Incentive programs based on quality care

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I'm currently working in oncology and do not have an incentive package as productivity for me is not feasible since we focus on quality care vs quantity. My employer says they would consider an incentive package for me if I presented one that would be acceptable. Any suggestions on what to propose? I'm missing out on a lot of potential income due to lack of bonus pay. I work for Adventist Health Systems in an outpt clinic seeing both inpts and outpts. I work with 1 physician and we see approx 15-20 chemo infusions per day, as well as 35 clinic pts. My average is 12 pts daily. Thanks in advance!!!

traumaRUs, MSN, APRN, CNS

164 Articles; 21,189 Posts

Specializes in Nephrology, Cardiology, ER, ICU. Has 31 years experience.

In nephrology my bonus structure is based on hospitalization rate. So what I do is keep in contact with my pts. For instance a pt is getting fluid overloaded I make sure they get extra dialysis. A pt is out of meds I make sure to contact them and refill quickly. If there is a social or community need I make sure they get connected with that.

What about pain pain and symptom management? Decreasing the rates of ED visits for nausea or vehemently related side effects. Decreasing infection rates? Emphasize hand washing, wearing a mask when in public, etc

WKShadowNP, DNP, APRN

1 Article; 2,077 Posts

Specializes in Hospital medicine; NP precepting; staff education. Has 22 years experience.

I don't know the RVUs for your patient population, but my quarterly bonuses are based on several factors: acuity, throughput, and LOS. RVUs are sort of considered when looking at acuity (basically if things are 99221, 222, etc.... I might have the numbers wrong, but I think my point might be understood.) If not, this should: RVUs for hospital care

So for today, based on the linked RVU calculator, I have 27.63 RVUs which amounts to a bonus of $138.15. (minus taxes, I presume). That's one obs H&P, three regular H&Ps, 6 f/u rounding on inpt stays.

WKShadowNP, DNP, APRN

1 Article; 2,077 Posts

Specializes in Hospital medicine; NP precepting; staff education. Has 22 years experience.

My pleasure.