Development and Impact of a Novel Academic Primary Care Compensation Model

ABSTRACT Background Traditional productivity-based compensation models do not align well with newer population-based approaches to primary care. There are few published examples of academic general internal medicine compensation models that explicitly reward population health management, including c...

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Bibliographic Details
Published in:Journal of general internal medicine : JGIM 2015-12, Vol.30 (12), p.1865-1870
Main Authors: Trowbridge, Elizabeth, Bartels, Christie M., Koslov, Steven, Kamnetz, Sandra, Pandhi, Nancy
Format: Article
Language:English
Subjects:
Academic Medical Centers - economics
Attitude of Health Personnel
Compensation
Compensation plans
Efficiency
Health care
Health Services Research - methods
Humans
Internal Medicine
Internal Medicine - economics
Internship and Residency - economics
Job Satisfaction
Medical personnel
Medicine
Medicine & Public Health
Models, Econometric
Occupational health
Original Research
Patients
Personnel Turnover - statistics & numerical data
Physician Incentive Plans
Physicians
Physicians, Primary Care - economics
Physicians, Primary Care - psychology
Primary care
Primary Health Care - economics
Productivity
Reinforcement
Salaries and Fringe Benefits - economics
Wisconsin
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Summary:ABSTRACT Background Traditional productivity-based compensation models do not align well with newer population-based approaches to primary care. There are few published examples of academic general internal medicine compensation models that explicitly reward population health management, including care for patients between visits. Objective To describe the development and implementation of an academic general internal medicine compensation plan based upon actual work performed, compare satisfaction across primary care specialties, and evaluate work-related outcomes. Design Observational study. Participants Forty-seven general internists who practice in affiliated academic and community clinics. Main Measures Clinician satisfaction with compensation plan, workforce stability, panel data, and productivity. Key Results The compensation plan change was associated with higher provider satisfaction. Sixty-five percent (31/47) of participants within general internal medicine reported being satisfied or very satisfied, as compared to 24 % (22/90 participants) for family medicine and 22 % (5/23 participants) for general pediatrics ( p  
ISSN:0884-8734
1525-1497
DOI:10.1007/s11606-015-3410-7