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Q&A
Clarification on physician employment structure in NYC Health + Hospitals
0:47:32
ยท
70 sec
Chair Narcisse seeks clarification on the employment structure of physicians who move between city payroll and affiliate payroll. Dr. Katz explains the system and its rationale.
- Physicians can move from city payroll to affiliate payroll, but they are still considered H+H doctors regardless of who pays them.
- H+H pays affiliates like PAGNI, NYU, and Mount Sinai, who then use the funds to hire doctors to work in H+H hospitals.
- This system is common in public health systems and is considered more efficient than having doctors as direct city employees.
- Despite the complex payment structure, Dr. Katz emphasizes that these physicians are fully part of the H+H system and responsible to H+H.
Mercedes Narcisse
0:47:32
Thank you again, colleagues.
0:47:35
But before I move to my other colleague, I have a quick question.
0:47:39
You said the physicians move around.
0:47:41
Right?
0:47:42
They move around.
Dr. Mitch Katz
0:47:43
They move from the city payroll to the affiliate payroll?
0:47:48
Is that
Mercedes Narcisse
0:47:48
what mean?
0:47:49
Affiliate.
0:47:49
Oh, so they move to the affiliate payroll.
0:47:53
Correct.
0:47:53
So who they actually responsible?
0:47:56
Like, if it's a affiliate parole I mean, that's doing the parole.
0:48:00
Right?
0:48:02
They're getting paid from some other source.
0:48:03
So are they responsible, like, for your work or for that affiliate?
Dr. Mitch Katz
0:48:10
Sure.
0:48:10
No.
0:48:10
So I mean, if someone works for health and hospitals, they're from my point of view, they're our doctor Okay.
0:48:16
Regardless of
Mercedes Narcisse
0:48:18
Who's paying them?
Dr. Mitch Katz
0:48:18
Who's paying them.
0:48:19
Because it's just we pay PAGNI, we pay NYU, we pay Mount Sinai.
0:48:25
They use the money we pay them to hire the doctors.
0:48:29
The doctors then work in the hospital.
0:48:31
So most public systems do this.
0:48:34
It's just a more efficient way of employing doctors than to have them be direct city employees.
0:48:42
Okay.