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BUSI
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1
Table of Contents
Title Page
Copyright
Tables and Figures
Dedication
Preface
Purpose and Audience
Overview of the Contents
Acknowledgments
The Authors
Part 1: Human Resources Management in the Health Care Business Arena
Chapter 1: Introduction to Health Care Human Resources Management
Defining Elements of Progressive Health Care Organizations
Current Perceptions of Health Care Organizations
Spheres of Influence Model
Five Significant Change Dynamics of Modern Health Care
Profile of a Progressive Health Care Organization
Composition of a Progressive Health Care Human Resources Management
2
Department
Summary
Key Terms
Discussion Questions
Chapter 2: Strategic Health Care Human Resources Management and
Planning
The Changing Role of Human Resources Management
Human Resources Outsourcing
Strategic Human Resources Management and Human Resources Planning
Anticipating Future Needs
Evaluating the Effectiveness of Strategic Human Resources Management
Problems and Implications of Strategic Human Resources Management
Summary
Key Terms
Discussion Questions
Chapter 3: Organizational Culture Standards for Health Care Human
Resources
Performance Matrix of Superstars, Steadies, and Nonplayers
PACT Formula
3
Strategic Requirements for a Progressive Health Care Human Resources
Management Department
Summary
Key Terms
Discussion Questions
Chapter 4: Equal Employment Opportunity Laws and Health Care Human
Resources Management
Federal Equal Employment Opportunity Laws
Proving Employment Discrimination
Affirmative Action: Executive Orders and Other Federal Laws
Constitutional Rights
Additional Protections for Employees
Summary
Key Terms
Discussion Questions
Chapter 5: Managing the Unique Health Care Workforce
Cultural Factors Relevant to Health Care Human Resources
Practical Application: A Tale of Two Jersey Cultures
Summary
4
Key Terms
Discussion Questions
Chapter 6: The Importance of Volunteers in Health Care Organizations
Selection and Placement Strategy Considerations for Volunteers
Maximizing Health Care Volunteer Performance
Agenda Topics for Volunteer Summits
Ten Essential Rules for Volunteer Placement
Summary
Key Terms
Discussion Questions
Part 2: Methods and Accountabilities of Health Care Human Resources
Chapter 7: Critical Job Analysis and Design
Legal Significance of Job Analysis
Job Analysis Information
Designing a Job Analysis Program
Job Descriptions and Job Specifications
Competency Modeling
Job Analysis Techniques
5
Summary
Key Terms
Discussion Questions
Chapter 8: Recruitment, Interviewing, and Selection Strategies
Preselection Process
Critical Dimensions of External Recruitment
Preparing and Planning for the Interview
Conducting the Interview
Evaluating the Interview
Summary
Key Terms
Discussion Questions
Chapter 9: Maximizing Performance Management and Evaluation
Developing an Evaluation Program
Using Defusers—the Return to Objectivity Formula
Summary
Key Terms
Discussion Questions
6
Chapter 10: Compensation Strategies
Motivation
Equity
Executive Compensation and Benefits
Federal Laws Governing Compensation
Summary
Key Terms
Discussion Questions
Chapter 11: Benefits
Government Required Benefits
Discretionary Benefits
Quality-of-Work and Quality-of-Life Issues
Summary
Key Terms
Discussion Questions
Part 3: Maximizing Health Care Human Resources
Chapter 12: Training and Development
Needs Assessment
7
Developing Training Objectives
Developing the Curriculum
Delivering Training
Evaluating Training
Career Development
Health Care Training and Development in Application
Relevant and Resonant Health Care Organizational Training and
Development
Summary
Key Terms
Discussion Questions
Chapter 13: Organizational Development Strategies
Essential Objectives of Health Care Organizational Development
Organizational Development Strategies for Building Pride
Organizational Development Strategies for Escalating Accountability
Organizational Development Strategies for Team Building
Summary
Key Terms
8
Discussion Questions
Chapter 14: Labor-Management Relations: Collective Bargaining and
Progressive Employer Relations
Collective Bargaining in the Private Sector
Collective Bargaining in Health Care Organizations
Collective Bargaining in Federal Government Agencies
Collective Bargaining in State and Local Government Agencies
Concepts and Practices of Collective Bargaining
Summary
Key Terms
Discussion Questions
Chapter 15: Strategic Health Care Human Resources Technology
Information Systems Technology
Organizational Change
Types of Information Systems
Human Resources Information Systems
Summary
Key Terms
9
Discussion Questions
Bibliography
Index
10
11
Copyright © 2011 by John Wiley & Sons, Inc. All rights reserved.
Published by Jossey-Bass
A Wiley Imprint
One Montgomery Street, Suite 1200, San Francisco, CA 94104-4594—
www.josseybass.com
No part of this publication may be reproduced, stored in a retrieval system, or
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changed or disappeared between the time this was written and when it is read.
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Library of Congress Cataloging-in-Publication Data
Pynes, Joan.
Human resources management for health care organizations : a strategic
approach / Joan E. Pynes, Donald N. Lombardi.—1st ed.
p. cm.
Includes bibliographical references and index.
ISBN 978-0-470-87355-7 (pbk.); 978-1-118-15273-7 (ebk.); 978-1-11815274-4 (ebk.); 978-1-118-15275-1 (ebk.)
1.Health services administration. 2.Health facilities—Personnel management.
I.Lombardi, Donald N., 1956- II. Title.
RA971.35.P96 2012
362.1068—dc23
13
2011038828
14
Tables and Figures
Tables
3.1 Performance Matrix 4.1 Federal Statutes Related to Equal Employment
Opportunity 5.1 Cultural Dynamics of the Hoboken Gen X Crew 5.2 Cultural
Dynamics of New Jersey Retirees 6.1 Progressive Placement of Medical
Center Volunteers 10.1 Typical Compensable Factors 10.2 Salary Table
2010-GS Incorporating the 1.50 Percent General Schedule Increase (Annual
Rates by Grade\hb and Step) 11.1 Employee Benefits 13.1 Organizational
Development Themes from Great American Innovators 14.1 National Labor
Relations Board Jurisdictional Standards for Nonprofit Health Care
Organizations (in Effect July 1990)
Figures
1.1 Spheres of Influence Model 1.2 Organizational Chart\emdash Midsize
Community Hospital 1.3 Organizational Chronology of a Health Care
Professional 1.4 Organizational Chart\emdash Health Care Human Resources
Management Department 3.1 PACT Formula 3.2 Time Line Review of the
Huntington VA Medical Center, West Virginia 3.3 Defined Values of a
Progressive Health Care Leader 3.4 Decision-Making Criteria and Process
5.1 Unique Facets of the Health Care Workforce 5.2 Cultural Composition
Foundations 6.1 Identifying Background Strengths of Health Care Volunteers
7.1 Example Job Analysis Questionnaire 7.2 Example Structured Checklist
7.3 Example Job Description 8.1 Recruitment Sources 8.2 Candidate
Evaluation 8.3 Interview Dyad Dynamics 9.1 Example Trait Rating Scale 9.2
Example Critical Incident Report 9.3 Example Behaviorally Anchored Rating
Scale 9.4 Example Behavioral Observation Scale 9.5 Example 360-Degree
Evaluation 12.1 Critical Dimensions of Health Care Training\hb and
Development 12.2 The “I” Formula 13.1 Essential Tenets of Health Care
Organizational Development 13.2 Majuro Medical Center Credo of Nursing
13.3 Example Criteria Page for an Organizational Handbook\hb of Values
15
13.4 Huntington VA Medical Center (VAMC) Fact Sheet
16
In honor and memory of my parents
—Joan Pynes
To Deborah Ann
—Don Lombardi
17
Preface
In an era in which health care organizations are contending with everescalating expectations, increased demands for services, and critical scrutiny
from all constituencies, the need to maximize the performance of human
resources at every level and in every regard is the most significant component
of a health care organizations essential charter. Strategic human resources
management (SHRM) is the integration of human resources management
(HRM) with the strategic mission of the organization that innovates human
resources policies and practices to meet the challenges health care agencies
face today, as well as those they will face in the future. Human resources
management departments must take a proactive role in guiding and supporting
health care organizational efforts to meet the changing demands of the
customer-patient community and the challenges confronting every member of
the health care organization.
With these daunting challenges, there has been a renewed emphasis on
human capital and human resources management as a responsibility of all
health care leaders, as health care organizations face the realization that the
combined strength of their employees is undoubtedly their most important
organizational asset. Workers define the organizations character, affect its
capacity to perform, and represent its knowledge base—a confluence that
results in the provision of the best possible health care to the community. To
be true strategic partners, human resources management departments must
possess high levels of professional and business knowledge and must
establish viable foundations and vivid links to enhancing organizational
performance that offer a fundamental, measurable basis for the continued
success and recognized excellence of the organization.
Health care organizations must stay dynamically attuned to the needs of
society and seek to improve the quality of their services by engaging in
strategic human resources management. Recruitment and selection strategies
must be innovative, career development opportunities must be provided
18
progressively, work assignments must be thoughtfully designed, and policies
must reward superior performers while resolving performance problems posed
by marginal employees. These policies must be developed and administered
according to the principles of equity, efficiency, and effectiveness;
performance standards must be designed to promote the stated goals and
resonant values of the progressive health care agency so that it truly evolves
into an accountable care organization.
Purpose and Audience
This book works as a comprehensive guide to the essential areas of health
care human resources management by defining what each aspect of human
resources addresses, why it is specifically essential to a health care
organization, and then how it can be incorporated strategically using best
practices and vanguard programs. This book particularly emphasizes the
importance of HRM functions and SHRM planning balanced with the current
and emergent dynamics apparent in the most important resource of a health
care organization—its people.
This book was written to be an immediately useful practical handbook for
practitioners as well as a textbook for use as part of health care management
undergraduate and graduate programs. By infusing academic discourse with
current proven strategies, the book is intended to be relevant, resonant, and
realistic in its scope and viability in both the classroom and the health care
workplace.
Overview of the Contents
Part One introduces the context of human resources management in the
unique health care business arena, and moves in a “general to specific”
progression by examining the critical dimensions of the customer-patient
environment, the composition of a progressive health care organization, and
the human resources management needs of a health care professional. Chapter
19
One provides an introduction to the health care human resources business
setting, replete with methods for strategic analysis and examples from a triad
of community health care organizations powered by strong human resources
management departments. Chapter Two explains how SHRM and human
resources planning are imperative if health care agencies are to remain
competitive and be able to accomplish their mission. Chapter Three presents
organizational culture standards for progressive health care human resources
management using an organizational assessment tool as a focal point. Chapter
Four presents the legal environment of human resources management,
incorporating practical perspectives and validated guidance. Chapter Five
explores the methods for managing the unique health care workforce and
moves from the overarching subject of organizational culture to practical
perspectives and pertinent application. Then, the importance of managing
volunteers and how SHRM practices can assist in making the volunteer
experience both productive for the agency and satisfying to volunteers and
board members is discussed in Chapter Six.
Part Two presents the techniques and functional areas of human resources
management, supported by methods and accountability programs for health
care organizations. Each chapter provides ample practical examples. Chapter
Seven explains the importance of job analysis before executing HRM policies
or developing job descriptions, performance appraisal instruments, training
and development programs, and recruitment and selection criteria. A variety
of job analysis techniques are discussed. Chapter Eight addresses
recruitment, selection, and hiring techniques. Drug testing, physical ability
testing, psychological examinations, and other essential selection programs
are also summarized.
Performance management and ev ...
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