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Post by Molly Ryan on Jul 23, 2015 15:35:22 GMT -5
We know that patient enrollment can be tricky, but sometimes practice sites struggle with provider and staff buy-in too. A practice site told me this week that when hiring new people they take the stance "We do Centering here" so that prospective employees know Centering is an expectation upfront.
What strategies does your practice site use with current and new staff?
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Post by John Craine on Jul 23, 2015 15:50:19 GMT -5
Building on this theme, this week I spoke to a practice in Maryland that is recovering from a major exodus of providers a few months back, some of whom were resistant to Centering. So when they had the chance to hire new staff, they made Centering participation mandatory for those positions.
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Post by maryalicegrady on Aug 3, 2015 15:20:02 GMT -5
At some level you have to address staff real or perceived barriers to Centering to achieve staff buy-in. Some sites have had a Centering staff meeting where the staff actually circles up in a group with an opening and a closing and use Centering group activities to share what Centering is, answer questions about Centering, and, most importantly, address perceived and real barriers to Centering in this group. Using the popcorn exercise can be extremely helpful for addressing staff barriers. "Centering at our site is...." , or for a new site that is starting Centering "When I think about starting Centering at our site I wonder..."
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Wenonah (she/they)
In-House Trainers
Posts: 48 
I work at a: Healthcare Facility
My job role is: Staff
I am interested in Centering because: ...it's about relationships and support being recognized as an essential component of health & Healthcare. The lasting connections created during the transformational year of pregnancy is an invaluable asset for new parents.
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Post by Wenonah (she/they) on Aug 3, 2015 17:18:16 GMT -5
Thank you for those ideas, Mary Alice. We have reenacted Centering activities at a staff meeting to give the office and medical staff an idea of what goes on in Centering. But I like the idea of running a staff meeting in the Centering facilitative style. We also try to get all support staff to attend at least one actual Centering session so they can see first hand how the process works. Any new staff, especially midwives and nurses who will be facilitators are informed from the onset that their participation is mandatory.
We are currently trying to get the reception staff to champion promoting Centering. Rather than waiting for the request from the patient, we want them to offer the option of Centering first. This would be a follow-up to the midwives introducing and offering Centering during the initial prenatal visit.
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Post by Tanya Munroe on Aug 4, 2015 7:53:22 GMT -5
Yes, reception staff are key! Can they be inspired to wear Centering buttons?  |
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Deleted
Deleted Member
Posts: 0
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Post by Deleted on Oct 23, 2015 19:50:04 GMT -5
I am hoping that I will be able to go to the general orientation of all employees in our system so that everyone knows about centering and it will become the "normal" way to obtain prenatal care!
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Post by Claire Westdahl CNM MPH FACNM on Jul 6, 2016 16:42:07 GMT -5
This is an interesting article describing the 3 step communication strategy to address barriers to "staff buy in". Several authors are current and former Centering consultants. Vonderheid et al 2013_social marketing CP 2.pdf (144.37 KB) |
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Post by Claire Westdahl CNM MPH FACNM on Jul 6, 2016 18:17:38 GMT -5
The Vonderheid article is attached here.. |
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smerrell
CHI Staff 
Posts: 243
My job role is: Staff
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Post by smerrell on Feb 16, 2017 10:58:03 GMT -5
I recently heard from one site that they offer staff incentives for recruitment. For example, the staff member who enrolls the most patients in Centering groups will get 2 movie tickets (or a $5 Starbucks gift card). Sometimes these small incentives can generate excitement around the enrollment process.
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Post by nlewis on Jun 21, 2017 14:24:57 GMT -5
We are in the beginning stages of developing a staff buy-in/orientation "toolkit." I'd love to hear what has worked in your organization or questions you have that this toolkit could help answer. Currently, we have brainstormed scripts, a video/photos to explain, and/or a Circle Up Webinar. Other thoughts and ideas welcomed!
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amelchior
IN - Indiana Centering Consortium
Posts: 23
I work at a: Healthcare Facility
My job role is: Administrator
I am interested in Centering because: it has the potential to improve the lives of people in our community and is a fulfilling experience for healthcare providers!
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Post by amelchior on Jun 26, 2017 9:44:13 GMT -5
Maintaining staff enthusiasm has been a continued issue for us. Each time I host a staff meeting at one of our Centering locations there is so much enthusiasm and positivity, but that always seems to die off after a few weeks and we are back to where we started. We have provided scripts, talking points, and training and somehow are still constantly fighting this battle. We have made a lot of progress in now at least everyone who works at the clinics knows about Centering, but simply knowing about it has not created the enthusiasm we seek.
Unfortunately, many of the support staff members I have encountered view Centering as an extra task they have to do, something that just adds to their workload. We have thought about incentives for enrolling, but I am not sure how that would work and if the organization would support funding for these incentives and I'm not sure if it would meet the ultimate goal of creating enthusiasm for the program.
Each site that is successfully Centering has a champion at the location that truly believes in it, unfortunately resting the practice on one individual does not lead to sustainability. I think it would be helpful to have videos, webinars, and tools that can be used in general orientation and at staff meetings. I appreciate the resources and suggestions provided and hope we can find the best way to sustain support for the care model at our organization.
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Post by nlewis on Jun 26, 2017 10:17:39 GMT -5
Maintaining staff enthusiasm has been a continued issue for us. Each time I host a staff meeting at one of our Centering locations there is so much enthusiasm and positivity, but that always seems to die off after a few weeks and we are back to where we started. We have provided scripts, talking points, and training and somehow are still constantly fighting this battle. We have made a lot of progress in now at least everyone who works at the clinics knows about Centering, but simply knowing about it has not created the enthusiasm we seek. Unfortunately, many of the support staff members I have encountered view Centering as an extra task they have to do, something that just adds to their workload. We have thought about incentives for enrolling, but I am not sure how that would work and if the organization would support funding for these incentives and I'm not sure if it would meet the ultimate goal of creating enthusiasm for the program. Each site that is successfully Centering has a champion at the location that truly believes in it, unfortunately resting the practice on one individual does not lead to sustainability. I think it would be helpful to have videos, webinars, and tools that can be used in general orientation and at staff meetings. I appreciate the resources and suggestions provided and hope we can find the best way to sustain support for the care model at our organization. Amber this is such great feedback! Thank you for posting it here and sharing your insight. We hear about this sometimes from others, too and would love to lead a webinar conversation about this and develop more tools for our sites. We'll keep you posted and in the meantime, don't give up! You can also use this space to gather more resources and ask questions. |
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