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HOW HEALTH IT CAN HELP EXTINGUISH PHYSICIAN AND
NURSE BURNOUT
2
3
TODAY’S AGENDA
What burnout means for caregivers, hospitals, and patients
Technology’s role in burnout
How health IT can help physicians and nurses love their jobs
again
4
BURNOUT: MORE THAN A BUZZWORD
OVER HALF of doctors surveyed have
experienced burnout
ONE THIRD of nurses report being
burned out
25%That’s an increase of in just four years
http://www.mayoclinicproceedings.org/article/S0025-6196(15)00716-8/abstract
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3201822/
5
SYMPTOMS OF BURNOUT
Emotional Exhaustion
Depersonalization
Personal Accomplishment
The Maslach Burnout Inventory (MBI) addresses three scales:
6
CAUSES OF BURNOUT
• Too many bureaucratic tasks
• Spending too many hours at work
• Feeling like just a cog in a wheel
• Increased computerization of
practice
7
WHY EVERYONE NEEDS TO CARE ABOUT BURNOUT
Burnout has been shown
to lead to reduced:
Misdiagnoses and
other medical errors
Focus
Effort
Empathy
Bedside manner
8
HEALTH IT’S ROLE IN CLINICIAN BURNOUT
=
ONE HOUR TWO ADDITIONAL HOURS
of face-time with patients on EHR and clerical work
https://wire.ama-assn.org/life-career/clicks-and-keyboards-stealing-face-time-patients
HOW THE RIGHT TECHNOLOGY CAN HELP
10
Accessible anywhere, anytime
Always reach the right person
Contact preferences,
escalation protocols
Contact details for ALL staff
1. CONNECT CARE TEAMS
11
Nurse messages attending
physician for instructions
Attending looks up and messages
specialist to get discharge
approval
Patient is ready to be discharged
SPEEDING PATIENT DISCHARGE
Thx!
OK to discharge Jane Smith in 421?
Fine by me
12
2. SAVE STEPS
400
Radiology exams in
the U.S. each year
Lab tests in the U.S.
each year
13Million Billion
13
Intern orders portable
chest X-ray
Radiologist sees new
pneumothorax
Critical test alert
goes to intern
5
MIN
Escalated
to resident
14
3. GAIN FOCUS
Ensure that the most
important patient
status changes are
acted upon.
15
Patient short of breath
Blood pressure: 110/60
Temperature: 102.5°
Respiratory rate: 27 bpm
Heart rate: 105 bpm
Rapid response team ordered
Sepsis
possible
Nurse Supervisor
Critical Care RN
Respiratory
Therapist
16
4. DELEGATE NONCLINICAL TASKS
• Telemetry alarm battery low workflow
alarm conditions
per day - per bed350
85-99% non-actionable
17
TELEMETRY ALARM - BATTERY LOW
Telemetry Alarm Battery Low-BioMed Notified
Evaluated and FixedNurses Never Interrupted
18
5. GIVE TIME BACK TO THE BEDSIDE
Allocate more time at the bedside by
delivering
actionable information
and facilitating
care team coordination
19
ACTIONABLE ALERTS WITH CONTEXT
20
TECHNOLOGY ALONE ISN’T ENOUGH
Technology Process Culture
21
Save Steps
Gain Focus
Delegate Nonclinical Tasks
Give Time Back to the Bedside
Connect Care Teams
5 WAYS HEALTH IT CAN HELP PHYSICIANS AND NURSES LOVE THEIR JOBS
1
2
3
4
5
LET’S GET IN TOUCH!
Learn more:
CASE STUDIES VIDEOS
We’d love to hear from you!
spok.com
getinfo@spok.com

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How Health IT Can Help Extinguish Physician and Nurse Burnout

  • 1. HOW HEALTH IT CAN HELP EXTINGUISH PHYSICIAN AND NURSE BURNOUT
  • 2. 2
  • 3. 3 TODAY’S AGENDA What burnout means for caregivers, hospitals, and patients Technology’s role in burnout How health IT can help physicians and nurses love their jobs again
  • 4. 4 BURNOUT: MORE THAN A BUZZWORD OVER HALF of doctors surveyed have experienced burnout ONE THIRD of nurses report being burned out 25%That’s an increase of in just four years http://www.mayoclinicproceedings.org/article/S0025-6196(15)00716-8/abstract https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3201822/
  • 5. 5 SYMPTOMS OF BURNOUT Emotional Exhaustion Depersonalization Personal Accomplishment The Maslach Burnout Inventory (MBI) addresses three scales:
  • 6. 6 CAUSES OF BURNOUT • Too many bureaucratic tasks • Spending too many hours at work • Feeling like just a cog in a wheel • Increased computerization of practice
  • 7. 7 WHY EVERYONE NEEDS TO CARE ABOUT BURNOUT Burnout has been shown to lead to reduced: Misdiagnoses and other medical errors Focus Effort Empathy Bedside manner
  • 8. 8 HEALTH IT’S ROLE IN CLINICIAN BURNOUT = ONE HOUR TWO ADDITIONAL HOURS of face-time with patients on EHR and clerical work https://wire.ama-assn.org/life-career/clicks-and-keyboards-stealing-face-time-patients
  • 9. HOW THE RIGHT TECHNOLOGY CAN HELP
  • 10. 10 Accessible anywhere, anytime Always reach the right person Contact preferences, escalation protocols Contact details for ALL staff 1. CONNECT CARE TEAMS
  • 11. 11 Nurse messages attending physician for instructions Attending looks up and messages specialist to get discharge approval Patient is ready to be discharged SPEEDING PATIENT DISCHARGE Thx! OK to discharge Jane Smith in 421? Fine by me
  • 12. 12 2. SAVE STEPS 400 Radiology exams in the U.S. each year Lab tests in the U.S. each year 13Million Billion
  • 13. 13 Intern orders portable chest X-ray Radiologist sees new pneumothorax Critical test alert goes to intern 5 MIN Escalated to resident
  • 14. 14 3. GAIN FOCUS Ensure that the most important patient status changes are acted upon.
  • 15. 15 Patient short of breath Blood pressure: 110/60 Temperature: 102.5° Respiratory rate: 27 bpm Heart rate: 105 bpm Rapid response team ordered Sepsis possible Nurse Supervisor Critical Care RN Respiratory Therapist
  • 16. 16 4. DELEGATE NONCLINICAL TASKS • Telemetry alarm battery low workflow alarm conditions per day - per bed350 85-99% non-actionable
  • 17. 17 TELEMETRY ALARM - BATTERY LOW Telemetry Alarm Battery Low-BioMed Notified Evaluated and FixedNurses Never Interrupted
  • 18. 18 5. GIVE TIME BACK TO THE BEDSIDE Allocate more time at the bedside by delivering actionable information and facilitating care team coordination
  • 20. 20 TECHNOLOGY ALONE ISN’T ENOUGH Technology Process Culture
  • 21. 21 Save Steps Gain Focus Delegate Nonclinical Tasks Give Time Back to the Bedside Connect Care Teams 5 WAYS HEALTH IT CAN HELP PHYSICIANS AND NURSES LOVE THEIR JOBS 1 2 3 4 5
  • 22. LET’S GET IN TOUCH! Learn more: CASE STUDIES VIDEOS We’d love to hear from you! spok.com getinfo@spok.com