PDF handout - HSR&D

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Differences between nurse care managers showing signs of burnout/no burnout, in what % of them rely on their teamlet/team “a great deal” to complete tasks Clinical task No burnout Showing burnout Receive messages from patients 83.8 88 Resolve messages from patients 83.5 90.2 Educate patients about disease-specific self-care 75.7 74.3 Encourage lifestyle modifications 71.6 69.4 Educate patients about medications 69.4 67.4 Assess lifestyle factors 64.9 67 Respond to Rx refill requests 64.3 71.2 Evaluate patients and make decisions 55 57.4 Screen patients for diseases 53.3 55.9 Gather patient preventive services history 46.2 45 Respond to diagnostic and treatment data 46 47.5 Track diagnostic data 42 45.4 Follow-up on referrals 37.9 40.1 Respond to requests for Home Health Care orders 36.5 39.3 Complete forms for patients 24.8 26.6 VETERANS HEALTH ADMINISTRATION
How do PCPs showing signs of burnout compare to those that don’t? No signs of burnout Signs of burnout Hours per typical day spent on: Mean # of hours (SD) Teamlet huddles 0.57 (1.19) 0.51 (1.28) Face:face w/ patients 6.03 (2.01) 6.51 (2.44) Telephone w/ patients 1.15 (1.97) 1.15 (1.76) Electronic w/ patients 0.66 (1.54) 0.71 (1.23) % reporting staffed to 3.0 ratio 52.2 33.0 VETERANS HEALTH ADMINISTRATION
Page 1 and 2: PACT Implementation: Findings from
Page 3 and 4: Participant question • Do you hav
Page 5 and 6: Patient Aligned Care Team (PACT) in
Page 7 and 8: Overview • May 2012, PACT Demo La
Page 9 and 10: Respondent demographics for PACT su
Page 11 and 12: How do team members showing signs o
Page 13 and 14: Differences between team members sh
Page 15 and 16: Comparing burnout, team functioning
Page 17 and 18: % reporting “much” or “a lot
Page 19: How do nurse care managers showing
Page 23 and 24: Differences between PCPs showing si
Page 25 and 26: Conclusions • High levels of burn
Page 27 and 28: VISN 20 PACT Demonstration Lab: sta
Page 29 and 30: Respondent Characteristics N Respon
Page 31 and 32: Percent who endorse each level of b
Page 33 and 34: Burnout and Job Satisfaction % Some
Page 35 and 36: % Who Perceive Barriers to Patient
Page 37 and 38: Perception of team functioning & wo
Page 39 and 40: Summary (continued) • Burnout and
Page 41 and 42: Patient Surveys Practice Surveys El
Page 43 and 44: VISN 22 PACT Surveys • Track chan
Page 45 and 46: Response Rates • By Demo Site Gro
Page 48 and 49: Burnout has consequences • Negati
Page 50 and 51: Components of Burnout α=.90 (total
Page 52 and 53: Burnout Differs By Job Type (Total
Page 54 and 55: Cynicism Differs By Job Type Low Me
Page 56 and 57: Burnout differs by Medical Center L
Page 58 and 59: Organizational Functioning Measures
Page 60 and 61: Summary of Regression Models for EE
Page 62 and 63: Burnout is lower among those who fi
Page 64: Questions Lisa S. Meredith, Ph.D. S

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