Evidence-Based Quality Improvement to Reduce VA Primary Care Burnout
Reducing Burnout Among VA PCPs Using Evidence-Based Quality Improvement
VA Greater Los Angeles Healthcare System
203 participants
Oct 1, 2025
INTERVENTIONAL
Conditions
Summary
Burnout is highly prevalent among VA primary care providers and staff, impairing productivity and retention, as well as safety, quality, and patient experience. In this pilot trial, the investigators will facilitate the development of burnout reduction interventions using an evidence-based quality improvement (EBQI) approach, and then evaluate the feasibility, acceptability and effectiveness of a pilot EBQI-facilitated burnout reduction intervention in a modified stepped wedge design in one VA region.
Eligibility
Inclusion Criteria2
- primary care clinics (2 VA Medical Centers \[VAMCs\] and 3 community-based outpatient clinics \[CBOCs\]) in 2 VA healthcare systems in 1 VA Veterans Integrated Service Network
- Primary care providers, registered nurses, clinical associates (e.g., licensed vocational or practical nurses), or administrative associates (e.g., clerks) on regular Patient-Aligned Care Team (PACT) teamlets at a study site.
Exclusion Criteria3
- All other VAMCs and CBOCs.
- Other primary care professionals at a study site.
- Members of special types of PACT teamlets at a study site.
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Interventions
Evidence-based quality improvement (EBQI) is a multi-level implementation strategy that aids in the development and implementation of evidence-based interventions to reduce burnout. Preliminary survey, interview, and systematic review data on burnout, turnover intent, burnout drivers, and burnout interventions will be presented to an expert panel for each intervention site. These panels will collectively decide on the top categories of burnout drivers to target and burnout interventions to implement. These top drivers and intervention categories will be presented to site-level providers and staff and proposals will be solicited for quality improvement (QI) interventions to reduce burnout that reflect these categories and address these drivers. The expert panels will then choose one or more of these QI interventions to implement and evaluate at each intervention site.
Locations(5)
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NCT07031245