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We have expectations set for our providers that we need them to provide x hours of services per week based on their specific job roles/areas. Not actual revenue or reimbursement based. We've got more than enough patients to go around. Basically, if someone isn't hitting their number, we feel pretty strongly that they aren't using their time efficiently.

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Do you mean are they charting? signing off on notes? Reviewing labs and imaging? Documenting call encounters? Quality control analysis? Basically, all of their responsibility outside of clinical encounters?

Always a tough problem, man. Particularly if it's a small, privately owned practice. You have to have total buy-in from the partners/owners, and they have to back you without question whenever you have to employ consequences for not reaching the goals. If they don't do that, you're just pissing in the wind trying to do it yourself.

Mind if I ask what some of the negative consequences are?