Advance Praise Tom has a passion for patient safety and in this book he brings to light evidence- based, effective plans that work. We have a lot to learn from the science of positive psychology, including how we can, literally, rewire our brains to be better at problem-solving—particularly in times of crisis—and how we can consistently work together in ways that enhance the care we provide. At the same time, you’ll find that what you’ll learn from this book will support your growth as a profes- sional and as a human being. Peter J. Pronovost, MD Author of Safe Patients, Smart Hospitals Director of the Armstrong Institute for Patient Safety and Quality Senior Vice President for Patient Safety and Quality at Johns Hopkins Medicine I worked with PROPEL for years at the Johns Hopkins Hospital, Baltimore, Maryland. It’s amazing to me what these principles can do to engage a multidisci- plinary healthcare team. The units that used PROPEL saw results such as increased employee engagement scores, decreased falls, and decreased turnover. People started coming to work were happy to be there, instead of dreading the issues that were bound to come up. PROPEL changed the way that our teams viewed and solved problems. Problems became an opportunity to improve and collaborate rather than a way of bringing the team down. The staff started supporting each other and work became more like a family. I’m now the senior vice president of Patient Care Services and chief nursing officer at the Greater Baltimore Medical Center (GBMC) HealthCare, Baltimore, Maryland and have already brought PROPEL to this organization because I know about the positive changes it creates. JoAnn Z. Ioannou, DNP, MBA, RN, NEA-BC Senior Vice President—Patient Care Services and Chief Nursing Officer, GBMC HealthCare A must-read for healthcare leaders desiring enhanced teamwork and improved out- comes. The PROPEL principles artfully distill essential positive psychology research and offer efficient implementation techniques for converting theory to action. In this enjoyable read, Thomas Muha, PhD unlocks the pathway to peak perfor- mance, accessible even to the busiest professional. Brooke Buckley, MD FACS MedChi, The Maryland State Medical Society, President 2015–2016 Chief, Division of General Surgery Medical Director, Acute Care Surgery Anne Arundel Medical Center Muha has written a very important book that should be mandatory reading for anyone involved in healthcare. It combines scholarly research findings with practi- cal advice and strategies for both personal flourishing and organizational success. Given the importance and centrality of healthcare in our society and around the world, this work is sure to make a significant impact for the better. Kim Cameron, PhD William Russell Professor of Management and Organizations Ross School of Business Cofounder, Center for Positive Organizations University of Michigan Author of Practicing Positive Leadership PROPEL to Quality Healthcare PROPEL to Quality Healthcare Six Steps to Improve Patient Care, Staff Engagement, and the Bottom Line Thomas M. Muha, PhD with Martha Murphy Foreword by Peter Pronovost, MD Author of Safe Patients, Smart Hospitals CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2018 by Thomas M. Muha No claim to original U.S. Government works Printed on acid-free paper International Standard Book Number-13: 978-1-1382-1504-7 (Hardback) This book contains information obtained from authentic and highly regarded sources. Reasonable efforts have been made to publish reliable data and information, but the author and publisher cannot assume responsibility for the validity of all materials or the consequences of their use. The authors have attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmit- ted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copyright. com (http://www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Library of Congress Cataloging-in-Publication Data Names: Muha, Thomas, author. Title: PROPEL to quality healthcare : six steps to improve patient care, staff engagement, and the bottom line / Thomas M. Muha. Description: Boca Raton : Taylor & Francis, 2018. | “A CRC title, part of the Taylor & Francis imprint, a member of the Taylor & Francis Group, the academic division of T&F Informa plc.” | Includes bibliographical references. Identifiers: LCCN 2017006431 | ISBN 9781138215047 (hardback : alk. paper) | ISBN 9781315116846 (ebook) Subjects: LCSH: Health services administration. | Medical care--Quality control. Classification: LCC RA971 .M73 2018 | DDC 362.1068--dc23 LC record available at https://lccn.loc.gov/2017006431 Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 Contents © 2018 by Thomas M. Muha No claim to original U.S. Government works Printed on acid-free paper Foreword ............................................................................................................xv International Standard Book Number-13: 978-1-1382-1504-7 (Hardback) Acknowledgments ...........................................................................................xvii This book contains information obtained from authentic and highly regarded sources. Reasonable efforts Author ...............................................................................................................xix have been made to publish reliable data and information, but the author and publisher cannot assume Introduction .....................................................................................................xxi responsibility for the validity of all materials or the consequences of their use. The authors have attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been SECTION I WHY POSITIVE WORK ENVIRONMENTS MATTER acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmit- 1 Modern Times in Healthcare: From the C-Suite to the Bedside ............3 ted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, The Scope of the Problem ............................................................................6 including photocopying, microfilming, and recording, or in any information storage or retrieval system, The Pilot Studies ..........................................................................................7 without written permission from the publishers. What You Will Get Out of This Book .......................................................10 For permission to photocopy or use material electronically from this work, please access www.copyright. Optimal Functioning Can Be Learned ......................................................11 com (http://www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, 2 Positive Psychology: The Science of Optimal Human Functioning .....13 a separate system of payment has been arranged. But What about People Who Shine in Stressful Situations? .......................13 The Birth of Positive Psychology ................................................................14 Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. How Well Are Americans Doing? ..............................................................15 How Well Are You Doing?.........................................................................16 Library of Congress Cataloging-in-Publication Data Is Positive Psychology Fluff or Financially Beneficial? ................................17 Names: Muha, Thomas, author. How Do Positive Workplaces Make a Difference? ......................................18 Title: PROPEL to quality healthcare : six steps to improve patient care, What