Productivity/Performance Bonus Structure

[JTSptMed]

I currently work at a busy specialty surgery practice with upwards for 20 surgeons and 13 other PA's. The surgeons all pool their collection numbers and split the pot evenly, regardless of specialty or individual production. The PA's salary is based on years of experience and general market awareness (i.e. 50th percentile of PAs in same specialty in the area). We are also compensated additionally for call, overtime, etc. In all fairness, it's actually a pretty good setup. However, as a group, the PA's have thought about going to the Physician Board to request a pooled productivity bonus, but are unsure of other models out there. Ideally, we'd like our productivity get pooled as well and then split evenly amongst PA's.

 

What are some of the best ways to measure this? Many of the PA's see pre-ops, post-ops, and return patients in either stand lone or "Jumbo" clinics with their primary SP. Some assist in (1st assist reimbursed cases), others do not.

 

Does pushing for a production bonus even make sense if we don't even really have control over our own schedules?

 

Does anyone have any experience with unconventional ways to measure productivity?

 

Any help would be greatly appreciated!