Table 3.

Connection between Previously Identified Drivers of Burnout and Impact of CMM on Providers

Seven Drivers of Burnout and Engagement11Related Theme(s) from Provider Perception of CMMIllustrative Quotation from CMM Interviews
Workload and Job Demands
  • Decreased workload

  • Achievement of quality measures

“Actually, it just gives me another resource for complicated medical management issues for questions about new meds [medications], for questions. I mean, when they're in your care team, it is one other person on your team that helps you take care of the patient. Sometimes I feel like I might get less even questions from nurses, because [the pharmacist] is available for nurses to ask questions to. So it frees me up for other things and makes my day for sure more efficient because they're there to help offload some of the medicine questions, for me as well as for other staff.” (Participant 12)
Work-life Integration
  • Decreased workload

  • Decreased mental exhaustion

“If sometimes we have this chronic condition that we can pass on to [the CMM service] and they can work on that while we're addressing a couple of other things with the patients, that's satisfying, but it also helps us stay moving throughout our day. If we can pass the patient off to them and we can keep seeing other patients and we're not stuck on a particularly problematic issue that we don't really have time for that day, then I get to go home and be with my family and that's really nice. So yeah, they're also very helpful in that situation and that's very good for professional satisfaction.” (Participant 4)
Social Support and Community at Work
  • Collaborative partner

  • Reassurance

“I feel like with [the pharmacist] it's just a nice, really a collegial, kind of … Sometimes we're both doing the same thing, although they know a ton more about the medicines than I do. But I might know more about something else than they, or something; but it's a really collegial sort of sharing, and for me personally, that's fulfilling, and that makes the day nicer and brighter and positive.” (Participant 12)
Efficiency and Resources
  • Added skillset/resource

  • Decreased Workload

  • Increased provider access

“Again, research has shown in multiple clinical scenarios where a follow up from the clinic helps with these sorts of things, but I can just take that off my plate and trust that it will get done and it will get done well, and in perhaps an easier way for the patient, because they don't necessarily need to come in for a one-on-one visit with me then in addition. They can do that with the [CMM] pharmacist in clinic, or do a phone consultation as well, and not have any more lost time from work for the patient. Again, it's not on my time, after hours, adding to my day.” (Participant 15)
Meaning in Work
  • Satisfaction patients are receiving better care

  • Enhanced professional learning

“Just [the pharmacists'] expertise makes me feel satisfied, because I feel my patients are getting the highest quality. I think it feels so unsatisfying when you don't know something for a patient, so even if I'm not the one solving it for them, to be able to have a resource nearby makes me feel satisfied, because I feel like I can see that my patients are getting quality care even if it's not a hundred percent from me.” (Participant 2)
Organizational Culture and ValuesOur findings do not connect to this driver
Control and FlexibilityOur findings do not connect to this driver
  • CMM, Comprehensive medication management.