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Performance Pay for Massachusetts General Orthopaedic Association

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Performance Pay for Massachusetts
General Orthopaedic Association
Spring 2014
Christopher J. Tukiendorf
March 17, 2014

Performance Pay for MGOA Physicians

Key Problems Faced by MGOA
I believe that there are three key problems that the Massachusetts General Orthopaedic Associated (MGOA) faced when Dr. Harry Rubash and Dr. James Herndon arrived to help remedy the association’s financial situation. The first of the three issues was the financial problem that MGOA was faced with. Over time MGOA had not addressed the issues of receiving fewer monies from private and governmental insurers and that amount had now grown to a staggering $1 million dollars that the orthopaedic association had borrowed from the hospital. The second issue was the number of practicing physician’s that bought in less revenue than the expenses that they accrued by using the hospital’s facilities. The third and final issue was the apparent lack of administrative organization and communication. The lack of leadership really gave way to the financial issues and poor performing physicians that now plagued MGOA. The Massachusetts General Hospital realized these three issues were becoming major problems and decided to bring Rubash and Herndon on board to help turn the association around.

The Solution and Roll Out
Rubash and Herndon realized they needed to act fast and the first order of business was to communicate the problems to the staff. Rubash held meetings that allowed the staff to express their observations and opinions. These meetings also allowed Rubash to communicate the problems the association was encountering. Rubash then talked with the hospital and asked to have an extra 10% of operating room time for each doctor. After the hospital approved the additional surgical time, Dr. Rubash then addressed the administrative organizational and communication issues. He purchased a

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