The Hospital Practice Handbook for EAM (Acupuncturist) Practitioners: Leadership and Workplace Mondays, The Autumn Summary

keywords: leadership, workplace, workplace culture, being an employee, clinician burnout & clinician resilience, mindful leadership article reviews, EHR workplace article reviews

Inspiration for Employees and their Leaders

Review of the "Leadership and Workplace Mondays" theme from the public HHP Facebook Page

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Outline

NAM publication on Clinician Burnout, Taking Action Against Clinician Burnout: A Systems Approach…
Positively engage your mind for the work ahead
Access your medical reference library and professional journals
Mindful leadership resources
EHR in the workplace

New publication from NAM on Clinician Burnout

The National Academy of Medicine has a new publication on clinician burnout, Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. This is a consensus study report. The pdf download is free and available as of late October 2019. It will be available in paperback December 1st.

For more information and the pdf download, go to this NAM webpage.

Quotes from the NAM webpage:

"Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care."
"Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being and recommendations for the field." -NAM webpage

citation:

National Academies of Sciences, Engineering, and Medicine. 2019. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. Washington, DC: The National Academies Press. https://doi.org/10.17226/25521.

Go to the webpage to download a free pdf or order the paperback copy here.

What is a NAM consensus study report?

Any "Consensus Study Report" from the National Academies of Sciences, Engineering, and Medicine is the documentation of the "evidence-based consensus on the study's statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee's deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task."

The National Academy of Medicine has a lot of resources on clinician burnout. In fact, their recorded sessions on the topic are a recommended Lunchtime Listen. Learn more about these resources at this blogpost.

“Do This in the Morning for a Better Workday”, an article on Mindful, reviews how to gear up your mindset to start your day off on a good path and keep positive momentum through your workday.

“Taking time to reattach to work helps our work goals to become more salient, which energizes us to focus. When we consider how to achieve our goals, we become more aware of our autonomy to accomplish them, as well as the resources and people we have supporting us. All of these factors contribute to feeling more inspired and engaged at work—which, other research suggests, is important for productivity.”

How to positively engage your mind and attitude for the day ahead:

1. Why does the work I do matter to me? How does my work impact the lives of others?

2. Who are the people—both at work and in my personal life—who support me and my professional success?

3. What would I like to focus on today?

The Hospital Practice Handbook Project

Do you know how to access your medical reference library?

Did you know, as a hospital employee who is a health care professional, that you have free access to peer-reviewed journals?

Learn more about this common hospital employee benefit in this blog article. It also includes tips on how to request a peer-reviewed journal your medical library does not have in stock. 📚

“The 5 Abilities of Mindful Leaders” from the Mindful Leader blog.

Build your personal mindfulness practice
Build Your Ability to be Mindful Toward Yourself Throughout the Day
Build Your Ability to be Present with and for Others
Build Your Ability to be Present with a Group
Build Your Ability to Mindfully Shift your Focus and Attention

For more relate-able reading on Leadership and Mindfulness, I recommend the resource booklets from the Duke Integrative Health Leadership Program. The following are their two white papers/booklets about leading change in health care:

The Duke University Leadership Program white papers on leading change in health care. These are also on our recommended leadership reading and resources list at this post.

The Pebble in the Pond: How Integrative Leadership Can Bring About Transformation by Adam Perlman, Bonnie Horrigan, Elizabeth Goldblatt, Victoria Maizes, and Ben Kliger.
InformedMindfulness: The Power of Awareness and Choice in Effective Leadership by Michael Aquilino, Bonnie Horrigan, and Adam Perlman.

The Mindful Leader “Best of SummitTalks”. Mindful Leader rotates their free access to talks. This is the landing page for what is currently accessible.

Electronic Health Record (EHR) design and the Workplace

EHR Design--there’s room for improvement.

Quote:

“Many a clinician has cursed as they click through multiple screens to enter information. Workflows are getting better at being simpler and faster, but still they add hours to a clinician’s day, taking away valuable time spent interacting with and caring for patients. As the caretakers for people’s health, every interaction a clinician has with an EHR system should provide a clear benefit to their patients.“Patients are still entering the same information on multiple forms and repeatedly explaining symptoms. In some cases, information scrawled on paper patient questionnaires may not be inputted into their digital chart. Deeper interoperability could help patients avoid these frustrating, repetitive interactions and also lead to better, more coordinated care by including more historic information.“Having payer data, such as coverages and reimbursement rates, available at the point of care can give patients and providers more information to make informed decisions. This is especially helpful for patients to understand out-of-pocket costs on treatments outside of their plan coverage.“However, one factor that currently erodes trust is that different functions—administrators, nurses, doctors and payers—may not see the same data set. They each have different views that restrict them from seeing the whole picture, which is an issue especially for value-based partnerships dependent upon more risk sharing.” [emphasis/underline added]

Read more in this article on Health Data Management, "How to Get the Data Right to Advance Collaboration and Build Trust"

Epic’s initiative, Cosmos, and the new frontier of data mining EHR for clinical research.

More in this article, “Epic to Gather Records….for Medical Research”

Want to see more resources related to the workplace for hospital-based integrative health practitioners?

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