HGBs approach to physician engagement and retention State Medical - - PowerPoint PPT Presentation
HGBs approach to physician engagement and retention State Medical - - PowerPoint PPT Presentation
HGBs approach to physician engagement and retention State Medical Board Questionnaire Impact on Patients Medical errors 2 Excessive referrals, 3 imaging, medications 4 Decreased patient satisfaction 5 2. Kwah et al., 2016.
State Medical Board Questionnaire
Impact on Patients
- Medical errors2
- Excessive referrals,3 imaging,
medications4
- Decreased patient satisfaction5
- 2. Kwah et al., 2016. the Effect of Burnout on Medical Errors and Professionalism in first-Year Internal Medicine Residents.
- 3. Kushnir et al., 2014. Is Burnout Associated with Referral Rates Among Primary Care Physicians In community Clinics?
- 4. Melville, 1980. Job Satisfaction In General Practice: Implications for Prescribing.
- 5. Haas et all, 2000. Is the Professional satisfaction of General Internists Associated with Patient satisfaction?
Impact on System
- Cost of excess attrition: $250K+ per
Physician1
- Costs of absenteeism
- Cost of presenteeism – lower productivity,
more errors, and excess care2,3
- Tools currently exist that can estimate
- rganizational costs of burnout4
- 1. Misra-Hebert et al., 2004. A Review of Physician turnover: Rates, Causes, and Consequences.
- 2. Kushnir et al., 2014. Is Burnout Associated with Referral Rates Among Primary Care Physicians in Community Clinics?
- 3. Melville, 1980. Job Satisfaction in General Practice: Implications for Prescribing
- 4. AMA: https://www.stepsforward.org/
Burned Out
“A syndrome characterized by a loss of enthusiasm for work, feelings of cynicism and a low sense of personal accomplishment…an erosion of the soul…”
- Christina Maslach, PhD
Thriving
“The state of being physically energized, emotionally grounded, mentally focused, relationally connected and spiritually aligned.”
- Jim Loehr, PhD
Excellent Value
Defining Well-Being
Provider Well-Being is at the Center
Education Social Engagement Infrastructure
Well- Being
Education
- Teach burnout signs, symptoms and causes
- Incorporate personal prevention tools
- Mindfulness
- Yoga and Meditation
- Massage and Relaxation Techniques
- Resilience
- Normalize talking about stress and burnout
Incorporate the above into the onboarding process
Infrastructure
- Create Burnout Prevention Group
- Physician Membership
- With a Budget
- And FULL Administrative Support
- Modeling Well-Being Survey
- Crisis Management
- Create a “Bad Outcome Hot Dish Delivery Team” to
prevent isolation and trauma from bad outcomes, errors and malpractice cases.
Social Engagement
- Build Human Connections
- Family-Friendly Activities
- Social Events
- Group Volunteering Opportunities
Next Steps
- Support –
- 2 MA Model
- Population Health Team Pilot Program
- Practice at the top of their license
- Compensation Model –
- Existing Model: Citizenship, Quality and Volume
- Future Model: Add: Wellness/Leadership RVU
Next Steps
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