Professional Satisfaction and Practice Sustainability Update · Professional Satisfaction and...
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June 7, 2019
Professional Satisfaction and Practice SustainabilityUpdate
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© 2019 American Medical Association. All rights reserved.
Negative forces pressing on physicians
Excessive documentation
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Arduous hunt for clinical information
via EHR design
Professional liability
Prior authorization
Conflicting payment models
Lack of actionable
data
Lack of autonomy/work
control
Expanding knowledge base with
insufficient tools
Negative on-line reviews
Excessive time pressure
Insufficient staffing
Burdensome quality
reporting
Regulatory burdens
Quantity and pace of work
Inadequate reimbursement
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Burnout: Signs of Improvement
45.5%54.4%
43.9%
0%
20%
40%
60%
2011 2014 2017
Percent of Physicians Reporting at Least OneSymptom of Burnout
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Source: Shanafelt T, West CP, Sinsky C, et al. Changes in Burnout and Satisfaction With Work-Life Integration in Physicians and the General US Working Population between 2011-2017. Mayo Clin Proc In press.
“To what can the improvement in the prevalence of physician burnout over the past 3 years be attributed?... It should be noted…that many large-scale efforts have been initiated at the national level to address this issue....by
influential national organizations and accrediting bodies [like the] AMA.”
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How Do Physicians Compare?
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28.1%
39.8%
Source: Shanafelt T, West CP, Sinsky C, et al. Changes in Burnout and Satisfaction With Work-Life Integration in Physicians and the General US Working Population between 2011-2017. Mayo Clin Proc In press.
• Higher than other professional degrees
• In all other fields more education is protective, in medicine it is a risk factor
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Professional Well-being Research Trajectory
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Practice Transformation Initiative
• 2 initial pilot sites (Cleveland Clinic and Samaritan Health)• Initial assessment and guided interventions underway
• 2019 Request for application • 8 health systems recently awarded
• 2020 Request for application slated for late 2019
• AMA/Physicians Foundation collaboration with state medical societies• Washington State, North Carolina, New Jersey
• Conducted initial Boot Camp Training on April 26/27th in Chicago
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AMA Organizational Assessments
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Influencing the Development of New Healthcare Digital Technologies
Industry: Xcertia Product Development:Physician Innovation Network
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Practice Support:Digital Health Playbook
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Debunking Regulatory Myths
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American Conference on Physician Health
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New Recognition Program
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