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Survey Points to Major
Burnout Concerns
Among Clinicians
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Almost half of clinicians today experience
burnout—more than 40 percent of clinicians
overall and 50 percent of female clinicians—
according to a 2019 report, and many cite the
EHR as a large contributor to burnout.
But with billions of healthcare industry dollars
invested in electronic systems and population
and precision health models demanding
increasing digitization, the EHR is here to stay.
Burnout Among Clinicians is Major Concern
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
With no perceivable way around healthcare
digitization, one of the industry’s most
pressing challenges is how optimize the
clinician–technology relationship.
How can data and analytics platforms help
clinicians work better, not harder?
Burnout Among Clinicians is Major Concern
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
In November 2019 Health Catalyst surveyed
clinicians and other healthcare professionals
to learning more about professional burnout
and how technology can help.
A critical step, according to industry
feedback, is more attention to clinician and
other healthcare professional experience
with and understanding of digital solutions—
targeting messaging, education, and services
around what healthcare end users need,
when they need it.
Burnout Among Clinicians is Major Concern
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Outcomes improvement companies have
legitimate solutions to improve the accessibility
and effectiveness of the EHR experience.
For example, the Health Catalyst® Closed-
Loop Analytics™ service aggregates data
into customized workflows within the EHR or
optimizes existing workflows for more effective
calls to action for end users.
Solutions Must Meet Clinicians Where They Are
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
These emerging point-of-care analytics services
are addressing clinicians’ top concerns around
professional burden and dissatisfaction.
For example, in the November 2019 survey,
clinicians chose less-complex workflows as the
number one way to solve burnout.
The Health Catalyst Closed-Loop Analytics
service make reliable, actionable data accessible
at the patient bedside, allowing clinicians to
perform the same functions within the EHR with
six times fewer clicks, reducing time behind a
computer and increasing time with patients.
Solutions Must Meet Clinicians Where They Are
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
If the solutions for clinician burnout aren’t clear to
end uses, the problem certainly is.
The majority (76 percent) of participants reported
that, at their organizations, clinician burnout was a
major or moderate a problem, and an overwhelming
95 percent said the clinician burnout was major to
moderate problem industrywide.
With research linking clinician burnout to
depression and suicide—as well as twofold
increased risk unsafe care, unprofessional
behaviors, and low patient satisfaction—provider
dissatisfaction is an urgent issue across healthcare.
Clinicians Often See Burnout in Healthcare as a
“Major” Problem
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Clinicians Often See Burnout in Healthcare as a
“Major” Problem
Of the 136 respondents to the
Health Catalyst clinician
burnout survey, 62 percent
were physicians, 17 percent
were nurses, and the
remainder included nurse
managers, case managers,
healthcare administrators and
CEOs, and more (Figure 1).
Figure 1: Clinician burnout survey demographics.
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Clinicians Often See Burnout in Healthcare as a
“Major” Problem
Participants shared their perspectives on the
following questions regarding clinician burnout
and how a closed-loop analytics solution
affects them and their organizations:
#1: At your organization, how big of a problem
is clinician burnout?
A moderate problem: 45 percent.
A major problem: 31 percent.
A minor problem: 15 percent.
I’m not sure: 5 percent.
Not a problem: 4 percent.
>
>
>
>
>
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Clinicians Often See Burnout in Healthcare as a
“Major” Problem
#2: For the entire healthcare industry, how big
of a problem is clinician burnout?
A major problem: 62 percent.
A moderate problem: 33 percent.
A minor problem: 2 percent.
I’m not sure: 2 percent.
Not a problem: 1 percent.
>
>
>
>
>
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Clinicians Often See Burnout in Healthcare as a
“Major” Problem
#3: What is the best way to solve clinician burnout problems (Figure 2)?
Less-complex workflows: 28 percent.
Other (e.g., reduced requirements, clinical autonomy,
coping mechanisms, work-life balance): 27 percent.
More support staff for transcription, etc.: 18 percent.
Training: 9 percent.
Data integration: 7 percent.
Point of care analytics for decision making: 6 percent.
More IT resources: 5 percent.
>
>
>
>
>
>
>
>
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Clinicians Often See Burnout in Healthcare as a
“Major” Problem
Figure 2: Responses to ways to solve clinician burnout problems.
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Clinicians Often See Burnout in Healthcare as a
“Major” Problem
Those who chose “other” added the following responses, indicating a desire to
make care delivery more about the patient and less and data entry and
requirements:
“Allow billing for time spent with a patient. Stop the insane coding requirements.”
“Assure staff have influence over their work, reduce red tape as much as
possible, and give the resources needed to do the job well.”
“Put the doctor-patient relationship back to the front of healthcare.”
“We need more time to do our jobs.”
“Make the software usable. Simulate paper charts, get rid of point and click.
Get rid of multiple ways to enter things.”
>
>
>
>
>
>
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Clinicians Often See Burnout in Healthcare as a
“Major” Problem
#4: What are the biggest barriers to adopting
closed-loop, point-of-care analytics capabilities
at your organization?
Cost: 27 percent.
Clinician buy-in: 21 percent.
Team member training/expertise: 18 percent.
Other (see examples below): 17 percent.
Leadership buy-in: 15 percent.
Outdated IT infrastructure: 2 percent.
>
>
>
>
>>
>
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Clinicians Often See Burnout in Healthcare as a
“Major” Problem
Respondents who selected “other” wanted to prioritize clinical care and
judgment, see more appropriate data use, and have technology deliver
better on its promises:
“Too much administrative and regulatory interference with clinical care
and judgment.”
“The right data at the right time and not being overwhelmed by data.
The time to thoughtfully use the data we have.”
“Keeping up with it is hard and not all promising tech pans out.”
>
>
>
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Clinicians Often See Burnout in Healthcare as a
“Major” Problem
#5: What are the biggest problems arising from a
lack of adopting closed-loop, point-of-care analytics
capabilities (Figure 3)?
Complicated, time-consuming workflows: 36 percent.
Clinician burnout and dissatisfaction: 29 percent.
Patient care suffers: 24 percent.
Other: 11 percent.
>
>
>
>
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Clinicians Often See Burnout in Healthcare as a
“Major” Problem
Figure 3: The biggest problems arising from a lack of closed-loop, point-of-care capabilities.
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Clinicians Often See Burnout in Healthcare as a
“Major” Problem
According to participant feedback on “other,” clinicians see the solution
not as purely technological but as restructuring the processes and
pressures preventing them from practicing at the top of their licenses:
“The main problem is the sum total of the pressures on the physician
both external and internal. There is no ready-made solution and
certainly technology will not influence the problem.”
“Let us rely on our training, our experience, our decision making. Let
us be responsible instead of relying on a computer to ‘keep us from
making mistakes.’”
>
>
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Clinicians Often See Burnout in Healthcare as a
“Major” Problem
#6: When is your organization targeting the adoption
of data integration and workflow optimization via
closed-loop, point-of-care analytics?
Never: 45 percent.
One to three years: 21 percent.
Already adopted: 19 percent.
Three to six years: 12 percent.
Seven to ten years: 3 percent.
>
>
>
>
>
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Bridging the Gap Between Problem and Solution
Clinicians often agree on two issues: clinician
burnout is a significant problem for the
healthcare industry, and they need less-
complex workflows that minimize screen time
and maximize patient interaction while helping
the make the most informed decisions.
With a large portion of survey respondents
viewing clinician burnout as a major problem,
the industry is clearly ready for transformation.
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Bridging the Gap Between Problem and Solution
Successfully reducing clinician burnout and
improving provider job satisfaction won’t come
with faster, more agile analytics alone.
To truly transform, next-generation workflow
tools must cater to the needs and concerns of
their end users with accessible platforms that
enhance clinicians’ ability to deliver the best
care according to their training and
professional judgment.
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
For more information:
“This book is a fantastic piece of work”
– Robert Lindeman MD, FAAP, Chief Physician Quality Officer
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
More about this topic
Link to original article for a more in-depth discussion.
Survey Points to Major Burnout Concerns Among Clinicians
Health Catalyst® Introduces Closed-Loop Analytics™ Services
Tarah Neujahr Bryan, Senior Vice President, Marketing
Physician Burnout and the EHR: Addressing Five Common Burdens
Ed Corbett, MD, Medical Officer
Health Catalyst Closed-Loop Analytics Addresses Physician Burnout, Enables Health Data Ecosystem
Health Catalyst Knowledge Center
Closed-Loop Analytics Improves Workflow and Efficiency
Health Catalyst Success Story
The Best Way to Optimize Physician Workflow
Ed Corbett, MD, Medical Officer
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Other Clinical Quality Improvement Resources
Click to read additional information at www.healthcatalyst.com
Tarah Neujahr Bryan, MAJMC, joined Health Catalyst in 2013 and has served as
Editorial Director and Vice President of Marketing; she is currently the Senior Vice
President of Marketing and a member of the Health Catalyst leadership team. She
brings a breadth of marketing and communications experience to her current role.
Prior to joining Health Catalyst, Tarah served as the Marketing Communications
Director and Foundation Executive Director at a community hospital, managed at an
advertising agency, was the Editor and Operations Manager at an archaeology firm,
and provided triage assistance and patient admissions at a Level-II Trauma Center. She has a Master
of Arts in Journalism and Mass Communications from the University of Nebraska and a Bachelor of
Arts from Montana State University-Billings. Tarah volunteers with Intermountain Therapy Animals and
has done pro-bono communications work for American Cancer Society, Wings Cancer Foundation,
and many other non-profit organizations.
Tarah Neujahr Bryan, MAJMC
© 2019 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Other Clinical Quality Improvement Resources
Click to read additional information at www.healthcatalyst.com
Health Catalyst is a mission-driven data warehousing, analytics and outcomes-improvement company
that helps healthcare organizations of all sizes improve clinical, financial, and operational outcomes
needed to improve population health and accountable care. Our proven enterprise data warehouse
(EDW) and analytics platform helps improve quality, add efficiency and lower costs in support of more
than 65 million patients for organizations ranging from the largest US health system to forward-thinking
physician practices.
Health Catalyst was recently named as the leader in the enterprise healthcare BI market in
improvement by KLAS, and has received numerous best-place-to work awards including Modern
Healthcare in 2013, 2014, and 2015, as well as other recognitions such as “Best Place to work for
Millenials, and a “Best Perks for Women.”

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Survey Points to Major Burnout Concerns Among Clinicians

  • 1. Survey Points to Major Burnout Concerns Among Clinicians
  • 2. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Almost half of clinicians today experience burnout—more than 40 percent of clinicians overall and 50 percent of female clinicians— according to a 2019 report, and many cite the EHR as a large contributor to burnout. But with billions of healthcare industry dollars invested in electronic systems and population and precision health models demanding increasing digitization, the EHR is here to stay. Burnout Among Clinicians is Major Concern
  • 3. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. With no perceivable way around healthcare digitization, one of the industry’s most pressing challenges is how optimize the clinician–technology relationship. How can data and analytics platforms help clinicians work better, not harder? Burnout Among Clinicians is Major Concern
  • 4. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. In November 2019 Health Catalyst surveyed clinicians and other healthcare professionals to learning more about professional burnout and how technology can help. A critical step, according to industry feedback, is more attention to clinician and other healthcare professional experience with and understanding of digital solutions— targeting messaging, education, and services around what healthcare end users need, when they need it. Burnout Among Clinicians is Major Concern
  • 5. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Outcomes improvement companies have legitimate solutions to improve the accessibility and effectiveness of the EHR experience. For example, the Health Catalyst® Closed- Loop Analytics™ service aggregates data into customized workflows within the EHR or optimizes existing workflows for more effective calls to action for end users. Solutions Must Meet Clinicians Where They Are
  • 6. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. These emerging point-of-care analytics services are addressing clinicians’ top concerns around professional burden and dissatisfaction. For example, in the November 2019 survey, clinicians chose less-complex workflows as the number one way to solve burnout. The Health Catalyst Closed-Loop Analytics service make reliable, actionable data accessible at the patient bedside, allowing clinicians to perform the same functions within the EHR with six times fewer clicks, reducing time behind a computer and increasing time with patients. Solutions Must Meet Clinicians Where They Are
  • 7. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. If the solutions for clinician burnout aren’t clear to end uses, the problem certainly is. The majority (76 percent) of participants reported that, at their organizations, clinician burnout was a major or moderate a problem, and an overwhelming 95 percent said the clinician burnout was major to moderate problem industrywide. With research linking clinician burnout to depression and suicide—as well as twofold increased risk unsafe care, unprofessional behaviors, and low patient satisfaction—provider dissatisfaction is an urgent issue across healthcare. Clinicians Often See Burnout in Healthcare as a “Major” Problem
  • 8. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Clinicians Often See Burnout in Healthcare as a “Major” Problem Of the 136 respondents to the Health Catalyst clinician burnout survey, 62 percent were physicians, 17 percent were nurses, and the remainder included nurse managers, case managers, healthcare administrators and CEOs, and more (Figure 1). Figure 1: Clinician burnout survey demographics.
  • 9. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Clinicians Often See Burnout in Healthcare as a “Major” Problem Participants shared their perspectives on the following questions regarding clinician burnout and how a closed-loop analytics solution affects them and their organizations: #1: At your organization, how big of a problem is clinician burnout? A moderate problem: 45 percent. A major problem: 31 percent. A minor problem: 15 percent. I’m not sure: 5 percent. Not a problem: 4 percent. > > > > >
  • 10. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Clinicians Often See Burnout in Healthcare as a “Major” Problem #2: For the entire healthcare industry, how big of a problem is clinician burnout? A major problem: 62 percent. A moderate problem: 33 percent. A minor problem: 2 percent. I’m not sure: 2 percent. Not a problem: 1 percent. > > > > >
  • 11. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Clinicians Often See Burnout in Healthcare as a “Major” Problem #3: What is the best way to solve clinician burnout problems (Figure 2)? Less-complex workflows: 28 percent. Other (e.g., reduced requirements, clinical autonomy, coping mechanisms, work-life balance): 27 percent. More support staff for transcription, etc.: 18 percent. Training: 9 percent. Data integration: 7 percent. Point of care analytics for decision making: 6 percent. More IT resources: 5 percent. > > > > > > > >
  • 12. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Clinicians Often See Burnout in Healthcare as a “Major” Problem Figure 2: Responses to ways to solve clinician burnout problems.
  • 13. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Clinicians Often See Burnout in Healthcare as a “Major” Problem Those who chose “other” added the following responses, indicating a desire to make care delivery more about the patient and less and data entry and requirements: “Allow billing for time spent with a patient. Stop the insane coding requirements.” “Assure staff have influence over their work, reduce red tape as much as possible, and give the resources needed to do the job well.” “Put the doctor-patient relationship back to the front of healthcare.” “We need more time to do our jobs.” “Make the software usable. Simulate paper charts, get rid of point and click. Get rid of multiple ways to enter things.” > > > > > >
  • 14. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Clinicians Often See Burnout in Healthcare as a “Major” Problem #4: What are the biggest barriers to adopting closed-loop, point-of-care analytics capabilities at your organization? Cost: 27 percent. Clinician buy-in: 21 percent. Team member training/expertise: 18 percent. Other (see examples below): 17 percent. Leadership buy-in: 15 percent. Outdated IT infrastructure: 2 percent. > > > > >> >
  • 15. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Clinicians Often See Burnout in Healthcare as a “Major” Problem Respondents who selected “other” wanted to prioritize clinical care and judgment, see more appropriate data use, and have technology deliver better on its promises: “Too much administrative and regulatory interference with clinical care and judgment.” “The right data at the right time and not being overwhelmed by data. The time to thoughtfully use the data we have.” “Keeping up with it is hard and not all promising tech pans out.” > > >
  • 16. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Clinicians Often See Burnout in Healthcare as a “Major” Problem #5: What are the biggest problems arising from a lack of adopting closed-loop, point-of-care analytics capabilities (Figure 3)? Complicated, time-consuming workflows: 36 percent. Clinician burnout and dissatisfaction: 29 percent. Patient care suffers: 24 percent. Other: 11 percent. > > > >
  • 17. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Clinicians Often See Burnout in Healthcare as a “Major” Problem Figure 3: The biggest problems arising from a lack of closed-loop, point-of-care capabilities.
  • 18. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Clinicians Often See Burnout in Healthcare as a “Major” Problem According to participant feedback on “other,” clinicians see the solution not as purely technological but as restructuring the processes and pressures preventing them from practicing at the top of their licenses: “The main problem is the sum total of the pressures on the physician both external and internal. There is no ready-made solution and certainly technology will not influence the problem.” “Let us rely on our training, our experience, our decision making. Let us be responsible instead of relying on a computer to ‘keep us from making mistakes.’” > >
  • 19. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Clinicians Often See Burnout in Healthcare as a “Major” Problem #6: When is your organization targeting the adoption of data integration and workflow optimization via closed-loop, point-of-care analytics? Never: 45 percent. One to three years: 21 percent. Already adopted: 19 percent. Three to six years: 12 percent. Seven to ten years: 3 percent. > > > > >
  • 20. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Bridging the Gap Between Problem and Solution Clinicians often agree on two issues: clinician burnout is a significant problem for the healthcare industry, and they need less- complex workflows that minimize screen time and maximize patient interaction while helping the make the most informed decisions. With a large portion of survey respondents viewing clinician burnout as a major problem, the industry is clearly ready for transformation.
  • 21. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Bridging the Gap Between Problem and Solution Successfully reducing clinician burnout and improving provider job satisfaction won’t come with faster, more agile analytics alone. To truly transform, next-generation workflow tools must cater to the needs and concerns of their end users with accessible platforms that enhance clinicians’ ability to deliver the best care according to their training and professional judgment.
  • 22. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. For more information: “This book is a fantastic piece of work” – Robert Lindeman MD, FAAP, Chief Physician Quality Officer
  • 23. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. More about this topic Link to original article for a more in-depth discussion. Survey Points to Major Burnout Concerns Among Clinicians Health Catalyst® Introduces Closed-Loop Analytics™ Services Tarah Neujahr Bryan, Senior Vice President, Marketing Physician Burnout and the EHR: Addressing Five Common Burdens Ed Corbett, MD, Medical Officer Health Catalyst Closed-Loop Analytics Addresses Physician Burnout, Enables Health Data Ecosystem Health Catalyst Knowledge Center Closed-Loop Analytics Improves Workflow and Efficiency Health Catalyst Success Story The Best Way to Optimize Physician Workflow Ed Corbett, MD, Medical Officer
  • 24. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Other Clinical Quality Improvement Resources Click to read additional information at www.healthcatalyst.com Tarah Neujahr Bryan, MAJMC, joined Health Catalyst in 2013 and has served as Editorial Director and Vice President of Marketing; she is currently the Senior Vice President of Marketing and a member of the Health Catalyst leadership team. She brings a breadth of marketing and communications experience to her current role. Prior to joining Health Catalyst, Tarah served as the Marketing Communications Director and Foundation Executive Director at a community hospital, managed at an advertising agency, was the Editor and Operations Manager at an archaeology firm, and provided triage assistance and patient admissions at a Level-II Trauma Center. She has a Master of Arts in Journalism and Mass Communications from the University of Nebraska and a Bachelor of Arts from Montana State University-Billings. Tarah volunteers with Intermountain Therapy Animals and has done pro-bono communications work for American Cancer Society, Wings Cancer Foundation, and many other non-profit organizations. Tarah Neujahr Bryan, MAJMC
  • 25. © 2019 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Other Clinical Quality Improvement Resources Click to read additional information at www.healthcatalyst.com Health Catalyst is a mission-driven data warehousing, analytics and outcomes-improvement company that helps healthcare organizations of all sizes improve clinical, financial, and operational outcomes needed to improve population health and accountable care. Our proven enterprise data warehouse (EDW) and analytics platform helps improve quality, add efficiency and lower costs in support of more than 65 million patients for organizations ranging from the largest US health system to forward-thinking physician practices. Health Catalyst was recently named as the leader in the enterprise healthcare BI market in improvement by KLAS, and has received numerous best-place-to work awards including Modern Healthcare in 2013, 2014, and 2015, as well as other recognitions such as “Best Place to work for Millenials, and a “Best Perks for Women.”