From triple to quadruple aim: care of the patient requires care of the provider.
The Triple Aim-enhancing patient experience, improving population health, and reducing costs-is widely accepted as a compass to optimize health system performance. Yet physicians and other members of the health care workforce report widespread burnout and dissatisfaction. Burnout is associated with lower patient satisfaction, reduced health outcomes, and it may increase costs. Burnout thus imperils the Triple Aim.
Elements of team-based care in a patient-centered medical home are associated with lower burnout among VA primary care employees.
BACKGROUND:
A high proportion of the US primary care workforce reports burnout, which is associated with negative consequences for clinicians and patients. Many protective factors from burnout are characteristics of patient-centered medical home (PCMH) models, though even positive organizational transformation is often stressful. The existing literature on the effects of PCMH on burnout is limited, with most findings based on small-scale demonstration projects with data collected only among physicians, and the results are mixed.
A Cluster Randomized Trial of Interventions to Improve Work Conditions and Clinician Burnout in Primary Care: Results from the Healthy Work Place (HWP) Study.
BACKGROUND:
Work conditions in primary care are associated with physician burnout and lower quality of care.
OBJECTIVE:
We aimed to assess if improvements in work conditions improve clinician stress and burnout.
SUBJECTS:
Primary care clinicians at 34 clinics in the upper Midwest and New York City participated in the study.
STUDY DESIGN:
This was a cluster randomized controlled trial.
MEASURES:
Transforming the delivery of care in the post-health reform era: what role will community health workers play?
The Patient Protection and Affordable Care Act (PPACA) affords opportunities to sustain the role of community health workers (CHWs). Among myriad strategies encouraged by PPACA are prevention and care coordination, particularly for chronic diseases, chief drivers of increased health care costs. Prevention and care coordination are functions that have been performed by CHWs for decades, particularly among underserved populations. The two key delivery models promoted in the PPACA are accountable care organizations and health homes.
The Silent Treatment: Why Safety Tools and Checklists Aren’t Enough to Save Lives
Silence Kills was conducted immediately before AACN’s national standards for healthy work environments were released. It identified seven concerns that often go undiscussed and contribute to avoidable medical errors. It linked the ability of health professionals to discuss emotionally and politically risky topics in a healthcare setting to key results like patient safety, quality of care, and nursing turnover, among others.
The Impact of a Multidisciplinary, Student-Run, Free Clinic on Health Professional Students’ Attitudes Towards the Underserved and Interprofessionalism
To determine the impact of a multidisciplinary, student-run, free clinic on health professional students’ attitudes towards the underserved and interprofessionalism attitudes and skills. We hypothesize that these students will show better attitudes and skills than those students not volunteering in the clinic. Many health professional schools find it challenging to teach interprofessionalism in a way that is both valued by students and impactful on the outcome of changing the attitudes and behaviors towards students from other professions.
The American Society of Clinical Laboratory Science Code of ethics
The Code of Ethics of the American Society for Clinical Laboratory Science sets forth the principles and standards by which clinical laboratory professionals practice their profession.
The American Public Health Association Code of ethics
A code of ethics for public health can clarify the distinctive elements of public health and the ethical principles that follow from or respond to those elements. It can make clear to populations and communities the ideals of the public health institutions that serve them, ideals for which the institutions can be held accountable.
The American Nurses Association- Code of Ethics for Nurses
The Code of Ethics for Nurses establishes the ethical standard for the professional and provides a guide for nurses to use in ethical analysis and decision making.
The American Medical Association Code of ethics
The medical profession has long subscribed to a body of ethical statements developed primarily for the benefit of the patient. As a member of this profession, a physician must recognize responsibility to patients first and foremost, as well as to society, to other health professionals, and to self. The following Principles adopted by the American Medical Association are not laws, but standards of conduct which define the essentials of honorable behavior for the physician.