Deans' stroke musings: Enhancing Value and Well-Being The Basket of Motivators Framework for Aligning Neurology Clinical Practices With Performance Outcomes

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, April 6, 2024

Enhancing Value and Well-Being The Basket of Motivators Framework for Aligning Neurology Clinical Practices With Performance Outcomes

You can easily have your neurologists produce quality outcomes if you create EXACT DAMAGE DIAGNOSES and then follow that up with EXACT REHAB PROTOCOLS! Your neurologists won't be second guessing themselves all the time and wondering how their work will be measured.

Enhancing Value and Well-Being The Basket of Motivators Framework for Aligning Neurology Clinical Practices With Performance Outcomes

Peter N. Hadar, MD, MS https://orcid.org/0000-0002-1681-4717, Susanna Gallani, PhD, MBA https://orcid.org/0000-0001-6242-3031, and Lidia Moura, MD, PhD, MPH https://orcid.org/0000-0002-1191-1315Authors Info & Affiliations

June 2024 issue

14 (3)

https://doi.org/10.1212/CPJ.0000000000200280

Abstract

Purpose of Review

Physician burnout, which is prevalent in neurology, has accelerated in recent years. While multifactorial, a major contributing factor to burnout is a payment model that rewards volume over quality, leaving physicians overburdened and unfulfilled. The aim of this review was to investigate ways of reducing burnout while improving quality-based outcomes in a value-based health care model.

Recent Findings

Burnout affects researchers, educators, clinicians, and administrators in all fields and tracks, but neurologists experience some of the worst burnout rates among specialties. Transitioning to a value-based health care model, which rewards quality and outcomes(Yeah, you reward 100% recovery! That would be quality!) over volume, may contribute to reversing the burnout trend. However, this requires that physicians feel valued in the workplace in ways corresponding to their preferences. We propose to stratify neurologists using the “basket of motivators” framework, which operates multiple individual-based and team-based motivators including balance among work responsibilities, work-life balance, institutional pride, self-actualization at work, work environment, and finances. By tailoring individual-based and team-based financial and nonfinancial incentives, neurologists are empowered to work at the top of their license to provide high-impact clinical care while combating the most prominent causes of burnout.

Summary

To address the neurologist burnout epidemic, a transition to value-based health care is needed that rewards quality-based performance outcomes through both individual-based and team-based approaches that apply financial and nonfinancial incentives. Understanding the underlying motivations behind neurologists' drives to work can inform tailored incentives that allow neurologists to provide value to their patients and feel valued by their organizations.