Healthcare
Employment-At-Will and Discharge
Chapter 19
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Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
LEARNING OBJECTIVES – I
Discuss the “Employment at Will” doctrine.
Explain public policies that protect employees from unlawful discharge.
Describe what is meant by retaliatory discharge & how to defend a claim for unfair discharge.
Describe under what circumstances employers often discharge an employee.
Describe effective hiring practices & importance of clear communications.
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Employment-at-Will
Doctrine
Employment is at will of employer or employee
Employment may be terminated
at any time
for any or no reason
unless a contract in place specifying terms & duration of employment
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An at will prerogative without limits could be suffered only in an anarchy, and there not for long; it certainly cannot be suffered in a society such as ours without weakening the bond of counter balancing rights and obligations that holds such societies together. −Sides v. Duke Hospital
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Employment-at-Will – II
Historically
termination of for any reason widely accepted.
Growing trend toward a restricted application of the at-will employment rule whereby right of an employer to discharge at-will employee without cause
limited by either public policy considerations
or implied covenant of good faith & fair dealing.
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Employment-at-Will – III
Fairly balancing rights of employee & needs of organization complex objective
Chapter provides direction in balancing act rights
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Employment-at-Will – IV
Embroiled in combination of legislative enactments & judicial decisions.
Some states more employer oriented.
e.g., New York
Other states in harmony with constitutional rights of employee.
e.g., California
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A Civilized State
“obvious and indisputable fact that in a civilized state where reciprocal legal rights & duties abound, the words "at will" can never mean "without limit or qualification," as so much of the discussion and the briefs of the defendants imply; for in such a state the rights of each person are necessarily & inherently limited by the rights of others & the interests of the public. An at will prerogative without limits could be suffered only in an anarchy . . . .
−Sides v. Duke Hosp.
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Public Policy Issues
Public policy originates with legislative enactments.
Public policy exceptions to the employment-at-will doctrine
employees may not be terminated for reasons contrary to public policy (see next two slides)
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Public Policy Issues – II
Disability
Age
Race
Color
Religion
Sex
National origin
Pregnancy
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Public Policy Issues – III
Reporting Patient Abuse
Whistle-blowing
Whistle-Blower Suit Untimely
Text Case: Paving Her Way to Heaven
Union Membership
Filing of safety violation complaints
e.g., OSHA
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Public Policy Issues – IV
“It can be said that public policy concerns what is right and just and what affects the citizens of the state collectively. It is to be found in the states constitution and statutes and, when they are silent, in its judicial decisions.”
−Palmateer v. International Harvester Co.
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Retaliatory Discharge
Retaliatory Discharge
Termination of an employee generally for reasons other than work-performance related causes.
cannot be used as a means of oppression
employer does not enjoy an absolute or totally unfettered right to discharge even an at-will employee.
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Retaliatory Discharge Shores v. Senior Manor Nursing Center
Employed nurse’s assistant brought an action against nursing facility for retaliatory discharge.
for reporting to the nursing home administrator that the charge nurse was performing her nursing functions improperly.
Appellate Ct. held: the nurse stated a cause of action for retaliatory discharge.
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Retaliatory Discharge Dalby v. Sisters of Providence
Pharmacy technician alleged she was discharged for reporting to her supervisor inaccuracies in the drug inventory and that recordkeeping.
Ct. of App. held the technician stated a cause of action for:
wrongful discharge
intentional infliction of emotional distress
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Fairness the Ultimate Test
Bad-faith & inexplicable terminations are subject to scrutiny of the courts..
Renny v. Port Huron Hospital
Ct. found: sufficient evidence for jury to find the employee had not been discharged for just cause.
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Termination
Employment Disclaimers
denial of a right that is imputed to a person or that is alleged to belong to him or her
Termination for Cause
Termination and Financial Necessity
Hostile Attitude
Poor Work Performance
Alcoholism
Insubordinate Behavior
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Defending Wrongful Termination Case – I
Meeting minutes
Written reports, typed or handwritten
Personnel file
Tapes
Letters, cards, and handwritten notes
Personnel handbook
Personnel and departmental policies and procedures books
Oral testimony from fellow employees and supervisors
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Constructive Discharge
Work environment where an employee is pushed to quit a job
employer has made working conditions intolerable
Employee must prove
working conditions were constructively made intolerable
continuous pattern of employer misconduct
any reasonable person would or did resign
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Termination Questions to Ask – I
Was there a violation of public policy?
Was discharge being retaliatory in nature?
Was there a refusal to perform an illegal act?
Was the employee questioning a management practice?
Was termination arbitrary and capricious decision?
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Termination Questions to Ask – II
Was there a violation of any contract, oral or written?
consistent with the reasons for discharge?
Was there discrimination against the employee for filing a lawsuit?
Was there interference with an employee’s rights as secured by the laws or Constitution of the United States (e.g., right to freedom of speech)?
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Termination Questions to Ask – III
Was termination fixed?
don’t confuse me with the facts
“I’ve made up my mind!”
foregone conclusion
before any appeal actions can be taken
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Effective Hiring Practices
Clear Policies & Procedures
hiring
disciplining
terminating
P & Ps & Handbooks
reserve right to add, delete, revise
Application
Background checks
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Effective Hiring Practices – II
Familiarity with state laws
Interviews
human resources
Supervisor
References
follow up with a telephone reference
Employee handbook & job description
document employee read, & understood handbook & job description
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Effective Hiring Practices – III
Constructive performance evaluations
Progressive disciplinary action policy
In-service education programs
interviewing techniques
performance evaluations
disciplinary actions
Contract language
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CLEAR COMMUNICATIONS
Communicate clearly to prospective employees
employment is at will
employment can be terminated at any time
Handbooks & personnel manuals
fair & unambiguous standards
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REVIEW QUESTIONS – I
Discuss the employment at-will doctrine.
Is employment-at-will doctrine appropriate in today's society? Discuss your answer.
What are public policy exceptions to employment-at-will doctrine?
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REVIEW QUESTIONS – II
Discuss questions employer should ask prior to discharging an employee.
What approach might you take in defending a case for wrongful discharge?
Discuss what hiring practices an employer can put into action to help reduce necessity for discharging an employee.
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