PT  - JOURNAL ARTICLE
AU  - Khanna, Niharika
AU  - Montgomery, Russ
AU  - Klyushnenkova, Elena
TI  - Joy in Work for Clinicians and Staff: Identifying Remedial Predictors of Burnout from the Mini Z Survey
AID  - 10.3122/jabfm.2020.03.190458
DP  - 2020 May 01
TA  - The Journal of the American Board of Family
                Medicine
PG  - 357--367
VI  - 33
IP  - 3
4099  - http://www.jabfm.org/content/33/3/357.short
4100  - http://www.jabfm.org/content/33/3/357.full
SO  - J Am Board Fam Med2020 May 01; 33
AB  - Purpose: The CMS Transforming Clinical Practice Initiative (TCPI) provided coaching and learning support to practices during transition to new models of value-based care. Maryland ambulatory practices participated in the Garden Practice Transformation Network (GPTN) as a part of the TCPI. During practices assessment, we measured prevalence of burnout and identified its remediable predictors among GPTN-Maryland practices.Methods: A modified Mini Z tool survey was distributed among clinicians and staff in November 2018 - July 2019. Association between presence of burnout and burnout drivers was assessed using a Generalized Estimating Equation regression model for ordinal outcome.Results: Data from 166 responses were analyzed. Prevalence of burnout symptoms was 22%, with 35% enjoying their work. A 100-point Time Constraints/Teamwork (T/T) score was constructed using factors significantly associated with burnout symptoms. T/T score increase by 1 unit was associated with 10% increase in the odds of moving from the group experiencing burnout or stress to the group who found ‘joy in work’ (OR = 1.1, 95% CI 1.07, 1.13, p < 0.0001).Conclusions: The Mini Z-derived T/T score could be useful for quick assessment of the degree of burnout and identifying burnout drivers related to effective organizational structure and supportive teamwork in practice personnel.