Medical Staff

How to construct quality bonus plans

Hospitalist Leadership Connection, December 2, 2008

Quality bonus plans tend to be more subjective than productivity-based bonus plans and therefore more difficult to design and administer. It is important to design quality-incentive plans around goals that are well-defined, unambiguously measured, and easily attributable to individual physician performance. Quality bonus plans are typically based on the following measurements:

  • Patient satisfaction based on a survey
  • Referring physician satisfaction based on a survey
  • Core measures
  • Readmission rate
  • Mortality rate
  • Good citizenship based on hospital committee work, timely medical records, and good behavior

These combined measurements are methods of assessing the performance of a physician for quality-based bonuses.

The above excerpt is adapted from Practical Guide to Hospitalist Recruitment and Retention by Kirk Mathews, foreword by John Nelson, MD, FACP, published by HCPro, Inc.

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