Self-Care: Avoiding Burnout and Maximizing Yourself and Your Team

Amanda Tufano, MHA, CMPE

HCCIntelligence™ Webinar and Virtual Office Hours

January 15, 2019

Housekeeping

• The first 30 minutes of today’s HCCIntelligence™

Webinar will consist of a slide presentation and all

participants will be muted during this time.

• The following 30 minutes will be HCCIntelligence™

Virtual Office Hours, and all participants will be able

to submit questions via the question box.

• To submit a question, click on the arrow next to

Questions, type in your question, press send.

• Handouts can be accessed in the handout box.

• Click on the name of the file and save to your

computer

• All participants will receive a copy of the slide deck,

question and responses, and a recording of the

HCCIntelligence™ Webinar & Virtual Office Hours.

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Introductions

Amanda Tufano, MHA, CMPE

Chief Executive Officer, Genevive

Amanda Tufano is Chief Executive Officer of Genevieve, a geriatric medical practice and care management organization in Minnesota. Amanda sits on the Boards of the Minnesota Chapter of the American College of Healthcare Executives (ACHE) and Minnesota Association of Geriatric Inspired Clinicians (MAGIC). In addition, she sits on the National ACHE LGBT Forum Committee and volunteers as a graduate and undergraduate mentor. Amanda holds additional certifications in Lean, Six Sigma, and project management.

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Objectives

Describe the potential impact of stress on your personal and professional life.

Define self-care and the importance of maintaining a healthy work-life balance.

Discuss ways to develop a self-care plan..

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Grounding

Stress is the body’s reaction to a change;

can cause physical, mental, or emotional

strain or tension.

Burnout is…

• No agreed upon definition

• AHRQ: “long term stress reaction marked by emotional

exhaustion, depersonalization, and a lack of sense of personal

accomplishment.”

• AAFP: “burnout is the constellation of symptoms that occur

when your energy account has a negative balance over time”

• Harvard report: “physician burnout is a public health crisis that

urgently demands action”

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Common Stressors

• Family Conflicts

• Electronic Healthcare Records (EHRs)

• Financial Pressure

• Patient Adherence

• Scheduling and Logistics

• Providers feeling Unsupported

• Patient adherence with treatment plan

Specialty Review

Source: Medscape National Physician Burnout, Depression & Suicide Report 2019

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Stress/Burnout

Outcomes

• Individual health outcomes: depression, exhaustion,

dissatisfaction and de-personalization, higher rates

of addiction, sense of failure, job or career change,

suicide rates

• Patient outcomes: lower patient satisfaction, lower

quality of care, and higher risk of malpractice claims

• System outcomes: system never gets better,

students unprepared and untrained for real world,

and innovation is stalled

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Home Based Medicine = Solution?

Successful positioning of home-based

medicine in the healthcare field:

• Vocationally rewarding work because challenging

cases

• Requires complex teamwork and community

partnerships

• Reimbursement model is lagging, many use

sustaining and motivating compensation models

• Entire team feels value-added work as a part of the

system

• Allows for personal flexibility

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Classic Coping Strategies

• Joint Visits to manage tension and have separate discussions with family members

• Documentation recognizing the time involved in paperwork and scheduling to allow for completion during work hours

• Financial Model lower overhead can allow for flexibility in numbers of patients seen

• Team Approach to continually educate patient and family and reinforce Care Plan

• Administrative Support to manage scheduling and routing

Administrative Strategies

Create proactive operational strategies in

place, instead of reactive

• How will you handle patient non-compliance? It’s

easy to see when a patient hasn’t followed

instructions in their home

• How will you handle patient no-shows? It wastes a

lot of time and energy for Providers to travel if the

patient isn’t present

• How often do you meet with your colleagues and

your team? Often not one right answer, so it helps

to feel supported by your colleagues

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Administrative Strategies

Create a culture of support and addressing

stress and burnout

• Have all individuals in the organization feel as

though they are problem solvers and can be part

of a system that removes red tape

• Build a Human Resources department and

policies that are supportive

• Encourage paid time off and promote balance

• Utilize and talk about Employee Assistance Programs (EAP)

• Compensate in line with work levels

• Be proactive

• Show team appreciation 12

Research

• www.ahrq.gov/prevention/clinician/ahrq-works/burnout/index.html

• www.forbes.com/sites/robertpearl/2019/07/08/physician-burnout-

1/#15d15699119e

• www.aafp.org/fpm/2015/0900/p42.html

• www.thehappymd.com/blog/bid/295048/physician-burnout-why-its-

not-a-fair-fight

• www.medscape.com/slideshow/2019-lifestyle-burnout-depression-

6011056

• www.insperity.com/blog/help-fight-employee-stress-15-burnout-

busters/

• www.shrm.org/hr-today/news/hr-magazine/0817/pages/how-to-

prevent-employee-burnout.aspx

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HCCIntelligence™ Virtual Office Hours:

Ask the Experts

An open forum for questions and answers

14

Introductions

Thomas Cornwell, MDCEO, Home Centered Care Institute

Founder, Northwestern Medicine HomeCare Physicians

Paul Chiang, MDSenior Medical and Practice Advisor, Home Centered Care

Institute

Medical Director, Northwestern Medicine HomeCare

Physicians

Brianna Plencner, CPC, CPMAPractice Improvement Specialist, Home Centered Care

Institute

Questions?

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