Setting Performance Evaluation Benchmarks for Physician Employees

Performance evaluation form for a physician to log their performance.

Establishing clear performance benchmarks for physician employees is critical to ensuring high-quality patient care, operational efficiency, and overall organizational success. These are also metrics you will want to concretely establish before hiring any new employees. Sharing these benchmarks with incoming staff before they begin practicing for you will allow them to understand expectations which can be a significant determinant in employee retention.

Setting these benchmarks requires a thoughtful approach, encompassing a variety of metrics and structured improvement processes. If you don’t yet have a rubric concerning employee performance, consider these metrics: 

Key Metrics for Measuring Physician Performance

Clinical Outcomes:

    • Patient Recovery Rates: Track recovery rates from specific treatments or surgeries to assess the effectiveness of care.
    • Readmission Rates: Measure the frequency of patient readmissions within a set period, aiming for lower rates as an indicator of effective initial treatment.
    • Complication Rates: Monitor post-treatment complications to ensure high standards of care.

Patient Satisfaction:

    • Patient Surveys: Use standardized surveys (e.g., HCAHPS) to gather patient feedback on their care experience, including communication, empathy, and overall satisfaction.
    • Net Promoter Score (NPS): Determine the likelihood of patients recommending the practice to others, which reflects patient loyalty and satisfaction.

Operational Efficiency:

    • Appointment Scheduling Efficiency: Evaluate how quickly and accurately appointments are scheduled and managed.
    • Time Management: Monitor the average time spent per patient and overall patient throughput to ensure efficient use of time.
    • Procedure Turnaround Time: Measure the time taken to complete procedures from start to finish.

Adherence to Clinical Guidelines:

    • Compliance Rates: Track adherence to established clinical guidelines and protocols, ensuring evidence-based practices are followed.
    • Continuing Medical Education (CME) Participation: Monitor participation in CME activities to ensure physicians stay current with medical advancements.

Productivity and Financial Performance:

    • Work Relative Value Units (wRVUs): Use wRVUs to measure the volume and complexity of work performed.
    • Revenue Generation: Assess the revenue generated by each physician to ensure financial health and sustainability.
    • Billing Accuracy: Monitor the accuracy of billing practices to prevent errors and optimize revenue cycle management.

Related Resource: Hiring Millennial and Gen Z Physicians


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Improvement Processes for Underperformance

Regular Performance Reviews:

    • Frequency: Conduct performance reviews quarterly or biannually to provide timely feedback.
    • Structured Feedback: Use a structured format to provide clear, objective feedback on strengths and areas needing improvement.

Personalized Development Plans:

    • Goal Setting: Collaborate with underperforming physicians to set realistic, measurable goals for improvement.
    • Ongoing Education: Encourage participation in additional training, workshops, and CME to address skill gaps.

Mentorship and Support:

    • Mentorship Programs: Pair underperforming physicians with experienced mentors who can provide guidance and support.
    • Peer Support Groups: Create peer support groups to facilitate knowledge sharing and problem-solving.

Monitoring and Accountability:

    • Regular Check-ins: Schedule regular check-ins to monitor progress towards improvement goals and provide additional support as needed.
    • Accountability Measures: Implement accountability measures such as progress tracking tools and performance dashboards.

Feedback Loop:

    • Patient Feedback: Incorporate patient feedback into the performance review process to gain a holistic view of physician performance.
    • Self-Assessment: Encourage physicians to conduct self-assessments to reflect on their own performance and identify areas for growth.

Incentives and Recognition:

      • Performance-Based Incentives: Offer incentives for meeting or exceeding performance benchmarks, such as bonuses or additional CME funding.
      • Recognition Programs: Recognize and celebrate achievements publicly to motivate continued excellence.

 

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