June 7, 2019

Professional Satisfaction and Practice SustainabilityUpdate

© 2019 American Medical Association. All rights reserved.

Negative forces pressing on physicians

Excessive documentation

2

Arduous hunt for clinical information

via EHR design

Professional liability

Prior authorization

Conflicting payment models

Lack of actionable

data

Lack of autonomy/work

control

Expanding knowledge base with

insufficient tools

Negative on-line reviews

Excessive time pressure

Insufficient staffing

Burdensome quality

reporting

Regulatory burdens

Quantity and pace of work

Inadequate reimbursement

© 2019 American Medical Association. All rights reserved.

Burnout: Signs of Improvement

45.5%54.4%

43.9%

0%

20%

40%

60%

2011 2014 2017

Percent of Physicians Reporting at Least OneSymptom of Burnout

3

Source: Shanafelt T, West CP, Sinsky C, et al. Changes in Burnout and Satisfaction With Work-Life Integration in Physicians and the General US Working Population between 2011-2017. Mayo Clin Proc In press.

“To what can the improvement in the prevalence of physician burnout over the past 3 years be attributed?... It should be noted…that many large-scale efforts have been initiated at the national level to address this issue....by

influential national organizations and accrediting bodies [like the] AMA.”

© 2019 American Medical Association. All rights reserved.

How Do Physicians Compare?

4

28.1%

39.8%

Source: Shanafelt T, West CP, Sinsky C, et al. Changes in Burnout and Satisfaction With Work-Life Integration in Physicians and the General US Working Population between 2011-2017. Mayo Clin Proc In press.

• Higher than other professional degrees

• In all other fields more education is protective, in medicine it is a risk factor

© 2019 American Medical Association. All rights reserved.

Professional Well-being Research Trajectory

5

© 2019 American Medical Association. All rights reserved.

Practice Transformation Initiative

• 2 initial pilot sites (Cleveland Clinic and Samaritan Health)• Initial assessment and guided interventions underway

• 2019 Request for application • 8 health systems recently awarded

• 2020 Request for application slated for late 2019

• AMA/Physicians Foundation collaboration with state medical societies• Washington State, North Carolina, New Jersey

• Conducted initial Boot Camp Training on April 26/27th in Chicago

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© 2019 American Medical Association. All rights reserved. 7

AMA Organizational Assessments

7

© 2019 American Medical Association. All rights reserved.

Influencing the Development of New Healthcare Digital Technologies

Industry: Xcertia Product Development:Physician Innovation Network

8

Practice Support:Digital Health Playbook

© 2019 American Medical Association. All rights reserved.

Debunking Regulatory Myths

9

© 2019 American Medical Association. All rights reserved.

American Conference on Physician Health

10

© 2019 American Medical Association. All rights reserved.

New Recognition Program

11

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