Strategic Plan
Vision: To create a field of thriving hospitalists.
Mission: Our mission is to advance the science of wellness and meaning in the field of hospital medicine by developing rigorously evaluated recommendations for the measurement, infrastructure, and cultural changes necessary to build and maintain a meaningful, purposeful and joyful long-term career in the field.
Values: Emphasize tools, resources, and supportive work culture over personal resilience; Embed more abstract concepts like wellness, and joy in work with pragmatism, feasibility and actionability; Value and appreciate all hospitalists and each other; Transparency; Vulnerability; Growth; Inclusivity; Excellence
Strategic Goals
Facilitate Feasible and Relevant Wellness Measurement Strategies for Hospitalist Groups
Project
Review wellness measurement literature
Assess wellness measurement tools from viewpoint of hospitalists with wellness expertise
Study hospital medicine wellness measurement status quo and areas for innovation and improvement
Tactic: Literature review of wellness measurement articles
Tactic: Develop rubric and evaluate measurement tools from hospitalist perspective
Tactic: Disseminate pragmatic and hospitalist-centric approach to selecting and using wellness measurement tools
Tactic: HOMERuN focus groups on wellness measurement
Tactic: Emphasize actionable suggestions for improvement
Ideas: Consider pathway for helping groups design own wellness measurement tool; Advocate for increased accessibility of more costly measurement tools; Offer webinar/talks to groups looking to choose a measurement strategy; Consider the pros/cons of benchmarking
Wellness measurement literature and tool review paper
Wellness measurement workshop
Wellness measurement perspectives piece
Assess the Current State of Wellness Infrastructure in Hospital Medicine
Project
Evaluate the concrete infrastructure hospitalist groups devote to wellness
Identify trends and opportunities for improvement in wellness infrastructure
Tactic: Survey hospital medicine groups regarding finances, roles, resources, leadership support devoted to wellness
Tactic: Apply quality metrics and financial and leadership principles and practices to wellness
Tactic: Emphasize actionable suggestions for improvement in infrastructure
Tactic: Apply rigor and bite to an area traditionally considered “soft”
Ideas: Consider focus groups addressing infrastructure; consider developing standards for the field with regard to roles, financial support, measurement etc.
In discussion and exploration of focused questions, experience from our own institutions
Explore and understand Professional Meaning for Hospitalists
Project
Focus on the professional meaning derived from the clinical work of hospital medicine
Explore whether professional meaning factors in departures from the field
Tactic: Evaluate the current state and best practices for identifying professional meaning in hospital medicine
Tactic: Assess the role of clinical excellence in professional meaning and joy in work
Tactic: Study what is necessary to become a hospitalist master clinician
Ideas: Consider case studies of hospitalist master clinicians; roadmap to clinical excellence in hospital medicine; survey or interviews of hospitalists who have left the field
Survey study of wellness infrastructure (underway)
Project to Disseminate wellness interventions with positive impact on well-being
Model Wellness for each other and ourselves
Project
Foster, support and nurture one another
Tactic: Respect and value the contributions of the entire team
Tactic: Recognize the competing demands for members of our group and support each other in our work
Tactic: Promote and facilitate scholarly achievement and recognition for each other
Tactic: Engage in our work together with gratitude and joy
Ideas: Facilitate further social gatherings; incorporate dedicated peer mentorship time amidst our meetings for project work
Meet at national meetings
Share authorship and project lead opportunities
Collaborative Team Lead Names
Elizabeth A Murphy, MD, SFHM, Assistant Professor University of Chicago
Krishna Chokshi, MD, Assistant Professor, Mount Sinai
Member names and institutions:
- Ashwini Niranjan-Azadi, MD, Johns Hopkins
- Ruby Marr, MD, University of Michigan
- Andrew Schram, MD, MBA, University of Chicago
- James Clements, Oregon Health Sciences University
- Kanapa Kornsawad, MD, UT San Antonio
- Pinky Jha, MD, University of Wisconsin
- Omrana Pasha-Razzak, MD, CUNY School of Medicine
- Geraldine Ménard, MD, Tulane University School of Medicine
- Jack Badawy, MD, UT Health San Antonio
- Natalie Schwatka, MD, University of Colorado
- Deepti Rao, MD, University of New Mexico
- Sara Westergaard, MD, University of Wisconsin
- Holly Day, MD, UT Health San Antonio
- Gena Walker, MD, St. Clair Health
- Valerie Lang, MD, University of Rochester
How the group works to achieve HOMERuN Vision and Mission
Vision:
To transform patient care by fostering, a culture of innovation, collaboration, and support for hospital, medicine teams, dedicated to discovering, evaluating, and implementing breakthroughs in healthcare.
Mission:
Empower and nurture hospital, medicine, teams to develop and implement innovative solutions to elevate the quality, safety, equity, and value of care for hospitalized patients from hospitalization to recovery.
Values:
Patient centered, collaborative, diversity, generalizable, effective, sustainable
In the pursuit of HOMERuN’s vision and mission, our subgroup places a pivotal focus on addressing burnout, wellness, and professional meaning for hospitalists. Recognizing the direct impact of hospitalist well-being on patient care quality, we are driven by the primary emphasis to create a field of thriving healthcare professionals.
Originating from the heightened awareness of stress and burnout during the COVID crisis, our diverse workgroup, comprising representatives from across the country, actively identifies gaps in current hospital medicine literature related to wellness. Leveraging the HOMERuN infrastructure, we collaboratively explore frontline questions, aiming to better understand, measure, and support hospitalist wellness and professional meaning.
Our current initiatives involve interpreting and adapting wellness measurement tools from a hospitalist lens, facilitating practical choices for programs to assess their wellness strategies. Simultaneously, we strive to quantify existing wellness infrastructure, seeking standardization and optimization. Additionally, we delve into maximizing joy in work and professional meaning by assessing reasons for hospitalist turnover and developing strategies for master hospitalist clinicians. Each of these endeavors aligns with the broader HOMERuN objectives, contributing to the elevation of care quality, safety, equity, and value for hospitalized patients.
Furthermore, our workgroup is dedicated to upholding the values of collaboration and diversity outlined in the HOMERuN 2023 vision and mission statement. Applying rigor, science, feasibility, and pragmatism, we navigate the complex arena of wellness, honoring the lofty pursuit of professional meaning within the hospital medicine field. Through these concerted efforts, our subgroup actively participates in the collective mission to transform patient care through innovative, collaborative, and supportive approaches.
Current Projects:
Project
Leads
Status
Wellness Measurement Tool Review Paper
Niranjan-Azadi, Murphy
Manuscript in process
Survey Study of Wellness Infrastructure
Chokshi
In process, finalizing survey
Wellness Measurement Workshop
Nranjan-Azadi, Marr, Chokshi, Murphy
Given at Mid-Atlantic SGIM Sept 23
Upcoming, SGIM 2024
Perspectives on Wellness Measurement
Chokshi
In process, focus groups completed
Publications:
- Murphy E, Chokshi K, Niranjan-Azadi A, Schram A, Clements J, Pasha O, Mueller S. Looking back while thinking forward: Institutional best practices to address hospitalist well-being during COVID-19. J Gen Intern Med. 2023 Apr;38:1326-1328.
Presentations:
- Ashwini, N, Marr, R, Murphy, E, Chokshi, K. Designing Well-Being Interventions: Turning the Pebbles in your shoes into Actionable Stepping Stones. Mid-Atlantic SGIM, September 2023.
- Murphy, E, Marr, R, Ashwini, N, Chokshi K. Designing Well-Being Interventions: Turning the Pebbles in your shoes into Actionable Stepping Stones. National SGIM, May 2024—Upcoming.
