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Compensation
Trends
Digital
Recruiting
Trends
Workforce
Trends
Cultural Fit
2
ROADMAP FOR TODAY’S PRESENTATION
Workforce
Trends
3
WORKFORCE TRENDS
THE
PHYSICIAN SHORTAGE
4
5
RANKS IN THE
TOP THREE
CONCERNSFOR HOSPITAL CEOS
IMPACT
Each physician supports 14 jobs and $2.2
million in economic input for a community.
6
Adding one physician to a community of 10,000
people is associated with a 5.3% reduction in
average mortality.
Source: National Center for Rural Health Works, www.ruralhealthworks.org; MGMA Compensation Report
Each physician vacancy costs an average of
$1 million in lost revenue per year.$
BEYOND COMPLIANCE, WHAT WE CAN DO?
Advanced Practitioners: Assist with patient
communication, prescription history, follow-up
ONE
Telemedicine: Help underserved areas, even if
relocation is not an option
TWO
7
THREE
Community Education & Engagement: Deliver
authoritative information to specialists, health
centers, patients, employers and schools
Hire for Fit: Build your team with mission-driven
physicians and advanced practice providers
FOUR
Compensation
Trends
8
COMPENSATION TRENDS
9
COMPENSATION TRENDS
Family medicine physicians saw a 12 percent rise in total compensation over the past
five years, while their median number of work relative value units (wRVUs) remained
flat, increasing by less than one percent.
Family Medicine Comp is Up
Practices offered more benefits to attract and retain physicians, including higher
signing bonuses, continuing medical education stipends, and relocation expense
reimbursements
Benefits are Rising in Importance
Over the last five years overall non-physician provider compensation has
increased at a rate of 8 percent.
Non-physician Providers Earn More
Source: Medical Group Management Association, May 2018
COMPENSATION: COMPONENTS
10
Structure of Compensation Model
✓ Production, quality and patient satisfaction
metrics to earn an incentive bonus
Payer Mix
✓ Compensation may be based on charges,
collections or any revenue
Malpractice insurance
✓ Employee agreements should state whether
or not coverage is provided and who is
paying for it
Stipends
✓ Hourly or daily stipend for taking call or for
serving in a medical director capacity
COMPENSATION TRANSPARENCY
11
Visits/Procedures
Expenses
Practice Overhead
Profit/(Loss)
Charges
Work RVUs: RVUs & Expense (Cost) per Visit
Expenses as % of Collections
Patient Collections
Gross Collection %
Accounts Receivable
Staffing
Payer Mix based on Encounters
12
COMPENSATION ISN’T EVERYTHING
SOURCE: Medscape Physician Compensation Report 2018
13
COMPENSATION ISN’T EVERYTHING
Source: “The Engagement Gap,” Jackson Healthcare, 2016
Two elements have the strongest relationship to
satisfaction:
Trust in the hospital /
health system’s
leadership team
Quality of
communication across
the hospital or health
system
Digital
Recruiting
Trends
14
DIGITAL RECRUITING TRENDS
REACHING PASSIVE CANDIDATES
15
SEARCHING FOR
JOBS
INTERESTED, BUT
NOT PROACTIVE
HAPPY IN CURRENT
POSITION
SOCIAL AND DIGITAL MEDIA
Rise of the
Digital Omnivore
Maximizing Multi-Screen Engagement Among Clinicians, Epocrates, Inc. 2013
16
17
FIND PASSIVE CANDIDATES ONLINE
Digital Recruitment is a Trend that is Here to Stay
of U.S. physicians are on Doximity – a “Top 5”
smartphone app used by the American College of
Physicians70%
Source: Doximity; American College of Physicians
Source: CDW Healthcare 2015 Healthcare Social Media Report -
http://www.cdwcommunit.com/resources/infographic/social-media/
18
87%of physicians ages 26-55
are using social media
65%of “traditional” physicians
ages 56-75
are using social media
RISE OF THE DIGITAL OMNIVORE
RISE OF THE DIGITAL OMNIVORE
of physicians prefer to receive information about job
opportunities via email.
Source: MMS Job Opportunity Preferences
53% of healthcare professionals read job opportunity emails after 6 p.m.
over
98%
19
We are overfilling physician candidate’s plates –
We must be more targeted and strategic.
Less than
10%
of recruiter
communications are
relevant as reported by
the majority of physicians.
39%
of physician candidates
reported being
contacted multiple
times per week about
job opportunities.
Source: Doximity Physician Survey
REACHING DIGITAL OMNIVORES
20
BE EFFICIENT AND STRATEGIC
21
1. Streamline the Process
2. Shorten the Search
3. Control your Expenses
Accelerating your search by even 30
days can equate to tens of thousands in
revenue/reduced vacancy costs.
Cultural
Fit
22
CULTURAL FIT
23
24
CULTURE AND ENGAGEMENT
The Interview: Window to Your Culture
Tailor the
Interview
Team to the
Candidate
Utilize Your
Best Facility
and
Community
Advocates
Assign Topics
& Ensure
Consistent
Message
Explore the
Candidate's
Priorities and
Motivations
25
Share Your Vision and Community Impact
Community and Culture Should Match Physician’s Values
Involve the Spouse and Family
Personalize and Strategize Every Interview
The Interview: Selling the Vision
CULTURE AND ENGAGEMENT
ORGANIZATIONAL ALIGNMENT
26
Succession
▪ Be prepared for the possibility that any of your current physicians may
leave at any time for unforeseen circumstances
▪ Examine the average age of your physicians to determine how much of
your workforce is nearing retirement
Turnover Rate
▪ Periodically review turnover
▪ Look for patterns and get the support you need to “repair” what’s broken
Organizational Priorities and Budget
▪ Align recruitment and retention with your organization’s broader
priorities
▪ Understand the marketplace, compensation trends, new recruitment
technologies and key performance indicators
27
MEASURE EFFICIENCY AND RESULTS
Shorten Vacancy Time
by 60 days
for Revenue Gain of
$138,000
* Given $828,000 average revenue per
primary care physician per year
(specialists will be more)
Reduce
Interview-to-Hire
Ratio from
5:1 to 3:1
for Cost Savings of
$18,000
* Estimating $6,000 per Interview in travel
and team hours
Improve
Acceptance Rate
from 70% to 90%
for Cost Savings of
$24,000
* Estimating $24,000 to restart search
and resume interviews for declined offer
Source: AMGA 2017 Medical Group Compensation and Production Survey, MGMA 2017 Practice Compensation Report
28
LOWER THE COST OF HIRE AND
MAXIMIZE REVENUE
29
Communicate transparently, build trust and foster ties to
the community based on the values, motivations and needs
of candidates and their families
KEY TAKEAWAYS: UNDERSTAND
Strategically align your recruiting objectives with
community needs and the realities of supply and
demand in key specialties
Ensure the team is hitting key recruitment metrics to
maximize return on investment
Follow best practices that leverage social and digital
media to efficiently network and attract top candidates
ADDITIONAL RESOURCES
Physician Salary Calculator
White Paper: Physician Workforce Through 2030
Guide to Developing a Strategic Physician Recruitment Plan
Infographic Guides: Physician Trends, Engagement and
Networking
Case Studies
30
Tim Sheley, Executive Vice President
770.643.5554
sheley@JacksonPhysicianSearch.com

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Bend Key Trends to Achieve Physician Recruitment Success

  • 1.
  • 5. 5 RANKS IN THE TOP THREE CONCERNSFOR HOSPITAL CEOS
  • 6. IMPACT Each physician supports 14 jobs and $2.2 million in economic input for a community. 6 Adding one physician to a community of 10,000 people is associated with a 5.3% reduction in average mortality. Source: National Center for Rural Health Works, www.ruralhealthworks.org; MGMA Compensation Report Each physician vacancy costs an average of $1 million in lost revenue per year.$
  • 7. BEYOND COMPLIANCE, WHAT WE CAN DO? Advanced Practitioners: Assist with patient communication, prescription history, follow-up ONE Telemedicine: Help underserved areas, even if relocation is not an option TWO 7 THREE Community Education & Engagement: Deliver authoritative information to specialists, health centers, patients, employers and schools Hire for Fit: Build your team with mission-driven physicians and advanced practice providers FOUR
  • 9. 9 COMPENSATION TRENDS Family medicine physicians saw a 12 percent rise in total compensation over the past five years, while their median number of work relative value units (wRVUs) remained flat, increasing by less than one percent. Family Medicine Comp is Up Practices offered more benefits to attract and retain physicians, including higher signing bonuses, continuing medical education stipends, and relocation expense reimbursements Benefits are Rising in Importance Over the last five years overall non-physician provider compensation has increased at a rate of 8 percent. Non-physician Providers Earn More Source: Medical Group Management Association, May 2018
  • 10. COMPENSATION: COMPONENTS 10 Structure of Compensation Model ✓ Production, quality and patient satisfaction metrics to earn an incentive bonus Payer Mix ✓ Compensation may be based on charges, collections or any revenue Malpractice insurance ✓ Employee agreements should state whether or not coverage is provided and who is paying for it Stipends ✓ Hourly or daily stipend for taking call or for serving in a medical director capacity
  • 11. COMPENSATION TRANSPARENCY 11 Visits/Procedures Expenses Practice Overhead Profit/(Loss) Charges Work RVUs: RVUs & Expense (Cost) per Visit Expenses as % of Collections Patient Collections Gross Collection % Accounts Receivable Staffing Payer Mix based on Encounters
  • 12. 12 COMPENSATION ISN’T EVERYTHING SOURCE: Medscape Physician Compensation Report 2018
  • 13. 13 COMPENSATION ISN’T EVERYTHING Source: “The Engagement Gap,” Jackson Healthcare, 2016 Two elements have the strongest relationship to satisfaction: Trust in the hospital / health system’s leadership team Quality of communication across the hospital or health system
  • 15. REACHING PASSIVE CANDIDATES 15 SEARCHING FOR JOBS INTERESTED, BUT NOT PROACTIVE HAPPY IN CURRENT POSITION
  • 16. SOCIAL AND DIGITAL MEDIA Rise of the Digital Omnivore Maximizing Multi-Screen Engagement Among Clinicians, Epocrates, Inc. 2013 16
  • 17. 17 FIND PASSIVE CANDIDATES ONLINE Digital Recruitment is a Trend that is Here to Stay of U.S. physicians are on Doximity – a “Top 5” smartphone app used by the American College of Physicians70% Source: Doximity; American College of Physicians
  • 18. Source: CDW Healthcare 2015 Healthcare Social Media Report - http://www.cdwcommunit.com/resources/infographic/social-media/ 18 87%of physicians ages 26-55 are using social media 65%of “traditional” physicians ages 56-75 are using social media RISE OF THE DIGITAL OMNIVORE
  • 19. RISE OF THE DIGITAL OMNIVORE of physicians prefer to receive information about job opportunities via email. Source: MMS Job Opportunity Preferences 53% of healthcare professionals read job opportunity emails after 6 p.m. over 98% 19
  • 20. We are overfilling physician candidate’s plates – We must be more targeted and strategic. Less than 10% of recruiter communications are relevant as reported by the majority of physicians. 39% of physician candidates reported being contacted multiple times per week about job opportunities. Source: Doximity Physician Survey REACHING DIGITAL OMNIVORES 20
  • 21. BE EFFICIENT AND STRATEGIC 21 1. Streamline the Process 2. Shorten the Search 3. Control your Expenses Accelerating your search by even 30 days can equate to tens of thousands in revenue/reduced vacancy costs.
  • 23. 23
  • 24. 24 CULTURE AND ENGAGEMENT The Interview: Window to Your Culture Tailor the Interview Team to the Candidate Utilize Your Best Facility and Community Advocates Assign Topics & Ensure Consistent Message Explore the Candidate's Priorities and Motivations
  • 25. 25 Share Your Vision and Community Impact Community and Culture Should Match Physician’s Values Involve the Spouse and Family Personalize and Strategize Every Interview The Interview: Selling the Vision CULTURE AND ENGAGEMENT
  • 26. ORGANIZATIONAL ALIGNMENT 26 Succession ▪ Be prepared for the possibility that any of your current physicians may leave at any time for unforeseen circumstances ▪ Examine the average age of your physicians to determine how much of your workforce is nearing retirement Turnover Rate ▪ Periodically review turnover ▪ Look for patterns and get the support you need to “repair” what’s broken Organizational Priorities and Budget ▪ Align recruitment and retention with your organization’s broader priorities ▪ Understand the marketplace, compensation trends, new recruitment technologies and key performance indicators
  • 28. Shorten Vacancy Time by 60 days for Revenue Gain of $138,000 * Given $828,000 average revenue per primary care physician per year (specialists will be more) Reduce Interview-to-Hire Ratio from 5:1 to 3:1 for Cost Savings of $18,000 * Estimating $6,000 per Interview in travel and team hours Improve Acceptance Rate from 70% to 90% for Cost Savings of $24,000 * Estimating $24,000 to restart search and resume interviews for declined offer Source: AMGA 2017 Medical Group Compensation and Production Survey, MGMA 2017 Practice Compensation Report 28 LOWER THE COST OF HIRE AND MAXIMIZE REVENUE
  • 29. 29 Communicate transparently, build trust and foster ties to the community based on the values, motivations and needs of candidates and their families KEY TAKEAWAYS: UNDERSTAND Strategically align your recruiting objectives with community needs and the realities of supply and demand in key specialties Ensure the team is hitting key recruitment metrics to maximize return on investment Follow best practices that leverage social and digital media to efficiently network and attract top candidates
  • 30. ADDITIONAL RESOURCES Physician Salary Calculator White Paper: Physician Workforce Through 2030 Guide to Developing a Strategic Physician Recruitment Plan Infographic Guides: Physician Trends, Engagement and Networking Case Studies 30 Tim Sheley, Executive Vice President 770.643.5554 sheley@JacksonPhysicianSearch.com