This blog is one in a series about burnout and moral injury in behavioral health. This post and those that follow will dig into some practical solutions that you could apply in your organization. The most effective changes in large systems start at the bottom with those who are impacted most. If you are motivated to solve burnout and moral injury in healthcare, keep on reading! Read the original blog here.
Setting Expectations: Get Clear and Communicate
Individual clinicians should know exactly what is expected of them. They should understand how services should be provided, the number of patient-facing hours that are required, and how the employer is budgeting for administrative time, care coordination, and continuing education.As a leader, especially if you have P&L responsibility, it’s on you to provide this clarity. A private pay psychiatry practice is going to be run differently than a government-funded community mental health agency, and that’s okay. Regardless of the type of organization you work in, here are a few questions that need to be answered with detailed specificity.

Here are the three documents that we use at Green Hill and Advaita Integrated Medicine (collectively, Advaita Health Ventures) to provide clarity to individual clinicians.
Job Desciption
I consider job descriptions to be the specific nuts and bolts that a clinician needs to understand about their role. It covers the full gambit of their responsibilities, from keeping up with licensure and continuing education to the services they will provide and how those services will be documented. You should get as specific as possible in this document.
Core Functions
Even with the most comprehensive job description, there are things that fall through the cracks. That’s why I consider a “core functions” document incredibly helpful. Instead of listing responsibilities and requirements line by line, this document outlines the buckets or categories of responsibility. Creating a broader context for the position prevents misunderstanding when something isn’t listed specifically in the job description.
Sample Schedule
This is one of my favorite tools that I typically ask the clinician to fill out. I update my “sample schedule” quarterly as my role evolves over time. Once you have a templated or expected schedule, you can track your time throughout the week to update your assumptions (i.e., it takes longer to complete notes than I anticipated).
Setting clear expectations is a cornerstone of a healthy, provider-centric culture. No one wants to feel like they are being asked to do too much or that they can’t live up to their supervisor’s expectations.
This is the first step, but the world is always changing so expectations can’t be set in stone. That’s why you need to create a culture that promotes frequent, candid feedback.
This is the first step, but the world is always changing so expectations can’t be set in stone. That’s why you need to create a culture that promotes frequent, candid feedback.
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