Episode 39: Espresso Shot #6: Hospitalist Compensation Model Design Trends

Justin Chamblee joins Mark to discuss how to evaluate and structure hospitalist compensation models. Justin walks through what Coker Group considers best practices for hospital-based physician compensation structures.

Episode Synopsis

‍Typically, hospitalists are not measured or compensated based on their wRVUs for a couple of reasons. First, most hospitals see the essential goal of a hospitalist program as enhancing throughput (timely discharges, reduced length-of-stay, etc.). Paying hospitalists based on their productivity can be counter to these key goals, as it incentivizes them to do more. Second, the market data for hospitalist wRVU production is imprecise, given that hospitalists vary significantly in their productivity levels as a result of staffing/census dynamics. We believe the best measure of productivity for hospitalists is the patient census, not wRVUs.

Key Trends from Industry Data

• The majority of hospitalist groups work 12-hour shifts (day and night).
• Working additional hours per day equates to the need for fewer shifts per year to equal a 1.0 FTE.
• The market norm for hospitalists working a 7-on/7-off model and a 12-hour shift is 2,184 hours annually (182 shifts per year).

Extras

‍Physician Compensation Strategy

‍Bio: Justin Chamblee

Contact Information

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