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Today: Bringing the Joy back to Medicine
Episode 21818th October 2022 • This Week Health: News • This Week Health
00:00:00 00:11:00


Today in health, it bring the joy back to medicine. My name is bill Russell. I'm a former CIO. For a 16 hospital system and creator of this week health, instead of channels, dedicated to keeping health it staff current and engaged. We want to thank our show sponsors who are investing in developing the next generation of health leaders, Gordian dynamics, Quill health tau site nuance.

Canon medical and current health, check them out at this week. Health. Dot com slash today. All right. We have a webinar coming up. If you have not been out to our website, we have one coming up on November 3rd, cyber insecurity in healthcare, the cost and impact on patient safety. And care. Great panel discussion myself, Ryan wit DNA Anderson with LifeScan and Todd Richardson with the spirits.

And, , we are going to be talking about. , things like cybersecurity events impacting care and, , would love to have you check that out in our website top right-hand corner. And, , sign up, give us your questions so we can answer them. All right today, bringing the joy back to medicine. This is not an original statement with me. It's probably not an original statement with the person I'm going to give credit for it, but it's the person who has been talking about it the most.

, in my year, and that is Stephanie Lahr. And, , Stephanie CIO CMIO at monument health who has taken out a new job, by the way, if you didn't know And, , so she will be taking up a new job here shortly. , But it is, , the, the topic of the article that we are going to be looking at today. And the article is, , Bain did some research and 25% of clinicians want out of healthcare. All right.

, one quarter of us physicians advance. Advanced practice providers and nurses are considering switching careers in one third are considering switching employers, according to the newly released results from a survey conducted by Bain and company blower. Some of the key takeaways of the 25% of clinicians who are thinking about existing or exiting healthcare entirely 89% site burnout as the main driver.

All right. So 25% of the clinicians who are thinking about exiting healthcare entirely 89%. site burnout. That's a high Number two,

points in:

That's almost in half clinicians at which makes sense. Right. That's through the pandemic. Essentially a number for clinicians at physician led practices. Gave a net promoter score of 40 points compared to the six points from clinicians at non-physician led practices, such as those operated by hospitals, health systems.

, parent companies or private equity funds. And number five and that's, that's a huge discrepancy. , the numbers are the numbers, right? The stats are the stats. , so, , what they're essentially saying is physician led practices do better. In this regard. Number five, top three things clinicians care about most in their profession are compensation, quality of patient care and workload. According to the survey.

Of those three, there are at least they're at least satisfied with compensation, 59% express satisfaction. And workload 60%. 80% said they are satisfied with the quality of patient care. And number six burnout shows up throughout clinician's days with 63% saying they feel worn out at the end of their Workday, 51% saying they feel they don't have time and energy for family and friends during leisure time and 38% feeling exhausted in the morning.

At the thought of another work day. So I have the utmost empathy for them. , but I am predominantly talking to health it professionals. And I think one of the things we are going to start a discussion on coming into the new year is the, , health and wellbeing of health. It professionals as well. It's interesting. We talk an awful lot about physician burnout and we're going

More in this show. , in a couple seconds, but, , I do want to, you know, this, this last statement, burnout shows up throughout clinician stays with 63% saying they feel worn out at the end of the Workday. So 51% saying they feel they don't have time and energy, a bunch of them feeling like it's not understaffed.

Yeah. You get the picture. I think that's true in health. It as well. We're being asked to do more with less. We've been being asked to do more with less for the better part of a decade. And, , and it budgets were growing, but that money wasn't necessarily in, , supporting the staff. So we're being asked to do more with less, less. And, , I think this is a conversation worth having around the health. It that's the area we live is the area we are going to do the,

Most good in having that conversation. What are we doing around our workforce, around our staff? To keep them healthy mentally to keep them alert, to keep them engaged. , to keep them. , I don't know. It just Abel. To function and do, , not only the work that they're required to do, but also, ,

Keep them whole as individuals and as humans. All right, let's go back to the clinician conversation. This, I'm not going to say. It's all going to fall on it, cause it's not. , but I think it should take up a mantle here. And the mantle should be bringing joy back to the clinicians. , again, I'm not taking credit. Stephanie Lahr has been saying this to me for the better part of a year, if not two years. And, , bringing the joy back to, , to medicine, back to caring for patients. And what does that look

And I'll tell you what it doesn't look like. Our tell you what we need to take out. Cause they they're telling us what they want to take out. Right. So they're overburdened, they're seeing too many patients. And when they're seeing those patients. , they, you know, don't have the time to really engage with the patient to care for the patient, the empathy for the patient.

And those kinds of things. So it, look, we can't change the patient panel counts and those kinds of things, but what we can do is really focus in on their interaction with technology and making it easier and easier. How much of it can be done. In a. , in a way. That is natural. Right

with your voice with a gesture. , how much automation can be done in the background to make the clinicians jobs of documenting every note. Easier. Right. So when you think about it, Healthcare is one of the few places where you are going to have so many appointments throughout the day, and you have to document each one with precision.

If I said that to you as a health it professional. If I said, For the next month. Every meeting you have every encounter you have with an individual. I want you to document, I want you to create a note. Who did you meet with? How long did you meet with them? , what was their current disposition towards it? , what was their concern about it? What did you propose that you were going to do for them within it?

, so forth and so on. Right? So you had to spend. You know, 10 minutes documenting each encounter you had. So that could be. An encounter with somebody over lunch. It could be an encounter with somebody in the hallway, but you have to document each one of those. Could you imagine how much angst that would create for you as a health? It professional?

And that's how much axed, if not more, it creates for a clinician because each one of those things they document. Could lead to an adverse event could lead to a health event. For that individual. So it has to be as close to perfect as it possibly can. Which is a high bar and a high standard. So from an it standpoint, what can we do?

To make it natural. Right. So we're collecting that information. I know we're doing a lot around ambient listening and we need to push that as much as we possibly can. We're doing a lot around automation and we need to push that as far as we can. We need to simplify. The EHR environment as much as we possibly can. We used to talk about taking Klux out and that's important to take clicks out.

But it's also, once they get in there, how quickly can they find the information they're looking for? It's almost like going to the internet and taking Google away and say, okay, find the information you need to find. And you know, that that becomes a challenge for many of us. If we. Took the, the, the easy button away from the internet, that would be really hard for us.

I believe this returning the joy. To medicine where Jordan returning the joy to the practice of medicine. Should be one of the key goals and it should be a mantra that we pick up and run with as health it professionals. And I think it's going to page huge dividends. , for us in terms of our connection with clinicians, as we strive to do that in getting us focused.

On the things that are most important for the health system right now,

We cannot afford to have burned out people trying to care for patients. ,

It's a recipe for errors. It's a recipe for bad outcomes.

So I think we take these survey results. We look at them, we have conversations within our health systems. We try to determine what it's going to take to bring the joy of medicine back to the clinician and start to look at the technology. Answers to that question. It's not going to be complete, right? Because a lot of this has to do with the dynamics of how we are practicing medicine, the number of patients they have to see and the complexities of documentation. But those are the battles we should be fighting, making it easier for the clinician.

To be effective, be more effective. And to enjoy the practice of medicine. All right. Big challenge for today. That's how we're starting off the week. It's Tuesday, and that's how we're starting off the week. We'll see a lot of really good stories this week. So look forward to a recording. The today shows.

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