EoE Module 13 References-Smith et al NAM Perspectives 2018 Implementing-Optimal-Team-Based-Care-to-Reduce-Clinician-Burnout

Smith et al NAM Perspectives 2018 Implementing-Optimal-Team-Based-Care-to-Reduce-Clinician-Burnout

Pdf Summary

The discussion paper "Implementing Optimal Team-Based Care to Reduce Clinician Burnout" explores the benefits of team-based care in improving patient outcomes and clinician well-being within the increasingly complex health care environment. The paper, authored by professionals affiliated with various health and medical organizations, provides a comprehensive view of what constitutes an effective health care team and the pivotal role of team-based care.<br /><br />A health care team is defined as two or more health care professionals working collaboratively with patients and caregivers to achieve shared goals. The paper outlines characteristics of successful teams, including having a clear purpose, enabling social structures, supportive organizational contexts, and expert coaching. Psychological safety within teams is crucial, allowing members to communicate effectively, admit mistakes, and innovate without fear, contributing to both patient and clinician well-being.<br /><br />The paper also addresses the shift from fee-for-service to value-based payment models, emphasizing how this shift can be supported by team-based approaches, especially for patients with complex care needs. Studies cited show team-based care can improve clinical outcomes, enhance patient self-management, and lead to cost savings due to more efficient care processes.<br /><br />Despite these benefits, substantial barriers exist, including regulatory hurdles, outdated digital health infrastructure, and payment systems that do not incentivize team-based care. Proposed solutions include regulatory reforms to support team documentation and data exchange, investment in team-building and training, and advocacy for payment systems that align incentives with team collaborations.<br /><br />Lastly, the paper calls for further research to quantify the impacts of team-based care on clinician burnout and patient safety. It suggests utilizing frameworks from other sectors like aviation and corporate businesses to fortify team dynamics in health care settings. Through robust team-based strategies, health care systems can achieve improved outcomes and more sustained clinician satisfaction.

Keywords

team-based care

clinician burnout

patient outcomes

health care teams

psychological safety

value-based payment

regulatory barriers

digital health infrastructure

team collaboration

clinician well-being