Today's Practice: Changing the Business of Medicine | Page 27

High Cost of Turnover Keith A. Herl, MHA, MBA | Matthew Mingenback percent) and internal medicine (73 percent) physicians said they would not choose the same specialty 5 again . Overworked: Providers report a larger burden with electronic medical records and additional administrative duties while facing pressure to see more patients. Lack of autonomy: Providers often feel they are not in control of business decisions for their practice or face interference in their patient care decisions. Compensation: A decline in compensation is strongly linked to a decrease in job satisfaction. Known disparities in compensation between providers can create mistrust and unhappiness4. Lack of professional/leadership development: Providers will play an ever greater role in managing and leading business in healthcare and want to define their own career paths within their organization. Begin Your Transformation Through surveys, interviews, panels and committees, uncover and review the findings of your root cause turnover analysis and create a plan. Some strategies to attract and retain top provider talent include: Recruit for Retention: Find the right fit the first time. Engage your recruiters regularly to carefully select providers whose goals, attitudes and personalities fit in the culture of your organization. Upgrade Onboarding & Orientation: Give maximum support to your new provider and listen to their needs. Ease them into practice and facilitate opportunities to network and grow relationships. Take the baseline pulse of the mindset of your new provider from the very beginning. Start a Provider Mentoring Program: Mentoring is proven to reduce turnover. Studies showed that organizations with a formal mentoring program experience significantly less provider turnover. Align Compensation: Review current pay scales to see if they align with regional and local norms. Ensure that the method of compensation motivates providers and aligns with organizational goals. “Identifying the true reason providers are leaving can be particularly challenging as the exit process is filled with emotion and biases that can affect perceptions of the situation. ” TODAY’S PRA C T I C E: C HA NGI NG T HE BUS I NES S OF M EDI CINE 26