Q&A
Overtime and sessional work for physicians at H+H
1:35:39
ยท
109 sec
Dr. Katz explains the system of sessional work for physicians at H+H, which is used instead of traditional overtime due to their FLSA exempt status.
- Physicians at H+H do not receive overtime pay as they are FLSA exempt
- H+H uses a sessional rate system for additional work beyond regular hours
- Sessional rates are adjusted based on market demands and are typically higher than regular rates
- Sessional work is crucial for maintaining 24/7 coverage, especially in trauma centers
- H+H tracks the number of sessional hours, which is reported to be 'a very large number'
Carmen N. De La Rosa
1:35:39
Yeah.
1:35:41
Can you share any data, or does h and h can collect the data in some way on how many hours of overtime were logged in total by physicians or registered nurses in the last few years, 2024, 2023, 2022?
Mitch Katz
1:35:56
Well, we could get you certainly I mean, the the nurse stuff is known.
1:36:01
We don't I don't I don't have the figures.
1:36:04
Just say a little bit about physicians.
1:36:06
Physicians are FSMLA exempt.
1:36:10
You you know that from your civil service work.
1:36:12
They do not get overtime.
1:36:15
What we do is we pay sessional rates.
Sonia Lawrence
1:36:17
Okay.
Mitch Katz
1:36:17
So we create, you know, a let's say you're a doctor on Monday through Friday, 8 to 5, but then you're going to cover in the hospital from 5 to 11, we'll hire you at a separate sessional rate.
1:36:34
And we move the sessional rates based on the market, what's necessary in order to hire.
1:36:40
It's generally a higher rate because it doesn't a sessional doesn't have separate benefits if you already have benefits.
1:36:48
But there's no strictly speaking, there's no over there's no overtime.
1:36:51
Mhmm.
1:36:52
But there is a large amount of sessional work.
1:36:56
And health and hospitals wouldn't function, especially because think of it, we run 5 trauma centers, and they have to be covered 24 hours a day, 7 days a week.
1:37:07
So the people you're gonna hear from often, you know, at great, you know, commitment and expense to their families agree to work nights, weekends because there's no you can't close a trauma center.
Carmen N. De La Rosa
1:37:18
Yeah.
1:37:19
And is there a tracking of this?
Mitch Katz
1:37:22
This we know how many sessional hours there are.
Mercedes Narcisse
1:37:25
Okay.
Mitch Katz
1:37:25
It's a very large number.
Carmen N. De La Rosa
1:37:27
It lives in HH?
Mitch Katz
1:37:28
Yes.