Annual Pay Ranges for Physicians and Dentists of the Veterans Health Administration, 56125-56126 [2014-22187]

Download as PDF Federal Register / Vol. 79, No. 181 / Thursday, September 18, 2014 / Notices The following paragraph applies to the reporting and recordkeeping requirements addressed in this notice. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the collection of information displays a valid OMB control number. Records required to be retained under the BSA must be retained for five years. Generally, information collected pursuant to the BSA is confidential, but may be shared as provided by law with regulatory and law enforcement authorities. Request for Comments: Comments submitted in response to this notice will be summarized and/or included in the request for OMB approval. All comments will become a matter of public record. Comments are invited on: (a) Whether the collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have practical utility; (b) the accuracy of the agency’s estimate of the burden of the collection of information; (c) ways to enhance the quality, utility, and clarity of the information to be collected; (d) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or other forms of information technology; and (e) estimates of capital or start-up costs and costs of operation, maintenance and purchase of services to provide information. Dated: September 11, 2014. Jennifer Shasky Calvery, Director, Financial Crimes Enforcement Network. [FR Doc. 2014–22225 Filed 9–17–14; 8:45 am] BILLING CODE 4810–02–P Annual Pay Ranges for Physicians and Dentists of the Veterans Health Administration Department of Veterans Affairs. Notice. AGENCY: As required by the ‘‘Department of Veterans Affairs Health Care Personnel Enhancement Act of 2004’’ (Pub. L. 108–445, dated December 3, 2004) the Department of Veterans Affairs (VA) is hereby giving notice of annual pay ranges for Veterans Health Administration (VHA) physicians and dentists as prescribed by the Secretary for VA-wide applicability. These annual pay ranges are intended to enhance VA flexibility to recruit, asabaliauskas on DSK5VPTVN1PROD with NOTICES SUMMARY: VerDate Sep<11>2014 17:27 Sep 17, 2014 Effective Date: The annual pay ranges listed in this notice are effective November 30, 2014. DATES: FOR FURTHER INFORMATION CONTACT: Debra Doty, HR Specialist/Title 38 Program Manager, Compensation and Classification Service (055), Office of Human Resources Management, Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (757) 728–3381. This is not a toll-free number. Under 38 U.S.C. 7431(e)(1)(A), not less often than once every two years, the Secretary must prescribe for Department of Veterans Affairs (VA)-wide applicability the minimum and maximum amounts of annual pay that may be paid to VHA physicians and dentists. Further, 38 U.S.C. 7431(e)(1)(B) allows the Secretary to prescribe separate minimum and maximum amounts of pay for a specialty or assignment. In construction of the annual pay ranges, 38 U.S.C. 7431(c)(4)(A) requires the consultation of two or more national surveys of pay for physicians and dentists, as applicable, whether prepared by private, public, or quasi-public entities in order to make a general assessment of the range of pays payable to physicians and dentists. Lastly, 38 U.S.C. 7431(e)(1)(C) states amounts prescribed under paragraph 7431(e) shall be published in the Federal Register, and shall not take effect until at least 60 days after date of publication. SUPPLEMENTARY INFORMATION: Background DEPARTMENT OF VETERANS AFFAIRS ACTION: develop, and retain the most highly qualified providers to serve our Nation’s veterans and maintain a standard of excellence in the VA healthcare system. Jkt 232001 The ‘‘Department of Veterans Affairs Health Care Personnel Enhancement Act of 2004’’ (Pub. L. 108–445) was signed by the President on December 3, 2004. The major provisions of the law established a new pay system for VA’s Veterans Health Administration (VHA) physicians and dentists consisting of base pay, market pay, and performance pay. While the base pay component is set by statute, market pay is intended to reflect the recruitment and retention needs for the specialty or assignment of a particular physician or dentist at a facility. Further, performance pay is intended to recognize the achievement of specific goals and performance objectives prescribed annually. These three components create a system of pay that is driven by both market indicators and employee performance, while recognizing employee tenure in VA. PO 00000 Frm 00077 Fmt 4703 Sfmt 4703 56125 Discussion VA identified and utilized salary survey data sources which most closely represent VA comparability in the areas of practice setting, employment environment, and hospital/health care system. The Association of American Medical Colleges (AAMC), Hospital and Healthcare Compensation Service (HHCS), Sullivan, Cotter, and Associates (S&C), Medical Group Management Association (MGMA), Physician Executive Management Center (PEMC), and the Survey of Dental Practice published by the American Dental Association (ADA) were collectively utilized as benchmarks from which to prescribe annual pay ranges for physicians and dentists across the scope of assignments/specialties within VA. While aggregating the data, a preponderance of weight was given to those surveys which most directly resembled the environment of VA. In constructing annual pay ranges to accommodate the more than forty physician and dentist specialties that currently exist in the VA system, VA continued the practice of grouping specialties into consolidated pay ranges. This allows VA to use multiple sources that yield a high number of physician salary data which helps to minimize disparities and aberrations that may surface from data involving smaller numbers of physicians and dentists for comparison and from sample change from year to year. Thus, by aggregating multiple survey sources into like groupings, greater confidence exists that the average compensation reported is truly representative. In addition, aggregation of data provides for a large enough sample size and provides pay ranges with maximum flexibility for pay setting for the more than 25,000 VHA physicians and dentists. In developing the annual pay ranges, a few distinctive principles were factored into the compensation analysis of the data. The first principle is to ensure that both the minimum and maximum salary is at a level that accommodates special employment situations, from fellowships and medical research career development awards to Nobel Laureates, high-cost areas, and internationally renowned clinicians. The second principle, to attempt to establish a rate range of +/¥ 25 percent of the mean, is imperative to provide ranges large enough to accommodate career progression, geographic differences, subspecialization, and special factors. This principle is also the standard recommended by World@Work for professional compensation ranges. E:\FR\FM\18SEN1.SGM 18SEN1 56126 Federal Register / Vol. 79, No. 181 / Thursday, September 18, 2014 / Notices All clinical specialties for VHA physicians and dentists were reviewed against relevant private sector data. The specialties are grouped into five clinical pay ranges that reflect comparable complexity in salary, recruitment, and retention considerations. Two additional pay ranges apply to VHA Chiefs of Staff and physicians and dentists in executive level administrative assignments at the facility, network, or headquarters level. PAY TABLE 3—COVERED CLINICAL SPECIALTIES Cardiology (Non-invasive). Dermatology. Gastroenterology. Nuclear Medicine. Ophthalmology. Oral Surgery. Otolaryngology. Tier level Minimum TIER 1 .................. TIER 2 .................. TIER 3 .................. Maximum $98,967 110,000 120,000 $215,000 230,000 255,000 PAY TABLE 1—COVERED CLINICAL SPECIALTIES Allergy and Immunology. Compensation and Pension. Endocrinology. Geriatrics. Infectious Diseases. Internal Medicine/Primary Care/Family Practice. Neurology. Preventive Medicine. Rheumatology. General Practice—Dentistry. Endodontics. Periodontics. Prosthodontics. All other specialties or assignments that do not require a specific specialty. PAY TABLE 2—CLINICAL SPECIALTY Tier level Minimum TIER 1 .................. TIER 2 .................. TIER 3 .................. Maximum $98,967 115,000 130,000 $240,000 250,000 260,000 asabaliauskas on DSK5VPTVN1PROD with NOTICES PAY TABLE 2—COVERED CLINICAL SPECIALTIES Critical Care. Emergency Medicine. Gynecology. Hematology—Oncology. Hospitalist. Nephrology. Pathology. PM&R/SCI. Psychiatry. Pulmonary. PAY TABLE 3—CLINICAL SPECIALTY Tier level Minimum TIER 1 .................. TIER 2 .................. TIER 3 .................. VerDate Sep<11>2014 Maximum $98,967 120,000 135,000 17:27 Sep 17, 2014 $300,000 310,000 320,000 Jkt 232001 Tier level Minimum TIER 1 .................. TIER 2 .................. TIER 3 .................. $98,967 125,000 140,000 Maximum $325,000 340,000 355,000 Anesthesiology. Cardiology (Invasive/Non-Interventional). General Surgery. Plastic Surgery. Radiology (Non-Invasive). Urology. Vascular Surgery. PAY TABLE 5—CHIEF OF STAFF Minimum TIER 1 .................. TIER 2 .................. TIER 3 .................. $150,000 145,000 140,000 Minimum $98,967 140,000 Maximum $375,000 385,000 PAY TABLE 7—COVERED CLINICAL SPECIALTIES PAY TABLE 4—COVERED CLINICAL SPECIALTIES Tier level Tier level TIER 1 .................. TIER 2 .................. PAY TABLE 4—CLINICAL SPECIALTY PAY TABLE 1—CLINICAL SPECIALTY PAY TABLE 7—CLINICAL SPECIALTY Cardio-Thoracic Surgery. Interventional Cardiology. Interventional Radiology. Neurosurgery. Orthopedic Surgery. Signing Authority: The Secretary of Veterans Affairs approved this document and authorized the undersigned to sign and submit the document to the Office of the Federal Register for publication electronically as an official document of the Department of Veterans Affairs. Robert A. McDonald, Secretary, Department of Veterans Affairs, approved this document on September 3, 2014, for publication. Dated: September 12, 2014. William F. Russo, Deputy Director, Office of Regulation Policy & Management, Office of the General Counsel, U.S. Department of Veterans Affairs. [FR Doc. 2014–22187 Filed 9–17–14; 8:45 am] BILLING CODE 8320–01–P Maximum $300,000 280,000 260,000 DEPARTMENT OF VETERANS AFFAIRS Genomic Medicine Program Advisory Committee; Notice of Meeting PAY TABLE 5—COVERED ASSIGNMENTS The Department of Veterans Affairs (VA) gives notice under the Federal Advisory Committee Act, 5 U.S.C. App. 2 that the Genomic Medicine Program VHA Chiefs of Staff. Deputy Chiefs of Staff (Complexity Level 1a Advisory Committee will meet on and 1b facilities only). October 10, 2014, at the U.S. Access Board at 1331 F Street NW., Suite 1000, Washington, DC. The meeting will PAY TABLE 6—EXECUTIVE convene at 9:00 a.m. and adjourn at 5:00 ASSIGNMENTS p.m. The meeting is open to the public. Anyone attending must show a valid Tier level Minimum Maximum photo ID to building security and be TIER 1 .................. $145,000 $265,000 escorted to the meeting. Please allow 15 TIER 2 .................. 145,000 245,000 minutes before the meeting begins for TIER 3 .................. 130,000 235,000 this process. The purpose of the Committee is to provide advice and make PAY TABLE 6—COVERED EXECUTIVE recommendations to the Secretary of ASSIGNMENTS Veterans Affairs on using genetic information to optimize medical care for Principal Deputy Under Secretary for Health, Veterans and to enhance development Deputy Under Secretary for Health, Chief of tests and treatments for diseases Officer, Network Director, Medical Center particularly relevant to Veterans. Director, Network Chief Officer, Executive The Committee will receive program Director, Assistant Deputy Under Secretary updates and continue to provide insight for Health, VA Central Office Chief Coninto optimal ways for VA to incorporate sultant, National Director, National Progenomic information into its health care gram Manager, and other VA Central Ofprogram while applying appropriate fice Physician/Dentist. ethical oversight and protecting the PO 00000 Frm 00078 Fmt 4703 Sfmt 4703 E:\FR\FM\18SEN1.SGM 18SEN1

Agencies

[Federal Register Volume 79, Number 181 (Thursday, September 18, 2014)]
[Notices]
[Pages 56125-56126]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-22187]


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DEPARTMENT OF VETERANS AFFAIRS


Annual Pay Ranges for Physicians and Dentists of the Veterans 
Health Administration

AGENCY: Department of Veterans Affairs.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: As required by the ``Department of Veterans Affairs Health 
Care Personnel Enhancement Act of 2004'' (Pub. L. 108-445, dated 
December 3, 2004) the Department of Veterans Affairs (VA) is hereby 
giving notice of annual pay ranges for Veterans Health Administration 
(VHA) physicians and dentists as prescribed by the Secretary for VA-
wide applicability. These annual pay ranges are intended to enhance VA 
flexibility to recruit, develop, and retain the most highly qualified 
providers to serve our Nation's veterans and maintain a standard of 
excellence in the VA healthcare system.

DATES: Effective Date: The annual pay ranges listed in this notice are 
effective November 30, 2014.

FOR FURTHER INFORMATION CONTACT: Debra Doty, HR Specialist/Title 38 
Program Manager, Compensation and Classification Service (055), Office 
of Human Resources Management, Department of Veterans Affairs, 810 
Vermont Avenue NW., Washington, DC 20420, (757) 728-3381. This is not a 
toll-free number.

SUPPLEMENTARY INFORMATION: Under 38 U.S.C. 7431(e)(1)(A), not less 
often than once every two years, the Secretary must prescribe for 
Department of Veterans Affairs (VA)-wide applicability the minimum and 
maximum amounts of annual pay that may be paid to VHA physicians and 
dentists. Further, 38 U.S.C. 7431(e)(1)(B) allows the Secretary to 
prescribe separate minimum and maximum amounts of pay for a specialty 
or assignment. In construction of the annual pay ranges, 38 U.S.C. 
7431(c)(4)(A) requires the consultation of two or more national surveys 
of pay for physicians and dentists, as applicable, whether prepared by 
private, public, or quasi-public entities in order to make a general 
assessment of the range of pays payable to physicians and dentists. 
Lastly, 38 U.S.C. 7431(e)(1)(C) states amounts prescribed under 
paragraph 7431(e) shall be published in the Federal Register, and shall 
not take effect until at least 60 days after date of publication.

Background

    The ``Department of Veterans Affairs Health Care Personnel 
Enhancement Act of 2004'' (Pub. L. 108-445) was signed by the President 
on December 3, 2004. The major provisions of the law established a new 
pay system for VA's Veterans Health Administration (VHA) physicians and 
dentists consisting of base pay, market pay, and performance pay. While 
the base pay component is set by statute, market pay is intended to 
reflect the recruitment and retention needs for the specialty or 
assignment of a particular physician or dentist at a facility. Further, 
performance pay is intended to recognize the achievement of specific 
goals and performance objectives prescribed annually. These three 
components create a system of pay that is driven by both market 
indicators and employee performance, while recognizing employee tenure 
in VA.

Discussion

    VA identified and utilized salary survey data sources which most 
closely represent VA comparability in the areas of practice setting, 
employment environment, and hospital/health care system. The 
Association of American Medical Colleges (AAMC), Hospital and 
Healthcare Compensation Service (HHCS), Sullivan, Cotter, and 
Associates (S&C), Medical Group Management Association (MGMA), 
Physician Executive Management Center (PEMC), and the Survey of Dental 
Practice published by the American Dental Association (ADA) were 
collectively utilized as benchmarks from which to prescribe annual pay 
ranges for physicians and dentists across the scope of assignments/
specialties within VA. While aggregating the data, a preponderance of 
weight was given to those surveys which most directly resembled the 
environment of VA.
    In constructing annual pay ranges to accommodate the more than 
forty physician and dentist specialties that currently exist in the VA 
system, VA continued the practice of grouping specialties into 
consolidated pay ranges. This allows VA to use multiple sources that 
yield a high number of physician salary data which helps to minimize 
disparities and aberrations that may surface from data involving 
smaller numbers of physicians and dentists for comparison and from 
sample change from year to year. Thus, by aggregating multiple survey 
sources into like groupings, greater confidence exists that the average 
compensation reported is truly representative. In addition, aggregation 
of data provides for a large enough sample size and provides pay ranges 
with maximum flexibility for pay setting for the more than 25,000 VHA 
physicians and dentists.
    In developing the annual pay ranges, a few distinctive principles 
were factored into the compensation analysis of the data. The first 
principle is to ensure that both the minimum and maximum salary is at a 
level that accommodates special employment situations, from fellowships 
and medical research career development awards to Nobel Laureates, 
high-cost areas, and internationally renowned clinicians. The second 
principle, to attempt to establish a rate range of +/- 25 percent of 
the mean, is imperative to provide ranges large enough to accommodate 
career progression, geographic differences, sub-specialization, and 
special factors. This principle is also the standard recommended by 
World@Work for professional compensation ranges.

[[Page 56126]]

    All clinical specialties for VHA physicians and dentists were 
reviewed against relevant private sector data. The specialties are 
grouped into five clinical pay ranges that reflect comparable 
complexity in salary, recruitment, and retention considerations. Two 
additional pay ranges apply to VHA Chiefs of Staff and physicians and 
dentists in executive level administrative assignments at the facility, 
network, or headquarters level.

                     Pay Table 1--Clinical Specialty
------------------------------------------------------------------------
                   Tier level                       Minimum     Maximum
------------------------------------------------------------------------
TIER 1..........................................     $98,967    $215,000
TIER 2..........................................     110,000     230,000
TIER 3..........................................     120,000     255,000
------------------------------------------------------------------------


                Pay Table 1--Covered Clinical Specialties
------------------------------------------------------------------------
 
-------------------------------------------------------------------------
Allergy and Immunology.
Compensation and Pension.
Endocrinology.
Geriatrics.
Infectious Diseases.
Internal Medicine/Primary Care/Family Practice.
Neurology.
Preventive Medicine.
Rheumatology.
General Practice--Dentistry.
Endodontics.
Periodontics.
Prosthodontics.
All other specialties or assignments that do not require a specific
 specialty.
------------------------------------------------------------------------


                     Pay Table 2--Clinical Specialty
------------------------------------------------------------------------
                   Tier level                       Minimum     Maximum
------------------------------------------------------------------------
TIER 1..........................................     $98,967    $240,000
TIER 2..........................................     115,000     250,000
TIER 3..........................................     130,000     260,000
------------------------------------------------------------------------


                Pay Table 2--Covered Clinical Specialties
------------------------------------------------------------------------
 
-------------------------------------------------------------------------
Critical Care.
Emergency Medicine.
Gynecology.
Hematology--Oncology.
Hospitalist.
Nephrology.
Pathology.
PM&R/SCI.
Psychiatry.
Pulmonary.
------------------------------------------------------------------------


                     Pay Table 3--Clinical Specialty
------------------------------------------------------------------------
                   Tier level                       Minimum     Maximum
------------------------------------------------------------------------
TIER 1..........................................     $98,967    $300,000
TIER 2..........................................     120,000     310,000
TIER 3..........................................     135,000     320,000
------------------------------------------------------------------------


                Pay Table 3--Covered Clinical Specialties
------------------------------------------------------------------------
 
-------------------------------------------------------------------------
Cardiology (Non-invasive).
Dermatology.
Gastroenterology.
Nuclear Medicine.
Ophthalmology.
Oral Surgery.
Otolaryngology.
------------------------------------------------------------------------


                     Pay Table 4--Clinical Specialty
------------------------------------------------------------------------
                   Tier level                       Minimum     Maximum
------------------------------------------------------------------------
TIER 1..........................................     $98,967    $325,000
TIER 2..........................................     125,000     340,000
TIER 3..........................................     140,000     355,000
------------------------------------------------------------------------


                Pay Table 4--Covered Clinical Specialties
------------------------------------------------------------------------
 
-------------------------------------------------------------------------
Anesthesiology.
Cardiology (Invasive/Non-Interventional).
General Surgery.
Plastic Surgery.
Radiology (Non-Invasive).
Urology.
Vascular Surgery.
------------------------------------------------------------------------


                       Pay Table 5--Chief of Staff
------------------------------------------------------------------------
                   Tier level                       Minimum     Maximum
------------------------------------------------------------------------
TIER 1..........................................    $150,000    $300,000
TIER 2..........................................     145,000     280,000
TIER 3..........................................     140,000     260,000
------------------------------------------------------------------------


                    Pay Table 5--Covered Assignments
------------------------------------------------------------------------
 
-------------------------------------------------------------------------
VHA Chiefs of Staff.
Deputy Chiefs of Staff (Complexity Level 1a and 1b facilities only).
------------------------------------------------------------------------


                   Pay Table 6--Executive Assignments
------------------------------------------------------------------------
                   Tier level                       Minimum     Maximum
------------------------------------------------------------------------
TIER 1..........................................    $145,000    $265,000
TIER 2..........................................     145,000     245,000
TIER 3..........................................     130,000     235,000
------------------------------------------------------------------------


               Pay Table 6--Covered Executive Assignments
------------------------------------------------------------------------
 
-------------------------------------------------------------------------
Principal Deputy Under Secretary for Health, Deputy Under Secretary for
 Health, Chief Officer, Network Director, Medical Center Director,
 Network Chief Officer, Executive Director, Assistant Deputy Under
 Secretary for Health, VA Central Office Chief Consultant, National
 Director, National Program Manager, and other VA Central Office
 Physician/Dentist.
------------------------------------------------------------------------


                     Pay Table 7--Clinical Specialty
------------------------------------------------------------------------
                   Tier level                       Minimum     Maximum
------------------------------------------------------------------------
TIER 1..........................................     $98,967    $375,000
TIER 2..........................................     140,000     385,000
------------------------------------------------------------------------


                Pay Table 7--Covered Clinical Specialties
------------------------------------------------------------------------
 
-------------------------------------------------------------------------
Cardio-Thoracic Surgery.
Interventional Cardiology.
Interventional Radiology.
Neurosurgery.
Orthopedic Surgery.
------------------------------------------------------------------------


    Signing Authority: The Secretary of Veterans Affairs approved 
this document and authorized the undersigned to sign and submit the 
document to the Office of the Federal Register for publication 
electronically as an official document of the Department of Veterans 
Affairs. Robert A. McDonald, Secretary, Department of Veterans 
Affairs, approved this document on September 3, 2014, for 
publication.

    Dated: September 12, 2014.
William F. Russo,
Deputy Director, Office of Regulation Policy & Management, Office of 
the General Counsel, U.S. Department of Veterans Affairs.
[FR Doc. 2014-22187 Filed 9-17-14; 8:45 am]
BILLING CODE 8320-01-P