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Oncology Team Well-Being

Mini-Z Survey Results

Results from Mini Z Burnout Survey

To gauge the level of burnout in the multidisciplinary cancer care team, ACCC recently surveyed its membership using the clinically validated Mini Z survey developed by the American Medical Association. While only a small number of respondents (14.9%) report dissatisfaction with their current job, burnout and stress levels are significant.
Download Survey Infographic

ACCC Institute for the Future of Oncology

The sixth annual ACCC Institute held in Washington, D.C., on June 27, 2018, convened more than 30 experts in cancer care, wellness, and resiliency to share insights on what is fueling burnout among members of the cancer care team and what needs to happen on both on both a micro and macro level to support and improve team well-being. The day-long forum discussion focused on ACCC President Tom Gallo’s 2018-2019 presidential theme: Reflect, Renew, Reignite: Creating a Resilient Oncology Team in Your Community.
Read the Executive Summary


Community-Based Psychological First Aid for Oncology Professionals
By Sam Gaster, Christina Early, Amanda Reed, and Brandon Gray

Training in community-based psychological first aid is a promising intervention that promotes adaptive functioning by instilling individuals with the knowledge and skills necessary to support oneself and others when stressful events occur. The Avera Cancer Institute, Sioux Falls, S.D., has conducted Community-Based Psychological First Aid for Oncology Professionals for its workforce since August 2017.

Journey to the “Big E”

Amanda Patton, ACCC Communications
October 24, 2018

Re-structuring care delivery to be more patient centered is among the many demands the U.S. healthcare system is striving to meet. The imperative to center care around engaged patients is recognized by regulators, health systems, hospitals, professional societies, providers, payers, and patients and families—and it is a central component of value-based care.

Of the Institute for Healthcare Improvement Triple Aim domains to achieve optimal health system performance, the first is: Improve the patient experience of care (including quality and satisfaction).

At last week’s 35th ACCC National Oncology Conference in Phoenix, featured speaker Julie Oehlert, DNP, RN, took issue with patient “satisfaction” as a metric for the patient experience. Healthcare “has gone down the customer satisfaction route as a measure of quality,” she said, “. . . can patients [ever] be ‘satisfied’ with a diagnosis of cancer?” Even though many healthcare organizations have moved from “patient satisfaction” to the concept of patient experience, “We didn’t move our strategies or tactics to measure this. We used the same old customer service tools.”

To move the needle on patient experience, she believes we must start by recognizing that “healthcare is a relationship between those who provide care and those who seek care.”  

Recalling an article by Thomas Bodenheimer, MD, and Christine Sinsky, MD, (Annals of Family Medicine, 2014) that makes the case for moving from the Triple Aim to the Quadruple Aim, with the addition of “improving the work life of health care clinicians and staff,” Oehlert concurs. “You won’t hit the IHI Triple Aim unless you add the Quadruple Aim of improving health and well-being of staff.”  

Today, the issues of burnout and the well-being of clinicians and healthcare team members are a national concern. In 2017 the National Academy of Medicine established its Action Collaborative on Clinician Well-Being and Resilience. The Collaborative's website outlines multiple factors contributing to the problems of burnout and stress, acknowledging that  “Organizational leadership, culture, and policies can play a significant role in burnout and well-being.”

Pop-up polling 2Yet in a pop-up poll during Dr. Oehlert’s presentation, 93% of conference attendees said that their cancer program or practice did not measure staff or clinician burnout.

This scenario is something Dr. Oehlert hopes to see turn around. At Vidant Health, the “journey to promote a caring and compassionate culture,” is already underway. At the health system, she is responsible not only for the patients’ experience but also for the team members’ experience. The focus is on the “BIG E—Everyone’s Experience Matters,” she said. “How we [the healthcare team] experience each other begets the patient experience.”


ACCC President Tom Gallo’s presidential theme is “Reflect, Renew, Reignite: Building a Resilient Oncology Team in Your Community.” How is your cancer program addressing team well-being and fostering resilience? If your cancer program has a wellness initiative underway, contact us. Be sure to visit the NAM Action Collaborative Knowledge Hub for resources and tools.

From Oncology Issues

  • Small in Stature, Large in Impact
    By ACCC Editorial Staff
    Caring for patients with cancer is inherently stressful, but many cancer team members say that their difficulties go beyond the expected emotional strain. Robin Hearne, RN, MS, director of Cancer Services and Chronic Disease Care at The Outer Banks Hospital, elaborates on the burdens of bureaucracy and shares the programs she’s developed to provide staff with necessary tools for patient and self-care.
  • Removing the Blame from Burnout
    ACCC Editorial Staff
    Burnout among U.S. healthcare clinicians is a national concern, and cancer care is no exception. To gauge the level of burnout in the cancer care team, ACCC surveyed its membership and created a hub for team well-being resources.
  • One Best Practice: Streamlining Workflow, Unifying Staff, and Reducing Redundancy
    Elizabeth Koelker, MHA, FACHE
    When Kettering Health Network reorganized its operations by service lines, oncology had major problems—internal competition, communication deficits, inefficiencies, and a lack of infrastructure. Learn how Kettering united its oncology staff under “one best practice,” streamlined operations, increased patient volume, and decreased internal competition.
  • Turning Off Turnover
    Tom Gallo, MS, MDA
    Though stemming burnout at the source is vital work, it is also important to recognize and alleviate symptoms as they appear. One such symptom is decreased workforce retention.
  •  Views: Making the Most out of Drug Representatives
    Connie Renfroe
    Medical science representatives possess critical information about new drug regimens, protocols, and indications. However, scheduling them often requires a part-time position that few practices can afford—it’s a catch-22.
  •  President: Recapping the 2018 ACCC Institute for the Future of Oncology
    Tom Gallo
    On June 27, 2018, ACCC convened the sixth Institute for the Future of Oncology forum in Washington, D.C., to bring together interdisciplinary experts and key stakeholders to discuss my Presidential theme: “Reflect, Renew, Reignite: Creating a Resilient Oncology Team in Your Community.”

Burnout is on the rise as oncology becomes increasingly complex with new treatment options, growing financial toxicity, an aging patient population, and an increasingly burdensome healthcare system. It has received much media attention, with some calling it an epidemic.

Thomas A. Gallo, MS, MDA, ACCC President, selected his 2018–2019 president’s theme: Reflect, Renew, Reignite: Creating a Resilient Oncology Team in Your Community, in order to shed light on the pain points that frustrate physicians, nurses, social workers, administrators, pharmacists, and all of the other professionals who collaborate to provide the highest level of patient care.

The ACCC 35th National Oncology Conference, October 17 – 19, in Phoenix, AZ, featured stories and strategies for fostering resilience and a healthcare culture that mitigates burnout among all members of the cancer care team. Three featured speakers inspired while providing practical strategies to help increase engagement, transform your work culture, and embrace experimentation. 

6 essential standards for a healthy work environment

ACCC is committed to identifying shared strategies and solutions to help combat the burnout and frustration that many of its members experience. This Building a Resilient Oncology Team: Issues and Solutions infographic details key findings on clinician burnout and a bevy of solutions to help you mitigate stress and bring the joy back to your workplace. 
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