PDF handout - HSR&D

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Organizational Functioning Measures Learning Climate Organizational Communication Measure Team skills and process Psychological safety Openness to new ideas Decision-making Communication Cross-discipline communication Leader norms and readiness to change Description Members of the clinical team have enough experience and skills, and share information Staff and clinicians are comfortable expressing their thoughts about work and owning up to mistakes Staff and clinicians are encouraged to explore novel approaches Clinicians, nurses, and other staff are encouraged to be involved in decision-making, taking initiative, and making improvements Clinic team members have constructive work relationships and are able to resolve conflict and reduce tension Co-workers from different clinical and administrative backgrounds work together effectively Leadership and management work cooperatively to make changes and understand implementation challenges 19
All of the hypothesized factors are significantly negatively associated with burnout Correlate of Burnout Overall Burnout Emotional Exhaustion Cynicism Professional Inefficacy Satisfaction -0.63 -0.57 -0.59 -0.30 Teamlet Satisfaction -0.39 -0.32 -0.37 -0.27 Individual Readiness -0.36 -0.29 -0.33 -0.29 Team Skills & Process -0.37 -0.29 -0.34 -0.32 Psychological Safety -0.45 -0.40 -0.44 -0.21 Open to Ideas -0.36 -0.33 -0.32 -0.16 Decision making -0.46 -0.40 -0.46 -0.25 Communication -0.44 -0.38 -0.41. -0.26 Cross-discipline Communication Leadership Norms & Readiness -0.39 -0.31 -0.39. -0.29 -0.40 -0.33 -0.39 -0.26 All p
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PACT Implementation: Findings from
Page 3 and 4:
Participant question • Do you hav
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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 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 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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