Burnout in healthcare is more than a buzzword—it's a pressing issue with deep-rooted causes and significant consequences. Physician burnout surged during the COVID-19 pandemic, with 60% of doctors still feeling its effects. This burnout leads to increased turnover, costing society approximately $4.6 billion annually and worsening patient outcomes. In today’s article by Jonathan Hart, MD MBA, he cites experts like Dr. Gary Price and Dr. Lisa Rotenstein and their suggested solutions such as Direct Primary Care, team-based care, and strategic use of technology for addresing physician burnout. Read more at the link below. #PrimaryCare #Physicians #Burnout #ValueBasedCare
Burnout impacts all aspects of healthcare. Sometimes we lose sight of the others involved in caring for our patients. https://www.linkedin.com/pulse/under-pressure-addressing-burnout-among-our-staff-charles-exede/?trackingId=tfrrDM9ySlCbuAhdwjkHzQ==
Robert Bowman
4mo
CMS did not learn from being 5 for 52 at the Innovation Center in key areas 1. Outcomes are about patient and non-delivery factors, not some innovation 2. Cost cutting focus has numerous consequences and in general fails to cut costs that are breaking our treasuries while harming the most vulnerable 3. Overutilization focus harms populations with access barriers causing underutilization and inappropriate utilization 4. Redesigning health care must preserve and improve the only innovation that matters - one on one with each patient. Innovation from above and outside and far away - is going to make environments worse 5. Castigating physicians and practices for the innovation failures as Seema Verma did is bad enough. Blaming Michigan for the most losses in the one model that did invest in primary care, is evidence of not valuing primary care investment. Claiming that two sided risk or more skin in the game is needed when there was no significant difference one sided vs two sided, is revealing about the bias that is required to become a CMS leader. This reflects how future CMS leaders are trained and how they plan not to invest in basic health access as they force those most behind to spend what little they have on CMS assumptions
we just need more "dummies" to fix healthcare. https://www.linkedin.com/posts/mick-connors-md_this-summer-i-am-working-in-primary-care-activity-7213854963964235776-Gr2W?utm_source=share&utm_medium=member_desktop
Robert Bowman
4mo
Consistent steady improvement in the financial design is needed, not a short term small change "innovation." See through the CMS innovation center. CMS votes 1.4 trillion a year against basic health access. CMS leaders fail to increase to at least 400 billion in primary care spending. They stick with 250 billion and let primary care decline by design by not covering the costs of added micromanagement excesses, higher turnover costs, added team member burdens, and numerous factors that hurt small and medium size practices most. These are all most specific to 2621 counties where by 2060 most Americans will be found, the majority that most need care and have half enough primary care and basics. CMS cannot even understand that half enough primary care, mental health, women's health geriatrics, and basic surgical all act to prevent integration, coordination, health equity and patient centered care - AND HEALTH EQUITY in multiple dimensions If you close over 350 hospitals and countless practices where the CMS elderly, poor, disabled, and lower income patients are concentrated along with worst paying most abusive CMS plans, you are harming most Americans most behind. Weakest employers and private plans complete the perfect nightmare.
Robert Bowman
4mo
The CMS design has not addressed increasing costs of delivering primary care, cuts in payments, losses of lines of revenue, higher costs for small and medium size practices, and financial designs resulting in home and practice environments toxified. The RBRVS pattern is obvious as seen in the Red Zone upper right generalists and general specialists with most intent to leave and intent to reduce hours. This is a PreCovid Mayo Clinical Proceedings graphic. Pediatrics was doing better then, but no longer - the last holdout is now avoided by medical students. This is not surprising as other primary care has escapes. The peds financial design does not reward subspecialty and their are fewer urgent, emergent, and hospitalist jobs not filled already. Burnout can be seen as a function of cost cutting, the financial design, higher costs eroding personnel portions of the budget to shape fewer and lesser team members to share the complexity, or survival focus of practice or hospital. Profit focused employers shave personnel for profit or investment with the same impact as CMS designs, which is why so may focused on profit avoid worst public and private plans.
Gary Price
4mo
As Johnathan outlines, burnout remains a critical issue for our primary care physicians in particular, and our health care workforce in general! There is no one quick fix, but addressing the multiple issues which have stripped our physicians from autonomy in decision making with their patients, yet still holding them accountable for the outcomes of that care will be fundamental!
Gary Price
4mo
Johnathan is addressing a critical issue which the Physicians Foundation remains deeply committed to finding practical solutions!
Internationally Certified Executive Coach and former Healthcare CEO. Guiding Healthcare CEOs and leaders to balance demands for greater clarity, focus, and effectiveness.
4moThis is one of the many effects of the band aid coming off during the COVID crisis. 3 good tools for dealing with MD burnout. Be careful with IT. It really does need to be strategic. Much of IT currently aimed at improving productivity is not helping.