3. Put physicians at the head of the table
Physicians at the Cleveland Clinic are encouraged to pursue educational and administrative roles, without it negatively impacting their salaries. According to Coulton, this is meant to encourage as many physicians as possible to achieve leadership roles in their organization, which he says helps to maintain Cleveland Clinic's future as a leader in medicine, because physicians are steering the organization's direction.
"So physician leadership is critical to our model and we are investing a lot in that," says Coulton. "We believe that model creates an environment that is hard to duplicate anywhere else, and that, in essence, is retention. You have to create an environment where someone has to think about leaving because they can't get all they can get anywhere else."
"Organizations with successful retention recognize that physicians are critical to the care delivery process," says Flannery. "No one wants to be micromanaged or told what to do, but when the expectations are laid out and the physicians themselves help to develop those expectations, that's when we see higher satisfaction and less turnover."