Nested care may enhance well-being measures among providers, staff vs. rotating care
Click Here to Manage Email Alerts
Key takeaways:
- Nested care improved professional fulfillment, team development and electronic medical record efficiency compared with rotating care.
- Nested care also decreased physician burnout compared with rotating care.
WASHINGTON — Results presented here showed that a nested care-team model may produce superior well-being measures among providers and staff compared with a rotating care-team model.
In a retrospective study, Alfred W. Atanda Jr., MD, and colleagues examined well-being assessments in two different staffing methods to compare a nested care-team model with a rotating care-team model. The nested care-team model (n=6) included one pediatric sports medicine team consistently based in the same location, while the rotating care-team model (n=7) included a variety of staff and locations. Assessments included the professional fulfillment index, the Mini-Z_2.0, a team development measure and electronic medical record data collected at 0 and 7 months.
“Efficiency of practice specifically has been shown to be a major source of frustration for clinicians nationwide,” Atanda said in his presentation at the American Orthopaedic Society for Sports Medicine Annual Meeting.
Researchers found that the nested care-team model scored more favorably on each metric compared with the rotating care-team model, with significant differences in professional fulfillment and overall burnout. The nested care-team model also scored significantly better on all metrics of the Mini-Z_2.0, including supported work environment, practice efficiency and total scores at both time points, according to Atanda.
“Regarding team development, the nested care-team members demonstrated higher scores at both time points, although these values were only significantly different between the two models at the first time point,” Atanda said.
He added nested care-team members demonstrated better efficiency on all EMR metrics, with significant differences found for time in In-Basket per day and time for clinical review per patient.
“In conclusion, we have shown that a nested care-team model in an academic pediatric sports medicine clinic demonstrated greater professional fulfillment, decreased burnout, greater team development and increased EMR efficiency when compared to a rotating care-team model,” Atanda said. “Clinicians and administrators should work together in collaboration to consider nested care-team models to enhance efficiency of practice when striving for professional fulfillment for all clinicians,” he added.
Collapse
Atanda AW, et al. Paper 6. Presented at: American Orthopaedic Society for Sports Medicine Annual Meeting; July 12-16, 2023; Washington, D.C.
Read more about
Click Here to Manage Email Alerts