Here at Children’s, no one on the integration team is on-call after hours. We’ve done some cross training with our Systems staff and they cover that as part of their on-call responsibities.
For IS/IT overall, we have, in addtion to System on-call, there are also on-call pagers for each of the Network, Business Applications, Clinical Applications, Telecomm, and Practice Management teams. Each receives $2/hour outside the normal 8-hour workday (yeah, I know, I can’t define normal either), or 128 hours for their 1 week in 4 rotation.
We’ve been doing that since 1998. When we initially implemented call pay, there was also “call back” pay, which translated to an on-call person’s regular hourly rate (1/2080th of annual salary), for call responses over 1 hour. But that only lasted a couple of years.