"In a successful environment, part of the idea of a team is they are there to help each other. It's not a matter of just working alongside each other, but of colleagues collaborating for the benefit of the patient," says Thomas P. Flannery, Ph.D., a partner with Mercer HR Consulting.
"Today there is greater emphasis on quality of care, safety and satisfaction. As a result, people have to work together differently. Where you have high degrees of safety, patient satisfaction, and high levels of quality, and a team environment, that's where you see low turnover."
Setting expectations beyond the bounds of salary helps to create a more patient-centered and collaborative environment, says Rob Coulton, executive director in the Office of Professional Staff Affairs at The Cleveland Clinic.
At that organization all physicians are salaried and on one-year contracts, with professional annual reviews and no tenure. On an annual basis physicians go through a comprehensive performance evaluation process about their contracts with top leadership.
"That process not only makes the Cleveland Clinic decide if that individual going forward will continue with us, but it holds us accountable to the individual to make sure we're creating a practice environment that will have them stay," says Coulton.