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Abstract
Physician burnout has reached epidemic proportions in the United States, and COVID-19 has only exacerbated the strain on the physician workforce. To gather data on organisation-level support for physician burnout prevention initiatives, the American Hospital Association, AdventHealth, and the Coalition for Physician Well-Being collected responses from more than 500 top-level executives from healthcare systems across the United States, documenting the current state of organisation-level interventions to support physician well-being. This paper discusses the findings, which revealed that organisational initiatives to curb physician burnout vary in scope and degree, but the need for organisation-level interventions appears to be widely recognised.
The full article is available to subscribers to the journal.
Author's Biography
Ted Hamilton , MD, MBA, is the Chair of the executive committee of the Coalition for Physician Well-being and the Chief Mission Integration Officer and Senior Vice President of Mission and Ministry at AdventHealth. His experience also includes serving as senior medical officer for Florida Hospital, director of Florida Hospital’s family practice residency, executive director of the Loma Linda Faculty Medical Group and medical director for HMO Georgia. He is dedicated to his work with the Coalition for Physician Well-being, founded in 2010, which has a mission of promoting meaning, purpose and joy in the practice of medicine.
Elisa Arespacochaga is Vice President of the American Hospital Association’s (AHA) Physician Alliance, a strategic initiative launched as part of the AHA’s ongoing mission to improve the health of patients and communities. Based on three fundamental beliefs that foster shared decision-making and create a path for common language among healthcare leadership, the Alliance advances physician leadership through the educational offerings, professional development opportunities and greater inclusion within hospital and health system administration and policy activities.
Dianne Mccallister , MD, MBA, is a board-certified internist, with over 25 years of practice experience in both inpatient and outpatient settings and 20 years of administrative and quality improvement experience. Dianne is co-founder of the Coalition for Physician Wellbeing, a national organisation dedicated to physicians and strategies to improve their well-being in practice. She is co-editor of the book Transforming the Heart of Practice, An Organizational and Personal Approach to Physician Wellbeing (Springer 2019) along with Dr Ted Hamilton. She is an expert in quality, medical staff issues and patient safety, having taken three hospitals to excellent quality based on national benchmarks. She is an author, with contributed chapters on quality, patient safety and ECMO program development in other books. She has served as Chief Medical Officer at several Denver area hospitals, taking them to top decile quality and physician satisfaction. She has training in medical media, served as the medical expert on the Denver ABC affiliate for five years and has taught at the AMA’s Media in Medicine Conference. She is active in the community and has served on numerous boards of directors. She speaks nationally and internationally on topics regarding physician well-being, quality and patient safety, advanced cardiac surgical programme development and other medical topics.
Deanna Santana-Cebollero DeAnna Santana is the Director of Physician Well-Being and Engagement for AdventHealth. In her current role she focuses on the development of mission-specific initiatives, such as the development of a mission-fit behavioural interviewing programme, as well as onboarding, mentor and integration programmes to increase the well-being and engagement of physicians and advanced practice providers (APPs). In addition to recruiting and onboarding newly acquired physicians for a number of AdventHealth facilities in the East Florida Region, she has worked closely with faculty to build the Internal Medicine Residency programme from the ground up at AdventHealth Orlando. Her earlier work experience focused mainly on process development and implementation of important initiatives and programmes. In her Executive Director role for the Coalition for Physician Well-Being, she oversees the operations of the non-profit organisation, operationalises the vision of the board, leads and supports multiple committees, develops partnerships to create research opportunities and programme development, while creating brand awareness. DeAnna graduated from Walden University with a PhD in industrial/organizational psychology, where she focused on physician well-being. Her master’s degree was in health psychology and her bachelor’s in organizational behaviour from Rollins College, Hamilton Holt School.
Patricia Robinson is the Scientific Director of Nursing, Whole Person Health and Academic Research at AdventHealth Research Institute. She has been a research leader at AdventHealth since 2009, when she left her tenure-track academic appointment in the College of Nursing at the University of Central Florida to pursue biobehavioural research full time. In 1994, she received her BS in Nursing from the University of Central Florida. She did her graduate work at the University of Florida, receiving her MS in Nursing in 2000 and her PhD in Nursing in 2006. She has received numerous awards and accolades for her research, leadership and service. As a highly regarded nurse scientist, she understands the intricacies of the challenges faced by caregivers, the rigorous demands of scientific inquiry, and the means by which to merge the two perspectives. She provides effective leadership by leveraging her 16 years of direct clinical care experience with a sophisticated understanding of methodology. Dr Robinson’s teams develop and implement innovative, data-driven solutions to improve care quality and processes. She has a well-established history of external collaborations designed to advance the field of healthcare. She has a passion for addressing the needs of the medically under-represented. She seeks to identify barriers to care of the stigmatised and medically underserved while striving to promote public policy changes that impact community health.
Peter Kralovec is the Executive Director of the Survey Center for the American Hospital Association. With more than 40 years of experience in healthcare-related data and data systems at the AHA, Mr Kralovec brings specific expertise in the development, design and management of survey instruments, as well as management of the collection process. Mr Kralovec has been responsible for developing and implementing the AHA Annual Survey of Hospitals over time and has directed over 250 independent survey research projects. Survey work for external organisations include numerous federal agencies such as the Centers for Medicare and Medicaid Services, Center for Disease Control, Congressional Budget Office, General Accounting Office and the National Center for Health Statistics. Mr. Kralovec is currently the principal investigator on an active grant since 2008 with the HHS Office of the National Coordinator for Health Information Technology (ONC) to measure the adoption rate of the use of electronic health records in the nation’s hospitals. The most current version of the survey addresses issues of interoperability, especially with public health agencies and others related to COVID-19.
Stephanie Harris , MLS is a research scientist within the AdventHealth Research Institute. She earned her master’s degree in library science from the University of Maryland at College Park and has worked as an embedded research librarian and a clinical medical librarian. Her bachelor’s degree is in English with a minor in print journalism. Her research interests include workforce health and spirituality in healthcare personnel. She also runs a charitable foundation for animal welfare in Central Florida, USA.
Citation
Hamilton, Ted, Arespacochaga, Elisa, Mccallister, Dianne, Santana-Cebollero, Deanna, Robinson, Patricia, Kralovec, Peter and Harris, Stephanie (2021, June 1). Organisational support of physician well-being: A survey of healthcare executives. In the Management in Healthcare: A Peer-Reviewed Journal, Volume 5, Issue 4. https://doi.org/10.69554/EMNG6564.Publications LLP