HGBs approach to physician engagement and retention State Medical - - PowerPoint PPT Presentation

hgb s approach to physician engagement and retention
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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.


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“HGB’s approach to physician engagement and retention”

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State Medical Board Questionnaire

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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?
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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/
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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
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Thriving

“The state of being physically energized, emotionally grounded, mentally focused, relationally connected and spiritually aligned.”

  • Jim Loehr, PhD
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Excellent Value

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Defining Well-Being

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Provider Well-Being is at the Center

Education Social Engagement Infrastructure

Well- Being

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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

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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.

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Social Engagement

  • Build Human Connections
  • Family-Friendly Activities
  • Social Events
  • Group Volunteering Opportunities
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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
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Next Steps

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