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December 17, 2018

ASHP Continues to Lead on Pharmacy Workforce Well-Being & Resilience

Paul W. Abramowitz, Pharm.D., Sc.D. (Hon.), FASHP

I am pleased to share with you that over the last year ASHP has continued to increase our efforts to support the well-being and resiliency of the pharmacy workforce. ASHP is an original sponsor of the National Academy of Medicine (NAM) Action Collaborative on Clinician Well-Being and Resilience and is honored to support the pharmacy profession on this important patient care and workforce issue. As the NAM Action Collaborative on Clinician Well-Being and Resilience approaches the two-year mark, I would like to share some updates with you on our efforts to help address this important issue facing pharmacists, pharmacy residents, student pharmacists, and pharmacy technicians.

These past 15 months, through the NAM Action Collaborative and ASHP’s own organizational efforts, we have raised the visibility of clinician burnout, depression, stress, and suicide. Over that time, ASHP has developed resources, educational programming at our national meetings, and community connections for members to learn more about the issue. Former U.S. Surgeon General Vivek Murthy kicked off our 2018 ASHP Summer Meetings by challenging attendees to include well-being as the core of what we do as healthcare workers.

Summer Meetings attendees also heard about some of the science behind resilience and were introduced to interventions for building individual and team resilience through two interactive presentations by Dr. Bryan Sexton, Director of the Duke Patient Safety Center. Conversations on the topic continued in the ASHP House of Delegates, where delegates approved an ASHP policy on Clinician Well-Being and Resilience. We are very pleased to have an official professional policy for members to reference as they begin and continue discussions at their institutions. Efforts by the ASHP House of Delegates also helped form a joint ASHP Council and Commission session on the pharmacists’ role in suicide prevention during the 2018 ASHP Policy Week.

We know that burnout is associated with compromised patient safety and a loss of productivity in the healthcare workforce. As such, we continue to help advance pharmacy-specific research on resilience and well-being. ASHP recently partnered with the Pharmacy Technician Certification Board (PTCB) and Duke University Health to study the prevalence of burnout in pharmacy technicians and identify resources to support this important and growing segment of ASHP’s membership. While both NAM and ASHP are improving baseline understanding of challenges to clinician well-being, we are reminded that this is a local issue that requires local solutions to address it. ASHP members continue to share their strategies on how to foster the creation of resilience in clinical learning and managing preceptor burnout. If you traveled to Anaheim for the recent Midyear Clinical Meeting, there were multiple educational sessions on workforce well-being. Many of these sessions were recorded and will be available on ASHP eLearning in early 2019.

NAM recently kicked off a consensus study to examine systems approaches to improve patient care by supporting clinician well-being. ASHP nominated M. Lynn Crismon, Dean, University of Texas, College of Pharmacy, to serve on this committee, which will issue a report with recommendations for system changes to streamline processes and manage complexity, minimize the burden of documentation requirements, and enhance workflow and teamwork to support the well-being of all clinicians and trainees. In the meantime, the NAM clinician well-being knowledge hub continues to grow with solution strategies for leaders, organizations, and individuals, including ASHP contributions to a discussion paper on implementing optimal team-based care to reduce clinician burnout. ASHP state affiliates are also an important part of the conversation, and ASHP has created a state affiliate toolkit on well-being and resilience to assist them in their state-level efforts.

Our continued work in advancing workforce well-being and resilience is ultimately growing a foundation for long-term culture change. We have enhanced our SSHP Recognition Program for the 2018–2019 academic year to encourage our students to address the issue. We know that many of you are working on well-being and resilience within your organizations, and we would appreciate hearing from you. We encourage you to share your stories through our community on ASHP Connect. Or, maybe you know of an individual or an organization that is demonstrating positive progress on resilience and supporting a healthy and engaged workforce. If so, we encourage you to fill out this brief survey so that we can create case studies others can learn from.

I hope you share our enthusiasm about this very important work to support the resilience and well-being of the entire pharmacy workforce and about the impact this work will have on improving patient care.

Thanks so much for being an ASHP member and for everything you do for your patients and pharmacy teams. I look forward to sharing more with you in the future as ASHP’s efforts continue in this important area. Have a safe holiday season.

Sincerely,

Paul

April 9, 2018

ASHP Leading the Way on Well-Being & Resilience

Paul W. Abramowitz, Pharm.D., Sc.D. (Hon.), FASHP

THE FOCUS ON CLINICIAN BURNOUT as a growing public health problem is gaining significant momentum. ASHP is an original sponsor of the National Academy of Medicine (NAM) Action Collaborative on Clinician Well-Being and Resilience and is honored to lead the pharmacy profession on this issue. We recognize that a healthy and thriving clinician workforce is essential to ensuring optimal patient health outcomes and safety. Therefore, ASHP is committed to fostering and sustaining the well-being, resilience, and professional engagement of pharmacists, pharmacy residents, student pharmacists, and pharmacy technicians. In his inaugural address, ASHP President Paul Bush called for a three-pronged approach to supporting the pharmacy workforce: building staff resilience, providing technician training and support, and encouraging clinicians to be leaders. ASHP’s commitment to improving pharmacy workforce well-being and resilience can be read here and is embedded within our recently revised Strategic Plan (Goal 4, Our Patients and Their Care).

Burnout is associated with a loss of productivity in the healthcare workforce. If you extrapolate this loss to a national level, it is equivalent to the elimination of seven graduating classes of medical schools. And healthcare worker burnout is not the only concern; a bidirectional relationship exists between burnout and medical error. For example, one study found that nursing burnout resulted in increased healthcare-associated infections. At the individual clinician level, burnout presents as emotional exhaustion (i.e., compassion fatigue), depersonalization and cynicism, and a low sense of accomplishment. At the healthcare-system or institution level, it is associated with medical errors, loss of productivity, added malpractice claims, and increased risk of patient harm. Currently, we don’t have a deep research portfolio specific to the pharmacy workforce, but we hear from you that it is an issue that needs to be addressed, and ASHP stands ready to help.

The Action Collaborative formally kicked off in January 2017 and has three goals related to increasing understanding of and identifying evidence-based solutions for clinician well-being and resilience. ASHP is actively contributing to discussions on individual and external factors that impact well-being and resilience as part of the conceptual model working group. Since the risk of clinician burnout spans all ages, stages, and career paths, this working group is tasked with identifying a model that captures the complexity of clinician well-being and resilience without oversimplifying the contributing factors. A new conceptual model was recently created to illustrate the interrelated and interlocking factors affecting clinician well-being and burnout while simultaneously conveying a vision and solutions. ASHP is a contributing author to the discussion paper that details the journey in constructing this new model.

In addition to our collaboration with NAM and contributions through the working group, ASHP is engaging our members on pharmacy well-being and resilience by:

If your organization has been working on resilience efforts to support wellness of its employees, we would love to hear from you. We encourage you to share your stories through our community on ASHP Connect. Or, maybe you know of an individual or an organization that is demonstrating positive progress to start the conversation on resilience and supporting a healthy and engaged workforce. If so, we encourage you to send us these ideas, and we can take these concepts back to the national conversation on this topic.

Thanks so much for being an ASHP member and for everything you do for your patients and pharmacy teams.

Sincerely,

Paul

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