On-Demand: In-Basket Management and Provider Well-Being-Presentation Slides

Presentation Slides

Pdf Summary

The document discusses the issue of in-basket management in healthcare, particularly its impact on provider well-being and the need for addressing it at a systemic level. It highlights the increasing source of burnout in healthcare providers due to electronic health records (EHRs) and emphasizes the importance of clinician well-being as a strategic priority for the American College of Cardiology (ACC). The document presents the agenda for a presentation on this topic by Dr. Lee R. Goldberg and Dr. Xiaoyan Huang.<br /><br />It goes on to discuss the effects of COVID-19 on in-basket management, including a 15% increase in in-basket time and a doubling of patient advice messages. The high rate of physician burnout and the estimated cost of physician burnout are also mentioned, highlighting the need for system-level changes rather than focusing solely on individual well-being.<br /><br />The document provides an overview of a $15 million investment in EHR optimization at Providence Heart Clinic, which includes ambulatory, provider-focused improvements and provider-led, rapid process improvement. It discusses the optimization projects and their goals, such as improving overall satisfaction with the EHR and implementing rapid process improvement sprints.<br /><br />The document also covers the optimization strategies implemented, including data visualization, documentation standardization, and optimizing staff workflows. It emphasizes the importance of dissemination and iterative improvement in the optimization process.<br /><br />Other topics addressed include the impact of in-basket volume on cardiology practices, the concept of top of scope implementation to distribute work among the team, message triaging to route messages to the appropriate staff, workflow redesign, and the importance of governance and partnerships between IS/EHR analysts and clinical/operations teams.<br /><br />The document concludes by stating that in-basket burden is a significant contributor to healthcare inefficiency and clinician burnout, and addressing it requires a multi-faceted approach, including advocacy, redesigning payment models, optimizing technology, and building a culture of design thinking. The ACC and MedAxiom are mentioned as resources for support in addressing these issues.

Keywords

in-basket management

provider well-being

burnout

electronic health records

EHR optimization

physician burnout

system-level changes

workflow redesign

governance

culture of design thinking