The Blue Coats Program to Improve and Sustain Workforce Well-Being
Anish K Agarwal1, Kathryn See2, Kailee Bar-Nadav3
1Assistant Professor, Department of Emergency Medicine, and Clinical Director of Transformation Science, Penn Medicine Center for Health Care Transformation and Innovation, University of Pennsylvania, PA, USA.
The Blue Coats program at Penn Medicine enhances clinical workforce well-being by embedding ambassadors to address frontline needs. This initiative improved staff hope and trust, boosting retention and agency.
Area of Science:
- Healthcare Management
- Organizational Psychology
- Workforce Development
Background:
- Traditional system-level strategies often fail to address real-time frontline needs in healthcare.
- Workforce well-being is critical for healthcare system performance and staff retention.
- Burnout and operational strain are significant challenges in the current healthcare landscape.
Purpose of the Study:
- To evaluate the impact of the Blue Coats program on clinical workforce well-being at Penn Medicine.
- To assess the effectiveness of a locally embedded initiative in addressing frontline staff needs.
- To determine if the program improves trust, hope, belonging, and retention among healthcare staff.
Main Methods:
- The Blue Coats program embeds well-being ambassadors and operational consultants within clinical departments.
- Ambassadors observe, shadow, and listen to frontline staff to identify pain points and opportunities.
- A discovery-to-delivery model is used, involving collaboration with leadership to implement customized interventions.
Main Results:
- Early data show meaningful gains in hope, trust, and belonging among outpatient clinical staff.
- Nursing staff saw an 11.8% increase in trust and a 7.4% improvement in hope.
- Support staff experienced a 24.6% increase in trust.
- Staff reported feeling "seen, heard, and supported," and a restored sense of agency.
Conclusions:
- The Blue Coats program effectively bridges the gap between frontline experience and leadership decision-making.
- The initiative enhances workforce well-being, trust, and retention through customized interventions.
- This scalable, human-centered model offers a framework for improving healthcare workforce engagement and sustainability nationally.
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