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Research ArticleOriginal Research

Effect of an Integrated Clinical Pharmacist on the Drivers of Provider Burnout in the Primary Care Setting

Jordan D. Haag, Kaitlin J. Yost, Kimberly A. Kosloski Tarpenning, Audrey J. Umbreit, Sarah A. McGill, Amy L. Rantala, James A. Storlie, Jay D. Mitchell, Ross A. Dierkhising and Nilay D. Shah
The Journal of the American Board of Family Medicine May 2021, 34 (3) 553-560; DOI: https://doi.org/10.3122/jabfm.2021.03.200597
Jordan D. Haag
From the Department of Pharmacy, Mayo Clinic, Rochester, MN (JDH); Department of Pharmacy, Mayo Clinic Health System — Northwest Wisconsin region, Eau Claire, WI (KJY); Department of Pharmacy, Mayo Clinic Health System, Owatonna — Southeast Minnesota region, MN (KAKT); Department of Pharmacy, Mayo Clinic Health System — Southwest Minnesota region, Mankato, MN (AJU); Avera Medical Group Brookings, Brookings, SD (SAM); Family Medicine, Mayo Clinic Health System — Northwest Wisconsin region, Eau Claire, WI (ALR, JAS); Department of Family Medicine, Mayo Clinic, Rochester, MN (JDM); Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN (RAD); Division of Health Care Policy and Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN (NDS).
PharmD
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Kaitlin J. Yost
From the Department of Pharmacy, Mayo Clinic, Rochester, MN (JDH); Department of Pharmacy, Mayo Clinic Health System — Northwest Wisconsin region, Eau Claire, WI (KJY); Department of Pharmacy, Mayo Clinic Health System, Owatonna — Southeast Minnesota region, MN (KAKT); Department of Pharmacy, Mayo Clinic Health System — Southwest Minnesota region, Mankato, MN (AJU); Avera Medical Group Brookings, Brookings, SD (SAM); Family Medicine, Mayo Clinic Health System — Northwest Wisconsin region, Eau Claire, WI (ALR, JAS); Department of Family Medicine, Mayo Clinic, Rochester, MN (JDM); Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN (RAD); Division of Health Care Policy and Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN (NDS).
PharmD
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Kimberly A. Kosloski Tarpenning
From the Department of Pharmacy, Mayo Clinic, Rochester, MN (JDH); Department of Pharmacy, Mayo Clinic Health System — Northwest Wisconsin region, Eau Claire, WI (KJY); Department of Pharmacy, Mayo Clinic Health System, Owatonna — Southeast Minnesota region, MN (KAKT); Department of Pharmacy, Mayo Clinic Health System — Southwest Minnesota region, Mankato, MN (AJU); Avera Medical Group Brookings, Brookings, SD (SAM); Family Medicine, Mayo Clinic Health System — Northwest Wisconsin region, Eau Claire, WI (ALR, JAS); Department of Family Medicine, Mayo Clinic, Rochester, MN (JDM); Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN (RAD); Division of Health Care Policy and Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN (NDS).
PharmD
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Audrey J. Umbreit
From the Department of Pharmacy, Mayo Clinic, Rochester, MN (JDH); Department of Pharmacy, Mayo Clinic Health System — Northwest Wisconsin region, Eau Claire, WI (KJY); Department of Pharmacy, Mayo Clinic Health System, Owatonna — Southeast Minnesota region, MN (KAKT); Department of Pharmacy, Mayo Clinic Health System — Southwest Minnesota region, Mankato, MN (AJU); Avera Medical Group Brookings, Brookings, SD (SAM); Family Medicine, Mayo Clinic Health System — Northwest Wisconsin region, Eau Claire, WI (ALR, JAS); Department of Family Medicine, Mayo Clinic, Rochester, MN (JDM); Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN (RAD); Division of Health Care Policy and Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN (NDS).
PharmD
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Sarah A. McGill
From the Department of Pharmacy, Mayo Clinic, Rochester, MN (JDH); Department of Pharmacy, Mayo Clinic Health System — Northwest Wisconsin region, Eau Claire, WI (KJY); Department of Pharmacy, Mayo Clinic Health System, Owatonna — Southeast Minnesota region, MN (KAKT); Department of Pharmacy, Mayo Clinic Health System — Southwest Minnesota region, Mankato, MN (AJU); Avera Medical Group Brookings, Brookings, SD (SAM); Family Medicine, Mayo Clinic Health System — Northwest Wisconsin region, Eau Claire, WI (ALR, JAS); Department of Family Medicine, Mayo Clinic, Rochester, MN (JDM); Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN (RAD); Division of Health Care Policy and Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN (NDS).
PharmD
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Amy L. Rantala
From the Department of Pharmacy, Mayo Clinic, Rochester, MN (JDH); Department of Pharmacy, Mayo Clinic Health System — Northwest Wisconsin region, Eau Claire, WI (KJY); Department of Pharmacy, Mayo Clinic Health System, Owatonna — Southeast Minnesota region, MN (KAKT); Department of Pharmacy, Mayo Clinic Health System — Southwest Minnesota region, Mankato, MN (AJU); Avera Medical Group Brookings, Brookings, SD (SAM); Family Medicine, Mayo Clinic Health System — Northwest Wisconsin region, Eau Claire, WI (ALR, JAS); Department of Family Medicine, Mayo Clinic, Rochester, MN (JDM); Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN (RAD); Division of Health Care Policy and Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN (NDS).
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James A. Storlie
From the Department of Pharmacy, Mayo Clinic, Rochester, MN (JDH); Department of Pharmacy, Mayo Clinic Health System — Northwest Wisconsin region, Eau Claire, WI (KJY); Department of Pharmacy, Mayo Clinic Health System, Owatonna — Southeast Minnesota region, MN (KAKT); Department of Pharmacy, Mayo Clinic Health System — Southwest Minnesota region, Mankato, MN (AJU); Avera Medical Group Brookings, Brookings, SD (SAM); Family Medicine, Mayo Clinic Health System — Northwest Wisconsin region, Eau Claire, WI (ALR, JAS); Department of Family Medicine, Mayo Clinic, Rochester, MN (JDM); Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN (RAD); Division of Health Care Policy and Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN (NDS).
MD
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Jay D. Mitchell
From the Department of Pharmacy, Mayo Clinic, Rochester, MN (JDH); Department of Pharmacy, Mayo Clinic Health System — Northwest Wisconsin region, Eau Claire, WI (KJY); Department of Pharmacy, Mayo Clinic Health System, Owatonna — Southeast Minnesota region, MN (KAKT); Department of Pharmacy, Mayo Clinic Health System — Southwest Minnesota region, Mankato, MN (AJU); Avera Medical Group Brookings, Brookings, SD (SAM); Family Medicine, Mayo Clinic Health System — Northwest Wisconsin region, Eau Claire, WI (ALR, JAS); Department of Family Medicine, Mayo Clinic, Rochester, MN (JDM); Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN (RAD); Division of Health Care Policy and Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN (NDS).
MD
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Ross A. Dierkhising
From the Department of Pharmacy, Mayo Clinic, Rochester, MN (JDH); Department of Pharmacy, Mayo Clinic Health System — Northwest Wisconsin region, Eau Claire, WI (KJY); Department of Pharmacy, Mayo Clinic Health System, Owatonna — Southeast Minnesota region, MN (KAKT); Department of Pharmacy, Mayo Clinic Health System — Southwest Minnesota region, Mankato, MN (AJU); Avera Medical Group Brookings, Brookings, SD (SAM); Family Medicine, Mayo Clinic Health System — Northwest Wisconsin region, Eau Claire, WI (ALR, JAS); Department of Family Medicine, Mayo Clinic, Rochester, MN (JDM); Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN (RAD); Division of Health Care Policy and Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN (NDS).
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Nilay D. Shah
From the Department of Pharmacy, Mayo Clinic, Rochester, MN (JDH); Department of Pharmacy, Mayo Clinic Health System — Northwest Wisconsin region, Eau Claire, WI (KJY); Department of Pharmacy, Mayo Clinic Health System, Owatonna — Southeast Minnesota region, MN (KAKT); Department of Pharmacy, Mayo Clinic Health System — Southwest Minnesota region, Mankato, MN (AJU); Avera Medical Group Brookings, Brookings, SD (SAM); Family Medicine, Mayo Clinic Health System — Northwest Wisconsin region, Eau Claire, WI (ALR, JAS); Department of Family Medicine, Mayo Clinic, Rochester, MN (JDM); Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN (RAD); Division of Health Care Policy and Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN (NDS).
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Abstract

Purpose: As the prevalence of provider burnout continues to increase, it is critical to identify interventions that may impact provider satisfaction, such as an integrated clinical pharmacist. This study aimed to assess the perceived effect of pharmacist integration on primary care provider satisfaction and drivers of provider burnout in the primary care setting.

Methods: A cross-sectional survey with 11 questions across 4 domains was distributed to primary care providers in a large integrated health system.

Results: Of 295 providers invited to take the survey, 119 responded (40% response rate). Most providers had worked with a pharmacist for at least 2 years and utilized them weekly or daily. At least 87% of provider respondents strongly agreed or somewhat agreed that the integrated clinical pharmacist reduced their workload by working directly with patients and non-provider staff, improved overall medication use, helped patients meet health goals and quality measures, and overall helped them to effectively manage their panel of patients. Providers found greater meaning in work through the presence of the clinical pharmacist, which allowed them more time to focus on professionally fulfilling aspects of their work and helped them feel less emotional exhaustion. Overall, 91% of providers were extremely satisfied with the clinical pharmacy service.

Conclusions: These findings may be used to justify the expansion of clinical pharmacy services in primary care to practice areas experiencing problems with 4 specific drivers of provider burnout: workload and job demands, efficiency and resources, meaning in work, and social support and community at work.

  • Clinical Pharmacy Service
  • Cross-Sectional Studies
  • Health Personnel
  • Job Satisfaction
  • Occupational Burnout
  • Patient Care Team
  • Pharmacists
  • Practice Management
  • Primary Health Care
  • Surveys and Questionnaires
  • Workforce
  • Workload
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The Journal of the American Board of Family     Medicine: 34 (3)
The Journal of the American Board of Family Medicine
Vol. 34, Issue 3
May/June 2020
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Effect of an Integrated Clinical Pharmacist on the Drivers of Provider Burnout in the Primary Care Setting
Jordan D. Haag, Kaitlin J. Yost, Kimberly A. Kosloski Tarpenning, Audrey J. Umbreit, Sarah A. McGill, Amy L. Rantala, James A. Storlie, Jay D. Mitchell, Ross A. Dierkhising, Nilay D. Shah
The Journal of the American Board of Family Medicine May 2021, 34 (3) 553-560; DOI: 10.3122/jabfm.2021.03.200597

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Effect of an Integrated Clinical Pharmacist on the Drivers of Provider Burnout in the Primary Care Setting
Jordan D. Haag, Kaitlin J. Yost, Kimberly A. Kosloski Tarpenning, Audrey J. Umbreit, Sarah A. McGill, Amy L. Rantala, James A. Storlie, Jay D. Mitchell, Ross A. Dierkhising, Nilay D. Shah
The Journal of the American Board of Family Medicine May 2021, 34 (3) 553-560; DOI: 10.3122/jabfm.2021.03.200597
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Keywords

  • Clinical Pharmacy Service
  • Cross-Sectional Studies
  • Health Personnel
  • Job Satisfaction
  • Occupational Burnout
  • Patient Care Team
  • Pharmacists
  • Practice Management
  • Primary Health Care
  • Surveys and Questionnaires
  • Workforce
  • Workload

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