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John White Dept. of Public Health
CHALLENGES AND OPPORTUNITIESCHALLENGES AND OPPORTUNITIESCHALLENGES AND OPPORTUNITIESCHALLENGES AND OPPORTUNITIES
Human Resource Management
Drucker:
Problems are
opportunities
to excel.
Challenges
• Workforce
– Expanding
– Shrinking
– Changing
• Technology
– Pace of change
– Delivery of care
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Challenges: con't
• Authority v. Responsibility
– Greater responsibility
– Authority for change rests elsewhere
• Effectiveness
– Still important but…
• COST
Organizations are Flatter/Fatter
Importance of HRM
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Human Capital #1 Global Challenge
Focus on Basic HRM
Expanding Work Week
1660
1680
1700
1720
1740
1760
1780
1800
1820
1840
1860
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
US
Global
data extracted on 09 Sep 2013 20:09 UTC (GMT) from OECD.Stat
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Manage Everyone!
• Manage Employees
• Manage your Boss
• Manage other supervisors
• Manage patients/clients
Stakeholder Model
"Core Process"
• Job analysis
• Recruitment/retention
• Selection/placement
• Payroll
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Job Analysis
• What is it people do?
• Employee focused
• Consultants
• Theory based
• Basis for all other functions
Recruitment & Retention
• Focus of federal legislation
• Costs of replacing workers
• Retention efforts
Selection and Placement
• Civil Rights Act
• ADA
• Mechanistic model
• Matrix organizations
• Job Ladders
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Diversity Efforts
Traditionalists (1925-45)
• See boomers as disrespectful, overly
blunt, too "warm and fuzzy"
• See busters as very young, impatient,
unethical
Boomers: (1946-1964)
• See traditionalists as by-the-book, overly
cautious, conservative, inflexible
• See busters as selfish, manipulative, aloof
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Busters: (1965-75)
• See traditionalists as old, outdated, rigid
• See boomers as workaholic, unrealistic, disgustingly "new age"
Millennials
• Work/life balance important
• Technology is good
• Faster career progression expected
• PWC – 38% saying that older senior management do not
relate to younger workers
– 34% saying that their personal drive was intimidating to other generations.
– half felt that their managers did not always understand the way they use technology at work.
Training and Development
• CEU and licensure
• New equipment
• Methods
• Standards
• New managers?
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Performance Appraisal
• Nobody enjoys this
• Supposed to be about improving
performance
• Mostly about distributing rewards
• Focus on negatives
• Bias
Compensation
• Compensation is more than just pay
• "Perks"
• Retirement
• Health Insurance
• Changing Expectations
Labor Relations
• Increased union activity
• Cost always increases
• Management doesn't always listen
• Avoidance
• Negotiation
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Outcomes
• Employee:
– Retention
– Satisfaction
• Organizational
– Effectiveness
– Efficiency
Future Directions?
• Outsourcing
• Matrix for real?
John White Dept. of Public Health
STRATEGIC HUMAN RESOURCES STRATEGIC HUMAN RESOURCES STRATEGIC HUMAN RESOURCES STRATEGIC HUMAN RESOURCES
MANAGEMENTMANAGEMENTMANAGEMENTMANAGEMENT
Chapter 01
Copyright 2011 Health Administration Press
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Strategy:
• Built without HRM input
• Left to implement
• Personnel impression
Topics in this Lecture
• Strategic HR Management
• HR Best Practices
• The SHRM Model
• Organizational Mission and Corporate Strategy
• Measuring the HR Function
• The HR Brand
• A Strategic Perspective on HR
Copyright 2011 Health Administration Press
Strategic Human Resources Management
(SHRM)
• SHRM: the comprehensive set of managerial activities and tasks related to developing and maintaining a qualified workforce needed to achieve organizational effectiveness
• HR strategies support business/corporate strategies
• Managing people strategically is crucial in enhancing organizational performance
• All healthcare executives are human resources managers
Copyright 2011 Health Administration Press
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Significance of SHRM
• Having human resources with the right skills at the right time does not happen by accident (see opening vignette) – Some may not always be available on the market – Those available may be lacking in the requisite skills, training, or service
orientation
• To maintain or enhance organizational performance, healthcare organizations should always consider: – employee recruitment
– selection – retention
– training – performance appraisal
– compensation
• Organizations should also consider legal issues and environmental factors that affect the management of human resources
Copyright 2011 Health Administration Press
Benefits of SHRM
• Competitive advantage over other
healthcare organizations
• As a result of SHRM, enhanced employee
satisfaction can:
– Improve clinical outcomes
– Enhance service quality
– Increase market share
– Improve financial returns
Copyright 2011 Health Administration Press
Seven HR Best Practices
• Pheffer (1998)—Practice for effective organizations:
– Provide employment security
– Use different criteria to select employees
– Use self-managed teams and decentralization
– Offer high compensation contingent on performance
– Train extensively
– Reduce status distinctions and barriers
– Share financial performance information
• Do these practices make sense? Why or why not?
Copyright 2011 Health Administration Press
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“Old” vs “New”
Copyright 2011 Health Administration PressEx. 1.2
Performance Appraisal
Uniform appraisals Customized appraisals
Control-oriented appraisals Developmental appraisals
Supervisor input only Appraisals with multiple sources
Planning Cycle
• Situational assessment
• Strategic choice
• Implementation
• Control
Model of HRM (fig. 1-2)
• Notice sequential flow
• Organization into separate tasks
• Outcomes
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HRM fits in…
• Implementation?
• All four phases – SWOT of workforce and environment
– Best use of Human Capital
– Assignment of employees to tasks
– Design of reporting relationships/organization
The Model: Situation Assessment
Copyright 2011 Health Administration Press
Internal Assessment • Strengths • Weakness • Portfolio of Service
Markets • HR KSAs • Internal Systems
Organizational Mission • Purpose • Mission • Business Unit
Environmental Assessment • Opportunities • Threats • Service/Markets • Technological Trends • Legal/Regulatory Climate • Economic Conditions • Labor market
Organizational Strategy
Formulation • Corporation • Business • Functional
HR Formulation
(Tactical/Operational)
Copyright 2011 Health Administration Press
HR Strategy Formulation • HR Goals/Objectives • HR Process Systems � HR Planning � Job Analysis/Job Design � Recruitment/Retention � Selection/Placement � Training/Development � Performance Appraisal � Compensation � Labor Relations
• Organizational Design/Culture
• Technology/Information Systems
• Workforce
Formulation of Other Functional
Strategies • Accounting and Finance • Marketing • Operations Management
Implementation of other functional
Strategies
HR Strategy Implementation • Management of
Internal and External Stakeholders
• HR practices and tactics to implement, such as adequate staffing
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Outcomes/Metrics
Copyright 2011 Health Administration Press
HR Outcomes • High Competence • High Motivation • Positive work-related attitudes • Low employee turnover • Organizational commitment • High Satisfaction
Organizational Outcomes • Competitive advantage • Financial performance • Legal compliance • Attainment of strategic goals • Satisfaction of key stakeholders
The SHRM Model
What HR problems might occur if any of the above steps were not implemented
by a healthcare organization?
Copyright 2011 Health Administration Press
The HR Brand
• A brand refers to the organization’s image or culture from the perspective of the general public or potential customers or employees. The brand reflects the organization's: – Corporate image and culture – Purpose – Type of people hired – Results it recognizes and rewards
• The purpose of the HR brand is to attract and retain the best employees and ultimately achieve competitive advantage.
Copyright 2011 Health Administration Press
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Who Performs HR Tasks
• Human resource managers
• Line managers – Recently assuming more responsibility in HR
functions
• HR departments more concerned with financial performance and strategic issues while delegating more routine HR functions to line managers. – HR executives are more likely to be members of
the executive team
Copyright 2011 Health Administration Press
Strategic Perspective of HR
• What are the potential advantages of any of the current HR practices as opposed to the old HR practices for a typical healthcare organization (see Exhibit 1.2)?
• Name one organizational outcome (i.e., competitive advantage), and indicate how and why one or more human resource practices might positively affect that particular organizational outcome (see Exhibit 1.3)?
Copyright 2011 Health Administration Press