Article Figures & Data
Figures
- Figure 1
Trends in burnout among SFHN clinicians and staff.
SFHN = San Francisco Health Network.
Notes: The figure shows mean emotional exhaustion and cynicism scores by year. Higher scores indicate a higher level of burnout. The P values are from regression models using year as the primary predictor, controlling for tenure of employment and full- vs part-time status at the clinic, and adjusting for clustering of individuals who responded to more than 1 survey wave.
- Figure 2
Trends in burnout among UCSF Health clinicians and staff.
UCSF = University of California San Francisco.
Notes: The figure shows mean emotional exhaustion and cynicism scores by year. Higher scores indicate a higher level of burnout. The P values are from regression models using year as the primary predictor, controlling for tenure of employment and full vs part time status at the clinic and adjusting for clustering of individuals who responded to more than 1 survey wave.
Tables
Building Block Element Example Engaged leadership Primary care service lines led by executive medical and administrative/nursing directors teams, regular staff and clinician meetings, Lean management including daily huddles, formal leadership training for some clinic managers Data-driven improvement Performance dashboards regularly provided at the clinic and individual PCC levels, transparent posting of dashboards in clinics Empanelment All patients formally empaneled with a PCC, panel sizes computed for each PCC and adjusted for patient complexity, panel size targets adjusted for clinical FTE effort Team-based care Behavioral health integration or coordination, scribes for some PCCs, complex care teams, pharmacists at some sites Patient-team partnership Patient advisory councils at most clinics Population management Registries and panel management to close preventive and chronic care gaps Prompt access to care Call centers, modified scheduling templates to improve access, active management of new patient appointment scheduling FTE = full-time equivalent; PCC = primary care clinician; SFHN = San Francisco Health Network; UCSF = University of California San Francisco.
Characteristic Clinicians
(n = 215)Staff
(n = 397)System, No. (%) SFHN 112 (52.1) 249 (62.7) UCSF 103 (47.9) 128 (37.3) Position, No. (%) Physician 170 (80.2) … Nurse practitioner, physician assistant 42 (19.8) … Nurse (RN or LVN) … 84 (21.1) Medical assistant … 123 (30.9) Front office/clerical … 112 (28.1) Behavioral health … 33 (8.3) Other … 46 (11.6) Tenure at time of survey, No. (%) <1 y 10 (9.0) 42 (17.2) 1-5 y 138 (64.0) 138 (56.6) >5 y 30 (27.0) 64 (26.2) Patient care sessions per week, No. (%) 1-2 half-days 80 (37.6) … 3-5 half-days 87 (40.1) … ≥6 half-days 46 (21.6) … Work status, No. (%) Full time (>20 hours/week) … 362 (94.3) Part time (<20 hours/week) … 22 (5.7) LVN = licensed vocational nurse; RN = registered nurse; SFHN = San Francisco Health Network; UCSF = University of California San Francisco.
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