Taking Action Against Clinician Burnout A Systems Approach to Professional Well-Being (2019) / Chapter Skim
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10 Conclusions and Recommendations
10 Conclusions and Recommendations
Pages 285-296
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From page 285... ...
Although enthusiasm for systems approaches to address the problem of clinician burnout is growing, greater progress is warranted, especially in the fundamental ways the system is organized to meet the needs of patients and to support clinicians. Based on its collective assessment of the available evidence, the committee concluded that taking action to mitigate burnout requires a bold vision for redesigning clinical systems -- one that focuses on the activities that patients find important to their care and which enables and empowers clinicians to provide highquality care.
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From page 286... ...
Create Positive Work Environments: Transform health care work systems by creating positive work environments that prevent and reduce burnout, foster professional well-being, and support quality care.
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From page 287... ...
As presented in Chapter 5 of the report and reflected in the Goal 1 recommendations, HCOs should focus on adopting fundamental principles for redesigning work systems to prevent and reduce clinician burnout and foster professional well-being. The active engagement of clinicians and patients is essential to the efforts of HCOs to create positive work environments, including efforts to prioritize actions, procedures, and policies that will deliver the greatest value to direct patient care.
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• Hold leaders at all levels of the organization accountable for im proving the work environment within their scope of responsibility. Recommendation 1B To guide new systems that have been designed to promote professional well-being and patient care quality, health care organizations should adopt and apply the following principles that improve the work environment and balance job demands and job resources.
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From page 289... ...
Health professions educational institutions, affiliated clinical training sites, accreditors, and related external organizations have a responsibility to create and maintain positive learning environments that support the professional development and well-being of students and trainees (learners)
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Recommendation 2B Health professions educational institutions and affiliated clinical training sites should routinely assess the learning environment and factors that erode professional well-being and contribute to learner burnout. The data should guide systems-oriented efforts to optimize the learning environment, prevent and reduce learner burnout, and improve professional well-being.
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From page 291... ...
• Use the data to guide systems-oriented efforts to prevent and re duce learner burnout and improve professional well-being as part of a continuous learning and improvement process in which data are shared transparently across learners' health professions educa tional institutions and affiliated clinical training sites. Recommendation 2C Accreditors, regulators, national educational organizations, health professions educational institutions, and other related external entities should partner to support the professional well-being and development of learners.
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From page 292... ...
Recommendation 3A Health care policy, regulatory, and standards-setting entities at the federal and state levels, such as the U.S. Department of Health and Human Services' Centers for Medicare & Medicaid Services and The Office of the National Coordinator for Health Information Technology, the National Quality Forum, state legislatures, professional boards, and departments of health, should systematically assess laws, regulations, policies, and standards to determine their effects on clinician job demands and resources as well as the effects on patient care quality, safety, and cost.
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From page 293... ...
Many challenges of health IT are reported to affect clinician professional well-being, including problems with the usefulness and usability of health IT tools, their poor integration into clinical workflow, difficulty sharing information among clinical team members and settings, and limitations in supporting clinical decision making. Despite nascent industry and regulatory efforts to improve health IT design and evaluation, many clinicians find these technologies excessively challenging and time consuming to use.
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From page 294... ...
Recommendation 4B Federal and state policy makers should facilitate the optimal flow of useful information among all members of the health care community through regulation and rule making. Health information sources should be shared efficiently, safely, and securely, including but not limited to electronic health records, electronic pharmacy records, digital health applications, medical devices, and quality data repositories.
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From page 295... ...
Recommendation 5B State legislative bodies should create legal protections that allow clinicians to seek and receive help for mental health conditions as well as to deal with the unique emotional and professional demands of their work through employee assistance programs, peer support programs, and mental health providers without the information being admissible in malpractice litigation. Recommendation 5C Health professions educational institutions, health care organizations, and affiliated training sites should identify and address those aspects of the learning environment, institutional culture, infrastructure and resources, and policies that prevent or discourage access to professional and personal support programs for individual learners and clinicians.
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From page 296... ...
Department of Veterans Affairs, should pursue and encourage opportunities for public–private partnerships among a broad range of stakeholders, such as health professional associations, foundations, payers, health care industry, health care organizations, health professions educational institutions, and professional liability insurers, to support research on clinician and learner professional well-being and burnout. Organizations need to be willing to test, learn, and share in order to accelerate the pace of change.
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