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The capacity and well-being of the U.S. health workforce has been under threat for years by an epidemic of burnout, and the COVID-19 pandemic has exacerbated this systems issue. Now more nurses, physicians, and state and local public health department employees than ever are considering leaving their professions.
Recognizing that the function of the U.S. health system is at stake, the NAM released theÌý911±¬ÁÏÍø Plan for Health Workforce Well-BeingÌýin October 2022 to drive collective action toÌýstrengthen health workforce well-being and restore the health of the nation.Ìý
NAM Collaborative and founding partners have announced March 18 as the annual, national Health Workforce Well-Being (HWWB) Day
Details and resources on how health and other leaders, policymakers, health workers, patients and families can participate in HWWB Day, as well as take further next steps in the movement, are available at: nam.edu/HWWBDay
Take the next step and join our health workforce well-being movement
​The NAM invi
tes health organizations and other key actors to join an inaugural cohort of Change Makers in affirming their commitment to Priority Area 6: institutionalizing health worker well-being as a long-term value.Ìý
Priority AreasÌý
The 911±¬ÁÏÍø Plan calls on multiple actors – including health care and public health leaders, government, payers, industry, educators, and leaders in other sectors – to help drive policy and systems change. See goals and related resources in the following priority areas to better support the health workforce and the health of all communities:
Create and sustain positive work and learning environments and culture
Transform health systems, health education, and training by prioritizing and investing in efforts to optimize environments that prevent and reduce burnout, foster professional well-being, and support quality care.Ìý
Goal 1 Culture of well-being is integrated into program operations, human resource management, services, and curricula.
Goal 2ÌýSettings are diverse, equitable, accessible, and inclusive.
Goal 3ÌýIncreased retention and decreased turnover of health workers.
Goal 4ÌýLeadership recognizes negative impacts of health worker burnout and fosters a culture of well-being.
Goal 5 Accountability standards and best practices for well-being are adopted.
Related Resources:
Advance Organizational Commitment
- White Paper:
- Report:
- Guide:
- Guide:
- Guide:
- Guide:
- Case Example: Workplace Wellness Champions: Lessons Learned and Implications for Future Programming
- Infographic:
- Recognition Programs:
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– and
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Strengthen Leadership Behaviors
- Guide:
- Discussion Paper:
Conduct Workplace Assessment
- Overview of Established Tools: Valid and Reliable Survey Instruments to Measure Burnout, Well-Being, and Other Work-Related Dimensions
- Infographic/Assessment Tool:
- Guide:
Cultivate a Culture of Connection and Support
- Guide:
- Guide:
- Case Study:
For additional resources, visit the NAM’s Resource Compendium for Health Care Worker Well-Being.
Invest in measurement, assessment, strategies, and research
Expand the uptake of existing tools at the health system level and advance national research on decreasing health worker burnout and improving well-being.
Goal 1 Burnout and well-being of health workers and learners, and the drivers of workplace stress, are routinely measured.
Goal 2 A national commitment is made to invest in research, strategies, and partnerships to improve health worker and learner well-being.
Related Resources:
Conduct Workplace Assessment
- Overview of Established Tools: Valid and Reliable Survey Instruments to Measure Burnout, Well-Being, and Other Work-Related Dimensions
- Tool:
- Tool:
- Tool: Wellness Culture and Environment Support Scale
- Calculator:
- Discussion Paper: A Pragmatic Approach for Organizations to Measure Health Care Professional Well-Being
- Discussion Paper:
- Survey Findings:
Strengthen Leadership Behaviors
- Guide:
- Perspective:
For additional resources, visit the NAM’s Resource Compendium for Health Care Worker Well-Being.
Support mental health and reduce stigma
Provide support to health workers by eliminating barriers and reducing stigma associated with seeking services to address mental health challenges.
Goal 1 The mental health workforce is strengthened with increased numbers of practitioners.
Goal 2 Adequate mental health services are available, easily accessible, confidential, dignified, paid for, and health workers and learners are encouraged to use them.
Goal 3 Stigma and barriers are reduced for health workers and learners to disclose mental health issues and utilize mental health services.
Goal 4 Health workers and learners do not experience unnecessary punitive actions when seeking mental health services.
Goal 5 Access to mental health resources is correlated with improved health worker well-being.
Related Resources:
Cultivate a Culture of Connection and Support
- Organizational Guide:
- Organizational Guide:
- Organizational Graphic:
- Organizational Guide:
- Organizational Guide: At the Heart of the Pandemic: Nursing Peer Support
- Organizational Guide:
- Individual Support Guide:
- Individual Support Guide:
- Resource Compilation:
For additional resources, visit the NAM’s Resource Compendium for Health Care Worker Well-Being.
Address compliance, regulatory, and policy barriers for daily work
Prevent and reduce the unnecessary burdens that stem from laws, regulations, policies, and standards placed on health workers.
Goal 1 Time spent on documentation is reduced to provide more time for meaningful professional activities and personal well-being.
Goal 2 Policies address hybrid, virtual, and in-person workflows to facilitate work-life integration and responsive patient care.
Goal 3 Prior authorization requirements are reimagined in a manner that places a focus on supporting quality patient care while also reducing unnecessary burden on health workers.
Goal 4 Requirements are streamlined for health workers to comply with regulations and policies.
Goal 5 Interstate practice is simplified and virtual services are easy for health workers and patients to use.
Related Resources:
Conduct Workplace Assessment
- Tool:
Enhance Workplace Efficiency
- Guide:
- Calculator/Guide:
- Guide:
Examine Policies and Practices
- Guide:
- Guide:
- Framework:
- Policy Considerations:
- Policy Action Items:
- Initiative:
For additional resources, visit the NAM’s Resource Compendium for Health Care Worker Well-Being.
Engage effective technology tools
Optimize and expand the use of health information technologies that support health workers in providing high-quality patient care and serving population health, and minimize technologies that inhibit clinical decision-making or add to administrative burden.
Goal 1 Health IT is user friendly and affordable, and meets standards co-designed with users.
Goal 2 Health IT is interoperable across disciplines and platforms to enhance team-based care and continuity of care.
Goal 3 Technology innovations improve both patient care and workload of health workers.
Goal 4 Technologies facilitate increased personal connections with patients.
Goal 5 The use of technology is understood and established as an enabler to streamline care.
Related Resources:
Enhance Workplace Efficiency
- Calculator/Guide: Team Documentation:
- Webinar:
- Case Study:
- Case Study:
- Commentary:
- Framework:
Strengthen Leadership Behaviors
- Webinar:
For additional resources, visit the NAM’s Resource Compendium for Health Care Worker Well-Being.
Institutionalize well-being as a long-term value
Ensure COVID-19 recovery efforts address the toll on health worker well-being now and in the future, and bolster the public health and health care systems for future emergencies.
Goal 1 Health worker and learner well-being are prioritized, reflected in, and operationalized in strategic plans and core values.
Goal 2 The effects of COVID-19 on the well-being of the health workforce are addressed.
Goal 3 A strong and coordinated national public health infrastructure has a thriving public health workforce.
Related Resources:
Cultivate a Culture of Connection and Support
- Guide:
- Guide:
- Guide:
- Organizational Best Practices: At the Heart of the Pandemic: Nursing Peer Support
- Organizational Graphic:
- Overview of COVID-19 Resources by Roles:
Advance Organizational Commitment
- Guide:
- Guide:
- Guide: Wellness with COVID: Contagious Strategies to Promote Pharmacy Well-Being
- Brief:
- Discussion Paper/Guide:
- Fact Sheet:
Strengthen Leadership Behaviors
- Compilation:
- Guide:
- Guide:
- Guide:
- Strategies:
- Discussion Paper:
- Guide:
For additional resources, visit the NAM’s Resource Compendium for Health Care Worker Well-Being.
Recruit and retain a diverse and inclusive health workforce
Promote careers in the health professions and increase pathways and systems for a diverse, inclusive, and thriving workforce.
Goal 1 The size and composition of the health workforce reflects the demand and diversity of the U.S. population.
Goal 2 The health system retains health workers who have personal caregiving responsibilities.
Goal 3 Health care environments are person-centered and safe for health workers.
Goal 4 Health workers have the infrastructure to support their work to improve population health.
Goal 5 Health workers and learners are inspired and equipped to meet the challenges of caring for the nation.
Related Resources:
Examine Policies and Practices
- Strategies:
- Survey:
Strengthen Leadership Behaviors
- Discussion Paper/Action Items:
- Discussion Paper/Action Items:
- Discussion Paper:
For additional resources, visit the NAM’s Resource Compendium for Health Care Worker Well-Being.
New Video Series: Health Leaders Operationalize 911±¬ÁÏÍø Plan
The NAM is pleased to share short videos from health leaders on the critical need to advance health workforce well-being. Get inspired by how leaders across the health sector are using the 911±¬ÁÏÍø Plan to cultivate a movement to optimize care providers’ well-being.
Call to ActionÌýÌý
The 911±¬ÁÏÍø Plan builds on the foundation of six years of research and collaboration among NAM’s network of 200 organizations committed to reversing trends in health worker burnout. The 911±¬ÁÏÍø Plan is intended as a tool for all actors to take further evidence-based steps to improve the health system, with evaluation and accountability.
Improving health worker well-being is a shared responsibility that requires collective action by all actors of the U.S. health system and those who influence health. Together, we can support a coordinated national movement for health workforce well-being. The NAM looks forward to working with change makers to set commitments and support efforts to take up the 911±¬ÁÏÍø Plan.
Watch video about 911±¬ÁÏÍø Commitments to the Health Workforce Well-Being Movement
Supporting the Launch of the 911±¬ÁÏÍø PlanÌýÌý
A draft of the 911±¬ÁÏÍø Plan was made available for public feedback and received nearly 2,000 comments. In the first month of the Plan’s release, 50 organizations endorsed the final publication representing the diverse organizational membership of the Clinician Well-Being Collaborative and the various actors committed to advancing the 911±¬ÁÏÍø Plan’s actions. Thank you to the following organizations for demonstrating their early support of the 911±¬ÁÏÍø Plan!ÌýIf you would like to demonstrate your support of the 911±¬ÁÏÍø Plan, you’re encouraged to check out the ongoing Change Maker opportunity >>
UAB Medicine
Disclaimer: This page includes logos of other public and/or private organizations that are in no way under the control of the 911±¬ÁÏÍø Academy of Medicine (NAM) or the 911±¬ÁÏÍø Academies of Sciences, Engineering, and Medicine (NASEM). Inclusion of the logos does not imply or constitute an endorsement or promotion by NAM or NASEM of any organizations. Neither NAM nor NASEM are responsible in any way for any content, advertising, products, services or information on or available from the organizations.
Questions? Contact us at ClinicianWellBeing@nas.edu.Ìý
If you or a loved one is feeling distressed, theÌýÌýprovides free and confidential emotional support 24 hours a day, 7 days a week.ÌýCall or text the 911±¬ÁÏÍø Suicide Prevention Lifeline at 988.
