by
Stephen O'Connor
One
of the classic human resources stories is about the HR manager
who tells a candidate, “I can start you at ten dollars an
hour now and in three months I can up that to twelve dollars. When
can you start?” The candidate says, “I can start in
three months”.
That
story illustrates the increasing pressure on organizations to pay
above market levels in a very tight labor pool. The sacred cow
of “internal pay equity” sometimes needs to be sacrificed
in order to pay what it takes, to fill critical position. However,
there is a limit to how often a healthcare organization can bid-up
the cost of labor, even for essential jobs like nursing, pharmacy,
ultrasound techs or coders. There are additional methods that can
be implemented as part of a multi-pronged strategy for recruiting
and retention. Here are some tried-and-true approaches that still
work and some newer ideas that may merit a test in your community.
Recruit
your patients and their families. Include employment applications
in discharge planning materials. Put job ads in patient billing
statements. Share your needs with the local media. They’re
always looking for feature article material. Rehire former employees,
including the recently retired. Keep that re-hire door open during
exit interviews. Look to the service sector for good customer service-oriented
workers, whose benefits may not be as good as yours. Recruit them
when you see them. Recruit “moonlighters” who are willing
to work second and third shift to get experience in health care
and make your tuition reimbursement available to them. Another
sapient suggestion is to profile the top 10% of your employees.
These are the ones you want to keep. Ask yourself, “how do
we find more of the people we want to keep?”. Sponsor a training
session at your organization of the people you’re trying
to recruit. Harvest your throwbacks. Keep resumes of your “rejected” candidates
and build an applicant database. Pay for the college tuition of
your employee’s children, with a longevity requirement. Pay
a “finder’s fee” to both employee and the new
hire. Use separate (and higher) tuition reimbursement for hard-to-fill
positions. Is free health care, at your hospital, for your employees
possible? Or, as Bob Riney, senior vice president of Human Resources
for Henry Ford Health System has asked, “Are we willing to
take a stand, as an industry, and create a benefit for employees
that is unique and distinguishes us from other industries?”
Other
ideas include the use of current employees who are alumni of specific
schools and target students in those needed skill-based curriculum
at those schools. Use sign-on bonus money as a “student loan
forgiveness” incentive. It has more appeal if it’s
labeled this way.
Asking
your organization some probing questions may also spark ideas.
Are we reaching out to the local schools and do we have a formal
school-to-work initiative? Are there conspicuous career ladders
at our organization wherein entry-level employees can clearly see
a path for growth and upward mobility? Is it time to bring back
the LPN in larger numbers? Do we hold out enough scholarship money
to the children of our employees (and other local young people)
to go into health care careers? What are we doing to attract more
males into those female-dominated health care jobs (and vice versa)?
Getting and keeping good people is about
creating an accessible culture wherein employees can grow and balance their
work and family. Beyond a certain competitive base, it’s really not about
the money.
This
article originally appeared in the November/December 2001 issue
of Michigan Health & Hospitals magazine and is being
used with permission
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