Our hospital is a non-profit academic medical center. All the staff including medical doctors have fixed salaries. Clinical department or any unit of the department may apply for an annual bonus program where they can propose the objectives themselves. The top management of the whole university hospital picks maximum one bonus program for each of the 15 centers. Additionally, the employees of the whole center may gain another annual bonus if the performance and economic goals, which are same for all the 15 centers and determined by the top management of the university hospital, are reached by that center. Altogether the amount of these bonuses is at best 1.5% of the annual salary of an employee. For top management directors the variable component is 20% of the salary.
My questions are:
- Does anyone of you have a fixed and annually variable component of salary for your physicians or whole personnel at your non-profit academic medical center? If yes, what is the ratio between these components? If no, what kind of ratio do you think would best serve to maximally improve the performance of academic medical center? Should the whole team including nurses and other personal receive the same variable component i.e. the same percentage of their annual salary as bonus? What percentage of the annual salary would be big enough to incite economically?
- Do you have any other incentives at your hospital? If yes, what kind of incentives? If no, what kind of other incentives would you create to get the best professionals?
- Would you in any circumstances pay bonus for an individual instead of the whole team? At which level would you award the team: ward, department, center or other?