How are employees in the emergency department (ED of hospitals) usually compensated?
Are they compensated using a fixed salary, plus some sort of compensation based on a certain outcome (i.e. with every patient they see, it goes up by a certain number? or the less time they spend on each patient the more they make?)
As much detail as possible would be much appreciated. Also could I get info on Ontario health care if thats at all possible? If not, info on anywhere in Canada would be fine too.
- bw022Lv 76 years agoFavorite Answer
A lot of people work at a hospital. You have cooks, cleaners, orderlies, administrative staff, nurses, technicians, pharmacists, doctors, etc. each of varying specialties.
Most people working in a Canadian ER would be salaried employees. Almost everyone, except doctors, are unionized. They might get overtime or have union contacts which give bonuses or extra pay for extra hours, but in general they have a set salary by year. Hospitals usually have fairly strict rules for how long and often staff can be working and overtime is typically massive.
You'll find a small number, depending upon the hospital, which are outsourced staff in certain hospitals -- typically maintenance people, contactors, maybe some services (such as laundry), IT staff, etc.
Emergency room general practitioner doctors are typically on salaries hired directly by the province. However, contacts typically include some type of bonus based on seeing a lot of patients or performing more serious procedures. Depending upon the hospital, most will keep a few specialists on staff (say a couple of surgeons).
Depending upon the hospital, most other doctors are subcontracted, typically from provide groups of doctors. Groups typically cover a number of hospitals within a region. Depending upon staffing requirements and need, these people are either rotated over various hospitals, work from off-site, or are available 'on call'. The group is paid a fee based on the level of services plus standard pre-negotiated amounts per procedure.
Example, you have a biking accident and break your arm. You'd be seen (after the nurse, administration, etc.) by a GP. He send you to get an x-ray. X-ray technician is probably on salary by the hospital takes the x-ray. It is sent electronically to a radiology group contacted by the hospital/province and a radiologist looks at it and notices bone fragments requiring surgery. The hospital then contacts a surgeon, maybe the have one on staff, or else (if busy) they page a surgeon from a list of 'on call' surgeons from another group they contact from. Surgeon arrives and performs the surgery. The GP finishes off by putting a cast on.
The GP was likely on salary by the hospital. All the nurses, administrative staff, etc. were on salary. The radiologist is part of a private practice. The surgeon could be part of a staff, or brought in from an outside group.
If you are the patient... it really doesn't matter. You wouldn't see a bill anyway. However, the hospital would bill you (assuming you didn't have insurance) and they would deal with any fees paid out to any outside contracted group and they would have their own system of paying individual doctors.
- Simpson G.Lv 76 years ago
This is for the U.S.
One of my closest friends is an ED doc. He gets paid salary plus a portion of collections.
He works for an independent group, not the hospital. The hospital contracts with the group and therefore, the physicians.
Specialists who are called in are often employed by a separate group or clinic. They bill the patient directly and are paid as per their agreement with the group. Those who are employed by the hospital will be paid as per their contract with the hospital.
Each hospital may have its own system of employment and remuneration.
I understand that Canada has a different system with nationalized medicine, but there are still private physicians who have privileges at the hospitals.
- DLv 76 years ago
In Canada, there is some variation in how physicians are paid. Here is good information based on a survey of emergency physicians in Canada: https://www.cma.ca/Assets/assets-library/document/...
Almost half of ED physicians reported being paid by a blended model - part salary, and part based on collections.
- ?Lv 76 years ago
Some get paid salary, some get paid hourly
In the US theory do not get paid by other standards such as outcomes, number of patients seen, etc
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- Rick BLv 76 years ago
You get paid hourly. Most work three 12-hour shifts per week.
- GertLv 76 years ago
They make a salary. It's not 'piece work'.