i.e. no retroactive payments for classes prior to May 1, 2021). While the program will return in May, all payouts will be made in FY22, after July 2021. No advanced tuition assistance funding will be available.

Q6: Can we begin returning staff to the office setting if they have been vaccinated?

A: Michigan Medicine has extended the work from home guidelines through the end of June 2021 for all employees able to work remotely. We ask that everyone continue to follow this guidance to keep our faculty, staff, learners, patients and visitors safe.

Q7: Will my department be able to fill its open positions?

A: With the exception of designated patient care staff and faculty in roles considered critical, we will continue to maintain the approval process that requires executive officer approval to post and recruit for open positions.

Daniel Goleman, Ph.D., shares importance of self-compassion and self-care

Posted on February 26, 2021

To support Michigan Medicine faculty and staff, the Office of Faculty Development hosted a presentation by Daniel Goleman, Ph.D., on health care leadership in stressful times.

Goleman is an internationally-known psychologist and science journalist whose 1995 book, Emotional Intelligence, was on The New York Times bestseller list with more than 5,000,000 copies in print worldwide in 40 languages.

Watch the talk in full here (login with your Level 1).

Goleman stressed the importance of self-compassion and self-care, naming them as essential components for dealing with the incredible stress of our current environment. As he explained the four components of emotional intelligence, he posed questions that participants can ask themselves to become more self-aware, emotionally connected to others and, ultimately, able to lead with empathy and compassion: 

  • Am I aware of my emotions right now?
  • Am I being triggered emotionally?
  • Am I aware of how I’m expressing my emotions?
  • What is the emotional tone of my self-talk? Am I being self-critical?
  • Are my basic needs being met?

Goleman also touched on a few specific techniques that can be used in the moment to deal with stress, heightened emotions and the fight or flight response. One such technique is mindfulness, or mindful breathing.

According to Goleman, “there is a dose response relationship; the more you do it, the better the benefits.”

He recommended starting with 5-10 minutes of mindfulness at the beginning of the day. Focusing on the breath has many benefits, which are explored more deeply in Faculty Development’s monthly Exploring Mindfulness workshops, led by Frank Anderson, M.D., M.P.H., and are open to all faculty and staff.

Throughout his talk, Goleman discussed the connection between emotional intelligence and leadership, including references to research that shows that positive attitudes in leadership lead to better performance by team members. The themes of caring, one of Michigan Medicine’s five core values, and empathy were also woven throughout the speech.

According to Goleman, the application of empathy is essential to good working relationships, and is of particular importance in healthcare and interactions with patients. Some questions to consider that help to increase empathy and understanding:

  • Am I being patient with the people I interact with?
  • Am I assuming the best of others?
  • Am I open to feedback on my performance?
  • Do I slow down for key moments in an interaction?
  • Do I thank people?

Goleman ended his talk with the importance of gratitude. Simply writing in a gratitude journal each night and naming three people you are grateful for, has a major impact on managing stress and anxiety.

If you’d like to learn more from Goleman about emotional intelligence and handling stress during these difficult times, watch the entire talk on the Organizational Learning MiVideo site.

To explore related learning, here are upcoming lectures and development workshops offered to all Michigan Medicine faculty and staff:

Upcoming webinars and resources provided by Organizational Learning:

Watch these online courses available anytime through LinkedIn Learning: 

Additional reading, including references from Goleman’s presentation:

Thank a resident or fellow today!

Posted on February 26, 2021

Today, Michigan Medicine is celebrating the patient care, educational and research contributions of our 1,200+ residents and fellows in 113 accredited programs across the organization!

Be sure to thank a resident or fellow in your area of the organization and use #ThankaResidentDay and #ThankaFellowDay on social media!

You’re invited: ‘A timely confluence: The backstory of Moderna’s COVID-19 vaccine’ webinar

Posted on February 26, 2021

On Wednesday, March 3 at 4 p.m., Melissa Moore, Ph.D., the chief scientific officer for platform research at Moderna, will address scientists and non-scientists and take live questions related to the COVID-19 vaccine.

In her role, Moore is responsible for leading mRNA biology, delivery and computation science research at Moderna. She joined the company in 2016 from the University of Massachusetts Medical School, where she served as professor of biochemistry & molecular pharmacology, Eleanor Eustis Farrington Chair in Cancer Research and a long-time Investigator at the Howard Hughes Medical Institute (HHMI). Moore was also a founding codirector of the RNA Therapeutics Institute (RTI) at UMassMed.

The event will be hosted by the Center for RNA Biomedicine at U-M.

Click here for more information and to register.

Workshop: GME Quality Improvement/Patient Safety (QI/PS) Faculty Facilitator Coaching Program

Posted on February 26, 2021

This workshop is open to faculty and staff. Attendees are expected to attend all 5 sessions.

The Quality Department’s Coaching Program is for the GME QI Faculty Facilitator and is designed to allow more departments and divisions to take advantage of resources and tools available centrally through the Continuous Improvement division within Quality at Michigan Medicine.

By the end of the coaching program, faculty training leads will be:

  • Ready to implement a QI/PS program in their department or division
  • Confident in teaching the GME course content
  • Have the knowledge, tools and framework to accomplish their GME QI/PS Training Program goals
  • Prepared to participate in AAMC Teaching for Quality (Te4Q) if the participant would like to further refine their QI/PS training program or to better understand educational theory.

The program consists both of group coaching sessions and individual touchpoints. Individual touchpoints (1 hour) will be coordinated with the improvement coach and individual faculty training lead.

Who should attend the coaching sessions?

The primary audience for this class are faculty who are responsible for teaching a resident and/or fellow QI/PS training program who are currently implementing this program in their department or division. We also welcome faculty who have not implemented a QI/PS training program, but will do so in the near future. Department staff supporting faculty with GME QI/PS are also encouraged to participate.

More information about the program is available on the Faculty Development website.

Dates: May 4, May 18, June 1, June 15, June 29
Time: All sessions will be held 8:30 a.m. – 10:30 a.m.

All sessions will be held virtually.

Register online

This workshop is hosted by the Office of Faculty Development but is open to all qualifying Michigan Medicine Faculty and Staff. If you are a person with a disability who requires an accommodation to attend this workshop or have questions about accessibility, please contact us at UMMS-Faculty-Development@med.umich.edu.

Website: https://faculty.medicine.umich.edu/workshops/gme-quality-improvement-patient-safety-qi-ps-faculty-facilitator-coaching-program

Week in Review: Week of Feb. 22, 2021

Posted on February 26, 2021

Happy Friday! As February draws to a close, Headlines readers heard from two patients who shared details of the extraordinary care they received at Michigan Medicine. Employees also found out how they will be able to make their own voices heard in the upcoming Faculty and Staff Engagement Survey.

For those stories and more, it’s time to check out the Week in Review!

Work, humor and family help Stage 4 cancer patient thrive

Nothing seems to be able to stop Kelly Rossman-McKinney from carrying out her work in the Michigan Attorney General’s Office or for putting her sense of humor on display. Not even Stage 4 cancer. Learn more about Rossman-McKinney’s journey and how she is finding perspective while undergoing chemotherapy and other treatment at the Rogel Cancer Center.

Heart failure, pregnancy and a specialized approach

When Sheila Galinis became pregnant, it immediately became clear that her previous diagnoses of advanced heart failure and asthma would make the ensuing months a challenge. Fortunately, she had a group of Michigan Medicine experts on her side. And with their help, Galinis was able to persevere and deliver a healthy baby boy late last year. Click here for more of Galinis’ story. 

Vital Voices 2021 Faculty and Staff Engagement Survey coming soon

From March 15-26, Michigan Medicine team members will be able to share feedback with leadership via the faculty and staff engagement survey. The survey will touch on a variety of topics including communication, fairness, teamwork, safety and more. Click through for details!

Creating a lasting (virtual) impression: U-M welcomes doctoral applicants during pandemic

How do you show off all that Michigan Medicine has to offer when prospective students can’t travel to Ann Arbor and see campus? You give them a unique virtual experience! Check out all the work that went into such an endeavor by the U-M Program in Biomedical Sciences, as they created an interactive and engaging weekend for applicants in 13 doctoral disciplines.

The Wrap employee podcast was off this week, but be sure to check out all 100 of the show’s previous episodes designed specifically for faculty and staff by clicking here!

Celebrating Pharmacy’s Quality Efforts in Quality Month

Posted on February 25, 2021

The Michigan Medicine Quality month was held in October and Pharmacy was well represented, reflecting the quality effort pharmacy provides for our patients and stakeholders on a daily basis.

Quality Month poster submission require implementation of a process improvement effort that has completed at least one “Plan-Do-Check-Adjust” (PDCA) cycle.

Criteria included:

  • measureable assessment of the outcomes of experiments
  • connections between improvement objectives and organizational goals of Optimizing Quality & Safety in Patient Care, Leading in Value Creation, Enhancing the Patient Experience, Developing Our Employees, Improving Financial Performance, and Improving Diversity & Inclusion
  • clear relationship between root cause and countermeasures.

 

Pharmacy is accountable and responsible for the complex medication management use cycle across the health-system enterprise. The medication use process starts with formulary decision-making, progressing to purchasing the medication from the wholesaler, ordering the medication, preparing the product, administering the medication, and concluding with monitoring patients for effectiveness, drug interactions, and possible adverse effects.

Figure 1: Medication Management Use Cycle

 

Michigan Medicine is expansive and pharmacy personnel are involved in each step in the medication management processes.  The Department of Pharmacy annually supports medication use for 2.3 million annual clinic visits, 106,000 emergency department visits, 53,000 hospital admissions, and much more. Our mission is to assure  the safe, timely and appropriate use of medications. We prepare and dispense over 6.7 million inpatient doses,  251,000 outpatient prescriptions and review 4 million medication orders each year for accuracy and appropriateness. A sampling of lesser known services for inpatients includes advising on medication use during patient care rounds, cardiac arrest team participation, performing pharmacokinetic monitoring and dosing adjustments, and sepsis and antimicrobial therapy optimization. In the outpatient setting, pharmacists provide chronic disease state management, infusion services, in addition to traditional prescription services at our community pharmacies.

The 2020 Quality Month poster session highlighted many examples of pharmacy’s contributions to multidisciplinary teams and medication management improvement efforts:

Quantitative Outcomes – Efficiency:

Time saved

  • Poster #30 – Reducing Ambulatory Infusion Patient Wait Times

Cost saved

  • Poster #27 – Outmigration of R-EPOCH Chemotherapy
  • Poster #33 – Impact of Aortic Dissection Management Protocol
  • Poster #58 – Outpatient Induction for Acute Leukemia

Decreased in number of steps

  • Poster #64 – Bolus Administration of Comfort Medication in PICU

Revenue generated

  • Poster #50 – Proactive Patient Outreach Initiatives during COVID-19

Costs avoided

  • Poster #14 – Chemotherapy Remote Care Monitoring

Quantitative Outcomes – Effectiveness:

Customer/staff satisfaction

  • Poster #56 – UMMG Blood Pressure & A1C Drive-Through Chronic Disease Management during COVID

Increased preventative behaviors

  • Poster #12 – Med Management in Ambulatory Clinics
  • Poster #28 – Pressure Injury Prevention in the CVICU

Decrease incident & prevalence

  • Poster #8 – C Diff stewardship
  • Poster #37 – Reducing Postop Atrial Fibrillation

Organizational design improvements

  • Poster #6 – IV concentration standardization in C&W
  • Poster #16 – Implementation of Dispense Prep in C&W
  • Poster #20 – Implementation of Pharmacist Oncology Symptom Management
  • Poster #25 – Implementation of Insulin Infusion Calculator
  • Poster #34 – Implementation of CancelRx to Reduce Dispensing Discontinued High Risk Medications
  • Poster #44 – Reduce tablet splitting by optimizing inventory in Pyxis
  • Poster #45 – Antimicrobial Stewardship Team Review of Real-time alerts for Multi-Drug Resistant Infections

Qualitative Outcomes – Effectiveness:

Quality enhancement, services

  • Poster #2 – ICU handbook
  • Poster #7 – Dexmedetomidine protocol

Quality enhancement, systems

  • Poster #53 – Improving Transition of Care

 

The 2020 virtual Quality Month identified five exemplar posters, 3 of the which had significant pharmacy involvement:

  • Chemotherapy Remote Care Monitoring Program
  • Improving Transitions in Care
  • Bolus Administration of Comfort Medications in the Pediatric ICU: A Pilot Program to Improve Efficiency and Satisfaction and Decrease Waste

 

Figure 2: Chemotherapy Remote Care Monitoring Program

 

Figure 3: Improving Transitions of Care

 

Figure 4: Bolus Administration of Comfort Medications in the Pediatric Intensive Care Unit: A Pilot Program to Improve Efficiency and Satisfaction and Decrease Waste

 

Pharmacy strongly advocates for putting patients and family first. We strive to do that through interdisciplinary efforts to improve medication use across the enterprise. Please do not hesitate to connect with your pharmacy colleagues to work on new efforts or contact us PharmQuality@med.umich.edu.

 

 

 

 

“How chromosome structure and recombination ensure segregation into sperm” – Francesca Cole, PhD

Posted on February 25, 2021

The Center for Cell Plasticity and Organ Design, alongside the Department of Cell and Developmental Biology, is proud to present a Seminar with guest speaker Francesca Cole, PhD.

Dr. Cole is an Associate Professor in the Department of Epigenetics and Molecular Carcinogenesis at the MD Anderson Cancer Center at the University of Texas. She is also the Co-Director of the Genetics and Epigenetics Program and Director of the Trainee Transitions for Epigenetics and Molecular Carcinogenesis program.

The talk is entitled, “How chromosome structure and recombination ensure segregation into sperm”.

Faculty Host: Ben Allen, PhD, Associate Professor, Cell and Developmental Biology

“Body Plan Evolution: Hox-dependent morphogenesis in the sea anemone Nematostella Vectensis” – Matthew C. Gibson, PhD

Posted on February 25, 2021

The NIH T32 Training Program in Organogenesis is pleased to present a Special Series: Emerging Concepts in Cell Signaling, Regulation, and Science Education with seminar guest Matthew C. Gibson, PhD.

Dr. Gibson is the Dean and Investigator the the Graduate School, Stowers Institute for Medical Research.

The talk is entitled, “Body Plan Evolution: Hox-dependent morphogenesis in the sea anemone Nematostella Vectensis.”

Trainee Host: Bridget Waas, Ph.D. Candidate