Thursday Apr 08, 2021

The administrative burden – Part 1

For every hour a physician or clinician spends with a patient, they will spend at least another half hour or more on documentation or other administrative work. More than that, around 25 percent of the dollars spent in health care are on wasteful administrative tasks. Such a burden leads to long hours and takes the clinician away from patient interaction and care, continuing education, clinical decision-making and personal and family time. It can lead to burnout and worse. On this episode, a leading expert discusses the challenge of administrative burden and what practices and organizations can do to remedy it.


Guest speaker:

Nigel Girgrah, MD, PhD

Chief Wellness Officer

Ochsner Health System

Medical Director, Liver Transplantation

Ochsner Medical Center



Tomas Villanueva, DO, MBA, FACPE, SFHM

Associate Vice President

Clinical Resources



Show Notes:

[01:20] The administrative burden

[02:11] EHRs, burnout and “pajama time”

[03:51] Toll on female clinicians

[04:26] Where clinician burnout can lead

[05:19] Craig’s story and the high risk of physician burnout

[07:14] A systems approach to well-being

[09:14] Drivers of professional fulfillment

[09:34] The Fourth Aim: caring for the caregivers


Links | Resources:

“Death by 1,000 Cuts” (Medscape) Click here

Craig McKinley article Click here

Reducing Administrative Waste in the US Health Care System (JAMA) Click here

Senator Cassidy and Dr. Lorna Breen Health Care Provider Protection Act Click here


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