Yes, @annettecalteaux – in regards to the employee advocates, we call it our Ambassador program. It's fairly new, but right now our Community Outreach Manager manages the meeting attendees and agenda. The Ambassadors are a group of non-manager employees from a variety of departments; we chose to focus on non-manager/non-physician employees for two reasons; the first because this group of people hasn't traditionally had access to the high-level "hot topics" of the organization, and secondly because these positions tend to experience pain points of the community first-hand.
Right now the meetings are quarterly to not overload the schedule of the Ambassadors, but we may bump the frequency up eventually. At each meeting a subject-matter expert attends to speak to the group about new system changes or organizational hot topics (for example, last month our CEO spoke to the group about our organization's financials and this month our CNO will speak to the group about recent updates involving our nursing team).
We've had to be careful not to allow the meetings shift into a gripe-fest, instead encouraging the Ambassadors to email those concerns outside the meeting time. We feel encouraged by the meetings so far; we forget how "in the know" our PR/ Marketing team is and it's been a great way to help inform our employee-base (who make up a large population of our town) of our comings & goings.
As a side note, our Community Outreach Manager also runs a similar meeting comprised of community-advocates: Patient Family Advisory Committee (PFAC), which I know other healthcare organizations have implemented too. Just another way to help educate our community about the healthcare system, in addition to receiving valuable patient input.