Avoid the Burnout of Owning Your Own Medical Practice
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In this live webinar, Healthcare Business Consultant Aimee Heckman will: -Identify the main causes of physician burnout, from a provider and office manager standpoint -Provide solutions to easily implement in your daily workflow to reduce the chances of burnout -Discuss how you can maintain a healthy balance going forward
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Avoid the Burnout of Owning Your Own Medical Practice
- 1. webinar Avoid the Burnout of Owning Your Own Medical Practice Aimee Heckman, CPPM, CPB September 18, 2019
- 2. kareo.com Agenda 2 Agenda 2 • Welcome & Introductions • Did I Go to Medical School for This? • Identifying the Real Causes of Burnout • Implementing Workflow Improvements • Maintaining Balance • How Kareo Can Help • Your Questions
- 3. kareo.com 33 How to Participate Today Type your questions Download today’s resources View today’s presentation
- 4. kareo.com 44 Connect via Social twitter.com@GoKareo facebook.com/GoKareo linkedin.com/company/kareo
- 5. kareo.com 55 Kareo and PAHCOM • PAHCOM has approved 1 CEU credit • Please complete the questions at the end of the webinar to receive your certificate • Certificates will be emailed within the next few days • Attendees must participate in the live webinar to receive credit Supporting Your Professional Development
- 6. kareo.com 66 Speaker • Healthcare Business Consultant and President at Ease RCM Solutions • Certified Physician Practice Manager (CPPM) and Certified Professional Biller (CPB) • More than 30 years experience in Medical Practice Management, Revenue Cycle Management, PM/EHR implementation, and business development Aimee Heckman, CPPM, CPB
- 7. Did I Go to Medical School for This?
- 8. kareo.com 88 Did I Go to Medical School for This? Medical school does not provide business training • Like it or not, a medical practice is a business • The problem isn’t new, it’s just becoming a bigger issue
- 9. kareo.com 99 Did I Go to Medical School for This? For many years doctors have been carefully schooled in the art and science of medicine and dismissed from the teaching institution to go out to practice medicine with little or no idea of how to manage a business.
- 10. kareo.com 1010 Did I Go to Medical School for This? Medical school does not provide business training • Why haven’t we made more progress in this area? • Should we even be trying to make doctors become better business managers? • How much are the business aspects of running a practice contributing to burnout? • What other impact is the complexity of running a medical practice having on the profession?
- 11. kareo.com 1111 Did I Go to Medical School for This? Given the current state of the business of medicine, would you recommend the medical profession to your children or other family members? • 74% of physicians would NOT encourage their children to pursue a career in medicine. No Yes
- 12. kareo.com 1212 Did I Go to Medical School for This? Physician Shortage Projections 21.1 24.8 14.3 46.9 55.2 65.8 23.4 121.9 0 20 40 60 80 100 120 140 Primary Care Non-Primary Care Surgical Total Physicians 25th percentile 75th percentile The Complexities of Physician Supply and Demand: Projections from 2017 to 2032 - Updated April 2019
- 13. kareo.com 1313 Did I Go to Medical School for This? Key factors in physician shortage • General population growth of 10.3% • Over 65 population will grow by 48% • Population health goals to reduce diabetes, obesity, hypertension and smoking will increase demand • 40% of current providers will reach retirement age
- 14. kareo.com 1414 Did I Go to Medical School for This? How does physician burnout factor into this? • Providers are considering retiring earlier due to burnout • Reducing hours due to burnout further impacts provider shortage • Provider shortage contributes to burnout in some areas
- 15. kareo.com 1515 Did I Go to Medical School for This? The consensus seems to be that burnout is inevitable, but is that necessarily true?
- 16. kareo.com 1616 Did I Go to Medical School for This? We want you to walk away today with a sense of relief and optimism… • Recent study by Mayo Clinic shows a decrease in burnout between 2014 and 2017 • You can regain control of some contributing factors to burnout • The right people and entities may finally be paying attention to some of the causes of physician burnout
- 17. Identifying the Real Causes of Burnout
- 18. kareo.com 1818 Identifying the Real Causes of Burnout The World Health Organization (WHO) recently recognized burnout as a medical condition.
- 19. kareo.com 1919 Identifying the Real Causes of Burnout The World Health Organization (WHO) recently recognized burnout as a medical condition.
- 20. kareo.com 2020 Identifying the Real Causes of Burnout The World Health Organization (WHO) recently recognized burnout as a medical condition expanded the definition of burnout.
- 21. kareo.com 2121 Identifying the Real Causes of Burnout The WHO expanded definition of burnout • ICD-10 Code Z73.0 definition – Burn-out • ICD-11 Code Z73.0 is defined as a syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed • Characterized by: • Feeling depleted of energy or exhausted • Feeling mentally distanced from or cynical about one’s job • Problems getting one’s job done successfully
- 22. kareo.com 2222 Identifying the Real Causes of Burnout Drivers of Burnout • Work overload • Lack of Control • Insufficient Rewards • Breakdown of Community • Conflicting Values The Truth about Burnout – Maslach and Leiter
- 23. kareo.com 2323 Identifying the Real Causes of Burnout Are physicians more vulnerable to burnout ? • Personality trends that make a good physician tend to be more prone to burnout • Common characteristics • Perfectionistic • High expectations of self and others • Conscientious and scrupulous • Reluctant to delegate work to others • Reluctant to ask for help Burnout and Physicians – Penny Ziegler, MD
- 24. kareo.com 2424 Identifying the Real Causes of Burnout What contributes most to your burnout? 56 39 26 24 16 59 34 30 32 20 0 10 20 30 40 50 60 70 Bureaucratic Tasks Hours Lack of Respect EHRs Regulations 2018 2019 Medscape National Physician Burnout and Depression Report
- 25. kareo.com 2525 Identifying the Real Causes of Burnout More obvious causes of burnout • Regulatory requirements • ACA • Meaningful Use/MIPS • Payer requirements and reimbursement issues • Authorizations • Peer Review • Increasing medical records requests • Medical necessity policies and denials
- 26. kareo.com 2626 Identifying the Real Causes of Burnout More obvious causes of burnout • Keeping up with technology • EHRs creating a barrier between provider and patient • New technologies creating new areas of competition • Increasing time pressures • Reduction in revenue puts pressure on providers to see more patients while at the same time, “value-based medicine” promotes quality over quantity
- 27. kareo.com 2727 Identifying the Real Causes of Burnout Less obvious causes of burnout • Working outside of your natural skillset • Just because you CAN do it doesn’t mean you should • Failing to delegate tasks • Letting go can be difficult but not doing so can be worse
- 28. kareo.com 2828 Identifying the Real Causes of Burnout Less obvious causes of burnout • Doing what you have always done • Policies, procedures and personnel may need to be updated to reflect changes that have occurred in recent years • Increasing patient financial responsibility • Lengthens the revenue cycle • Makes patient collections more critical than ever • Creates tension between providers and patients
- 29. kareo.com 2929 Identifying the Real Causes of Burnout Burnout is not limited to providers • Providers often display these characteristics which, in turn, increase stress levels for staff members • Frustration • Mood changes • Impatience • Staff members tend to feel the effects of provider burnout • Feelings of inadequacy • Frustration • Anger • Fear of losing their job
- 31. kareo.com 3131 Implementing Workflow Improvements Take an honest look at the role you are currently playing • Are you primarily doing what you love and were trained to do? • Work seems a lot less like work when you are doing what you love • How much time do you spend actually treating patients? • Don’t assume or guess, track it for a few weeks • Is your passion for patient care or administration? • Pick the one you do best and delegate the other • Only do what only you can do! • You’ll never get to 100% with this but make it a goal to strive for
- 32. kareo.com 3232 Implementing Workflow Improvements Trust your staff and delegate • Let everyone work to the level of their credentials • Utilize physician extenders to spread the clinical workload • Delegate administrative aspects that contribute to burnout to staff or a third party
- 33. kareo.com 3333 Implementing Workflow Improvements Utilize technology to your maximum benefit • Electronic transactions • Eligibility, authorizations, claims, and ERAs improve revenue cycle management and reduce revenue leakage • Appointment reminders • Utilize email and text appointment reminders whenever possible • Reserve phone calls for patients with balances • Patient intake forms • Reduce staff data entry load • Capture history from patient before first visit
- 34. kareo.com 3434 Implementing Workflow Improvements Utilize technology to your maximum benefit • Patient Portal • Encourage patients to request appointments, refills, and send messages regarding non-urgent issues • Direct Messaging • MIPS requirement • Reduces handling of faxes and scanning referrals and reports from other providers
- 35. kareo.com 3535 Implementing Workflow Improvements Implement pro-active patient collections policies • A clear financial policy ensures that patients are aware of their responsibilities • Healthcare glossary of terms helps patients understand their own insurance policy and reduces calls with questions on statements • Set expectations regarding payment at time of service with patients before their first appointment • Utilize appointment reminder calls to follow up on past due balances • Offer payment plans integrated with your credit card processing to reduce the number of times staff must have a conversation about patient balances
- 37. kareo.com 3737 Maintaining Balance Evaluate your current level of burnout • Maslach Burnout Inventory • Sets a baseline of where you are today • Helps measure the impact of changes you make
- 38. kareo.com 3838 Maintaining Balance Show appreciation to your staff • Genuine gratitude goes a long way • Catch people doing things right • Making someone’s day often has the same effect on you
- 39. kareo.com 3939 Maintaining Balance Take time off • Don’t skip lunch • Don’t expect your staff to skip lunch • Arrange coverage so you have actual downtime on weekends • Take a vacation…even if it’s only a long weekend
- 40. kareo.com 4040 Maintaining Balance If you need help…ask for it! • Suicide rate in physicians is more than double the general population • One physician commits suicide every day in the USA • Physicians are often more successful at suicide attempts, likely due to access to more lethal drugs • Stigma prevents many physicians from seeking help
- 41. kareo.com 4141 Maintaining Balance There is hope! • You have more control over your fate than employed physicians • Decisions don’t have to be made by administrators or committees • Independent practice providers report lower levels of burnout • You are not alone • Fewer solo practitioners are moving to groups and hospitals • Reach out to other independent providers to provide support and encouragement
- 42. kareo.com 4242 Maintaining Balance There is hope! • Government initiatives are slowly reducing some of the administrative burden • Patients Over Paperwork • There is plenty of help available • Engage third parties who are experts in areas that you are not • Outsourcing revenue cycle management, human resources, and other administrative functions can allow you and your staff to focus on patient care
- 43. kareo.com 4343 Maintaining Balance The consensus seems to be that burnout is inevitable, but is that necessarily true? It’s time for you to answer that question for yourself!
- 44. kareo.com 4444 Resources • AMA STEPS Forward • Medscape National Physician Burnout, Depression & Suicide Report 2019 • The Future of Healthcare: A National Survey of Physicians • Maslach Burnout Inventory
- 45. kareo.com 4545 Awards and Rankings Growth Awards The speed at which medical practices are moving to Kareo and referring it to other providers. Software Reviews and Rankings 3rd party recognition, driven by direct customer feedback, equals trust and credibility.
- 47. kareo.com 4747 Kareo Platform Extensions
- 48. kareo.com 4848 How to Participate Today… Type your questions -- Questions After the Webinar -- 888.775.2736 x1 sales@kareo.com
- 49. kareo.com 4949 Connect with Kareo Stop by and say hi! Kareo @GoKareo GoKareo 3353 Michelson Drive, Suite 400 Irvine, CA 92612 (888) 775-2736