Healthcare Burnout And How To Treat It
SPEAKING TODAY Joy Milkowski Chief Marketing Officer DataFile Technologies As Chief Marketing Officer at DataFile, Joy gets the opportunity to speak with busy, focused healthcare leaders every day. The passion and care for others that permeates healthcare can, too often, lead to burnout. Left unchecked, that stress can become a vicious cycle that results in (ironically) health problems, employee turnover and lower patient engagement. Joy feels there is no group of professionals more deserving of having their cup filled and the spirit renewed than healthcare professionals, and she's excited at the opportunity to offer thoughts and strategies for staying healthy in healthcare.
73% REPORT BURNOUT IN HEALTHCARE 1 Chart Title 1/3 FELT LESS ENGAGED WITH PATIENTS 2 1 MGMA 2018 2 Medscape 2018
WHAT WE’LL COVER What burnout looks like in healthcare How you can measure burnout The many contributors to burnout What you can do to battle and ultimately conquer burnout The various effects (and costs) of burnout
POSSIBLE CAUSES OF BURNOUT 4 Lack of control Unclear job expectations Dysfunctional workplace dynamics Extremes of activity Lack of social support Work-life imbalance
CAUSES OF HEALTHCARE BURNOUT Many factors contribute to burnout in healthcare… Increasing workload, doing more with less Speed requirements and throughput Misalignment with personal purpose and mission Weight of outcomes Multi-tasking Technology and applications like EHRs Policies, procedures and documentation
ALL TOO OFTEN WE TRY TO MASK BURNOUT
Fatigue “Checking out” Sick days FACES OF Irritability BURNOUT Mistakes/errors Excuses Gossip
WHAT CAUSES BURNOUT?
COMMON CONTRIBUTORS TO BURNOUT Too many bureaucratic tasks 3 Spending too many hours at work 3 Lack of respect from Increasing computerization of administrators, employers, practice (EHRs) colleagues or staff 3 Lack of control/autonomy Insufficient compensation Lack of respect from patients Feeling like just a cog in a wheel Decreasing reimbursements Government regulations Emphasis on profits over Maintenance of Certification patients requirements
THE EFFECTS OF BURNOUT
THE EFFECTS OF BURNOUT Tangible Intangible • Increased turnover • Low morale • Increased sick days • Decreased tolerance for adversity • Decreased productivity • Lack of respect for • Decreased customer patients and colleagues satisfaction • Spreading negative • Increased risk of outlook (burnout can mistakes and liability spread) • Increased chance of illicit • Reputation damage activities
THE COST OF BURNOUT Turnover Costs 6-9 Months’ Salary 16-20% Recruitment Cost Every time a business must replace an Businesses spend 16-20% of annual employee, it can cost six to nine months’ salaries for recruitment and salary on average . training costs. So, for a position that pays $40,000 a year, an employer could pay anywhere from $20,000 to $30,000 to fill the role. Source: The Center for American Progress Source: The Society for Human Resource Management
QUANTIFY THE BURNOUT Maslach Burnout Inventory – Human Services Survey DataFile Burnout Quiz Other free assessment tools Employee feedback, e.g. 1:1 meetings, surveys Business measures
QUANTIFY THE BURNOUT Paperwork Patient satisfaction backlog & errors Staffing & Negative cycle engagement issues with no end
LEADERSHIP BURNOUT "Interestingly, people who are really invested in their work … can be more susceptible to burnout than other people… the higher up you get in an organization, the more isolated you tend to become .” Dr. David Ballard, American Psychological Association (APA) Center for Organizational Excellence
BURNOUT QUIZ RESULTS Score Comment 15-18 No burnout in sight! Nice job. You may have a few signs of burnout that 19-32 may need to be looked at. Be careful! You may be right on the edge of 33-49 burnout, especially if you had a few higher numbers. You’re in significant danger of burnout. You 50-59 may want to make some changes quickly before things can get worse. It is highly likely that you have a burnout 60-75 issue within your office. Do something about this urgently!
STRATEGIES FOR MANAGING BURNOUT
ALIGN JOB DUTIES WITH PURPOSE & STRENGTHS
GET THE RIGHT PEOPLE IN THE RIGHT ROLES
SOLUTIONS FOR PEOPLE Increasing workload, doing more with Desire for control less Introvert vs Extrovert Speed requirements and throughput Misalignment with personal purpose Ability to adapt and mission Preferred pace Weight of outcomes Multi-tasking Attention to detail Technology and applications like EHRs Need for structure Policies, procedures and documentation
MANY USE CASES FOR ASSESSMENTS Pre-screening tool Hiring decisions Training & learning styles Performance coaching & improvement Solving friction between employees Management ability
CELEBRATING (& MANAGING) INDIVIDUALS
EVALUATE YOUR CULTURE Employee surveys Peer reviews Exit interviews Patient feedback
Empowering people to participate in your operations makes them more likely to invest positive energy into your culture.
EMPOWER YOUR PEOPLE Advisory group Brainstorming sessions Town hall meetings Change committees
ADDRESS EXCESSIVE WORK LOADS
MANAGING WORKLOADS Add structure/automation wherever possible Keep a parking lot of ideas Encourage your team to do a gut check Get them help where you can
ALWAYS FILL YOUR CUP
BATTLING BURNOUT A REVIEW Quantify the scope of the burnout Align your people with their roles and responsibilities Continually assess your culture Ask for input and empower your team to help Address excessive workloads and skill gaps Prioritize yourself and your energy as a leader
of employees are dealing with stress at work; 1 73% of healthcare employees report being burned out; 2 56% report bureaucratic tasks like charting and paperwork are contributing to burnout. 3
JUST BECAUSE YOU CAN DOESN’T MEAN YOU SHOULD Get help with your document filing and records requests, including non- standard requests like payer chart reviews, subpoenas, etc. – and a lot more! Rely on steady support and fast fulfillment Offload the requestor calls, busywork and inconsistent volumes Get a standardized process to promote accuracy Measure results and make adjustments where you need it Transfer the HIPAA liability
JUST BECAUSE YOU CAN DOESN’T MEAN YOU SHOULD Get help with your document filing and records requests, including non- standard requests like payer chart reviews, subpoenas, etc. – and a lot more! Rely on steady support and fast fulfillment Offload the requestor calls, busywork and inconsistent volumes Get a standardized process to promote accuracy Measure results and make adjustments where you need it Transfer the HIPAA liability
CLOSING NOTES To get a copy of our white paper on Follow us on social media! Get a free cost analysis to see burnout, email us: Twitter: @ DataFileTech what help really costs marketing@datafiletechnologies.com LinkedIn: @DataFileTechnologies compared to dealing with Facebook: @DataFileTechnologies burnout. The savings may surprise you!
SOURCES 1 ComPsych, 2017. StressPulse. 2 MGMA, 2018. Guarding Against Burnout in Your Practice. https://www.mgma.com/data/data-stories/guarding-against-burnout-in-your-practice 3 Peckham, C., 2018. Medscape National Physician Burnout & Depression Report https://www.medscape.com/slideshow/2018lifestyle-burnout-depression-6009235#3 4 PMayo Clinic Staff, 2018. Job burnout: How to spot it and take action https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/burnout/art-20046642
RECORDS DOCUMENT HIM SOLUTIONS RELEASE FILING Focus on your patients. We’ll do the rest! FORMS PROFESSIONAL COMPLETION SERVICES
DATAFILE TECHNOLOGIES LEVERAGES THE BEST OF BOTH WORLDS People-powered technology Leverage automation and get human follow-up where you need it Dedicated Proactive Aligned to your workflows Timely Bundle with our full suite of HIM services
HOW DATAFILE ALLEVIATES BURDEN AND COST OF MANUAL ADMIN TASKS Expertise in Training ongoing Standardizing processes EHR HR technology efficiencies into staff across all staff
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