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A Unique Model of Performance-Based Premium Pay System in the Radiology Departments

Year 2023, Volume: 14 Issue: 2, 318 - 325, 17.03.2023
https://doi.org/10.31067/acusaglik.1178882

Abstract

Pay-for-performance (P4P) programs offer financial incentives to healthcare providers to improve the quality of care and patient safety. Various modifications of P4P approaches have been thrust into almost all medical specialities, including radiology, despite being a referral speciality. This article introduces a performance-based premium pay system for radiology personnel implemented in the radiology departments of a private health group in Turkey. The main purpose of the system is to enable the radiology personnel (i.e. technicians, rapporteurs and supporting staff) to earn more in parallel with the increase in their workload, to eliminate the imbalance between wages, to increase the institutional loyalty and commitment of radiology personnel, to ensure ownership of their tasks and equipment, to build up a team awareness, to encourage further training and specialization, and consequently, to improve the overall quality of radiology services.

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References

  • Van Dooren W, Bouckaert G and Halligan J. Performance Management in the Public Sector. Abingdon, UK: Routledge; 2015.
  • Dieleman M and Harnmeijer JW. Improving health worker performance: in search of promising practices. Geneva: World Health Organization; 2006.
  • World Health Organization. The world health report 2006: Working together for health. Geneva: World Health Organization; 2006.
  • Reiner BI and Siegel EL. Pay for performance (P4P) in medical imaging: The time has (finally) come. Journal of digital imaging 2006;19(4):289–294. DOI: 10.1007/s10278-006-1053-2
  • Moser JW, Wilcox PA, Bjork SS, et al. Pay for performance in radiology: ACR white paper. J Am Coll Radiol. 2006;3:650-664.
  • Institute of Medicine, Committee on Quality of Health Care in America. Crossing the quality chasm: A new health system for the 21st century. Washington, District of Columbia: National Academy Press; 2001. DOI:10.17226/10027
  • Institute of Medicine, Committee on Quality of Health Care in America. To err is human: Building a safer health system. Washington, District of Columbia: National Academy Press; 2000. DOI: 10.17226/9728
  • James J. Health Policy Brief: Pay For Performance. Health Affairs Blog, October 11, 2012. DOI: 10.1377/hpb20121011.90233
  • Millenson ML. Pay for performance: The best worst choice. Qual Saf Health Care 2004;13:323–324. DOI: 10.1136/qshc.2004.011668
  • Pham H, Schrag D and O’Malley A. Care patterns in Medicare and their implications for pay for performance. N Engl J Med 2007;356(11):1130–9. DOI: 10.1056/NEJMsa063979
  • Cromwell J, Trisolini MG, Pope GC, Mitchell JB, Greenwald LM, eds. Pay for performance in health care: Methods and approaches. RTI Press; March 2011. DOI: 10.3768/rtipress.2011.bk.0002.1103
  • Thierry H. Payment: Which meanings are rewarding?. American Behavioral Scientist 1992;35(6):694-707. DOI: 10.1177/0002764292035006006
  • Rynes SL, Gerhart B and Minette KA. The importance of pay in employee motivation: Discrepancies between what people say and what they do. Human Resource Management 2004;43(4):381–394. DOI: 10.1002/hrm.20031
  • Burlacu M-I and Birsan A. The monthly salary as a motivational factor from the perpective of the degree of satisfaction and the quality of life. Proceedings of the 10th International Management Conference "Challenges of Modern Management", November3rd-4th, 2016, Bucharest, Romania. Available at: http://conferinta.management.ase.ro/archives/2016/PDF/4_12.pdf. Accessed May 2022.
  • Rosenthal MB, Frank RG, Li Z, et al. Early experience with pay-for-performance: From concept to practice. JAMA 2005;12:1788–1793. DOI: 10.1001/jama.294.14.1788
  • Boland GWL, Halpern EF and Gazelle GS. Radiologist report turnaround time: Impact of pay-for performance measures. AJR 2010;195:707–711. DOI: 10.2214/AJR.09.4164
  • Enamandram SS, Burk KS, Dang PA, et al. Radiology patient outcome measures: Impact of a departmental pay-for-performance initiative on key quality and safety measures. JACR 2021;18(7):969-981. DOI: 10.1016/j.jacr.2020.12.032
  • Shyu JY-L, Burleson J, Tallant C, et al. Performance measures in radiology. J Am Coll Radiol 2014;11:456-463. DOI: 10.1016/j.jacr.2013.11.019
  • Quality Payment Program Overview. Available at: https://qpp.cms.gov/about/qpp-overview. Accessed June 2022.
  • Centers for Medicare & Medicaid Services. CMS quality measure development plan: supporting the transition to the merit-based incentive payment system (MIPS) and alternative payment models (APMs). Baltimore, MD: Centers for Medicare & Medicaid Services; 2016. Available at: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/Final-MDP.pdf. Accessed June 2022.
  • Bolan C. Imaging 3.0: A blueprint for better care. Appl Radiol May 01, 2014. Available at: https://www.appliedradiology.com/articles/imaging-3-0-a-blueprint-for-better-care. Accessed May 2022.
  • American College of Radiology website. Imaging 3.0 initiative. Available at: https://www.acr.org/Practice-Management-Quality-Informatics/Imaging-3 Accessed June 2022.
  • Zhao AH, Burk KS, Enamandram SS, et al. Peer learning in radiology: Effect of a pay-for-performance initiative on clinical impact and usage. AJR 2021;216(6):1659-1667. DOI: 10.2214/AJR.20.23253
  • Jawahar IM and Stone TH. Fairness perceptions and satisfaction with components of pay satisfaction. J Manag Psychol 2011;26:297-312. DOI: 10.1108/02683941111124836
  • Vroom VH. Work and Motivation. New York: John Willey & Sons, 1964.
  • Myers SM. Who Are Your Motivated Workers?. In: Hampton DR., ed. Behavioral conceps in management, 2nd edition, Belmont, CA: Dickenson Pub. Com., Inc., 1972.
  • Judge TA, Piccolo RF, Podsakoff NP, et al. The relationship between pay and job satisfaction: A meta-analysis of the literature. Journal of Vocational Behavior 2010;77(2):157-67. DOI: 10.1016j.jvb.2010.04.002
  • Diriwaechter P and Shvartsman E. The anticipation and adaptation effects of intra- and interpersonal wage changes on job satisfaction, Journal of Economic Behavior & Organization 2018;146:116-140. DOI: 10.1016/j.jebo.2017.12.010
  • Smith PC, Mossialos E and Papanicolas I. Performance measurement for health system improvement: experiences, challenges and prospects. Background document for the WHO European Ministerial Conference on Health Systems: “Health Systems, Health and Wealth”. Tallinn, Estonia: 25–27 June 2008. Available at: https://www.who.int/management/district/performance/PerformanceMeasurementHealthSystemImprovement2.pdf . Accessed May 2022.
  • Bisset GS, 3rd. An honest day's work: Pay for performance in a pediatric radiology department. Pediatric Radiology 2017;47(7):798-802. DOI: 10.1007/s00247-017-3824-y
  • Kovan O. The impact of performance based incentive payment system used in radiology department on employee satisfaction: Case of a private health group [dissertation]. Istanbul (TR): Acibadem University; 2020.
  • Andriole KP, Prevedello LM, Dufault A, et al. Augmenting the impact of technology adoption with financial incentive to improve radiology report signature times. J Am Coll Radiol 2010;7:198–204. DOI: 10.1016/j.jacr.2009.11.011
Year 2023, Volume: 14 Issue: 2, 318 - 325, 17.03.2023
https://doi.org/10.31067/acusaglik.1178882

Abstract

Project Number

N/A

References

  • Van Dooren W, Bouckaert G and Halligan J. Performance Management in the Public Sector. Abingdon, UK: Routledge; 2015.
  • Dieleman M and Harnmeijer JW. Improving health worker performance: in search of promising practices. Geneva: World Health Organization; 2006.
  • World Health Organization. The world health report 2006: Working together for health. Geneva: World Health Organization; 2006.
  • Reiner BI and Siegel EL. Pay for performance (P4P) in medical imaging: The time has (finally) come. Journal of digital imaging 2006;19(4):289–294. DOI: 10.1007/s10278-006-1053-2
  • Moser JW, Wilcox PA, Bjork SS, et al. Pay for performance in radiology: ACR white paper. J Am Coll Radiol. 2006;3:650-664.
  • Institute of Medicine, Committee on Quality of Health Care in America. Crossing the quality chasm: A new health system for the 21st century. Washington, District of Columbia: National Academy Press; 2001. DOI:10.17226/10027
  • Institute of Medicine, Committee on Quality of Health Care in America. To err is human: Building a safer health system. Washington, District of Columbia: National Academy Press; 2000. DOI: 10.17226/9728
  • James J. Health Policy Brief: Pay For Performance. Health Affairs Blog, October 11, 2012. DOI: 10.1377/hpb20121011.90233
  • Millenson ML. Pay for performance: The best worst choice. Qual Saf Health Care 2004;13:323–324. DOI: 10.1136/qshc.2004.011668
  • Pham H, Schrag D and O’Malley A. Care patterns in Medicare and their implications for pay for performance. N Engl J Med 2007;356(11):1130–9. DOI: 10.1056/NEJMsa063979
  • Cromwell J, Trisolini MG, Pope GC, Mitchell JB, Greenwald LM, eds. Pay for performance in health care: Methods and approaches. RTI Press; March 2011. DOI: 10.3768/rtipress.2011.bk.0002.1103
  • Thierry H. Payment: Which meanings are rewarding?. American Behavioral Scientist 1992;35(6):694-707. DOI: 10.1177/0002764292035006006
  • Rynes SL, Gerhart B and Minette KA. The importance of pay in employee motivation: Discrepancies between what people say and what they do. Human Resource Management 2004;43(4):381–394. DOI: 10.1002/hrm.20031
  • Burlacu M-I and Birsan A. The monthly salary as a motivational factor from the perpective of the degree of satisfaction and the quality of life. Proceedings of the 10th International Management Conference "Challenges of Modern Management", November3rd-4th, 2016, Bucharest, Romania. Available at: http://conferinta.management.ase.ro/archives/2016/PDF/4_12.pdf. Accessed May 2022.
  • Rosenthal MB, Frank RG, Li Z, et al. Early experience with pay-for-performance: From concept to practice. JAMA 2005;12:1788–1793. DOI: 10.1001/jama.294.14.1788
  • Boland GWL, Halpern EF and Gazelle GS. Radiologist report turnaround time: Impact of pay-for performance measures. AJR 2010;195:707–711. DOI: 10.2214/AJR.09.4164
  • Enamandram SS, Burk KS, Dang PA, et al. Radiology patient outcome measures: Impact of a departmental pay-for-performance initiative on key quality and safety measures. JACR 2021;18(7):969-981. DOI: 10.1016/j.jacr.2020.12.032
  • Shyu JY-L, Burleson J, Tallant C, et al. Performance measures in radiology. J Am Coll Radiol 2014;11:456-463. DOI: 10.1016/j.jacr.2013.11.019
  • Quality Payment Program Overview. Available at: https://qpp.cms.gov/about/qpp-overview. Accessed June 2022.
  • Centers for Medicare & Medicaid Services. CMS quality measure development plan: supporting the transition to the merit-based incentive payment system (MIPS) and alternative payment models (APMs). Baltimore, MD: Centers for Medicare & Medicaid Services; 2016. Available at: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/Final-MDP.pdf. Accessed June 2022.
  • Bolan C. Imaging 3.0: A blueprint for better care. Appl Radiol May 01, 2014. Available at: https://www.appliedradiology.com/articles/imaging-3-0-a-blueprint-for-better-care. Accessed May 2022.
  • American College of Radiology website. Imaging 3.0 initiative. Available at: https://www.acr.org/Practice-Management-Quality-Informatics/Imaging-3 Accessed June 2022.
  • Zhao AH, Burk KS, Enamandram SS, et al. Peer learning in radiology: Effect of a pay-for-performance initiative on clinical impact and usage. AJR 2021;216(6):1659-1667. DOI: 10.2214/AJR.20.23253
  • Jawahar IM and Stone TH. Fairness perceptions and satisfaction with components of pay satisfaction. J Manag Psychol 2011;26:297-312. DOI: 10.1108/02683941111124836
  • Vroom VH. Work and Motivation. New York: John Willey & Sons, 1964.
  • Myers SM. Who Are Your Motivated Workers?. In: Hampton DR., ed. Behavioral conceps in management, 2nd edition, Belmont, CA: Dickenson Pub. Com., Inc., 1972.
  • Judge TA, Piccolo RF, Podsakoff NP, et al. The relationship between pay and job satisfaction: A meta-analysis of the literature. Journal of Vocational Behavior 2010;77(2):157-67. DOI: 10.1016j.jvb.2010.04.002
  • Diriwaechter P and Shvartsman E. The anticipation and adaptation effects of intra- and interpersonal wage changes on job satisfaction, Journal of Economic Behavior & Organization 2018;146:116-140. DOI: 10.1016/j.jebo.2017.12.010
  • Smith PC, Mossialos E and Papanicolas I. Performance measurement for health system improvement: experiences, challenges and prospects. Background document for the WHO European Ministerial Conference on Health Systems: “Health Systems, Health and Wealth”. Tallinn, Estonia: 25–27 June 2008. Available at: https://www.who.int/management/district/performance/PerformanceMeasurementHealthSystemImprovement2.pdf . Accessed May 2022.
  • Bisset GS, 3rd. An honest day's work: Pay for performance in a pediatric radiology department. Pediatric Radiology 2017;47(7):798-802. DOI: 10.1007/s00247-017-3824-y
  • Kovan O. The impact of performance based incentive payment system used in radiology department on employee satisfaction: Case of a private health group [dissertation]. Istanbul (TR): Acibadem University; 2020.
  • Andriole KP, Prevedello LM, Dufault A, et al. Augmenting the impact of technology adoption with financial incentive to improve radiology report signature times. J Am Coll Radiol 2010;7:198–204. DOI: 10.1016/j.jacr.2009.11.011
There are 32 citations in total.

Details

Primary Language English
Subjects Radiology and Organ Imaging, Health Policy, Health Care Administration
Journal Section Review
Authors

Özge Kovan 0000-0003-1138-4102

Berna Eren 0000-0003-1459-3663

M. Olcay Çizmeli 0000-0003-2104-9295

Project Number N/A
Publication Date March 17, 2023
Submission Date September 22, 2022
Published in Issue Year 2023Volume: 14 Issue: 2

Cite

EndNote Kovan Ö, Eren B, Çizmeli MO (March 1, 2023) A Unique Model of Performance-Based Premium Pay System in the Radiology Departments. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 14 2 318–325.