The Resilient Healthcare Organization

Professional burnout is an epidemic in America. Approximately half of physicians and nurses are affected and at risk for themselves and their patients. Much has been written about professional burnout. The term was originally coined in the 1970s by American psychologist Herbert Freudenberger to describe the consequences of severe stress and high ideals experienced by people working in "helping" professions. Since then, many books have been written to address this looming national public health crisis. But, unfortunately, there has been much less written from a solution standpoint: getting to the root cause of why this is occurring now more than ever. The Resilient Healthcare Organization engages readers focusing on physicians and healthcare professionals and their experiences and how they overcame a loss of enthusiasm for work, feelings of cynicism, and a low sense of personal accomplishment. The feelings of emotional exhaustion are characterized by depersonalization and perceived ineffectiveness. These are the cardinal features that define "burnout" and affect almost 50% of physicians and 30-70% of nurses. This book addresses why burnout is viewed as a threat and how it can be fought. The author discusses the contributing factors and solutions at the health system and societal level. Additionally, this book explores the current and future etiology and impacts on physicians and healthcare professionals, with a significant emphasis on solutions at both the individual level and the system level. Contributors: Patricia S. Normand MD, Bruce Flareau, MD, Kathleen Ferket, MSN, APRN, Daniel Edelman, DO, and Peter B. Angood, MD.

Dr. George Mayzell is the founder and president of Empowered Healthcare which specializes in population health, care management redesign, clinical variation, clinical integration and physician leadership. He was the past Chief Clinical Officer of Vizient Southeast Prior to that he was the Senior Vice President/Chief Medical Officer and Chief Clinical Integration Officer for AMITA Health, an integrated health system serving communities in western and northwestern suburban Chicago. AMITA Health is a Joint Operating Company formed in February 2015 by Adventist Midwest Health and Alexian Brothers Health System, encompassing nine hospitals and an extensive physician provider network of more than 3,000 physicians. Dr. Mayzell joined Adventist Midwest Health in January 2013, after serving as CEO of Health Choice (a PHO and CIN) and Senior Vice President of Methodist Le Bonheur Healthcare in Memphis, Tenn. He previously served as senior medical director of managed care for University of Florida and Shands Hospital. He spent more than 10 years with Blue Cross Blue Shield of Florida, working as regional medical director for care and quality and corporate managing medical director for pharmacy and care. Additionally, he has more than 10 years of practice experience. Dr. Mayzell is a board certified internist and geriatrician. He received his medical degree from the Rutgers and his MBA from Jacksonville University. Dr. Mayzell has co-authored several books including "Leveraging Lean in Healthcare" and "Physician Alignment, as well as "Population Health".

1 How We Got Here GEORGE MAYZELL 2 What Is Burnout: "The Disillusioned Physician Syndrome" GEORGE MAYZELL 3 Looking at Causality GEORGE MAYZELL 4 Consequences of Burnout GEORGE MAYZELL 5 The Importance of Measuring Burnout GEORGE MAYZELL AND PATRICIA S. NORMAND 6 Individual Solutions GEORGE MAYZELL 7 Organizational Solutions to Burnout GEORGE MAYZELL 8 The Disillusioned Physician and the Electronic Medical Record GEORGE MAYZELL 9 Creating Resiliency and Grit BRUCE FLAREAU 10 Burnout in Nurses across Practice Domains: Implications and Correlations to Physician Burnout KATHLEEN FERKET 11 Burnout: A Healthcare Crisis for Us All GEORGE MAYZELL AND BRUCE FLAREAU 12 Moving Past Burnout to Engagement and Joy GEORGE MAYZELL

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