USF Health Culture Book

7 | 2020 Version 1

Culture Making Life Better

health.usf.edu/culture

Defining our Culture

USF HEALTH CULTURE

Over the past several years, it has been my great honor to witness the incredible strides made by USF Health. Because of the hard work and dedication of our entire USF Health team, we are in a prime position to take the next step of becoming a true national leader in academic health.

As we press into the future, we are committed to building a culture of excellence by empowering our workers to uphold our key values. Everything we do at USF Health—our patient care, research, and education—is done to make life better for the communities we serve. To thrive in this new era, we must renew our commitment to our guiding principles, holding fast to the values that have allowed us to achieve so much already.

Charles J. Lockwood, MD, MHCM Senior Vice President, USF Health Dean, USF Health Morsani College of Medicine

At USF Health we believe in compassion for every person; accountability for our actions; interprofessionalism in our practice; respect for all people; and excellence in everything. We are unwavering in our commitment to our students and tireless in our care for our patients. And we are never satisfied with good enough—as lifelong learners, we are constantly striving to improve, displaying the gritty resolve necessary to continuously perform at the highest level.

Moving forward, USF Health will be known for its excellence, optimism, inclusiveness, transparency, and innovation.

All across USF Health we are renewing our commitment to culture, and this book is designed to further aid in that effort. In it you will find useful information and resources regarding our values and how we are bringing them to Tampa Bay. It is my hope that this volume will help you see your place in our USF Health culture and encourage you to become an ambassador for our values. Together, we can build an even better USF Health, one where we hold steadfast to our principles and work to Make Life Better for everyone in our community.

Sincerely,

Charly

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About USF Health USF Health is a partnership of the USF Health Morsani College of Medicine, the College of Nursing, the College of Public Health, the Taneja College of Pharmacy, the School of Biomedical Sciences Graduate and Postdoctoral Program, the School of Physical Therapy and Rehabilitation Sciences, and USF Health's multispecialty physicians group. USF Health is an integral part of the University of South Florida, and is dedicated to the success of more than 6,000 students annually.

USF Health is the only academic health center on the west coast of Florida, and we are making major advances in 21st century education, research, and clinical practice. We serve over 1 million patients annually, offering health professionals with 30+ specialty areas. We are national leaders in education and research, boasting highly ranked academic programs and millions of dollars in research funding and expenditures. Our faculty, staff and students are committed to lifelong learning and interprofessionalism, constantly pushing the boundaries of knowledge and innovation, while working across specialty to ensure a collaborative experience.

Everything we do—from patient care to innovation, research, education, and discovery—is done to improve human lives. Our faculty are renowned experts dedicated to student success and producing ground-breaking research with real-world applications; our health providers deliver superior, affordable, patient-centered care; and our students are among the best and the brightest in the nation, training to become the health care leaders of tomorrow.

USF HEALTH CULTURE

Our new USF Health Morsani College of Medicine and Heart Institute will help build the future of health. It is a key anchor in Water Street Tampa, on target to become one of the most vibrant urban environments in America and the world's first wellness district. By bringing high-achieving students, faculty and scientists within a mile of our primary teaching hospital, Tampa General Hospital, USF Health is educating tomorrow’s physicians and pharmacists, and pioneering new discoveries to end heart disease.

Our Three Missions At USF Health, our vision is to be the most trusted academic health center in Florida, and our overriding mission is to make life better in the communities we serve by providing excellence in research, education, and patient care:

Education

Research

Patient Care

Training the next generation of health care professionals to improve patient safety and health outcomes.

Accelerating discoveries into innovative treatments, diagnostics and devices for complex medical conditions.

Providing high-quality care as the region’s only academic health center, with more than 1,000 providers and 30+ specialties.

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Our Cultural Values Grit and Lifelong Learning We are resilient, determined and relentless in our efforts to perfect our craft. With knowledge accelerating faster than ever before, we empower our workers to constantly improve and gain new skills through invaluable lifelong learning and cross-training opportunities.

USF HEALTH CULTURE

Innovation While respecting and honoring longstanding traditions, we continuously seek fresh ways of reinventing “business as usual.� Whether through groundbreaking research, novel pedagogical methods or cutting-edge technology, we work to stay on the forefront of innovation.

Inclusion We welcome all forms of diversity and treat one another with dignity and respect. Our community strives to create a culture of dialogue and acceptance for all races, ethnicities, genders, sexualities, religions and worldviews.

Collaboration Compassion

Excellence 07

We understand the roles and responsibilities of others while communicating effectively across teams, merging professional expertise, and working together to better serve our communities. We know that we are stronger together, and we actively pursue opportunities to engage teambased solutions.

We display kindness and compassion to everyone, especially those most in need. In each of our mission areas, we are driven by the desire to lend a helping hand and care for our community. Making Life Better is simply what we do.

We perform at the highest level and give our very best in all that we do. If our performance in any area falls short of our standards, we assess how we can improve and implement new strategies to help our organization reach new heights.

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Making Life Better

USF HEALTH CULTURE

Health and Equity At USF Health, improving lives underlies everything we do.

Here are 10 ways we work together to collectively Make Life Better: 1/ We create innovative solutions in a world driven by change, through a commitment to collaboration.

2/ We have an unwavering dedication to our students, to continuous learning and education, and for serving our patients.

3/ We value diversity and are committed to inclusion in all situations to ensure the highest team performance. We encourage diverse opinions, and all views are respected and appreciated.

4/ W e care about one another by using self and social awareness to recognize emotions and their impact on others, and understanding and appreciating others’ thoughts and feelings.

5/ W e are courageous and resilient; we bravely “show up� for each other and demonstrate fortitude to keep going, even during the toughest of circumstances.

6/ W e are transparent in who we are. Everyone on the USF Health team understands and communicates our mission and vision, and clearly communicates how that mission and vision impacts individuals and the greater organization. Diverse opinions and all views are encouraged, respected and appreciated.

7/ W e create an environment for growth. We have committed leaders who encourage and support professional growth; we acknowledge and praise individuals and are dedicated to giving constructive feedback in order to encourage high performance.

8/ W e are optimistic and assume positive intent.

9/ W e act with the highest level of integrity and authenticity; we say what we mean, mean what we say, and defend our shared values and principles.

10/ W e practice good stewardship. We strive to effectively and efficiently manage all resources.

USF Health is committed to the cause of diversity, inclusion, and equity. As an organization created to improve public health, we take seriously our responsibility to fight against racial injustice and inequality in all its forms. That starts by taking an honest look at the failures of the health care community and doing our part to advocate policy and culture reform.

Racial differences in health outcomes are well documented: a lack of access, implicit provider bias, poor cross-cultural communication, lower levels of health insurance coverage, and higher mortality rates. While there are larger social causes of such disparities, the health care community plays a critical role in rectifying these wrongs.

At USF Health, we can do our part by scrutinizing our own attitudes and actions and the ways cultural misconceptions and biases interfere with decision-making. In the same way, we should also work to carefully cultivate a cross-cultural form of care and communication. And most of all, we must continue to train the next generation of health care professionals to practice inclusive behaviors and learn from the diverse experiences of others.

Our community must be not only a place where all people are welcomed and accepted, but where we do our part to create a more equitable health system for everyone.

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BRIDGE Clinic A national prototype, our student-run BRIDGE Healthcare Clinic brings together faculty-supervised students across several health disciplines, including medicine, physical therapy, public health, pharmacy, and other health professions, to provide free primary care and social services to the underserved living in the University Area community.

Bryan Bognar, MD, MPH Vice Dean, Educational Affairs, Morsani College of Medicine Department of Medical Education Professor, Internal Medicine USF lucky HEALTH CULTURE “We are so and grateful

to have a dean who puts his students first all of the time. I’m so proud to be a Bull. But, I’m even more proud to be under this leadership.”

– Jasmina Ehab, MS4

USF HEALTH CULTURE

CAMLS/FCC Disaster Exercise USF Health's Center for Advanced Medical Learning and Simulation (CAMLS) joined forces with nearly 20 participating organizations when a C-17 cargo aircraft arrived at Tampa International Airport for a Federal Coordinating Center disaster exercise to practice transport, triage, and treatment of over 35 simulated patients in the event of a national emergency.

WE-CARE and Community Advocacy The WE-CARE program is a cross collaboration of multiple stakeholders who serve as a Workgroup Enhancing Community Advocacy and Research Engagement. WE-CARE works to achieve health equity by increasing minority participation in research and building trust and mutual respect between the community and researchers. The program sponsors Community Advocacy Matchmaking (CAM), an event where health care practitioners, researchers and nurses hear from a panel of diverse community members to learn their perspectives on barriers and solutions for minority participation in research.

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Tampa Bay Street Medicine Tampa Bay Street Medicine is a student-run organization at the USF Health Morsani College of Medicine dedicated to improving the medical care of the homeless in the community. Through direct outreach on the streets and in shelters, the Tampa Bay Street Medicine project aims to provide medical care, education, and health care access to some of the community's most vulnerable members.

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USF HEALTH CULTURE

During the early days of the COVID-19 crisis in America, we at USF Health transformed our daily operations, rapidly learning new tools for safely interacting with each other both virtually and in-person. In some cases, we embraced remote operation capabilities that have existed in underutilized capacities for years, including telehealth, online learning, video conferencing and virtual town halls.

Sarah Worth Associate Director, News and Communications

“Sarah’s work has been a tour

Although no one was fully prepared for the pandemic, USF Health faculty, staff, and students adapted to the crisis with extreme speed and diligence. We drew upon our values of innovation, grit and lifelong learning to revamp “business as usual,” and we are stronger because of it. Remote operations have allowed us to become a more efficient, innovative, and intelligent organization.

de force of media, press, and

Because of our success, we have made permanent several emergency measures such as remote operations, telehealth and expiated clinical trial approval and we will continue to look for ways to optimize our talent and productivity, while increasing opportunity, morale and convenience.

exemplar of positivity, initiative

Whether working on the main campus or downtown, the clinic or the home office, one thing remains the same: all of us at USF Health are devoted to improving human lives, strengthening our nation, and promoting a healthier world.

COVID-19.”

writing. She has truly done an amazing job, serving as an and professionalism in covering – Dr. Lockwood

Making Life Better knows no walls.

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Interprofessionalism USF Health is uniquely positioned to be Tampa Bay’s single most important hub for interprofessionalism.

We are the region’s only entity that can simultaneously bring to bear specialized knowledge from colleges of Medicine, Nursing, Public Health and Pharmacy, along with an entire multi-specialty practice plan.

This means our patients receive attention and treatment from leading experts, all in the same place.

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Q&A

Q.

WITH Dr. Okuda

As our first Assistant Vice President of the Office of IPEP, what is your vision for USF Health over the next five years?

A.

Q.

What exactly is Interprofessional Education and Practice (IPEP), and why do you think interprofessional training is gaining momentum across the world?

A.

Haru Okuda, MD, FACEP, FSSH

Interprofessionalism is the commitment to increase communication and teamwork across various health specialties to improve patient safety, experience and health care outcomes. Interprofessional Education (IPE) is primarily focused on educating undergraduate and graduate students of different health professions together to increase understanding of their roles in larger health care processes and foster collaboration. Interprofessional

Practice, meanwhile, is the actual application of interprofessional principles within clinical care and clinical practice.

By and large, American universities are doing IPE pretty well, but when it comes to Interprofessional Practice, many organizations are struggling. When I talk to leaders at other institutions, they say they are teaching their students IPE concepts, and they are getting it, but for some reason they are having a hard time translating what they learned into their practice upon graduation.

There is a gap here, and a huge opportunity for USF Health and our clinical partners in the Tampa Bay community to make a lasting impact.

In five years, I want USF Health to be recognized as a leader in IPEP. We want to define what IPEP looks like especially in Interprofessional Practice, and that will include research, innovative new programs, training curriculum focused on outcomes, and a concentrated effort to communicate that message broadly.

We are working to build IPE programs that are comprehensive, maximize educational practices, and leverage all the expertise across USF Health. That means building curriculum, creating experiences, and looking for opportunities to involve crosscollaborative education for both students and faculty.

From an IPEP standpoint, it is really about engaging the community. We have so many clinical practice groups and partners. We want to work with everyone to improve the quality of care across Florida. Ultimately, it would be great to form a Florida collaborative around IPEP. HEALTH.USF.EDU/CULTURE

USF HEALTH CULTURE

Q.

A.

For the second annual IPEP Day, USF Health hosted a very successful day-long symposium on interprofessional responses to the opioid crisis. Could you tell us a little bit about that experience and some of the ideas generated by it?

A.

I was honestly blown away by the response from our community—and really just the commitment and engagement with this program. Almost every single speaker or person we reached out to came out and participated without a second thought.

But what made this meeting so impactful was the additional perspectives: law enforcement, a judge, a lot of community health workers, and several individuals providing a public health and policy standpoint to a retired emergency room nurse and recovering opioid addict.

The feedback that I got from faculty, participants and students, was that it was so impactful personally and professionally.

It is going to change how they treat and view patients with opioid addiction.

Q.

How does interprofessional education impact the delivery of care by health providers when they transition from learners to practitioners?

A.

USF Health’s colleges and programs have been doing IPE for some time, whether in nursing, pharmacy, or medicine, and there are courses and simulation that include IPE. When I look into how our students perform at their residencies, whether they are more open to collaboration and

working across disciplines, the answer is yes—our students are embracing an interprofessional, holistic approach as opposed to a siloed perspective that says, “I’m a physician, you’re a nurse.”

That is exciting. My hope is when they go to their residency program or work in hospitals they are having some impact bringing their perspective and making a difference one conversation at a time.

Q.

What are some of the biggest barriers to more health care providers embracing a more interprofessional approach?

Earlier in my experience in patient safety and medical education, I trained my students to think from a patient safety mindset. But then they would graduate and go to another hospital, where their peers or supervisors would say, “we don’t do it that way here,” and our students would unlearn critical teamwork and communication practices because the existing culture of the institution was so deeply rooted in the attitude, “that’s how we’ve always done it.” Unfortunately, it wipes away much of what they learned through their four years of medical school.

To make a true impact that will affect behaviors and outcomes, we need to not only teach and implement IPEP on the front line caregiver side, but also at the senior leadership levels, with CEO, CMO, CNO as well. Because if you do good IPEP but it is not rewarded, now we are giving the wrong message.

We should find ways to measure success for health care teams, incentivizing people to change their behavior and work together. To do it right we need to change cultures and organizations.

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Grit and Life Long Learning

USF HEALTH CULTURE

In the fast-changing environment of the 21st century, successful organizations must quickly adapt to new information, skills and technologies. This requires a workplace community of gritty lifelong learners.

Lifelong learning is the persistent desire to acquire new skills, the resolve to constantly improve, and the careerspanning commitment to perfect one’s craft.

To be a lifelong learner means accepting continuously that even the most accomplished person can grow, and that each individual should strive to better themselves by taking a class, attending a workshop or conference, reading a book, or seeking out mentorship from a senior leader.

At USF Health, we are committed to creating a culture where everyone has access to lifelong learning opportunities by sponsoring cross-collaboration, mentoring and educational courses. We want to support you and make lifelong learning fun, cultivating a community that is both demanding and supportive.

Yet the commitment to lifelong learning, while intrinsically and externally rewarding, is not easy. That is why lifelong learning must be accompanied by a personality of grit.

Grit can be defined as passion and perseverance in pursuit of a long-term goal.

The first part of grit, passion, signifies endurance toward an overriding purpose in an abiding, loyal, and steady way.

Gritty people know what they want, and they pursue it for the entirety of their lives. Their passion is what fires them up, motivates them, and inspires them to do their very best.

Perseverance, meanwhile, means hard work and resilience in the face of setbacks and failure. A person with grit is one who demonstrates stamina and consistency while striving for constant improvement. Gritty people don’t quit. They don’t give up in the face of hardship and failure. They finish what they start and see their projects out to their end.

Excellence is a mundane thing. It is not a natural or inborn talent; it is the cumulative effort of thousands of minuscule unglamorous acts, carefully drilled into habit through the sustained and deliberate practice of gritty lifelong learners.

grit Grit is a trait that can be found in a person with a growth mindset. A person with grit is known to be tenacious, which is the ability to persevere and try with greater effort, as required. This behavior found in people with grit is a pivotal aspect of a growth mindset. It builds a person’s ability to grow.

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Grit Survey The following survey contains 15 statements that may or may not apply to you. There are no right or wrong answers. Answer honestly, considering how you compare to most people. At the end, you will receive a score that reflects how gritty, persevering and passionate you see yourself.

A special thanks to Angela Duckworth for creating the foundation of this grit survey.

USF HEALTH CULTURE

1. I become preoccupied with new projects/ideas, sometimes diverting from previous ones. t Not at all like me (1) t Not much like me (2) t Somewhat like me (3) t Mostly like me (4) t Very much like me (5) 2. I am not easily discouraged.

I follow through. t Not at all like me (1) t Not much like me (2) t Somewhat like me (3) t Mostly like me (4) t Very much like me (5) 3. I am open to new things, experiences and ideas. t Not at all like me (1) t Not much like me (2) t Somewhat like me (3) t Mostly like me (4) t Very much like me (5) 4. I have successfully accomplished a major goal by overcoming obstacles along the way. t Not at all like me (1) t Not much like me (2) t Somewhat like me (3) t Mostly like me (4) t Very much like me (5)

5. I do not always accomplish a goal if a new one attracts me. t Not at all like me (1) t Not much like me (2) t Somewhat like me (3) t Mostly like me (4) t Very much like me (5) 6. I sometimes seek out projects that I know will challenge me. t Not at all like me (1) t Not much like me (2) t Somewhat like me (3) t Mostly like me (4) t Very much like me (5) 7. I finish whatever I begin. t Not at all like me (1) t Not much like me (2) t Somewhat like me (3) t Mostly like me (4) t Very much like me (5) 8. I f I find something to be difficult, I feel inclined/ motivated to develop my knowledge, skills, ability to better handle. t Not at all like me (1) t Not much like me (2) t Somewhat like me (3) t Mostly like me (4) t Very much like me (5)

9. I find that my level of focus diminishes with projects that take several months or more to complete. t Not at all like me (1) t Not much like me (2) t Somewhat like me (3) t Mostly like me (4) t Very much like me (5) 10. I seek out new opportunities for learning and development. t Not at all like me (1) t Not much like me (2) t Somewhat like me (3) t Mostly like me (4) t Very much like me (5) 11. I invest the necessary effort to accomplish those goals that are important to me. t Not at all like me (1) t Not much like me (2) t Somewhat like me (3) t Mostly like me (4) t Very much like me (5) 12. I am diligent. I never give up. t Not at all like me (1) t Not much like me (2) t Somewhat like me (3) t Mostly like me (4) t Very much like me (5)

13. I sometimes become engrossed with a project/idea, but soon lose interest. t Not at all like me (1) t Not much like me (2) t Somewhat like me (3) t Mostly like me (4) t Very much like me (5) 14. I am a hard worker. t Not at all like me (1) t Not much like me (2) t Somewhat like me (3) t Mostly like me (4) t Very much like me (5) 15. I strive for excellence in whatever project I am part of. t Not at all like me (1) t Not much like me (2) t Somewhat like me (3) t Mostly like me (4) t Very much like me (5)

Grit: Passion and perseverance in pursuit of a long-term goal, as defined by Angela Duckworth in her book Grit.

Grit Score: 1 to 15 Indicates you are not at all gritty.

16 to 30 Indicates you are not very gritty.

31 to 45 Indicates you are somewhat gritty.

46 to 60 Indicates you are grittier than not.

61 to 75 Indicates you are extremely gritty.

Perseverance: Hard work and resilience in the face of setback and failure. A steadfastness on mastering skills or completing a task. Having a commitment to learning. To achieve something despite difficulties, failure or opposition.

Perseverance score is: 1 to 5 Indicates you are not at all driven by perseverance.

6 to 10 Indicates you are not very driven by perseverance.

11 to 15 Indicates you are somewhat driven by perseverance.

16 to 20 Indicates you are more driven by perseverance than not.

21 to 25 Indicates you are extremely driven by perseverance.

Passion: Endurance toward an overriding purpose in an abiding, loyal way.

Intense drive or overmastering feeling or conviction. A strong desire to some activity, object or concept.

Passion Score: 1 to 5 Indicates you are not at all driven by passion.

6 to 10 Indicates you are not very driven by passion.

11 to 15 Indicates you are somewhat driven by passion.

16 to 20 Indicates you are more driven by passion than not.

21 to 25 Indicates you are extremely driven by passion.

Online Grit Survey

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TOOLS FOR GRIT

GRIT, PASSION AND PERSEVERANCE TOOLKIT

USF HEALTH CULTURE

With employees all across USF Health taking this small step to better themselves, our organization will be closer than ever to becoming a paragon of grit and lifelong learning committed to providing our community with top-quality health education, research and patient care.

Ways to Improve Your Grit: • Identify your strengths and weaknesses and develop an improvement plan.

• Treat all who come in your path with respect and compassion.

• Seek opportunities to grow and learn.

• Learn a new skill.

• View frustrations as a necessary part of the process.

• View problems and mistakes as opportunities to get better and grow.

• Don’t let temporary setbacks get in your way.

• Look for ways to make your work more meaningful.

• Believe you can change and grow.

• Practice.

• Use language that encourages perseverance and praises effort.

• Surround yourself with people who persevere.

• Adopt a flexible thinking pattern.

• Develop your purpose.

• Set goals that align with your purpose.

• Build time into your day for reflection.

• Get an accountability partner.

SUGGESTED BOOKS AND VIDEOS • Read Grit: The Power of Passion and Perseverance by Angela Duckworth • Watch Angela Duckworth’s TED Talk on Grit • 5 Second Rule by Mel Robbins

• Develop persistence and resilience (From the course: Developing a Service Mindset)

COMPUTER AND PHONE APPLICATIONS TO HELP WITH GOAL SETTING AND HABIT DEVELOPMENT:

• Develop grit and resilience in your protégé (From the course: Being a Good Mentor)

• Fabulous

• Leading Yourself

• Forest: Stay Focused • Strides

• The Procrastination Cure by Damon Zahariades

• Adopting a growth mindset (From the course: Managing in Difficult Times)

• Way of Life

• The 7 Habits of Highly Effective People by Stephen Covey

• Goal setting (From the course: Leading Yourself)

• Habit-Bull

• The Miracle Morning by Hal Elrod

• The importance of resilience

• Goals on Track

• Thank you for Being Late by Thomas L. Friedman

• Using self-compassion to silence the inner critic (From the course: Tools for Grit)

• Coach.me

• The Power of Positive Thinking by Norman Vincent Peale TRAINING C.A.R.E. Training LINKEDIN LEARNING LinkedIn Learning is an e-learning resource available to all USF staff and faculty. To connect your USF Net ID to LinkedIn Learning, please enter your usf.edu email address.

Recommended courses: • B uilding motivation through developing grittiness (From the course: Management Foundations: Advanced Applications)

• Find meaning at work (From the course: Mindfulness Practices) • Meaningful work (From the course: Customer Service: Motivating your Team) • Create your own purpose (From the course: Transformational Leadership) • Getting Things Done • Mindfulness

• ATracker • Loop Habit Tracker • Streaks • Productive • Trello • LifeRPG

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Making Life Better

health.usf.edu/culture