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Promoting physician productivity through a variable compensation system.

M Hickey1, J T Ichter

  • 1Healthcare Management Consulting, Albuquerque, NM, USA.

Healthcare Financial Management : Journal of the Healthcare Financial Management Association
|July 6, 1997
PubMed
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Lovelace Health Systems improved physician productivity by implementing a variable compensation system. This system incentivized physicians using the resource-based relative value scale and relative value units to meet benchmark targets.

Area of Science:

  • Healthcare Management
  • Physician Compensation Models
  • Health Services Research

Background:

  • Integrated delivery systems face challenges in optimizing physician productivity and accountability.
  • Physician performance at Lovelace Health Systems was identified as below national medians.
  • Fostering an entrepreneurial mindset among physicians is crucial for healthcare organizations.

Purpose of the Study:

  • To assess the impact of a newly implemented variable compensation system on physician productivity.
  • To incentivize physicians to enhance their performance and accountability.
  • To align physician efforts with organizational productivity benchmarks.

Main Methods:

  • Implementation of a variable compensation system at Lovelace Health Systems.

Related Experiment Videos

  • The system is based on the resource-based relative value scale (RBVS) and relative value units (RVUs).
  • Establishment of benchmark productivity targets for physicians.

    • Main Results:

    • The variable compensation system was designed to incentivize increased physician productivity.
    • Physician performance was below national medians prior to the intervention.
    • The system aimed to improve accountability and foster an entrepreneurial attitude.

    Conclusions:

    • Variable compensation models, particularly those using RBVS and RVUs, can be effective tools for enhancing physician productivity.
    • Setting clear benchmark targets is essential for driving performance improvements.
    • Strategic compensation adjustments can address productivity deficits in integrated health systems.