HUMAN RESOURCES

HEALTH CARE MANAGEMENT

23 March 2006

HUMAN RESOURCES MANAGEMENT

• ACQUISITION

• RETENTION & MAINTENANCE

• SEPARATION

CLINICAL STAFF

• HOSPITAL MEDICAL STAFF ARE USUALLY NOT EMPLOYEES

• MOST DOCTORS AND VIRTUALLY ALL NURSES AND PHYSICIAN EXTENDERS ARE STRAIGHT EMPLOYEES

ACQUISITION

• PLANNING

• RECRUITMENT

• SELECTION

• ORIENTATION

PRE-EMPLOYMENT

• INTERVIEWING

• CHECK CREDENTIALS YOURSELF

• TESTING– MENTAL OR PHYSICAL– ABILITIES NEEDED TO PERFORM A JOB– ADVERSE IMPACT ON PROTECTED

GROUP

JOB DESCRIPTIONS

• WHERE AND WHAT ARE THE JOB

• QUALIFICATIONS– MINIMUM– DESIRABLE

• SPECIAL CONDITIONS

• BASIC LEGAL DOCUMENT

• WITH OR WITHOUT CONTRACT

PHYSICAL EXAM

• COMMUNICABLE DISEASE - OK

• DANGER TO OTHERS - OK

• EVERYTHING ELSE - PROBABLY NOT OK

• SET UP A MOCK JOB

• CHANGE THE JOB

PROHIBITED DISCRIMINATION

• RACE• COLOR• NATIONAL ORIGIN• RELIGION• GENDER• AGE 40 TO 70• PREGNANCY• HANDICAPPED STATUS

CIVIL RIGHTS ACTTITLE VII

• EXEMPTIONS - NOT DISCRIMINATION– BONA FIDE OCCUPATIONAL

QUALIFICATION– TESTING & EDUCATIONAL

REQUIREMENTS– SENIORITY– SPECIFIC AFFIRMATIVE ACTION -

MAYBE

SEXUAL HARASSMENT

• DISCRIMINATION ACCORDING TO COURT RULINGS

• SEXUALLY HOSTILE WORK ENVIRONMENT

ADA

• 43 MILLION AMERICANS IN 1990

• REASONABLE ACCOMMODATION

• UNLESS UNDUE HARDSHIP ON THE EMPLOYER

• MUST BE OTHERWISE QUALIFIED

• DRUG ABUSE AND TESTING ARE NOT COVERED

RETENTION

• COMPENSATION

• BENEFITS

• EMPLOYEE ASSISTANCE

• SAFETY & HEALTH

• CAREER COUNSELING

COMPENSATION

• BASED ON THE JOB AND PERFORMANCE

• SHOULD BE PERCEIVED AS FAIR

• MUST BE CONSISTENT AND NOT DISCRIMINATORY

FAIR LABOR STANDARDS ACT OF 1938

• 8 HOURS A DAY &/OR 40 HOURS IN 7 DAYS

• 80 HOURS IN 14 CONSECUTIVE DAYS

• EXEMPT EMPLOYEES

• AGE 18 FOR HAZARDOUS WORK– HEALTHCARE IS HAZARDOUS

BENEFITSLEGALLY REQUIRED

• SOCIAL SECURITY - FICA

• WORKER’S COMPENSATION

• UNEMPLOYMENT INSURANCE

• COBRA (1985)

BENEFITS

• INSURANCE– HEALTH, DISABILITY, LIFE, ETC

• LEAVE– HOLIDAYS, VACATION, SICK, FUNERAL,

PERSONAL, EDUCATIONAL

• PENSION– EMPLOYER VS EMPLOYEE

FAMILY & MEDICAL LEAVE ACT

• UNPAID LEAVE

• UP TO 12 WEEKS A YEAR

• COVERED– NEW CHILD– SERIOUS PERSONAL HEALTH

CONDITION– CARE OF A DEPENDENT WITH A

SERIOUS HEALTH CONDITION

EMPLOYEE ASSISTANCE

• STARTED FOR ALCOHOLISM

• NOW FOR ALL SUBSTANCE ABUSE

• ALSO LEGAL, FINANCIAL, EMOTIONAL PROBLEMS

• 15 - 20 % OF WORKFORCE ON DRUGS

• HEALTHCARE ABOUT TWICE AS BAD

WORKPLACE SAFETY

• WORKER’S COMPENSATION– STATE LAW– BENEFITS THE EMPLOYER

• OSHA

• HOSPITALS HAVE ALL THE HAZARDS

SPECIAL SAFETY PROBLEMS

• PATIENTS ARE DANGEROUS AND HARD TO HANDLE– BACK INJURIES– ASSAULTS

• AIDS/HIV– PROTECTING WORKERS– PROTECTING PATIENTS

MAINTENANCE

• APPRAISAL

• TRAINING & CONTINUING ED

• CORRECTIVE COUNSELING

• DISCIPLINE

PERFORMANCE APPRAISAL

• USUALLY A RATING SCALE

• DONE EVERY 12 MONTHS

• “ALL THE CHILDREN ARE ABOVE AVERAGE”

DISCIPLINE

• EVEN HANDED

• POSITIVE IF POSSIBLE

• CORRECTIVE COUNSELING

• WELL DOCUMENTED

• INCLUDED IN PERFORMANCE EVALUATIONS OF EMPLOYEE AND SUPERVISOR

SEPARATION

• QUIT– BETTER JOB OR BETTER PLACE

• DISCHARGE– FIRING VS LAYOFF

• RETIREMENT

• DISABILITY

• DEATH

SEPARATION ACTIVITIES

• PRE-RETIREMENT PLANNING– INCOME– INSURANCE

• OUTPLACEMENT

• EXIT INTERVIEWS