Table 1.
Yearly Facility Characteristics, Burnout Proportions of Behavioral Health Providers (BHPs), and MH-SAIL composite Scores; Summary Statistics Calculated as Yearly Averages of the Facility Values (N = 127 each year)
| Characteristic | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 |
|---|---|---|---|---|---|---|
| AES respondents (N) | 10,250 | 11,522 | 12,329 | 13,434 | 14,200 | 14,949 |
| AES burnout (%) |
34.44 (9.44) |
34.79 (8.14) |
36.62 (8.43) |
38.07 (8.14) |
31.92 (7.78) |
33.34 (7.85) |
| AES burnout, weighted* (%) |
34.38 (7.91) |
34.56 (7.24) |
36.72 (7.69) |
37.73 (6.91) |
31.43 (7.29) |
33.17 (6.78) |
| AES burnout, weighted† (%) |
34.44 (9.41) |
34.81 (8.14) |
36.62 (8.43) |
38.09 (8.15) |
31.92 (7.78) |
33.38 (7.87) |
| MHPS respondents (N) | 5270 | 8128 | 8830 | 9710 | 9966 | 9818 |
| MHPS burnout (%) |
38.39 (11.76) |
33.30 (10.11) |
36.76 (10.23) |
37.26 ( 11.02) |
38.68 (10.56) |
38.46 (10.00) |
| MHPS burnout, weighted* (%) |
37.93 (9.92) |
32.96 (8.59) |
36.24 (9.88) |
36.00 (9.77) |
37.41 (9.92) |
38.19 (9.69) |
| MHPS burnout, weighted† (%) |
38.44 (11.90) |
33.27 (10.10) |
36.80 (10.18) |
37.28 (11.01) |
38.73 (10.53) |
38.52 (10.02) |
| Facility productivity‡ | 444.17 (90.24) |
403.62 (70.47) |
457.03 (74.10) |
455.23 (69.18) |
448.08 (67.79) |
448.34 (68.15) |
| Facility staffing ratio§ |
7.55 (1.94) |
7.36 (1.76) |
7.25 (1.63) |
7.22 (1.51) |
7.30 (1.48) |
7.27 (1.49) |
| Population coverage‖ |
− 0.03 (− 1.34, 1.07) |
0.01 (− 1.14, 1.30) |
0.08 (− 0.83, 1.43) |
− 0.02 (− 1.11, 1.17) |
− 0.03 (− 1.14, 1.16) |
0.01 (− 1.14, 1.26) |
| Continuity of care‖ |
− 0.01 (− 1.26, 1.02) |
− 0.04 (− 1.17, 1.10) |
0.00 (− 1.00, 1.23) |
0.08 (− 1.36, 1.28) |
0.20 (− 0.79, 1.21) |
0.07 (− 0.84, 1.32) |
| Experience of care‖ |
− 0.04 (− 2.22, 2.22) |
− 0.18 (− 2.04, 2.35) |
0.07 (− 1.67, 2.65) |
0.00 (− 2.04, 2.33) |
− 0.03 (− 1.63, 2.37) |
− 0.02 (− 1.67, 1.95) |
| MH domain quality‖ |
− 0.04 (− 1.46, 1.54) |
− 0.10 (− 1.72, 1.92) |
0.10 (− 1.59, 2.27) |
0.05 (− 1.59, 2.2) |
0.12 (− 1.56, 1.74) |
0.10 (− 1.71, 2.30) |
Abbreviations: AES, All Employee Survey; MHPS, Mental Health Provider Survey; MH, mental health; MH-SAIL, Strategic Analytics for Improvement and Learning Value, Mental Health Domain
Cell values represent mean (SD) for burnout and facility characteristics, and mean (min, max) for MH-SAIL composite scores. Summary statistics by year appear in the table from 2014 to 2019; however, the regression model used prior year burnout and current year facility characteristics as predictors of current year MH-SAIL composite outcomes
*Weighted by the number of the survey responders at each facility
†Weighted by inverse of proportion of AES responders who responded to burnout items
‡ Productivity measures the sum of work Relative Value Units (wRVUs) divided by time spent providing direct clinical care in outpatient mental health settings
§Staffing ratio represents the number of full-time equivalent (FTE) mental health staff per 1000 Veterans treated in outpatient mental health settings, with higher scores having better staffing ratios
‖MH-SAIL composite scores represent weighted averages of the standardized changes from last quarter of all constituent measures for each domain, thus we expect the mean to equal 0