PowerPoint Presentation

1November 12 & 13, 2015 Steve JohnsonAnn Kincheloe Debbie Zuerner Johnson

IntroductionsThis will be an open dialogue and I will serve as the moderator

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THE OWENSBORO HEALTH JOURNEYSupporting the ArtsThe Hospital ProjectThe Owensboro Health Interior/Art CommitteeThe art selection processImageryArts in Medicine and the Healing EnvironmentThe Future of Arts in Medicine and the Healing Environment at Owensboro Health2

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VISIONTo become a regional center of excellence by actively listening and partneringto meet the individual healthcare needs of those we serve.MISSIONOwensboro Health exists to heal the sick and toimprove the health of the communities we serve.CORE COMMITMENTSExcellence | Innovation | Integrity | Respect | Service | Teamwork3

Background: Who we are3

Service Area

21 Locations4

Our coverage4

Impact201020142015Acute Care Hospitals112Employed Practitioners 75143170Ambulatory Locations223338Employees3,2053,2454,125Inpatient Admissions18,34316,17316,914Outpatient Visits484,653593,022782,687ER Visits63,59264,08168,718Community Commitment$55,415,707$84,706,432$74,726,451

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Impact: Note community commitment5

SUPPORTING THE ARTS

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Long standing support for the arts:Debbie and grant program6

TOTAL GRANT FUNDING FOR FISCAL YEAR 2016: $702,924.70

Owensboro Museum of Fine ArtProgram: RiverArtes IIAmount:$18,000

RiverPark CenterProgram: Broadway Pay What You Can Affordability ProgramAmount:$18,000

International Bluegrass Music MuseumProgram: ROMP 2016Amount:$20,000

Owensboro Dance TheatreProgram: Teaching in Outreach, Here's to Your Heart, Special Needs Dance TherapyAmount:$12,000

Owensboro Dance TheatreProgram: In Concert, Dance Ambassadors, Triple A, Migrant Health InitiativeAmount:$13,000

Owensboro Museum of Science and HistoryProgram: Discovery Owensboro - Discover the World, health program exhibitAmount:$20,000

Back Alley MusicalsProgram: Expanding Musical Access through Community Enrichment, Transportation, and EducationAmount:$8,000

Owensboro Symphony OrchestraProgram: Musicians On CallAmount:$18,000

Theatre Workshop of OwensboroProgram: Empress RenovationAmount:$18,000

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The grant funding process begins in the spring with community grant information sessions. Organizations submit letters of intent and if approved to continue, they submit a formal grant proposal. Owensboro Health also offers a mini-grant program, year-round, for community event sponsorships and smaller health-related projects. (Note: We allocate $60,000.00 in mini grant funds annually.)

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8SUPPORTING THE ARTS

Debbie8

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Steve overview of Harvest MarketDebbie on the art of a healthy life9

THE HOSPITAL PROJECT

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Background on the hospital project10

PARRISH CAMPUS

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The old11

Create a safe, patient centered environmentImprove the ease of patient access to servicesIncrease inpatient bed capacityExpand and reconfigure service linesIncrease capacity of all invasive servicesEnhance location of outpatient services relative toinpatientExpand and/or relocate services as it relates to thebusiness planProvide and support technology and information system enhancements

MASTER PLAN FACILITY GOALS

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Board plans: ReadArts was not specifically mentionedThat was the vision that Ann will discussIts hard to know where you are going if you dont know where you have been.Lets look at where we were.

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Much anticipation what we wanted in the new faculty. Many involved and engaged. This video helps to capture that.

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ARTS IN MEDICINE AND THE HEALING ENVIRONMENT

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Which takes us to arts in medicine and the healing environment.19

HOLISTIC HEALTHViewing man in his totality within a wide ecological spectrum, and emphasizing the view that ill health or disease is brought about by an imbalance, or disequilibrium, of man in his total ecological system and not only by the causative agent and pathogenic evolutionThe World Health Organization (WHO)

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This important perspective is echoed in the organization's 1946 preamble, wherein health is defined as a state of complete physical, mental, and social well-being rather than merely the absence of disease or infirmity.

Implied in this definition is the tie to health outcomes or changes in health as a result of an action; in the present case, the connection between artistic engagement and the psychosocial and biological manifestations of that connection. More specifically, there is evidence that engagement with artistic activities, either as an observer of the creative efforts of others or as an initiator of one's own creative efforts, can enhance one's moods, emotions, and other psychological states as well as have a salient impact on important physiological parameters.

For those unfamiliar with arts in medicine, or the healing environment as we call it, I have a short video produced by UF health.

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The idea that creative expression can make a powerful contribution to the healing process has been embraced in many different cultures. Throughout recorded history, people have used pictures, stories, dances, and chants as healing rituals.27there has been much philosophical and anecdotal discussion about the benefits of art and healing, but less empirical research exists in the literature. In fact, although arts therapy has been used clinically for more than a century28and has been recognized as a profession since 1991,29much of the published work is theoretical in nature, with little discussion of specific outcomes.13,30Only in recent years have systematic and controlled studies examined the therapeutic effects and benefits of the arts and healing.31Nevertheless, we have seen positive outcomes for the potential of using art to promote healing in our 4 primary areas of focus. This article is not meant to be a comprehensive review of all of the literature available (other authors have provided comprehensive overviews in areas such as music therapy32and expressive writing33). Instead, it represents a sampling of the many potential benefits of art in enhancing health and wellness.

There is evidence that use of art and music reduces hospital stays, with studies showing earlier discharges among patients taking part in visual and performing arts interventions than among those not doing so.69,70In 1 study, surgery or critical care patients who participated in guided imagery or had a picture of a landscape on their wall had a decreased need of narcotic pain medication relative to their counterparts and left the hospital earlier.71,72Evaluations of art projects can link the benefits of creative expression to healing and greater wellness.

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THE OWENSBORO HEALTH INTERIOR/ART COMMITTEE

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With that background, allow me to introduce Ann Kincheloe who lead these efforts and was a volunteer board member at the time.So gives us some background on the committee and how you got started.You created a policy as well.Go over slides.22

Creating a Healing Environment23Establish visual and performing art guidelinesDonation and exhibiting guidelines

Purpose

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Creating a Healing Environment24

missionHolistic in nature with awareness for mind, body and spirit Consideration also to those who support patients during their healing processPlays positive role in treatment and healing process of those in our careAbout planning, acquisition, placing and caring for these elements in public areas of the campus, including building lobbies, exterior walls, walkways, gardens and main entrances

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25Program components might include:Permanent art collectionArtists in public spacesFolk artsDance MusicCommunity Art ProjectsDramaGardens/outdoor healing spacesArt Tours of permanent exhibitsCommunity participation events

Creating a Healing Environment

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Music EngagementMusic is the most accessible and most researched medium of art and healing, and there has been a principal emphasis on the soothing capacity of music and its ability to offset overly technological approaches to care.34In particular, music therapy has been shown to decrease anxiety.3537The pleasure shared by participants in the healing process through a music therapy program can help to restore emotional balance as well.38There is also evidence of the effectiveness of auditory stimulation, together with a strong suggestion that such stimulation abolishes pain, as a strategy for achieving control over pain.39

In addition, it has been shown that music can calm neural activity in the brain,40which may lead to reductions in anxiety, and that it may help to restore effective functioning in the immune system partly via the actions of the amygdala and hypothalamus. As the activity levels of neurons in the central nucleus of the amygdala decrease in response to calming effects of music, there may be corresponding reductions in the signals being sent to other parts of the brain.Table 1outlines the results of key studies we reviewed that focused on music engagement.2

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THE ART SELECTION PROCESS

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Now tell us about the selection process.26

IMAGERY

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Let me show a few of the images.

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Contact Sheet One

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Contact Sheet Two

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Contact Sheet Three

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How many pieces are there in the facility do you know?30

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So you assembled the pieces around the hospital.Lets take a look at some of these pieces as they are placed.39

FIRST FLOOR/LOBBY AREAS

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Tell us the story about the pieces here.40

PUBLIC AREAS

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WAITING AREAS

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CLINICAL AREAS

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EMPLOYEE/PROVIDER AREAS

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PATIENT AREAS

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46PATIENT AREAS

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PATIENT AREASOLD VS. NEW47

The old to the new.Doesnt show the view.But you didnt just stop on the inside.You also have more work on the outside.Tell us about that process.47

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Location48

Bill Kolok Beside Still Water49

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Kraig Kaviar - Reaching for Balance

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Location50

Kraig Kaviar-Reaching for Balance

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Mary Carothers Floating Seeds52

Tell us about this.Mention the seeds52

Mary Carothers Floating Seeds

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Tom Corbin Aurora III

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This piece is my favorite.Located outside the windows of mother baby and the NICU54

Brook Forest White, Jr. Mind, Body, Soul

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Outstanding pieces by a local artist that resides in Louisville.Is this Mind, Body or Soul.55

Brook Forest White, Jr. Mind, Body, Soul

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Is this Mind, Body or Soul.

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Brook Forest White, Jr. Mind, Body, Soul

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Is this Mind, Body or Soul.

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Brook Forest White, Jr. Mind, Body, Soul

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There are not this close together.58

AUDITORIUM

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This is also another great story.59

The Future of Arts in a Healing Environment at Owensboro Health

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And while all this is beautiful, we are not done.We are now working to realize the full extent of the policy that was adopted.Debbie Johnson is now leading this work and she can tell you more about that.So let me close with another short video. Now that you know more about the facility, perhaps the video will resonate more with you.We welcome you in our facility any time.60

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QUESTIONS?

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