Download presentation
Presentation is loading. Please wait.
Published byMabel Dalton Modified over 9 years ago
1
Results from the 2010 ASPHO Compensation/Productivity Survey Presented by Jeffrey Hord, M.D. Chair, APSHO Practice Management Committee
2
Methods In Spring 2010, ASPHO offered an online survey of compensation to its members The goal was to obtain comprehensive 2009 subspecialty compensation, productivity, and workforce data for members to use in practice management The primary variables analyzed were region of practice, gender, practice type, academic rank, experience, administrative responsibilities The survey was offered to 1018 members and was completed by 527 members (36 PT/491 FT) for a response rate of 51.7%. 58% of all PT responders were from the Eastern US 11% of all female responders were PT compared to 4% of all male responders Compensation results are from FT respondents only.
3
Characteristics of Survey Responders
4
Gender of All Responders 59.4%
5
Years Post-Fellowship- All 28.8% 16.7%
6
Years Post-Fellowship- by Gender
7
Clinical Responsibilities
8
Division Director
9
Department Chair
10
How many responders have an Academic Appointment? 458 of 527 (87%)
11
Academic Rank by Gender- 458 of 527 (87%) had an Academic Appointment
12
Of those with an an academic appointment, what promotion track? 33% of males and 23% of females on Tenure Track 32% of males and 46% of females on Clinical Track
13
Board Certification of Responders Ped Hem/OncGeneral Ped Yes472 (90%)433 (82%) No55 (10%)94 (18%) Note-21% of males not Board Cert in Gen Peds compared to 13% of females Of the 94 not Board Cert in Gen Peds, 86 are Board Cert in Ped Hem Onc 9 of the 106 Div Directors who responded are not Board Cert in Ped Hem/Onc
14
Practice Characteristics
15
Practice Type Note- 11% of males and 7% of females in Pvt Prac 60% of males and 68% of females in Univ/Acad
16
US Geographic Regions
17
Location of Practice
18
Compensation
19
Type of Compensation Plan
20
Measure of Clinical Productivity (n=166)
21
Sources of Compensation Other sources included Fed GME dollars, Military, Federal Govt, State Govt, HMO, Pharm sales, County Taxes
22
Total Compensation for Full-Time PHO Physicians- 2009 Non-Division Directors Median for all (n=381)= $162,300 Median for Females (n=160)= $146,500 Median for Males (n=221)= $180,000 Division Directors Median for all (n=101) = $225,000 Median for Females (n=28)= $203,200 Median for Males (n=73)= $235,000
23
Median Total Compensation- Comparison with other Sources Non- Directors DirectorsAll ASPHO162,300 (381) 225,000 (101) 180,000 (489) Sullivan, Cotter, Assoc 181,280 (163) 263,645 (24) CHCA209,713 (114) ECG Mgmt198,408 (145) SK&A, Cegedim 205,999 (1138) MGMA208,000 (91)
24
Non-Division Directors- Compensation by REGION
25
Median Total Compensation of Non-Division Directors by Region and Gender- 2009
26
Median Total Compensation by Practice Size and Region/ ALL Non- Division Directors-2009 <60 New Onc Pts 60-150 New Onc Pts >150 New Onc Pts East 167,000 (42) 170,000 (41) 145,000 (35) Midwest 164,500 (25) 149,000 (30) 167,000 (27) SE 195,000 (17) 158,500 (20) 186,000 (11) Mt. West --- (4) --- (4) 150,500 (10) S. Central 188,000 (9) 148,000 (11) 151,000 (27) West 210,000 (9) 152,500 (18) 176,000 (14) ( ) = sample size
27
Median Total Compensation of Univ-Based Non- Division Directors by Region and Gender- 2009
28
Non-Division Directors- Compensation by EXPERIENCE
29
Full-Time Non-Directors by Experience (in thousands)- Percentiles <5 (n=106) 5-9 (n=85) 10-14 (n=52) 15-19 (n=58) >20 (n=79) 25 th %119135152159180 50 th %136146173190210 75 th %156171200223255
30
Median Total Compensation of Non-Division Directors by Experience and Gender-2009
31
Median Total Compensation (in thousands) by Experience in University-Based Non-Division Directors-2009
32
Median Total Compensation by Experience and Region/ ALL Non- Division Directors-2009 <5 yr5-9 yr10-14 yr15-19 yr> 20 yr East 127,050 (32) 142,000 (26) 162,500 (20) 183,000 (21) 220,000 (28) Midwest 137.000 (26) 146,000 (21) 200,000 (9) 191,000 (14) 212,500 (18) SE 146,250 (14) 171,500 (14) --- (5) 223,500 (7) 231,000 (10) Mt. West 126,500 (7) --- (3) --- (4) --- (2) --- (2) S Central 130,000 (17) 148,000 (10) 206,500 (6) 180,000 (9) 192,000 (10) West 151,500 (10) 138,500 (10) 167,000 (9) --- (5) 230,000 (11) ( ) = sample size
33
Median Total Compensation by Experience and Region/ Female vs Male Non- Division Directors-2009 <5 yr5-9 yr10-14 yr15-19 yr> 20 yr East 123(21) 140(11) 139.25(14) 168.65 (12) 158(7) 170(13) 156(6) 200(15) 193(10) 256.5(18) Midwest 127(15) 142(11) 147(7) 145.9(14) --- 183(7) 199(7) --- 235(15) SE 135(7) 160(7) --- 190(9) --- 236.75(6) --- 250(7) Mt. West --- S Central 127(8) 136(9) 146(7) --- 199(8) West --- 161.5(8) 137(7) --- 173.5(6) --- 230(7) ( ) = sample size
34
Median Total Compensation (in thousands) by Experience and Practice Type/ All vs Female vs Male Non-Division Directors-2009 <5 yr5-9 yr10-14 yr15-19 yr> 20 yr Private Practice 175 (9) --- 175 (7) 212 (7) --- 270 (6) --- University/ Academic 125 (74) 122(43) 134 (31) 141.25 (62) 140(33) 145.8(28) 160.5 (36) 162(14) 160.5 (22) 176 (41) 162.5(17) 199 (24) 201 (49) 172(15) 233.5 (34) Hospital- based 170 (22) 157.5 (12) 177.5 (10) 182 (9) --- 187.5 (6) 205 (12) --- 207 (9) 213.25 (10) --- 203.5 (7) 215(17) --- 215 (13) ( ) = sample size
35
Non-Division Directors- Compensation by RANK
36
Median Total Compensation by Academic Rank and Region/ ALL Non- Division Directors-2009 InstructorAssistAssocFull East 110,500 (8) 140,500 (55) 175,000 (33) 225,000 (15) Midwest --- (2) 140,000 (46 180,000 (19) 231,000 (12) SE --- (3) 160,000 (23) 170,000 (10) 250,000 (7) Mt. West --- (2) 130,750 (6) --- (4) --- (2) S Central --- (5) 145,500 (22) 157,000 (13) 198,000 (7) West --- (0) 140,000 (114) 160,000 (13) 286,000 (6) ( ) = sample size
37
Median Total Compensation by Academic Rank and Region/ Female vs Male Non- Division Directors-2009 InstructorAssistAssocFull East--- 138(31) 146.5(24) 155(11) 192(33) --- 240(11) Midwest--- 130(23) 150(23) --- 169(14) --- 235(7) SE--- 151.25(8) 175(15) --- 212(7) --- 250(6) Mt. West--- S Central--- 141.5(12) 150(10) 153.5(6) 182(7) --- West--- 130(7) 160(8) 160(7) 165(6) --- 286(6) ( ) = sample size
38
Median Total Compensation by Academic Rank and Region/ University Non- Division Directors-2009 InstructorAssistAssocFull East 110,500 (8) 140,000 (40) 174,000 (27) 217,500 (12) Midwest --- (2) 135,300 (34) 165,000 (13) 235,000 (9) SE --- (2) 138,750 (16) 160,000 (9) 250,000 (7) Mt. West --- (1) --- (0) --- (4) --- (3) S Central --- (5) 144,000 (17) 151,000 (10) 198,000 (8) West --- (0) 140,000 (12) 160,000 (10) 286,000 (6) ( ) = sample size
39
Median Total Compensation for Full-Time Non-Directors by Region- 2004 vs 2009 20042009 % Actual Change Change in CPI- 2004 to 2009* East1251612915 Midwest145162.512 Southeast1451802414 South Central1251512114 Mt West155153.7513 West1351652213 *Consumer Price Index data from US Bureau of Labor Statistics
40
DIVISION DIRECTORS
41
Total Compensation of Division Directors by Region -2009 Median Total Comp Mean Total Comp Range East$226,250 (28)$252,286$150K-$450K Midwest$226,000 (27)$244,741$154K-$380K SE$258,000 (13)$275,923$175K-$420K Mt. West$212,500 (6)$226,667$187.5K-$292.5 S. Central$217,500 (15)$232,000$155K-$300K West$203,200 (12)$219,450$135K-$350K ( ) = sample size
42
Total Compensation of Division Directors by Experience -2009 Yrs after Fellowship Median Total Comp Mean Total Comp Range <5 (2)--- 5-9 (6)$215,750$225,250$195K-$300K 10-14 (14)$202,500$205,857$135K-$333K 15-19 (23)$265,000$256,800$187.5K-$380K >20 (56)$225,000$254,687$150K-$450K ( ) = sample size
43
Total Compensation of Division Directors by Academic Rank/ Tenure Track -2009 RankMedian Total Comp Mean Total Comp Range Instructor (0)--- Assistant (1)--- Associate (6)$214,000$233,000$199K-$295K Full (30)$235,000$259,130$155K-$420K ( ) = sample size
44
Total Compensation of Division Directors by Academic Rank/ Non-Tenure Track -2009 RankMedian Total Comp Mean Total Comp Range Instructor (0)--- Assistant (7)$179,500$181,714$135K-$230K Associate (8)$275,500$260,750$180K-$325K Full (14)$232,000$269,357$195K-$450K ( ) = sample size
45
Total Compensation of Division Directors by Practice Type -2009 Practice TypeMedian Total Comp Mean Total Comp Range Private Multispecialty (8) $215,000$222,188$180K-$300K University (54) $225,000$241,535$150K-$425K Hospital- based (31) $248,000$259,581$135K-$450K ( ) = sample size Only categories with > 5 responses shown
46
Total Compensation of Division Directors by Practice Size -2009 New Onc Patients/ Yr Median Total Comp Range <60 (40)$201,750$135K-$380K 60-150 (36)$232,000$150K-$450K >150 (20)$282,750$191K-$395K ( ) = sample size
47
Median Total Compensation for Full-Time Directors by Region- 2004 vs 2009 20042009 % Actual Change Change in CPI- 2004 to 2009* East175226.252915 Midwest2052261012 Southeast1952583214 South Central195217.51214 Mt West165212.52913 West195203.2413 *Consumer Price Index data from US Bureau of Labor Statistics
48
Workforce/ Productivity
49
Staffing Assessment by Division Directors
50
Other Support FellowsHospitalists for PM/Wkends Yes298 (56.5%)97 (18.4%) No229 (43.5%)430 (81.6%)
51
Clinical Hours Per Week by Clinical FTE’s 57 clinical hours/week = 1.0 clinical FTE
52
Clinical FTE Hem/Onc Physicians/ # New Oncology Patients- ALL Centers 13.3 new pts/physician
53
Clinical FTE Hem/Onc Physicians/ # New Oncology Patients- NON-TRANSPLANT Centers 19 New Onc Pts/Physician
54
Clinical FTE Hem/Onc Physicians/ # New Oncology Patients- TRANSPLANT Centers 12.2 New Onc Pts/ Physician
55
Total Clinical FTE’s (Physicians, APN’s, PA’s) for Number of New Oncology Patients 11.7 New Onc Pts/FTE 11.1 New Onc Pts/ FTE
56
Providers in Programs with 30 New Oncology Patients Annually- Directors Hgb d/o pts Bldg d/o patients # BMT’s / year PhyscnsNP/PA’sClinic FTE’s Total Providers Practice Type 20 01 FT 2 PT 0 FT 0 PT 1.83Hosp 8012003 FT 0 PT 0 FT 0 PT 2.73Univ 20 02 FT 0 PT 1 FT 0 PT 33Hosp 3005053 FT 0 PT ? FT 2 PT ?5Univ 5010004 FT 1 PT 1 FT 0 PT 36Univ 4060001 FT 0 PT 1 FT 0 PT 22Hosp
57
Providers in Programs with 60 New Oncology Patients Annually- All Hgb d/o pts Bldg d/o pts # BMT’s / year PhysnsNP/PA’ s Clinic FTE’s Total Providers Practice Type 450300New3 FT 0 PT 5 FT 0 PT 88Univ 20030242 FT 1 PT 3 FT 0 PT ?6Univ 11060003 FT 0 PT 0 FT 0 PT 33Hosp 20204 FT 0 PT 1 FT 1 PT 56Pvt Mult Spec 175180104 FT 1 PT 2 FT 0 PT 6.257Univ 20 7512 FT 0 PT 10 FT 1 PT ?23Univ
58
Providers in Programs with 100 New Oncology Patients Annually-All Hgbpthy pts Bldg d/o pts # BMT’s / yr PhysnsMLP’sClinical FTE’s Total Providers Practice Type 2501008025 FT 0 PT 12 FT 0 PT 37 Univ 400300124 FT 1 PT 3 FT 0 PT 7.88Univ 9502005045 FT 0 PT 12 FT 0 PT 57 Univ 27550010030 FT 0 PT 10 FT 0 PT 1040Univ 7550805 FT 0 PT 5 FT 0 PT 810Univ 200 304 FT 5 PT 4 FT 0 PT 1113Hosp
59
Providers in Programs with 120 New Oncology Patients Annually- Directors Hgb d/o patients Bldg d/o patients # BMT’s / year PhyscnsNP/PA’sClinical FTE’s Total Providers Practice Type 380100204 FT 2 PT 2 FT 0 PT 68NP Med Grp 1602002020 FT 0 PT 10 FT 2 PT 2032Univ 7503002012 FT 1 PT 5 FT 0 PT 1518Univ 100250147 FT 1 PT 3 FT 2 PT 11.513Hosp
60
Providers in Programs with 200 New Oncology Patients Annually Hgbpth pts Bldg d/o pts # BMT’s / yr PhysnsMLP’sClinic FTE’s Total Providers Practice Type 005520 FT 0 PT 6 FT 0 PT 26 Univ 200 4524 FT 2 PT 8 FT 4 PT 1838Univ 10006003514 FT 5 PT 10 FT 0 PT 29 Univ 15002503012 FT 2 PT 15 FT 0 PT ?29Hosp 80012003516 FT 2 PT 10 FT 0 PT ?28Univ 5002002513 FT 0 PT 5 FT 2 PT 14.520Univ
61
2009 wRVU’s By Clinical FTE CHCA median wRVU- 3547/provider ECG median wRVU- 3673/provider 1.O Clinical FTE= 3750 wRVU’s
62
2009 wRVU’s by Hours Spent Per Week Caring For Patients To earn 3750 wRVU’s must work 61.5 hours/ week
63
SUMMARY
64
There is a Gender Gap
65
Conclusions 40% of respondents are < 10 years out from training and most of them are female (54%) 68% of respondents care for both hematology and oncology patients The ASPHO self-reported compensation results are less than those reported by national benchmarking groups Compensation in our subspecialty has increased between 2004 and 2009 at about the same rate as the consumer price index Compensation gradually increases with increasing experience and rank (and practice size for directors) Regional compensation differences are small
66
Conclusions Compensation for non-directors in private practice > hospital-based > university/academic Compensation for directors at hospital-based practice> private practice> university/academic Median total compensation for female non-division directors was 18.6% less than that of males Median total compensation for female division directors was 13.5% less than that of males Multivariate regression analysis quantified gender inequality of $16,012 when controlling for all other significant factors
67
Conclusions Assessment of staffing by directors balanced between “adequate” and “insufficient” for present time, in 5 yrs, and 10 yrs 1.0 Clinical FTE should generate between 3550-3750 wRVU’s annually A full-time clinician must spend 57-61 hours/week seeing patients to generate 3750 wRVU’s Ratio of new onc diagnoses/1.0 clinical FTE physician is about 19/1 for non-transplant centers and 13/1 for transplant centers but there is great variability in staffing between centers with similar volumes
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.