Beginning today, men’s and women’s college basketball teams around the country will begin competing for the national championship.
While athletes take center stage annually during March Madness, there is a dedicated group of Michigan Medicine experts who focus on athletes — and the sports they love — all year round.
“MedSport is a multidisciplinary team that works together to treat any patient who suffers an acute musculoskeletal injury, such as a torn knee ligament or elbow injury,” said Corey Snyder, physical therapy manager for MedSport. That could include elite athletes, weekend warriors or just those who get injured shoveling snow.
“Our goal is to get every patient back on the road to recovery as soon as possible,” Snyder said.
Care in the community
MedSport is a division within the Department of Orthopaedic Surgery. It is composed of more than 200 experts, including physicians, nurses, physician assistants, radiology techs, physical therapists, rehab techs, athletic trainers, patient service associates and individuals who carry out sports medicine research.
The division sees both pediatric and adult patients at four locations. The biggest clinic is at Domino’s Farms, which treats more than 200 patients a day. But there are MedSport specialists at the Brighton Center for Specialty Care, the Northville Health Center and the Ice Cube in west Ann Arbor.
In addition, athletic trainers are embedded within the community.
“We have athletic trainers who work directly with high school sports teams in Ann Arbor and across Washtenaw County,” Snyder said. The trainers attend the sporting events themselves, but they also meet with coaches and parents to educate them on the best ways to help children avoid sports-related injuries.
Finally, MedSport trainers are on hand at all USA Hockey events in Plymouth and at U-M sporting events and School of Music and Dance events.
“We’re there right when injuries happen so that individuals will immediately get the attention they need, leading to the best possible outcomes,” Snyder said.
A collaborative process
Every patient at MedSport will immediately notice teamwork and collaboration among the care team.
“In an ideal situation, a patient will be seen by one of our team members immediately following an injury,” Snyder said. “They will then be triaged into our clinic, where they will meet with a sports medicine physician or orthopaedic surgeon.”
The medical team will then diagnose an injury — with the assistance of a radiologist should images be necessary — and discuss treatment options with the patient and their family.
“At that point a patient could immediately begin physical therapy if that is the recommended treatment or go in for a surgical intervention,” Snyder said. “If surgery is the course of action, patients may also be asked to undergo prehab, which involves working with therapists to improve strength, range of motion and other important factors prior to a procedure.”
The MedSport team will also discuss what a patient should expect on their journey back to health.
For those who undergo surgery, within one week following the procedure they will be seen again by the medical team, though a physical therapist will also be on hand to discuss the upcoming rehab process.
“Our triad model — where a patient, doctor and therapist get together — ensures that no wires are crossed and that everyone’s recovery goes as planned,” Snyder said. “It’s a model that consistently receives high marks from our patients.”
A long, personal journey
Following a surgery, patients typically come in for rehab several times per week for 30-90 minutes at a time.
“We get to know them and they get to know us,” Snyder said. “And that’s why we take great care to make sure the attention they receive is personalized and unique.”
For instance, a patient is assigned to a single rehab team, which includes a physical therapist, PT assistant and athletic trainer.
“This group is who you will see every time you come to our clinic,” Snyder said. “Each team member knows your injury and your body very well. It’s truly a team effort that maximizes results.”
And when rehab is complete — which could take up to a year for major injuries — everyone shares in successes.
“It’s so gratifying to see our patients getting back to the things they love to do,” Snyder said. “If we help a pitcher get back to throwing a baseball, or a basketball player shoot around or a golfer swing a club, they always have a huge smile on their face. It’s how we know that what we do is meaningful.”
Throughout March, faculty and staff have been recognized by their colleagues for the exceptional work they perform daily.
But recognition isn’t only important among coworkers. Individuals often reach out to thank their caregivers for making an impact on their lives. Out of the 17,000+ Making a Difference awards received every year, 40 percent of those come from patients and their families.
In honor of National Recognition Month, here are two examples of patients and family members who were blown away by their service at Michigan Medicine — and wanted to personally thank those responsible.
Finding ‘champions’ at their bedside
In December 2017, Mike Champion went to his local doctor in Kalamazoo, Michigan because he wasn’t feeling well. At that point, he was a self-described “regular, active 65-year-old guy” who had very few health concerns.
“I underwent a blood test and was immediately sent to the emergency room,” Mike said. Doctors performed more tests over the next five days before eventually transferring him to Michigan Medicine, where his diagnosis of Acute Lymphoblastic Leukemia was confirmed. He spent the entire first month after diagnosis as an inpatient on 8A — the acute care oncology unit — receiving chemotherapy, blood transfusions and a variety of specialized care.
“It’s really unsettling to think you’re healthy and then you’re diagnosed with cancer,” Mike said. “But from the moment I walked in the door at Michigan Medicine, I was in good hands.”
Doctors, nurses, social workers, techs and more would stop by and check in with him.
“Everyone would have a smile on their face,” Mike said. “I called my nurses the ‘angels in the room.’”
Eventually, he was discharged and began the next intense phase of treatment, a combination of hospital and home-administered chemotherapy.
“I’d be in and out of the hospital a number of times from January through May for side effects as well as for treatment. I then spent the entire month of June hospitalized again on 8A due to serious complications. But no matter how critical things became, the various teams acted quickly, effectively and with compassion; always working to keep me and my family positive,” Mike said.
His wife, Patricia, agreed.
“Our family was shaken and in shock in December, but on the first morning on 8A, when Mike’s bed was surrounded by a team of oncology specialists on one side and our entire family on the other, it was the first moment I felt a glimmer of hope,” Patricia said. “It was clear that Mike was under the care of a medical team possessing a high level of knowledge and expertise with a clear plan in place. The team of physicians, nurses, techs and staff on 8A administered specialized treatment with empathy. I knew they were there for our entire family.”
Today, Mike is gaining back strength. He has now entered the two-year “maintenance” phase of his treatment, taking daily home chemotherapy and coming to Michigan Medicine for monthly infusion chemotherapy, scheduled lumbar punctures and other treatment. In fact, he was just able to travel for the first time since his diagnosis, heading to Florida for rest, relaxation and time in a more conducive climate. He is looking forward to becoming strong enough to take his granddaughters to Disney World.
“When I was weak and could barely roll over in bed, I told the nurses on 8A that I’d come back to see them when I was walking again,” Mike said. And that he did. “I needed for them to see how far I have come and to know that their work is meaningful. I wanted them to see how I’m now able to carry on thanks to them; I’m still here because of the care I got at Michigan Medicine.”
Care beyond the clinic
Every Friday, Kristine (who chose not to share her last name) brings her daughter to the feeding and behavioral clinic at C.S. Mott Children’s Hospital.
“We’ve gotten to know everyone, from the valet drivers to the check-in assistants to the incredible doctors and nurses,” Kristine said.
There’s one such doctor who has stood out, not just for the care she provides but the compassion she shows.
“I don’t know what I’d do without Dr. Drayton,” Kristine said, referring to Amy Drayton, Ph.D., assistant professor of clinical psychology. “She’s there when my daughter gets off the elevator, sometimes giving her a piggy-back ride just to get a smile on her face and make her feel more comfortable. And then she walks us to sensory processing and other areas once our appointment is over.”
But it’s the care outside of the clinic that Kristine said shines the brightest.
“She’s gone to my daughter’s school to advocate for special accommodations and connected me with U-M law students when I needed legal advice,” Kristine said. “She — and everyone I’ve encountered at Michigan Medicine — truly care about every aspect of our lives.”
It’s what spurred her to reach out and recognize Drayton and the entire care team.
“Saying ‘thank you’ isn’t enough and I know that,” Kristine said. “But when people truly impact your lives and make everything complete, saying ‘thank you’ is the least you can do.”
Kristine and the Champions both took the time to call the Michigan Medicine Recognition Program office. But they were just two of hundreds of calls fielded by the office every year. Thank you to all faculty and staff for everything you do to impact the lives of patients and families each day.
Employees will soon have an opportunity to make their voices heard in vital ways!
Feedback that will be collected during the upcoming 2019 Vital Voices Employee Engagement Survey will help provide Michigan Medicine leaders with valuable information and accountability tools to keep the organization strong.
“We want all of our employees to feel confident in sharing their perspectives and knowing their voices will be heard,” said Marschall Runge, M.D., Ph.D., executive vice president for medical affairs and dean of the U-M Medical School. “This is the primary reason we conduct regular employee engagement surveys, which provide insights about how our people feel about our organization.”
This year’s survey will run from Monday, April 1 until Friday, April 12. Here’s what you need to know:
- Who is eligible? All Michigan Medicine employees who began working on or before Jan. 4, 2019 are eligible to take the survey, including research staff and fellows, EVPMA’s office employees, temporary employees (employed directly by U-M that have a yellow badge, but not outside temps such as Manpower), and those with official dual appointments (as long as one appointment is in Michigan Medicine).
- Who will administer the survey? Press Ganey will be administering the survey. The survey’s previous vendor, Advisory Board Survey Solutions, was acquired by Press Ganey and is now known as Survey Solutions, a subsidiary of Press Ganey.
- Will my responses be confidential? Yes! All survey responses are sent directly to the vendor where they are compiled into summary reports. The reports sent to Michigan Medicine will only show average scores for each group, not individual responses. There is no way for the organization to track personal information or answers.
- Can I make comments as part of the survey? Of course! There will be a section where employees can add comments, however, please be advised that all comments will be reported as written and will not be scrubbed for identifying information.
- How long will this survey take? The survey is quick and easy! It should take you only about ten minutes to complete.
“Last year, we had 68 percent of our employees take the survey and we’re hoping for even higher engagement this year,” said Phillip Lipka, employee engagement program manager. “The more feedback we receive, the more robust our results will be — which will allow the organization to make any necessary changes.”
Check out the top story in Headlines on Monday, April 1 for more information about how to take the survey.
Thank you for playing your part in making Michigan Medicine a better place to work and heal!
Last Friday at noon, 157 U-M medical students ripped open envelopes and instantly knew where they’ll spend the next three to seven years of their lives.
Together with nearly 19,000 of their peers nationwide, the students were participating in Match Day, an annual event which reveals where graduating students have been accepted for residency training. At that magical hour, each student receives an envelope containing the name of the medical center where that student will embark on specialized training that will shape their medical careers.
Hundreds of family and friends joined the students at U-M’s North Campus Research Complex for the dramatic, emotional, envelope-opening moment.
And just as before, this year’s match brought U-M Medical School students welcome news. Nearly all of them (97 percent) matched to one of the residency programs they put on their lists, far exceeding the national average. That success rate comes despite intense and growing national competition for a limited number of training spots.
Twenty-eight percent of the students will stay in Michigan for the bulk of their training, including 16 percent who will continue their education at Michigan Medicine. The rest will spread out over 25 other states, starting residency training this summer.
Their U-M experience will officially end with a May 9 graduation ceremony featuring remarks by Abdul El-Sayed, M.D, M.P.H., former leader of Detroit’s health department and 2018 gubernatorial primary candidate.
“There’s a reason that residency directors gave our graduates the third-highest score in the nation on the recent U.S. News rankings that came out this week,” said Rajesh Mangrulkar, M.D., associate dean for medical student education. “Our students bring their best to Michigan, and we do our best to help them prepare for careers as leaders and agents of change in medicine. Today, we celebrate what they’ve achieved and the promise their futures hold.”
Highlights of this year’s match for U-M students:
- 45 percent of U-M’s graduates will train in a field that could lead to a primary care career as an internist, pediatrician, family practitioner, obstetrician/ gynecologist or dual specialist in internal medicine and pediatrics.
- 26 students this year will graduate with both a medical degree from U-M and an advanced degree in another field from a top-ranked graduate program at U-M, Cambridge University, Harvard and elsewhere. These degrees include Ph.D.’s as part of U-M’s prestigious Medical Scientist Training Program (MSTP), or master’s degrees in public health, clinical research or business. Five students have also completed both a medical degree and a residency program in Oral and Maxillofacial Surgery.
- The students staying at U-M, or going elsewhere for the next phase of their training, were selected from among thousands of applicants nationwide. At U-M, nearly 1,200 doctors-in-training in 106 residency and fellowship programs currently train at the Michigan Medicine hospitals and clinics. Those programs are highly regarded by doctors around the country, and by the doctors who completed them, according to results compiled by Doximity.
For more about Match Day this year and in past years at U-M, click here. And be sure to watch the video above or check out the photo gallery below to see U-M medical students learn where they will be taking the next step of their medical journey
This past week, Michigan Medicine joined thousands of health care organizations across the country to celebrate National Patient Safety Awareness Week. Faculty and staff across the organization took a few moments to show their support for patients and their families.
This week’s celebration was especially meaningful at Michigan Medicine. While the safety of patients, families and employees has always been a top priority, the organization is placing a renewed emphasis on fostering a safe environment and developing a culture of collaboration through the recently-launched journey to high reliability.
Click through the gallery above to see photos of faculty and staff showing their commitment to safety and check out The Wrap below, as this week’s employee podcast shined a light on patient and employee safety!
This week, Headlines featured stories highlighting work being performed across the organization that will make Michigan Medicine a better place to work and heal.
For instance, house officers shared how they are making efforts to improve patient safety; the organization revealed new initiatives designed to keep employees safe; units who excel at recognition discussed their best practices; and MHealthy provided ways to eat healthier while at work.
In case you missed it, here’s the latest!
In-house efforts: House officers make commitment to improving patient safety
This week was National Patient Safety Awareness Week, and part of the celebration focused on those at the frontlines of patient care. Click here for more about house officers and the House Officer Quality Safety Committee, which has been working for the past eight years to adopt initiatives that will improve patient safety and outcomes.
Caring for our caregivers: How Michigan Medicine is rethinking patient safety
Another highlight of National Patient Safety Awareness Week acknowledged the importance of protecting those who deliver care, as well as those who receive it. Find out about a number of new employee safety efforts being rolled out — efforts that are expected to improve the environment of care at Michigan Medicine.
Recognition Done Right: Departments, units show off best practices at Michigan Medicine
How does your unit recognize its employees? Many departments go above and beyond in their recognition practices, coming up with innovative and unique ways to say “thank you” to faculty and staff. Learn about four of the units that made significant improvements for recognition on the 2018 Employee Engagement Survey — and find out if their ideas can work in your part of the organization!
It’s National Nutrition Month: Finding healthier foods at Michigan Medicine
Did you know that you could save money just by selecting healthier foods at Michigan Medicine dining facilities? Or that MHealthy makes it easy to find lunches or snacks that will keep you on the right track when it comes to nutrition? In honor of National Nutrition Month, click through for all the ways that you can eat better while at work!
Want to stay in the know on the go? Check out the latest edition of The Wrap at the top of the page!
National Recognition Month is rolling along and for the past few weeks, faculty and staff have taken the opportunity to honor those who inspire them by carrying out exceptional patient care, education and research.
Fortunately, many units and departments across the organization take recognition to heart all year long.
Areas like the four listed below, who made significant improvements for recognition on the 2018 Employee Engagement Survey and prove that investing time and effort into recognition makes a big difference to staff.
Representatives from each unit recently sat down with Headlines to discuss their recognition programs and how they say “thank you” to employees in creative, meaningful ways.
Check out what they had to say — and find out if their practices can be applied to your area of the organization!
Office of Medical Student Education
Best practice: Monthly employee spotlights
How they do it: Every month, employees in the OMSE have the opportunity to nominate a colleague who has gone above and beyond in their daily work. If selected, the nominees will have an employee spotlight written about them, which highlights all the contributions they make to the department.
“These spotlights are important for several reasons,” said Valerie Jones, project manager in OMSE who helps create the spotlights. “First, they let people know that their contributions are appreciated. But on top of that, it gives people an in-depth look at what important role a coworker plays within our office — and we also include a fun facts section so everyone gets to know employees on a personal level.”
While the spotlights are emailed out to the entire office, they are also posted on bulletin boards so those who aren’t always at a desk are able to see them.
In addition to the spotlights, the office also holds regular appreciation events.
“A little thank you can go a long way,” Jones said. “We want to make sure our team members know that the work they do is incredibly valuable.”
Cell and Developmental Biology
Best practice: While the department does a lot of recognition, one of the more unique things is a robust note card program.
How they do it: Faculty and staff are encouraged to directly recognize their colleagues. To make it as easy as possible to do so, the department has created a note card system, where employees can pick up a card and leave it on somebody’s desk or in their mailbox.
“Our note cards give a personal touch to recognition, as each one has a place for somebody to write a personal message,” said Lori Mirabitur, faculty program manager and assistant to the department chair.
Mirabitur said the program has been incredibly successful.
“We’re constantly replenishing our supply of cards, it’s become part of our culture here,” she said. “When you work in research, it’s harder to get the immediate gratification that you could possibly get from a patient or family member in a clinic. So this type of program is important for our team and gives everyone something to literally hold on to and feel proud of.”
Livonia Family Medicine
Best practice: Embracing a family atmosphere
How they do it: In Livonia, faculty and staff work with a specific motto in mind: “We are stronger together than we are alone.”
That means the clinic holds a number of recognition and engagement events, all of which have a personal touch.
“We don’t just hold an annual picnic, instead we hold an annual picnic where we exchange handmade gifts created by our faculty and staff members,” said Sam Julien, administrative manager of the clinic. “Our leaders also round every day, allowing them to get to know employees on a personal level.”
It’s all part of a family atmosphere fostered by leadership.
“Right from the start of your career here, it’s easy to see that we’re just a family who cares about each other,” Julien said. “That’s what makes this an incredible place to work.”
Best practice: Putting frontline staff in control of engagement
How they do it: When it comes to creating a healthy work environment, the leadership team on 12E puts power in the hands of staff members.
“We have what we call a PEST committee, which stands for Positive Environment Support Team,” said Korey Poe, clinical nursing director on 12E. “That includes nurses and other staff members, who come together and implement ideas to ensure our morale, culture and work environment are top notch.”
For instance, the committee plans a quarterly community outreach event, along with hosting social gatherings like a trip to a cider mill or gathering at a restaurant to watch a Michigan football game. There are also special Nurses Week activities and mailbox treats that are handed out at random times throughout the year.
“We’ve been put into a unique position where we all have a say in the events and initiatives that will resonate best with our team,” said Carol Charlton, a member of the PEST committee. “It keeps everyone engaged with each other and proud of the work we do.”
For Poe, recognition is always at the forefront of the 12E culture.
“Staff satisfaction is just as important as patient satisfaction,” Poe said. “If our employees are happier and more engaged, we know that we will be able to provide the best patient care possible.”
As thousands of hospitals and health care systems across the country celebrate National Patient Safety Awareness Week, Michigan Medicine is taking the opportunity to highlight employee safety, acknowledging the importance of protecting those who deliver care, as well as those who receive it.
“While this week is focused on increasing awareness and recognition around patient safety, we know there is an important link to employee safety,” said Sue Widmann, R.N., MSPH, interim associate hospital director and administrative director for C.S. Mott Children’s Hospital. “Our frontline patient caregivers can’t keep our patients safe if we don’t keep them safe, which makes employee safety an important component of patient safety. There is a lot of great work being done across our institution to improve employee safety and really reshape how we train our staff on safety.”
In 2017, Mott joined more than 100 children’s hospitals in a nationwide collaborative called Solutions for Patient Safety (SPS). The goal of SPS is to help children’s hospitals work together to reduce patient harm, ensuring patients receive safe, quality care.
As part of Mott’s participation, staff were asked to be part of a small coalition of hospitals piloting a program focused on addressing two aspects of employee safety: overexertion and patient behavioral events. Overexertion can lead to injuries due to moving things or people. Patient behavioral events can lead to injuries when patients act out either verbally and physically, potentially harming staff.
“We were one of only about five hospitals that sat down with SPS and scoped out an employee safety program,” said Nicole Figueroa, R.N., clinical nursing director in the Child and Adolescent Psychiatry unit. “Our work started with creating guidelines to help caregivers become aware of the patients that are at risk for agitation by screening pediatric patients for risk factors.”
The team also created guidelines for supporting family members who displayed signs of agitation.
“However, after implementing these guidelines, we quickly realized that very few bedside caregivers had training in handling agitation so that was where we decided to begin to focus on,” Figueroa said.
This work started out in 2017 as a pilot, involving four Mott units that provided Non-Abusive Psychological and Physical Intervention (NAPPI) training, provided by NAPPI International. This nationally-recognized training program focuses on de-escalation, self-protection and restraint training.
“Through this partnership, representatives from NAPPI trained two nurses from each of the pilot units,” said Figueroa. “Those nurses then trained other nurses and frontline staff. In total, we were able to train nearly 550 bedside caregivers in NAPPI, including nurses, unit hosts, nurse aids and techs.”
Following the training, Figueroa and her team reviewed post-survey results and noted a significant increase in confidence among caregivers.
“Feedback indicated that caregivers felt more empowered to identify and handle agitated patients and family members and felt more confident in their own abilities to handle the situation,” said Figueroa.
Due to the initial success, NAPPI training will be rolled out to all staff in Mott over the coming year. A committee has also been established to try and bring the training to other areas of Michigan Medicine, including UH/CVC.
Partnering with Security Services
The Division of Public Safety and Security (DPSS) plays an important role in employee safety, but Brian Uridge, M.P.A., C.P.P., CHPA, director of security for Michigan Medicine, is looking to reshape that role by partnering with clinical staff.
“There is a common saying in law enforcement that describes how people react in stressful situations — ‘you do not rise to the occasion, you fall to the level of your training,’” said Uridge. “I want to take this principle and apply it to staff across the organization. In order for our frontline staff to feel confident in handling every situation they encounter, we need to provide the training to develop the necessary skills.”
As part of this effort, Uridge is looking to strengthen the relationship between security and clinical staff, creating a partnership that will eventually include joint training exercises.
“Our office is currently working to develop a training we’re calling SAVE, which stands for Situational Awareness for Violent Events,” said Uridge. “This training will be a live simulation in which we can run employees through various scenarios and give them tips on training on how best to approach each situation.”
SAVE training is a joint effort that will provide practical application on topics such as workplace violence prevention, intervention and response, situational awareness, crime prevention and in-home health care safety.
“Our goal is to equip employees with the skills they need to feel comfortable and safe in any situation,” said Uridge. “As the saying suggests they will ‘fall to the level of their training,’ it is our responsibility to make sure they have the proper training and skills to lean on. That’s what will keep everyone at Michigan Medicine as safe as possible.”
In recognition of National Nutrition Month, MHealthy is encouraging employees to make informed food choices and develop sound eating habits.
When at work, the most mindful choice is usually bringing a lunch from home. When that’s not possible or practical, making the healthier choice from the options available is the next best thing. That’s why knowing where to find healthier foods is just as important as knowing what to eat.
“We spend a lot of our waking hours at work, so knowing how to choose and where to find healthier foods at Michigan Medicine is a key element to eating well,” said Erica Owen, manager of nutrition and weight management programs at MHealthy, the university’s health and well-being program. “We work with Michigan Medicine Dining, as well as restaurants, cafeterias and other food vendors, to offer and identify healthier options so faculty and staff can make more informed choices.”
Use these resources to help you enjoy healthier options at work:
- Easily find healthier foods: MHealthy has identified healthier menu items at dining locations across Michigan Medicine on the MHealthy Dining page. Each item meets MHealthy’s Nutrition Guidelines.
- Save a little for eating healthier: Michigan Medicine Dining and MHealthy partnered to offer a Loyalty Punch Card Program at select cafés and carts. Save $2 after purchasing five MHealthy-approved items.
- Choose healthier foods for your next event: Ordering food for a meeting or event? This handy dining and catering guide includes restaurants and university services offering healthier food options on or near campus.
- Plan ahead: Carrying a packed lunch from home increases your chances of making more mindful food choices once you’re at work. Check out the MHealthy recipes page and these lunch packing tips for some fresh meal ideas.
- Access food 24/7: Always open and stocked, Market Twenty 4 Seven micro-markets offer salads, sandwiches, snacks and beverages (many of which meet MHealthy’s Nutrition Guidelines!) at eight locations across the university. Michigan Medicine locations include KMS, NCRC, School of Nursing, NCAC and MSRB III 2350.
- Select a healthier snack: In Michigan Medicine vending machines, healthier snacks and beverages are identified with the MHealthy logo.
“Eating a nutritious meal or snack is an opportunity to give your body and mind the fuel it needs to stay focused and be at their best throughout your workday and at home,” said Owen.
MHealthy, the university’s health and well-being program, provides nutrition programs, healthy dining resources, weight management programs and more year-round for university faculty and staff. Learn more about MHealthy.