PDF handout - HSR&D

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Time spent on activities, staffing ratio and burnout Burnout not present Burnout present Hours/day spent on: Mean (SD) Mean (SD) Teamlet huddles 0.52 (.55) 0.44 (.52) ns Face to face w/ pts 3.89 (2.28) 3.94 (2.54) ns Telephone w/ pts 2.66 (2.15) 2.89 (2.22) ns Electronic w/ pts 0.69 (0.90) 1.07 (1.36) p = .015 Electronic not w/ pts 2.12 (1.73) 2.73 (1.88) p = .014 % reporting staffed to 3.0 53.8 41.1 p = .086 % who spend >75% of time on work well-matched to training 62 47 p = .04
% Who Perceive Barriers to Patient Care Differs by Level of Burnout Factor limits ability to deliver patient-centered care "a great deal": Burnout not present Burnout present Lack of support from clinical leadership Lack of control over my schedule Lack of team members’ responsiveness to my requests for assistance 13 37 p=.001 (NCMs) 21 39 p=.042 (PCPs) 8 23 p=.001 (NCMs) Inadequate time for pt. counseling or education Inadequate time for follow-up care 34 53 p=.05 26 52 p=.003 (PCPs & NCMs) Patient panels too large 50 68 p=.09 (PCPs)
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 and 20: How do nurse care managers showing
Page 21 and 22: How do PCPs showing signs of burnou
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: Burnout and Job Satisfaction % Some
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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