Table 2.
Multivariable1 Models Estimating the Impacts of Prior Year AES and MHPS Burnout on MH-SAIL Outcomes
| AES | ||||
| Population coverage | Continuity of care | Experience of care | MH domain quality | |
|
Estimate* (95% CI) |
Estimate* (95% CI) |
Estimate* (95% CI) |
Estimate* (95% CI) |
|
| 2015 |
0.01 (− 0.03, 0.05) |
− 0.03 (− 0.07, 0.01) |
− 0.11 (− 0.17, − 0.05) |
− 0.07 (− 0.12, − 0.02) |
| 2016 |
− 0.03 (− 0.07, 0.01) |
− 0.05 (− 0.10, 0.00) |
− 0.16 (− 0.23, − 0.09) |
− 0.12 (− 0.18, − 0.06) |
| 2017 |
− 0.04 (− 0.08, 0.00) |
− 0.02 (− 0.06, 0.02) |
− 0.17 (− 0.24, − 0.10) |
− 0.12 (− 0.18, − 0.06) |
| 2018 |
− 0.05 (− 0.10, 0.00) |
− 0.02 (− 0.07, 0.03) |
− 0.10 (− 0.18, − 0.02) |
− 0.10 (− 0.17, − 0.03) |
| 2019 |
− 0.04 (− 0.09, 0.01) |
− 0.05 (− 0.09, − 0.01) |
− 0.18 (− 0.26, − 0.10) |
− 0.15 (− 0.22, − 0.08) |
| All years |
− 0.01 (− 0.03, 0.00) |
0.00 (− 0.01, 0.02) |
− 0.05 (− 0.08, − 0.03) |
− 0.03 (− 0.06, − 0.01) |
| MHPS | ||||
| Population coverage | Continuity of care | Experience of care | MH domain quality | |
|
Estimate* (95% CI) |
Estimate* (95% CI) |
Estimate* (95% CI) |
Estimate* (95% CI) |
|
| 2015 |
0.00 (− 0.03, 0.03) |
0.00 (− 0.03, 0.03) |
− 0.11 (− 0.15, − 0.07) |
− 0.05 (− 0.09, − 0.01) |
| 2016 |
0.00 (− 0.03, 0.03) |
− 0.04 (− 0.07, − 0.01) |
− 0.14 (− 0.19, − 0.09) |
− 0.09 (− 0.13, − 0.05) |
| 2017 |
− 0.01 (− 0.04, 0.02) |
− 0.06 (− 0.09, − 0.03) |
− 0.20 (− 0.25, − 0.15) |
− 0.13 (− 0.18, − 0.08) |
| 2018 |
− 0.01 (− 0.04, 0.02) |
− 0.02 (− 0.05, 0.01) |
− 0.13 (− 0.18, − 0.08) |
− 0.08 (− 0.13, − 0.03) |
| 2019 |
− 0.02 (− 0.05, 0.01) |
− 0.03 (− 0.06, 0.00) |
− 0.12 (− 0.17, − 0.07) |
− 0.09 (− 0.14, − 0.04) |
| All years |
0.00 (− 0.01, 0.00) |
− 0.01 (− 0.03, 0.00) |
− 0.09 (− 0.10, − 0.07) |
− 0.05 (− 0.06, − 0.04) |
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
The models adjust for facility complexity, rurality, staffing ratio, and productivity, and include weighting by survey number of BHPs. Estimates for “all years” include a continuous year indicator
*Estimates represent expected changes in each of the MH-SAIL domain composite scores and overall MH domain quality score associated with 5% increment in burnout rate adjusting for facility covariates. Bold indicates statistically significant differences