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Academia and the Profession |

A Novel Incentive System for Faculty in an Academic Medical Center

Terry L. Brandt, MBA; Clifford R. Romme, MS; Nicholas F. LaRusso, MD; and Keith D. Lindor, MD
[+] Article and Author Information

From Mayo Clinic and Foundation, Rochester, Minnesota, and Scottsdale, Arizona.


Requests for Single Reprints: Keith Lindor, MD, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.

Current Author Addresses: Mr. Brandt: Administrative Services, Mayo Clinic and Foundation, 200 First Street SW, Rochester, MN 55905.

Mr. Romme: Administration, Mayo Clinic–Scottsdale, 13400 East Shea Boulevard, Scottsdale, AZ 85259.

Drs. LaRusso and Lindor: Department of Internal Medicine, Division of Gastroenterology and Hepatology, Mayo Clinic and Foundation, 200 First Street SW, Rochester, MN 55905.


Ann Intern Med. 2002;137(9):738-743. doi:10.7326/0003-4819-137-9-200211050-00009
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The need to contain health care costs has led some physicians to become salaried employees of health care organizations. However, the use of nonfinancial incentives for physicians in such an environment has not been broadly explored. The authors describe a novel incentive system that is designed to promote continuing high-quality care and to increase patient access to health care while enhancing clinical and academic productivity and physician satisfaction. Key components of this system include annual targets, flexibility in meeting these targets, and ability to convert clinical productivity generated in excess of what was necessary to meet the target to support scholarly activities. This system led to increased faculty productivity, improved patient access, enhanced scholarly activity, and overall enhanced career satisfaction.

Figures

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Figure 1.
The Greater Access and Independence Now (GAIN) implementation timeline.
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Figure 2.
Outpatient evaluation and management relative value units per faculty day spent in the outpatient practice.

GAIN = Greater Access and Independence Now.

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Grahic Jump Location
Figure 3.
Publications for the Division of Gastroenterology and Hepatology and for each faculty member over the 4-year period of the Greater Access and Independence Now (GAIN) incentive program.FTE

The bars represent total publications for the division and the line represents publications per faculty full-time equivalent ( ).

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Grahic Jump Location
Figure 4.
Average extramural research funding per faculty full-time equivalent (FTE) between 1993 and 2000.

GAIN = Greater Access and Independence Now.

Grahic Jump Location

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