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Monday, January 24, 2022

12:15 pm

Chairperson’s Welcoming Remarks

Paul DeChant, CEO/Principal, Paul DeChant, MD, MBA, LLC

Janae Sharp, Founder, Sharp Index

 

12:45 pm

Burnout and the Culture of Medicine
Opening Keynote Supported by SkyWriter, MD
Robert Pearl, MD., Healthcare leader, author, educator, columnist podcaster, and former CEO of The Permanente Medical Group


Robert Pearl, MD is the former CEO of The Permanente Medical Group (1999-2017), the nation’s largest medical group, and former president of The Mid-Atlantic Permanente Medical Group (2009-2017). In these roles, he led 10,000 physicians, 38,000 staff and was responsible for the nationally recognized medical care of 5 million Kaiser Permanente members on the west and east coasts.  This Opening Keynote is supported by SkywriterMD.
 

Burnout afflicts 44% of physicians and has shifted from an acute to a chronic disease. Its roots can be traced not only to systemic problems, but also the invisible but powerful culture of medicine. Ending the burnout scourge will require evolving both the system and the culture in which doctors work.

  • Describe what culture is and how physician culture harms patients

  • Review how physician culture make doctors heroic

  • Illustrate how hierarchy and status contribute to burnout

  • Discover how COVID-19 has impacted the psychological well-being of physicians

 

1:45 pm

Care Team Engagement: Why It Is the Most Important Leadership Responsibility
Steve Beeson, MD, Founder of the Clinician Experience Project at Practicing Excellence.com

As we grapple with the pandemic of physician and nurse burnout, organizations everywhere are challenged with the engagement and restoration of physicians, nurse leaders, administrators and all healthcare workers. In this session, we make the case for engagement as the antithesis of burnout, why engagement is required for all imperatives in healthcare and what leaders say and do to create the sentiment of “this place is the best….and I am willing to do all I can to help this place succeed.”

  • Define engagement and the impact it has on discretionary effort

  • Outline key leadership actions that advance engagement

  • Develop an organizational commitment to counter burnout through engagement levers

2:30 pm
Networking Break 


 

3:00 pm  
Leadership Use of Human Factors/Ergonomics (HFE) Science to Reduce Burnout and Error in Healthcare Systems

Michael R Privitera MD, MS, Professor of Psychiatry, Medical Director, Medical Faculty and Clinician Wellness Program, University of Rochester Medical Center

The majority of errors in healthcare are the result of systemic influences. The majority of occupational stressors causing clinician burnout are the result of systemic influences. Quality paradox: Many well-intended efforts to improve specific elements of quality, safety, or value, when taken together are contributing to healthcare system dysfunction by their cumulative incremental impact on clinicians. Human factors/ergonomics (HFE) science looks at optimizing worker wellbeing and overall system performance. Patient safety is a part of optimized system performance. This seminar will discuss the development and application of human factors ergonomics education one more step upstream than usual applications of HFE at the hospital leadership level, where decisions are made about the implementation of many externally imposed expectations on clinicians that affect their performance in patient care and their wellbeing.

  • Define and give examples of extraneous cognitive load

  • Explain the rationale of why reducing extraneous cognitive load burden may be more impactful in improving patient safety than education alone.

  • Give two examples of applications of cognitive ergonomics that can reduce the risk of clinician burnout and latent medical error.
     

3:40 pm  
Veterans Health Administration’s Whole Health Approach to Supporting Employee Health, Well-being, and Resiliency

Dr. Kavitha Reddy, Associate Director, Veterans Health Administration Office of Patient-Centered Care and Cultural Transformation, U.S. Department of Veterans Affairs

This presentation will focus on the Veteran Health Administration’s efforts to support the health, well-being, and resiliency of their Employees through the Whole Health approach. Topics will include an overview of the Whole Health model, a review of the national Employee Whole Health strategy including successes in implementation and sharing of resources available to employees now.

  • Describe the Whole Health System of Care

  • Explain how this approach has been applied to Employees in VHA

  • List key resources that support employee well-being and resiliency
     

4:20 pm
Moving from Emotional Exhaustion to Emotional Thriving:
A Practical, Integrated Approach to Reduce Organizational Burnout

Read G. Pierce, MD, Chief, Division of Hospital Medicine & Associate Chair for Faculty Development and Well-being at Dell Medical School, University of Texas, Austin

Comprehensive, organizational interventions are more effective at reducing burnout than those supporting individual healthcare workers, but these are pursued infrequently. Many leaders and organizations struggle to identify which combination of tactics will support both workforce wellbeing and measurable clinical outcomes. This session describes a practical, integrated approach organizations can utilize to reduce burnout, improve wellbeing, and enhance performance in healthcare.

  • Discuss the rationale for addressing multiple dimensions of individual, team, leader, and systems factors to improve wellbeing

  • Examine practical examples of interventions that enhance clinical team performance, professional well-being, and a culture of excellence

  • Review outcomes on key performance indicators that organizations experience when using these approaches to create a culture of excellence, thriving, and performance


 
5:00 pm Opening Reception in Sponsor Showcase with Sharp Index Awards

Supported by Nuance

 

Tuesday, January 25, 2022
 

8:30 am 
Chairperson’s Opening Remarks

Janae Sharp, Founder, The Sharp Index

Paul DeChantMD, CEO/Principal, Paul DeChant, MD, MBA, LLC

 

8:45 am 
Clinician Well-being: What’s New?

Tait Shanafelt, MD, Chief Wellness Officer, Stanford University

In this opening keynote session, Dr. Shanafelt will highlight recent scientific insights regarding occupational distress and well-being in healthcare workers including new data regarding the impact of the COVID-19 pandemic.  He will also highlight emerging science regarding the fundamental role of self-evaluation as an Achille’s heel for healthcare workers and the implications.  Finally, we will highlight the evolving data on the critical role of leadership behavior on healthcare professional well-being and the opportunity to harness this dimension as a foundational organizational strategy to mitigate occupational distress.

  • Review recent scientific insights regarding occupational distress and well-being in healthcare workers including:

    • The impact of the COVID pandemic on healthcare workers

    • Occupational consequences of an adverse impact of work on personal relationships

    • New data on the impact of distress on healthcare costs

  • Recognize the foundational role of self-valuation as a risk factor for and opportunity to mitigate occupational distress for individual healthcare workers

  • Identify the critical role of leadership behavior as an organizational strategy to mitigate occupational distress and promote professional fulfillment in healthcare workers

 

9:35 am

Networking Break in Sponsor Showcase

Supported by Aquity Solutions

 

10:05 am 

The Burnout Challenge
Christina Maslach, Ph.D., Professor of Psychology, Emerita; Professor of the Graduate School, University of California, Berkeley

Burnout poses a major challenge for health care.  It is the result of mismatches between the workplace and the worker, in six critical areas.  Innovative answers to this challenge need to modify this job-person relationship by managing the chronic job conditions in these areas, so that people can work smarter rather than just harder.

  • Define the five MBI profiles of work experiences

  • Identify the six strategic areas of job-person match

  • Discuss the seven core psychological needs that can be used to develop ideas for better job-person matches within the six areas

11:05 am 
From Awareness to Action: The Mission of the Dr. Lorna Breen Heroes’ Foundation to Safeguard the Well-being of our Healthcare Professionals 


J. Corey Feist, JD, MBA, Co-Founder, Dr. Lorna Breen Heroes’ Foundation

  • Formulate awareness of issues contributing to the burnout of the healthcare workforce

  • Identify general solutions to address burnout and support well-being

  • Review specific actions that can be taken to support well-being and return the joy to the practice of medicine
     

12:00 pm 
Luncheon

Supported by: ALL IN: Wellbeing First for Healthcare

1:30 pm Choose between two sessions:

 

TRACK A —
Addressing Burnout among Women in Healthcare: Why, What, and How
Diane W. Shannon, MD, MPH, ACC, Principal, Shannon Coaching for Life

 

Women in healthcare experience higher rates of burnout than their male colleagues. In this session, participants will expand their understanding of the specific challenges that women in healthcare face, identify specific supportive actions steps to implement in their organizations, and learn practices to improve their own wellbeing.

  • Describe the key challenges women clinicians and administrators face in healthcare

  • Identify 3 actions organizations can take to address burnout among women clinicians and administrators

  • Explain 3 practices that individuals can adopt to improve their wellbeing


TRACK B —
Organizational Resilience: Nuvance Health Network’s Path to Physician Wellness
Albert Villarin, MD FACEP, Chief Medical Information Officer, Nuvance Health
Paul DeChant, MD CEO/Principal, Paul DeChant, MD, MBA, LLC

Tracy Rue, President, Chief Executive Officer, and Founder, Skywriter MD

Health networks nationally are constantly impacted by multiple factors impeding provider wellness and adding to issues of burnout. Nuvance Health has created a multi-pronged approach to directly address each, collaboratively redesign workflow and implement several integrated informatics automation processes unifying clinical and patient experience.

  • Review current state factors impacting provider wellness

  • Discuss collaborative team design for mitigation and oversight – executive, clinical, information system

  • Design measures to best reflect progress and agile change management


2:05 pm Choose between two sessions:
 

TRACK A —

Using an AI Assistant to Fight Burnout
Judd M. Reynolds, DO, Physician, Hattiesburg Clinic Family Medicine

Edmond Billings, MD, American Academy of Family Medicine Innovation Labs
 

In this session, Dr. Billings will present the results of a Lab conducted by the AAFP on the impact of an AI Assistant on decreasing documentation burden and burnout. He will interview Dr. Reynolds, one of the Lab participants about how it has improved his efficiency, helped bring back joy to his job, and a feeling of freedom he hasn’t felt in years.

  • Decrease documentation time by over 70%  

  • Richer notes and better continuity of care

  • Mobility provides freedom I didn’t know I was missing

TRACK B —

Unparalleled Times: Lessons Learned from Nursing Leadership
Moderator: Elisa Arespacochaga, MBA, American Hospital Association

Panelists:  

Sylvain Trepanier, DNP, RN, CENP, FAONL, FAAN, Senior Vice-President & System Chief Nursing Officer, Providence St. Joseph Health

Beverly Hancock, DNP, RN, NPD-BC, Senior Director, Leadership Development, American Organization for Nursing Leadership (AONL)

David Marshall, JD, DNP, RN, FAAN, FAONL, Senior Vice President & Chief Nursing Executive, James R. Klinenberg, MD, and Lynn Klinenberg Linkin Chair in Nursing, Cedars-Sinai
 

  • Assess the impact and response to the pandemic across nursing leadership

  • Describe lessons learned in fostering a resilient culture amidst the pandemic

  • Recognize the opportunities to support team well-being

  • Discover approaches to address shortages and the impact on team well-being

 

2:40 pm Choose between two sessions:

 

TRACK A —

What Language Are You Speaking?
A Comical Approach to Improving Physician-Administrator Relationships

Peter Valenzuela, MD, MBA, Chief Medical Officer,  Mercy Medical Group

 

Key elements to all good relationships are trust and communication. Unfortunately, it often feels like physicians and administrators are speaking different languages. Based on his 20-year experience as a practicing family physician and health system executive, Dr. Valenzuela offers a myriad of insights into ways to improve physician-administrator relations while his diverse crew of comic figures tickle your funny bone.

 

  • Examine mindset differences between physicians and administrators

  • Describe how leadership impacts physician burnout

  • Provide 3 examples of ways to enhance physician-administrator relationships


TRACK B — (2:05 pm Panel Continued)
Unparalleled Times: Lessons Learned from Nursing Leadership 

3:10 pm  Afternoon Break

3:35 pm Choose between two sessions:

TRACK A —

Be Anti-Burnout: Ways of Seeing and Leading to Create the Context for Well-being
Laura Bennett, MSLOD, MSN, APRN, CNM, ACC

 

During this presentation, conference delegates will learn about models, concepts, and competencies that help clinical and non-clinical leaders assess organizational needs, achieve alignment and lead through the changes necessary to meaningfully move the needle from healthcare burnout to well-being. #antiburnout
 

  • Discuss organization diagnosis as the foundation for designing an effective anti-burnout and well-being strategy with sustainable results

  • Describe The Transformational Triangle and its role in addressing the organizational factors of burnout

  • Explain the motivation and the four competencies of a Transformational Leader

  • Discuss how the Anti-Burnout Leadership approach promotes well-being and inclusion

  • Assess the importance of trauma awareness and trauma responsiveness in mitigating burnout

 

TRACK B —  

Fixing Burnout at the Source: Documentation Overload
Christine Williams, RHIA, Director of Health Information Management, University of Wisconsin Health System
Dale Kivi, MBA, Senior Director of Communications, AQuity Solutions

Reducing the administrative burdens that impact patient care is the goal of Section 4001 of the 21st Century Cures Act.  That objective led to multiple AMA Practice Transformation Initiative studies exploring the effects of Virtual Scribes on physician burnout.  This session highlights those studies as presented in the Journal of AHIMA white paper From Physician Burnout to Business Traction and offers best-practice details for how Virtual Scribes can be leveraged within a multi-disciplined clinical documentation workflow to measurably reduce burnout, improve patient satisfaction, and increase captured encounter details to positively influence justifiable billings.

 

  • Discuss how Virtual Scribes impact Physician Burnout and work/life balance

  • Review the scope of support provided by Virtual Scribes beyond EHR basic document creation

  • Distinguish how Virtual Scribes impact document quality and subsequent justifiable billing

  • Identify providers who would most benefit from Virtual Scribes support

4:10 pm Choose between two sessions:

 

TRACK A — 

How University of Michigan Health-West Restores the Joy of Medicine and Alleviates the Documentation Burden with AI Technology

Lance Owens, CMIO, University of Michigan Health-West
Rakesh Pai, Rakesh Pai, MD, MBA, MHCDS, FACC

Although burnout can occur in any setting, it is important to acknowledge that studies show 42% of physicians report feelings of burnout and fatigue – and the pandemic has only exacerbated the issue. Time spent documenting care and the inability to fully focus on patients are contributing factors. Adopting AI and ambient technologies are part of University of Michigan Health-West’s strategy to reduce the cognitive load of getting data into the EHR and to restore the intimacy of the patient-provider experience.

Learning objectives:

  1. Identify tools, mechanisms, and resources to support the emotional well-being of faculty, staff and learners

  2. Facilitate well-being discussions

  3. Describe technology factors that drive innovation

  4. Explain the use of AI to support the clinical documentation process


4:45 pm Closing Remarks 

5:00 pm End of Conference