
Transforming Health and Resiliency through Integration of Values-based Experiences (THRIVE)
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Share PrintTHRIVE enhances well-being for both Veterans and staff alike by engaging people in a transformational experience. In short, the program empowers individuals to improve their quality of life through exploration of their values and strengths, a positive psychology concept. Individuals experience improvement in life satisfaction and burnout symptoms.
Origin:
March 2015, James A. Haley Veterans' Hospital (Tampa, Florida)
Adoptions:
18 successful, 14 in-progress, 2 unsuccessful
Awards and Recognition:
VISN 8 Innovation Forum; NCP Promising Practice; Endorsed by OPCC; Innovation Ecosystem National Dissemination, Diffusion of Excellence Promising Practice, VHA Shark Tank Winner
Partners:
Caregiver Support Program, Chaplain Services, Healthcare Innovation and Learning, Health Services Research & Development, Mental Health and Suicide Prevention, National Center for Health Promotion and Disease Prevention, Office of Connected Care, Office of Nursing Services, Office of Primary Care, Office of Rural Health, Patient Centered Care and Cultural Transformation, Quality Enhancement Research Initiative, Recreation and Creative Arts Therapy, Systems Redesign and Improvement

Recent Updates
Overview
The problem
For our VA employees, burnout, dissatisf ... Although we provide excellent sick and maintenance care, there is a lack of VA clinical care that helps Veterans build resilience, enhance their health, and lead a more fulfilling life. With stressors high and access to preventative care low, Veterans are seeking something different in their healthcare experience.
For our VA employees, burnout, dissatisfaction and disengagement are climbing, which contributes significantly to impaired patient care, staff demoralization and attrition. See more
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THRIVE provides opportunity for self-growth

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A survey of Veterans one year post military discharge
The solution
For Veterans, the healthcare experience is enhanced through increased access and multidisciplinary care coordination. The program aligns with the VA's priorities to deliver the best care possible with focus on whole health practice. THRIVE measurably impr ... THRIVE is a multifaceted program, as it addresses the well-being of both Veterans and VA employees.
For Veterans, the healthcare experience is enhanced through increased access and multidisciplinary care coordination. The program aligns with the VA's priorities to deliver the best care possible with focus on whole health practice. THRIVE measurably improves physical, psychological, and emotional pain thresholds to reach beyond baseline to live a more fulfilling life.
To implement the Veteran program, a Train-the-Trainer was developed, THRIVE Immersion Part 1 and Part 2 (TMS #131001614 and 131001617). It is apparent that employees experiencing THRIVE were decreasing their symptoms of burnout and flourishing as well. Thus, "Mini THRIVE" was created, a 5-hour session focused on building resiliency and reducing burnout specifically for staff (TMS #131001427).
Although many of our programs are held virtually, the energy of an in-person experience is like no other. The National THRIVE team offers our Power THRIVE Plus program (8 hours in person) specifically to enhance employee job satisfaction and retention. See more
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The THRIVE Roadmap to Well-being

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THRIVE Immersion For Employees Flier

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Veterans THRIVE Program

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Mini THRIVE Workshop for Employees
The results
Additionally, tra ... James A. Haley VA Hospital & Clinics (Tampa) implemented THRIVE and tracked Veteran outcomes. Since inception, the program has demonstrated 28% reduction in depression, 29% reduction in anxiety, 25% increase in life satisfaction, 11.7% increase in neuroplasticity, and 25% reduction in experience of pain for those who finish the program.
Additionally, tracking qualitative outcomes for employees involved in THRIVE has demonstrated increased employee satisfaction and well-being! One pilot study with SCI Nurses found over a 50% improvement in life satisfaction and burnout symptoms! See more
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Veteran outcome data
Files
- Feedback Qualitative Feedback from Employees
- Published Results Published Results
Metrics
- Cost savings: 20%
- Veteran lives improved each year: 1000+
- Estimated staff lives improved each year: 150
Diffusion tracker
Does not include Clinical Resource Hubs (CRH)
Multimedia
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20% Cost Savings!

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Timeline
Implementation
Timeline
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THRIVE Initiation: 3-4 months
Step 1: THRIVE Immersion Training Part I (5 half days)Step 2: Collaborating with Leadership to Establish Support, Recruit and Train the Core Team, Identify Subject Matter ExpertsStep 3: Attend THRIVE Immersion Part 2 (3 Half days)Step 4: Gather materials, Initiate First Clinic builds, Veteran Recruitment and SchedulingStep 5: Evaluating Feedback, QI Metrics, Leadership UpdateStep 6: Train Additional Staff; Start Additional Groups; Spread to CBOCs
Departments
- Mental health care
- Chaplaincy
- Pharmacy
- Caregiver support
- Nursing services
- Telehealth
- Primary care
- Recreation and creative arts therapy
- Whole health
- Women Veteran care
- Nutrition, food, and dietary
Core Resources
Resource type | Resource description |
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PEOPLE |
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PROCESSES |
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TOOLS |
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Files
- Supply List Supply List for VVC
Optional Resources
Resource type | Resource description |
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PEOPLE |
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Files
- Implementation Guidebook Implementation Guidebook
Links
- THRIVE Overview THRIVE Overview
Support Resources
Resource type | Resource description |
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PEOPLE |
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PROCESSES |
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Risks and mitigations
Risk | Mitigation |
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Administrative Support |
Guidance with local support personnel Guidance with Clinic Builds, Coding and Billing, Documentation |
Protected Clinician Time | Reassure leadership of enhanced productivity and employee satisfaction with THRIVE shared medical appointments; clinic mapping; encourage afternoon timeframe for groups; group notes utilization; HAS involvement |
Costs of start-up |
All files are available in electronic format Training is held virtually (no travel costs) Volunteer services contributes resources |
Contact
Comment
Comments and replies are disabled for retired innovations and non-VA users.
Email VHATAMWholeHealthTHRIVETeam@va.gov with questions about this innovation.
About
Origin story
Original team
Dr. Jacquelyn Paykel
Whole Health Chief, National THRIVE Director
Dr. Candis Connell
National THRIVE Coordinator; Health Behavior Coordinator
I need to learn more about innovation.
We are integrating this program as an offering to our women at the VA Pacific Islands Centers!
We are very excited that our bid was accepted and that we will start our journey with this innovative program at the Central Alabama Veterans Health Care System.
Congratulations for the huge achievements !!
This program is amongst the best within the VA. Veterans are able to become resilient as they travel thru this well structured course. The community it builds is second to none. Veterans love the ability to meet new Veterans and gain new friendships. When in search of renewing one's quality of life, physical and mental health with a holistic approach, THRIVE is the place to be. The best 14 weeks any Veteran can spend to explore a new life and gain a new passion for self health improvement. Go THRIVE.