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Systems Approaches to Improve Patient Care by Supporting Clinician Well-Being

Completed

An ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine will examine the scientific evidence regarding the causes of clinician burnout as well as the consequences for both clinicians and patients, and interventions to support clinician well-being and resilience.

Description

An ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine will examine the scientific evidence regarding the causes of clinician burnout as well as the consequences for both clinicians and patients, and interventions to support clinician well-being and resilience. The committee will examine components of the clinical training and work environment that can contribute to clinician burnout in a variety of care settings, as well as potential systems interventions to mitigate those outcomes. The committee will identify promising tools and approaches to support clinician well-being, identify gaps in the evidence base, and propose a research agenda to address areas of uncertainty. In developing its report, the committee will consider key components of the health care system, including:

factors that influence clinical workflow, workload, and human-systems interactions; the composition and function of care teams the ongoing movement toward outcomes-based payment and quality improvement programs; current and potential use and impact of technologies and tools such as electronic health records (EHRs) and other informatics applications; and regulations, guidance, policies, and accreditation standards that define clinical documentation and coding requirements, as well as institutional expectations and interpretations of those requirements.

The committee may develop a conceptual framework that encapsulates their findings and will issue a report with recommendations for system changes to streamline processes and reduce complexity, minimize the burden of documentation requirements, and enhance workflow and teamwork to support the well-being of all clinicians and trainees on the care team, prevent clinician burnout, and facilitate high-quality patient care.

Collaborators

Committee

Co-Chair

Co-Chair

Member

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Laura Aiuppa Denning

Staff Officer

Sponsors

Accreditation Council for Graduate Medical Education

American College of Occupational and Environmental Medicine

American Hospital Association

Arnold P. Gold Foundation

Association of American Medical Colleges

BJC HealthCare

Cedars-Sinai Medical Center

Doctors Company Foundation

Duke University Hospital

Gordon and Betty Moore Foundation

Johns Hopkins Medicine

Josiah Macy, Jr. Foundation

Medical College of Wisconsin

Montefiore Medicine

Ohio State University

Private: Non Profit

The Mont Fund

Tulane University

University of Florida

University of Illinois Hospital and Health Sciences System

University of Massachusetts Medical School

University of Michigan

University of New Mexico Health Sciences Center

University of North Carolina at Chapel Hill

University of Utah Health

University of Virginia Medical Center and University of Virginia School of Medicine

Vanderbilt University Medical Center

Washington University School of Medicine

Yale New Haven Health System

Yale School of Medicine

Staff

Laura Aiuppa

Lead

Marc Meisnere

Heather L. Kreidler

Rajbir Kaur

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