Creating Healthy Work Places (HWP) Study

NCT02542995 | Completed

• 1 other identifier: AHRQ 1R18-HSO18160-03
• Study Type: interventional
• Target: 1,296
• Locations: 0 countries
• Sites: N/A

Brief Summary

The health of the public depends upon smoothly functioning physician offices that promote the health of both workers and their patients. This study targets ambulatory health care offices with rapid paced, chaotic environments. Investigators will measure adverse outcomes for providers and staff (e.g., stress and burnout), the impact these have on quality of care for hypertensive, diabetic and depressed patients, and identify areas where practice redesign to create "healthy workplaces" improves these outcomes.

Conditions

Burnout, Professional

Outcome Measures

Primary Outcomes (3)

• Medical provider stress and burnout

  Survey tools: to measure provider stress and burnout developed (for providers), the survey tools were used in the MEMO study and have 1-5 scales.

  Provider outcomes were measured approximately one year after the interventions

• Patient satisfaction with care

  Survey tool (patients self reported), the survey tools were used in the MEMO study and have 1-5 scales.

  Patient satisfaction was measured at baseline and approxmiaetly one year after the interventions

• Patient quality of care

  Chart audits

  Patient quality of care was measured at baseline and approxmiaetly one yr after the interventions

Secondary Outcomes (1)

• Provider turnover (cost)

  Provider turnover (cost) was mesasured about one year after the interventions

Study Arms (2)

Non-intervention

NO INTERVENTION

Usual clinical conditions

Intevention

OTHER

QI interventions and got to see their own survey data - examples include: Workflow redesign: Medical Assistant (MA) data entry Improved clinic efficiency projects Assessed workflow with staff Provided time for MAs and RNs to perform tasks Paired MAs and providers Non-physician staff assist with forms Communication improvement: Improved teamwork Improved communication between provider groups Routine clinician meetings discussing meaningful topics Survey of providers for "wish list" of issues Routine emails from leaders Clinicians meeting with leaders Chronic disease QI projects: Establishing quality metrics with clinician input Automated Rx refill line Med reconciliation project Screening project for diabetics Screening for depression Improved patient portals

Other: QI interventions

Interventions

QI interventions OTHER

Intervention categories: communication improvement, chronic disease QI projects (for patients), workflow redesign

Intevention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• have a primary care provider at one of enrolling institutions,
• have a primary care visit within year of enrollment

You may not qualify if:

• Deceased,
• inability to communicate (hard of hearing), etc.

Sponsors & Collaborators

• Hennepin Healthcare Research Institute: lead
• Agency for Healthcare Research and Quality (AHRQ): collaborator
• University of Wisconsin, Madison: collaborator
• Marshfield Clinic Research Foundation: collaborator
• New York University: collaborator
• Loyola University School of Medicine: collaborator
• University of Alabama, Tuscaloosa: collaborator
• University of Missouri-Columbia: collaborator

Related Publications (2)

• Khullar D, Prasad K, Neprash H, Poplau S, Brown RL, Williams ES, Audi C, Linzer M. Factors associated with patient trust in their clinicians: Results from the Healthy Work Place Study. Health Care Manage Rev. 2022 Oct-Dec 01;47(4):289-296. doi: 10.1097/HMR.0000000000000336. Epub 2022 Feb 17.

  PMID: 35170482 DERIVED

• Linzer M, Poplau S, Brown R, Grossman E, Varkey A, Yale S, Williams ES, Hicks L, Wallock J, Kohnhorst D, Barbouche M. Do Work Condition Interventions Affect Quality and Errors in Primary Care? Results from the Healthy Work Place Study. J Gen Intern Med. 2017 Jan;32(1):56-61. doi: 10.1007/s11606-016-3856-2. Epub 2016 Sep 9.

  PMID: 27612486 DERIVED

MeSH Terms

Conditions

Burnout, Professional

Condition Hierarchy (Ancestors)

Occupational Stress; Occupational Diseases; Burnout, Psychological; Stress, Psychological; Behavioral Symptoms; Behavior

Study Officials

• Mark Linzer, MD

  MMRF

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Division Director of General Internal Medicine

Study Record Dates

• First Submitted: August 27, 2015
• First Posted: September 7, 2015
• Study Start: November 1, 2009
• Primary Completion: March 1, 2013
• Study Completion: January 1, 2014
• Last Updated: September 7, 2015

Record last verified: 2015-09