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

“HGB’s 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. 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 Physician 1 • Costs of absenteeism • Cost of presenteeism – lower productivity, more errors, and excess care 2,3 • Tools currently exist that can estimate organizational costs of burnout 4 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

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Defining Well-Being

Provider Well-Being is at the Center Education Well- Being Social Infrastructure Engagement

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

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