Lance's Corner

CDC Issues Guidance on Improving Health Care Worker Burnout

Apr 8, 2024

Per the notice below, the Centers for Disease Control and Prevention (CDC) has issued guidance on improving health care worker burnout.

CDC’s National Institute for Occupational Safety and Health’s Impact Wellbeing™ Campaign Releases Hospital-Tested Guide to Improve Healthcare Worker Burnout

Evidence-Informed Resource Helps Hospital Leaders Enact Positive Systems Change in Six Steps

As part of the first federal campaign to address healthcare worker burnout, the Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational Safety and Health (NIOSH) today released an evidence-informed and actionable guide for the nation’s hospital leaders to improve healthcare worker wellbeing – Impact Wellbeing™ Guide: Taking Action to Improve Healthcare Worker Wellbeing.  This Guide is the newest addition to the Impact Wellbeing™ Campaignlaunched in October 2023, and provides a step-by-step process for hospitals to start making organizational-level changes that will impact and improve the mental health of their employees.

“The role of healthcare workers in taking care of all of us is absolutely vital to our society, to our economy, and to our culture.  But our healthcare workforce needs to feel supported, too,” said John Howard, MD, Director of NIOSH.  “The Guide includes six action steps to implement and accelerate professional wellbeing, which enables leaders to make systems-level changes and builds trust between leaders and healthcare workers.”

As highlighted in a recent CDC Vital Signs, health workers face a mental health crisis.  The realities of our healthcare system are driving many health workers to burn out.  They are at an increased risk for mental health challenges and choosing to leave the health workforce early.  Leveraging CDC/NIOSH’s expertise and leadership in Total Worker Health®, NIOSH and the Dr. Lorna Breen Heroes’ Foundation developed the new, free, evidence-informed Guide to help executive-level hospital leaders make powerful workplace improvements quickly, while taking into account the realities that many hospital systems face when it comes to finding additional time, cost, and staff to implement this work.

“We know hospital leaders have a lot of competing demands and it can be overwhelming to know where to start when working to improve professional wellbeing,” said Stefanie Simmons, MD, Chief Medical Officer, Dr. Lorna Breen Heroes’ Foundation and a board-certified emergency medicine physician and healthcare executive.  “The Guide provides hospital leaders across the country the tools for putting together a more cohesive wellbeing strategy, allowing them to take stock of where they are now, highlighting some of the missing pieces, and taking action to get to where they want to be.”

The Guide outlines six key steps for hospital leaders to take, which were pilot-tested and refined with a working group comprised of six U.S. hospitals:

  1. Conduct a review of your hospital’s operations to determine how they support professional wellbeing.
  2. Build a dedicated team to support professional wellbeing at your hospital.
  3. Remove barriers to seeking care, such as intrusive mental health questions on credentialing applications.
  4. Develop a suite of communication tools that help you share updates with your workforce about your hospital’s journey to improve professional wellbeing.
  5. Integrate professional wellbeing measures into an ongoing quality improvement project.
  6. Create a 12-month plan to continue to move your hospital’s professional wellbeing work forward.

CDC/NIOSH will host a Webinar series, beginning in late April 2024, for hospital leaders to learn how to use each section of the Guide.  The goal is for participating hospitals to start implementing the Guide immediately after the Webinar series.  CommonSpirit Health, one of the largest nonprofit health systems in the U.S., supported NIOSH in pilot-testing the Impact Wellbeing Guide in six hospitals from July through December 2023: CHI St. Vincent Infirmary, CHI St. Vincent Hot Springs, CHI Saint Joseph Hospital, CHI Health-Creighton University Medical Center-Bergan Mercy, CHI Health Mercy Council Bluffs, and CHI Health Lakeside.

“As we navigate the challenges of healthcare, prioritizing the wellbeing of our healthcare workforce is always a priority,” said Paul Raines, System SVP Behavioral Health at CommonSpirit Health.  “Through the pilot program, this Guide has acted as a catalyst, allowing these six hospitals to effectively and efficiently accelerate the existing tools and resources we have developed as a healthcare system.  The Guide is an important component as we seek to ensure that hospital leaders have the right tools to provide a supportive environment for the healthcare workers who take such good care of our communities.”

Explore the Impact Wellbeing Guide and other resources at: www.cdc.gov/impactwellbeing.  Impact Wellbeing is made possible by the COVID-19 American Rescue Plan of 2021.  It builds on momentum from the passage of the Dr. Lorna Breen Health Care Provider Protection Act.  Established under the Occupational Safety and Health Act of 1970, NIOSH is the federal research institute focused on the study of worker safety and health, and empowering employers and workers to create safe and healthy workplaces.  For more information about NIOSH, go to: www.cdc.gov/niosh/.

USDOL Issues Comprehensive Employer Guidance on Long COVID

The United States Department of Labor (USDOL) has issued a comprehensive set of resources that can be accessed below for employers on dealing with Long COVID.

Supporting Employees with Long COVID: A Guide for Employers

The “Supporting Employees with Long COVID” guide from the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) and Job Accommodation Network (JAN) addresses the basics of Long COVID, including its intersection with mental health, and common workplace supports for different symptoms.  It also explores employers’ responsibilities to provide reasonable accommodations and answers frequently asked questions about Long COVID and employment, including inquiries related to telework and leave.

Download the guide

Accommodation and Compliance: Long COVID

The Long COVID Accommodation and Compliance webpage from the USDOL-funded Job Accommodation Network (JAN) helps employers and employees understand strategies for supporting workers with Long COVID.  Topics include Long COVID in the context of disability under the Americans with Disabilities Act (ADA), specific accommodation ideas based on limitations or work-related functions, common situations and solutions, and questions to consider when identifying effective accommodations for employees with Long COVID.  Find this and other Long COVID resources from JAN, below:

Long COVID, Disability and Underserved Communities: Recommendations for Employers

The research-to-practice brief “Long COVID, Disability and Underserved Communities” synthesizes an extensive review of documents, literature and data sources, conducted by the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) on the impact of Long COVID on employment, with a focus on demographic differences.  It also outlines recommended actions organizations can take to create a supportive and inclusive workplace culture for people with Long COVID, especially those with disabilities who belong to other historically underserved groups.

Read the brief

Long COVID and Disability Accommodations in the Workplace

The policy brief “Long COVID and Disability Accommodations in the Workplace” explores Long COVID’s impact on the workforce and provides examples of policy actions different states are taking to help affected people remain at work or return when ready.  It was developed by the National Conference of State Legislatures (NCSL) as part of its involvement in USDOL’s State Exchange on Employment and Disability (SEED) initiative.

Download the policy brief

Understanding and Addressing the Workplace Challenges Related to Long COVID

The report “Understanding and Addressing the Workplace Challenges Related to Long COVID” summarizes key themes and takeaways from an ePolicyWorks national online dialogue through which members of the public were invited to share their experiences and insights regarding workplace challenges posed by Long COVID.  The dialogue took place during summer 2022 and was hosted by USDOL and its agencies in collaboration with the Centers for Disease Control and Prevention and the U.S. Surgeon General.

Download the report

Working with Long COVID

The USDOL-published “Working with Long COVID” fact sheet shares strategies for supporting workers with Long COVID, including accommodations for common symptoms and resources for further guidance and assistance with specific situations.

Download the fact sheet

COVID-19: Long-Term Symptoms

This USDOL motion graphic informs workers with Long COVID that they may be entitled to temporary or long-term supports to help them stay on the job or return to work when ready, and shares where they can find related assistance.

Watch the motion graphic

A Personal Story of Long COVID and Disability Disclosure

In the podcast “A Personal Story of Long COVID and Disability Disclosure,” Pam Bingham, senior program manager for Intuit’s Diversity, Equity and Inclusion in Tech team, shares her personal experience of navigating Long COVID symptoms at work.  The segment was produced by the USDOL-funded Partnership on Employment and Accessible Technology (PEAT) as part of its ongoing “Future of Work” podcast series.

Listen to the podcast

HHS OIG Issues Annual Report on State MFCUs

Per the notice below, the Office of the Inspector General (OIG) of the United States Department of Health and Human Services (HHS) has issued its annual report on the performance of state Medicaid Fraud Control Units (MFCUs).

Medicaid Fraud Control Units Fiscal Year 2023 Annual Report (OEI-09-24-00200) 

Medicaid Fraud Control Units (MFCUs) investigate and prosecute Medicaid provider fraud and patient abuse or neglect. OIG is the Federal agency that oversees and annually approves federal funding for MFCUs through a recertification process. This new report analyzed the statistical data on annual case outcomes—such as convictions, civil settlements and judgments, and recoveries—that the 53 MFCUs submitted for Fiscal Year 2023.  New York data is as follows:

Outcomes

  • Investigations1 - 556
  • Indicted/Charged - 9
  • Convictions - 8
  • Civil Settlements/Judgments - 28
  • Recoveries2 - $73,204,518

Resources

  • MFCU Expenditures3 - $55,964,293
  • Staff on Board4 - 257

1Investigations are defined as the total number of open investigations at the end of the fiscal year.

2Recoveries are defined as the amount of money that defendants are required to pay as a result of a settlement, judgment, or prefiling settlement in criminal and civil cases and may not reflect actual collections.  Recoveries may involve cases that include participation by other Federal and State agencies.

3MFCU and Medicaid Expenditures include both State and Federal expenditures.

4Staff on Board is defined as the total number of staff employed by the Unit at the end of the fiscal year.

Read the Full Report

View the Statistical Chart

Engage with the Interactive Map

GAO Issues Report on Medicaid Managed Care Service Denials and Appeal Outcomes

The United States Government Accountability Office (GAO) has issued a report on federal use of state data on Medicaid managed care service denials and appeal outcomes.  GAO found that federal oversight is limited because it doesn't require states to report on Medicaid managed care service denials or appeal outcomes and there has not been much progress on plans to analyze and make the data publicly available.  To read the GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the first link below.  To read GAO highlights of the report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the second link below.
https://www.gao.gov/assets/d24106627.pdf  (GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes)
https://www.gao.gov/assets/d24106627_high.pdf  (GAO highlights on federal use of state data on Medicaid managed care service denials and appeal outcomes)

CMS Issues Latest Medicare Regulatory Activities Update

The Centers for Medicare and Medicaid Services (CMS) has issued its latest update on its regulatory activities in the Medicare program.  While dentistry is only minimally connected to the Medicare program, Medicare drives the majority of health care policies and insurance reimbursement policies throughout the country.  Therefore, it always pays to keep a close eye on what CMS is doing in Medicare.  To read the latest CMS update on its regulatory activities in Medicare, use the link below.
https://www.cms.gov/training-education/medicare-learning-network/newsletter/2024-03-14-mlnc