Managing Human Resources in Health Care Organizations

by Shi, Leiyu

• ISBN13: 9780763729974
• ISBN10: 0763729973
• Edition: 1st
• Format: Paperback
• Copyright: 2006-06-05
• Publisher: Jones & Bartlett Learning

Summary

Light on complex theoretical language, this relevant, accessible text offers a hands-on approach to studying human resources in various healthcare systems such as hospitals, integrated healthcare systems, managed care settings, private practices, and public health clinics. The chapters cover a broad spectrum of subjects, including:   human resource design (e.g., The role of the human resource system in support of organizational functions) human resource practice (e.g., legal and organizational human resource issues, including labor law and related issues including discrimination, harassment, wage and hour agreements, and ADA compliance; hiring, termination, performance evaluation, and staff training) human resources management (e.g., workforce planning and maintenance, staff support and education, compensation management, role in collective bargaining, budgetary involvements, and organizational continuous improvement initiatives) the book can be used as a stand-alone textbook in undergraduate or graduate level courses on human resources. With its practice-oriented approach, it is also a valuable resource for current health care organizations.

Table of Contents

Chapter 1 Human Resources in the Healthcare Sector	1	(30)
Leiyu Shi and Sarah Lindstrom
Healthcare Human Resources	4	(6)
Physicians	5	(1)
Dentists	6	(1)
Pharmacists	7	(1)
Allied Health Workers	8	(1)
Nonphysician Practitioners	9	(1)
Nurses	10	(1)
Human Resources: Functions	10	(4)
Strategic Planning	11	(1)
Recruitment and Selection	11	(1)
Retention	11	(1)
Compensation and Benefits	11	(1)
Performance Evaluation	12	(1)
Training and Education	12	(1)
Legal and Regulatory Issues	12	(2)
Human Resources: Challenges	14	(6)
Increasing Demand	14	(1)
Outdated System	15	(1)
Erosion in Caring and Personal Touch	15	(1)
Increased Dissatisfaction	16	(1)
Shortages and Surpluses	16	(2)
Physician Shortage/Surplus	18	(1)
Provider Maldistribution	18	(1)
Provider Diversity	19	(1)
Emphasis on Efficiency	19	(1)
Uses of Electronic Medical Records	20	(1)
Medical Errors	20	(1)
The Legal Environment	20	(3)
Federal Equal Employment Opportunity Laws	20	(1)
General Employment Laws	21	(1)
Benefits	22	(1)
Safety	22	(1)
Health-Related Regulations	23	(1)
Major Human Resource's Issues in the Healthcare Setting	23	(3)
The Public Sector (Chapter 4)	23	(1)
The Public Health Sector (Chapter 5)	23	(1)
Integrated Delivery Systems (Chapter 6)	24	(1)
Managed Care Organizations (Chapter 7)	24	(1)
Hospitals (Chapter 8)	24	(1)
Long-term Care Facilities (Chapter 9)	25	(1)
Community Health Centers (Chapter 10)	25	(1)
Physician Practices (Chapter 11)	25	(1)
Public Health Clinics (Chapter 12)	26	(1)
Future of Healthcare Delivery	26	(1)
References	27	(4)
Chapter 2 The Practice of Human Resources Management in the 21st-Century Healthcare Organization	31	(20)
Steven D. Berkshire
Current Issues	31	(5)
The Challenge of Finding and Retaining Competent People	36	(3)
Compensation and Benefits Issues	39	(2)
Legislative and Regulatory Environments	41	(7)
Title VII and Other "Rights"	44	(2)
Compliance Functions	46	(1)
Safety	47	(1)
Where Does Human Resources Go from Here?	48	(1)
References	49	(2)
Chapter 3 Essential Components of Human Resources Practices and Management	51	(22)
Mark Burns
Organizational Elements of Human Resources in Healthcare Organizations	52	(7)
Leadership	52	(1)
Motivation	53	(1)
Organizational Culture	54	(1)
Communication and Information Processing	55	(1)
Environmental Influences	56	(1)
Design	57	(1)
Human Resources and Diversity Issues	58	(1)
Human Resources Functions	58	(1)
Strategic Human Resources Management	59	(1)
Recruitment and Selection	60	(2)
Contract/Agreement	62	(1)
Training And Education	63	(1)
Retention	64	(1)
Performance Evaluation	65	(1)
Compensation	66	(1)
Legal/Regulatory Issues and Compliance	67	(1)
The Role of Human Resources Administration in Supporting Functions	68	(1)
Conclusion	69	(1)
References	69	(4)
Chapter 4 Human Resources Practice in the Public Sector	73	(26)
Harold R. Griffin
Introduction	74	(1)
Overview of the Setting	75	(1)
Qualifications of Human Resources Administrators	75	(1)
Issues in HRM Administration	76	(4)
Recruitment and Selection	80	(1)
Retention	81	(1)
Compensation	81	(3)
Benefits	84	(4)
Performance Management	88	(2)
Training and Education	90	(1)
Unionization	91	(2)
Conclusion	93	(2)
References	95	(4)
Chapter 5 General Principles of Human Resources Management in Public Health Settings	99	(26)
Lloyd Greene
Introduction	100	(1)
Overview of the Setting	101	(3)
Roles	101	(1)
The Work Environment and Public Health Programs	101	(1)
Trends in Public Health Human Resources Management	101	(3)
Recruitment and Selection	104	(1)
Regulatory and Legal Issues in Employment	104	(2)
Design and Implementation of Recruitment Processes	106	(1)
Recruitment Challenges and Opportunities in Public Health Strategies	107	(3)
Employee Safety	110	(1)
Compensation and Benefits	111	(1)
Employee Relations	112	(1)
Legal Framework	112	(2)
Managing Relationships and Employee Relations Programs	114	(1)
Training and Education	115	(1)
Core Competencies for Public Health Professionals	116	(3)
Strategic Planning	119	(2)
Conclusion	121	(1)
References	121	(4)
Chapter 6 Managing Human Resources in an Integrated Healthcare System	125	(32)
Kanak Gautam
Introduction	126	(1)
Overview of the Setting	127	(5)
The Human Resources Function in an HIS	129	(1)
The Role of Corporate HR During HIS Formation	130	(2)
Beyond Systems Formation: Formulating and Implementing Corporate HR Policies	132	(1)
Strategic Planning	132	(2)
Policies Related to Strategic HR Planning and Information Systems	133	(1)
Recruitment	134	(2)
Selection	136	(1)
Retention	137	(2)
Training and Education	139	(4)
Performance Management	143	(2)
Compensation	145	(3)
Physician Compensation	148	(2)
Benefits	150	(2)
Unionization	152	(2)
Conclusion	154	(1)
References	155	(2)
Chapter 7 Human Resources Issues in Managed Care Settings	157	(28)
Marie L. Kotter and Karen S. Burnett
Overview of the Setting	157	(6)
Strategic Planning	163	(3)
Planning and Implementing HR Strategy in Managed Care Settings	163	(2)
Managing the Flow of Work in Managed Care Settings	165	(1)
Understanding Equal Opportunity and the Legal Environment in Managed Care Settings	165	(1)
Recruitment and Selection	166	(5)
Internet Recruiting	167	(1)
Internal Recruiting	168	(1)
External Recruiting	168	(1)
Managing Workforce Diversity in Managed Care Settings	169	(1)
Selection	170	(1)
Orienting the Workforce	170	(1)
Retention	171	(1)
Managing Separations and Outplacements	172	(1)
Performance Management	172	(2)
Training and Education	174	(1)
Compensation and Benefits	175	(5)
Managing Compensation and Rewarding Performance in Managed Care Settings	176	(2)
Designing and Administering Benefits in Managed Care Settings	178	(2)
Employee Relations	180	(1)
Developing Positive Employee Relations and Communication in Managed Care Settings	180	(1)
Managing Discipline and Respecting Employee Rights in Managed Care Settings	180	(1)
Unionization	181	(2)
Ensuring Workplace Safety and Health in a Managed Care Setting	182	(1)
Conclusion	183	(1)
References	183	(2)
Chapter 8 The Human Resources Function in Hospitals	185	(40)
Susan Sportsman
Overview of the Setting	186	(2)
Recruitment and Selection	188	(4)
Lack of Diversity in Healthcare Providers	192	(1)
Retention	192	(3)
The Hiring Process	195	(4)
Credentialing of Independent Practitioners	196	(3)
Competency Validation and Performance Appraisal	199	(4)
Initial Competency Validation	199	(1)
Granting Privileges to Independent Practitioners	199	(1)
Ongoing Competency Validation	200	(1)
Performance Appraisal	200	(1)
Due Process	201	(1)
Defamation Liability	201	(1)
Peer Review	202	(1)
The Work Environment	203	(6)
"Provider-Friendly" Organizational Structures	203	(1)
Scheduling and Staffing	204	(3)
Overtime	207	(1)
Delegation Rules	208	(1)
Training and Education	209	(5)
Patient Safety	209	(2)
Technology and Patient Safety	211	(1)
Malpractice	212	(1)
Accountability for Quality of Care	213	(1)
Employee Relations	214	(3)
Communication and Interpersonal Relationships	214	(1)
Conflict Management	215	(2)
Unionization	217	(1)
The National Labor Relations Acts	217	(2)
Impact of Labor—Management Disputes in Hospitals	218	(1)
Does the Act of Supervision Imply Management?	219	(1)
Conclusion	219	(1)
References	220	(5)
Chapter 9 Human Resources Management Along the Continuum of Care	225	(48)
Donna L. Gellatly
Overview of the Setting	226	(6)
Staffing	229	(3)
Recruitment and Selection	232	(7)
Methods of Recruitment	233	(3)
Methods of Staffing	236	(3)
Retention	239	(4)
Nursing Shortage	241	(2)
Compensation	243	(3)
Benefits	246	(5)
Mandated Benefits	248	(1)
Retirement-Related Benefits	249	(1)
Insurance Benefits	249	(1)
Payment for Time Not Worked	249	(1)
Other Benefits	250	(1)
Training and Education	251	(5)
Performance Evaluation	256	(3)
Unionization	259	(4)
Legal and Regulatory Issues	263	(6)
Regulations Specific to Long-Term Care	265	(4)
Conclusion	269	(1)
References	270	(3)
Chapter 10 Human Resources Management in Community Health Centers	273	(28)
Gretchen Gemeinhardt
Overview of the Setting	274	(3)
Staffing	277	(2)
Job Description	278	(1)
Job Specification	278	(1)
Job Analysis	279	(1)
The Employment Process	279	(5)
Recruitment and Selection	279	(2)
Employment Applications	281	(1)
Interviewing	282	(1)
Reference Checks	282	(1)
Hiring	282	(1)
Credentialing of Clinical Staff	283	(1)
Retention	284	(4)
Promotion and Job Changes	284	(1)
Separation	285	(3)
Compensation and Benefits	288	(2)
Compensation	288	(2)
Benefits	290	(1)
Performance Evaluation	290	(3)
Problem Identification and Employee Counseling	290	(1)
Counseling	291	(1)
Performance Appraisal	292	(1)
Discipline	292	(1)
Safety	293	(1)
Training and Education	294	(3)
Legal and Regulatory Issues	297	(1)
Conclusion	297	(1)
References	298	(3)
Chapter 11 Human Resources in Physician Practice Management	301	(42)
Daniel F. Fahey
Introduction	302	(2)
Overview of the Setting	304	(5)
Major Employment Categories	305	(3)
Physician Influence in Human Resources	308	(1)
Legal Structure	309	(1)
Strategic Planning	309	(1)
Compensation and Benefits	310	(7)
Compensation Strategy	311	(1)
Compensation Plan Approval Process	311	(1)
Compensation Models	312	(1)
Physician Compensation and Benefits	313	(1)
Alternative Compensation Methods	314	(1)
Redesigning a Physician Compensation Plan	315	(1)
Academic Practices	315	(1)
Physician Employment Agreements	316	(1)
Independent Contractors	316	(1)
Recruitment	317	(2)
Recruitment Process	317	(1)
Internal Versus External Recruiting	318	(1)
Selection	319	(3)
Reference Checks	319	(1)
Reducing the Hiring Risk	319	(1)
Nurse Recruitment	320	(1)
Physician Recruitment	320	(1)
Legal Issues in Recruitment and Selection	321	(1)
Other Legal Issues	321	(1)
Training and Education	322	(5)
Employee Orientation	322	(1)
Physician Orientation	323	(1)
Organizational Culture Integration	324	(1)
Role of Trainer	325	(1)
Training and Motivation	326	(1)
Job Rotation and Cross-Training	326	(1)
Positive Training Environment	326	(1)
Retention	327	(2)
Benefits Enhancement	327	(1)
Educational Incentives	328	(1)
Employee Handbook	328	(1)
Personnel Files	328	(1)
Right to View Personnel Files	329	(1)
Performance Evaluations	329	(5)
Alternative Evaluation Methods	330	(2)
Performance Evaluation Elements	332	(1)
Task Performance versus Behavior	332	(1)
Problems with Performance Evaluations	333	(1)
Progressive Discipline and Grievance Procedure	333	(1)
Conclusion	334	(1)
References	335	(4)
Exhibit A	339	(2)
Exhibit B	341	(2)
Chapter 12 Human Resources Practices and Management in Public Health Clinics	343	(30)
Anne M. Hewitt
Introduction	344	(1)
Overview of the Setting	345	(7)
Role and Characteristics	345	(4)
Emerging Trends: Internal and External Influences on Public Health Clinics	349	(3)
Understanding and Managing Human Resources for Public Health Clinics	352	(1)
Strategic Planning	352	(3)
Recruitment and Selection	355	(3)
Retention	358	(1)
Training and Education	359	(1)
Compensation	360	(2)
Performance Evaluation	362	(1)
Legal and Regulatory Issues	363	(3)
Protocols for Contracts and Agreements	363	(2)
Legal/Regulatory Issues and Compliance	365	(1)
Human Resources Opportunities and Challenges	366	(1)
Conclusion	366	(2)
References	368	(5)
Chapter 13 The Future Is Now: A Call for Action	373
Charles F. Wainright III
Overview of the Setting	373	(1)
Economic Trends	374	(4)
Political Trends	378	(1)
Social Trends	379	(1)
Technological Trends	380	(1)
Regulatory Trends	381	(1)
Implications for Human Resources Managers	382	(6)
Recruitment, Selection, and Retention	388	(2)
Contract Employees and Outsourcing	390	(1)
Education and Training	390	(2)
Compensation and Benefits	392	(2)
Strategic Planning	394	(3)
Conclusion	397	(1)
References	398