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Beating Clinician Burnout

News  |  By Jennifer Thew RN  
   April 01, 2017

The group's solution is piloted, and, if approved, it's implemented throughout the organization.

"The point is, it's results-oriented and it's prioritized based on pain points for physicians," Weiner says.

Other changes at the medical group include establishment of fair compensation practices and redistribution of workloads.

The changes seem to be having some impact.

On the MBI, 27 and above is considered high on the emotional exhaustion subscale. In 2013, the average emotional exhaustion number on the MBI was 27.7, and in 2015 it had dropped to 23.1, a moderate level (17–26 scores are considered moderate burnout levels on the MBI scale).

Reports of depersonalization dropped from 8.6 to 8.1 (between 7 and 12 is considered a moderate level on the depersonalization subscale) and a sense of personal accomplishment went up from 40 to 41 (39 and above is considered a high level of personal accomplishment).

Results on the AMGA employee satisfaction survey have showed improvement as well. Those reporting rewarding work went from the 8th percentile in 2012 to the 50th percentile in 2016.

In that same four-year period, AMGA employee engagement went from the 15th percentile to the 35th percentile, happiness with workload went from the 48th percentile to the 69th percentile, and growth opportunities went from the 30th percentile to the 65th percentile. Overall satisfaction among staff went from the 18th percentile to the 58th percentile, and staff satisfaction with physician interaction rose from the 8th percentile to the 50th percentile.

"It helped me to feel good that there's this ripple effect in what we're doing," Weiner says. "Our vision is of collaboration and pursuit of quality in patient experience so we have achieved a culture of collaboration. It's an expectation now, and it's what we expect of each other. It's how we do things around here. We have significantly improved our quality both on our internal measures and the feedback we're getting from our health plans."

Jennifer Thew, RN, is the senior nursing editor at HealthLeaders.

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