Health TechNet Meeting February 22, 2019 “Physician Burnout” Lucas R. Collazo, M.D.

1. He Health TechNet Meeting February 22, 2019 “Physician Burnout” Lucas R. Collazo, M.D. Medical Staff President Inova Fairfax Medical Campus

4. Inova Cultural Beliefs Tell Me- I provide timely and honest feedback Engage and Decide- I deliberately seek input from all stakeholders, including our physicians, clinicians and support teams, so we can make timely decisions Focus- I connect my daily efforts to achieve our Key Results Stronger Together- I succeed when we succeed Patient Always- I ensure that my every action puts the patient and their family first Value People- I create an environment of growth and respect where contributions are rewarded and recognized.

6. Why We Care About Physician Burnout A position paper published in April by the National Taskforce for Humanity in Healthcare underscores the professional and personal impact: • Physicians are twice as likely to experience burnout compared to other workers • More than 50 percent of U.S. physicians report symptoms of burnout • Physician burnout leads to–in extreme circumstances–fatal medical errors, clinician suicide, substance abuse and impaired work/life balance • Burnout-related physician turnover costs U.S. healthcare up to $17 billion/year

7. Why We Care About Physician Burnout If we want to be a Great Place to Work where our physicians provide an Exceptional Patient Experience, we must address the issues that are causing burnout among our medical staff.

8. Engage and Decide “I deliberately seek input from all stakeholders, including our physicians, clinicians and support teams, so we can make timely and appropriate decisions.” We wanted to hear from YOU about what causes burnout at Inova and what triggers are unique to you and your specialty. (Tell Me)

9. Value People & Stronger Together Because we Value our People and know that our success depends on your success (Stronger Together), Inova’s Medical Staff Presidents and Medical Affairs Council have made addressing burnout among our Physician Partners a top priority in 2018.

10. Mind Garden Survey • We contracted with Mind Garden, an international leader in assessment tools, to administer a confidential survey between May 16 – May 31. • 51 questions divided among two sections: • Maslach Burnout Inventory Human Services Survey • Emotional Exhaustion • Depersonalization • Personal Accomplishment • Areas of Worklife Survey • Workload, Control, Reward, Community, Fairness and Values

11. Who Took the Survey? • 493 surveys completed systemwide • 61 surveys completed at IFOH • Male-37; Female-24 • Employed by Inova-10; NOT employed by Inova-51 • Active/Courtesy Attending-56; Community-5 • Age breakdown: • 31-40: 9 surveys • 41-50: 18 surveys • 51-60: 20 surveys • 61-70: 10 surveys • 71+: 4 surveys

12. R Reclaiming Your Joy in Medicine

13. Next Steps: 2-Year Plan of Action We will develop new experiences leading to new beliefs in the following focus areas: • Improving Electronic Medical Record (e.g., efficiency, training) • Improving Communication (e.g., Consultant guidelines) • Working at the Top of Your License • Enabling Greater Clinical Autonomy/Empowerment • Improving Reward and Recognition • Reducing Clinical Burden (e.g., Population Health) • Creating Work/Life Balance • Building Community (e.g., Mixers, speakers forums) • Supporting Physicians’ Emotional Well-Being