Evolving reimbursement systems aim to improve clinician quality by using quality and cost frameworks. For example, physicians will receive rewards or penalties based on cost and quality of their care as described in the Medicare Access and CHIP Reauthorization Act (MACRA). But, are carrot and stick-based reward systems sufficient to improve health care team members’ performance? Incentive systems that truly motivate and inspire by enhancing the value of care are critical to undo the perverse incentives of our legacy fee-for-service system, creating alignment with organizational goals and laying the foundation for robust engagement strategies by facilitating clinician autonomy, mastery, and purpose. Failure to address these drivers may actually result in decreased motivation and burnout among the clinical teams, leading to poor quality of care, a decrease in patient satisfaction, and medical errors. In this session, three physician-leaders will present evidence-based strategies to enhance engagement of health care team members, including medical directors and physicians. They will share real examples from their institutions’ strategies to impact engagement as well as barriers they face. Finally, they will lead an interactive discussion to explore innovative ideas for improving quality of care by enhancing health care team engagement, particularly among physicians.
Describe current systems for measuring physician performance in the value-based era.
List factors that are adding to clinician burnout in value-based systems.
Describe the evidence to improve clinician motivation and engagement.
List strategies to improve health care team engagement in three large PTC organizations.