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Tables of Contents for Healthcare Human Resource Management
Chapter/Section Title
Page #
Page Count
Preface
xvii
About the Authors
xxiii
The Nature and Challenges of Healthcare HR Management
2
20
Healthcare HR Insights
3
1
Nature of Healthcare Organizations
4
1
Types of Healthcare Organizations
5
2
Employment in Healthcare
The Spectrum of Healthcare Jobs
The Changing Nature of Healthcare
7
4
Facing Changes in Healthcare
Balanced Budget Act of 1997
Joint Commission on Accreditation of Healthcare Organizations
11
2
The HR Function in Healthcare
13
1
Necessity to Provide Service
HR Professionals
HR Management Activities
13
2
Roles of HR Management
15
2
HR Challenges in Healthcare
17
3
Recruitment and Retention
Managing Change
Facing the Future
Case
20
1
End Notes
21
1
Healthcare HR Competencies, Structures, and Quality Standards
22
18
Healthcare HR Insights
23
1
Healthcare HR Management Competencies
23
3
Key Competencies
Emotional Intelligence as a Core Competency
Strategic HR Thinking
HR Management Credentials
The HR Function in Healthcare Organizations
26
1
HR Departments and Healthcare Organization Charts
27
1
Measuring Healthcare HR Management
28
2
Staffing Ratios
Budgets
HR Metrics
30
4
The Delivery of Quality Care and HR Practices
JCAHO Process
JCAHO and Management of Human Resources
34
3
JCAHO HR Standards---Description and Intent
The Role of HR
37
1
Case
37
1
End Notes
37
3
Strategic HR Management
40
22
Healthcare HR Insights
41
1
Strategic HR Management
42
2
Human Resources as a Core Competency
Organizational Culture
The HR Strategic Planning Process
44
7
Scanning the External Environment
Internal Assessment of Organizational Workforce
Forecasting
Successful HR Planning
Inputs to the Healthcare HR Strategic Plan
51
2
Healthcare Trends and HR Planning
53
1
Healthcare HR Management Challenges
54
5
Workforce Availability and Quality
Economic and Technological Change
Occupational Shifts
Diversity
Organizational Restructuring
Organizational Productivity in Healthcare
Case
59
1
End Notes
60
2
Legal Issues Affecting the Healthcare Workplace
62
28
Healthcare HR Insights
63
1
Equal Employment Opportunity and Affirmative Action
64
7
Affirmative Action
Reverse Discrimination
Major Employment Laws
Civil Rights Act of 1964
EEOC Compliance
Civil Rights Act of 1991
Affirmative Action Regulations
71
3
Executive Orders 11246, 11375, 11478
Affirmative Action Plans (AAPs)
Sexual Harassment and Gender Discrimination
74
4
Sexual Harassment
Pregnancy Discrimination
Equal Pay and Pay Equity
The Glass Ceiling
Age Discrimination
78
1
Americans with Disabilities Act (ADA)
78
1
Other Bases of Discrimination
79
1
Immigration Reform and Control Act (IRCA)
Religious Discrimination
Sexual Orientation
Veterans' Employment Rights
Military Employment Rights
Enforcement Agencies
80
2
Equal Employment Opportunity Commission (EEOC)
Office of Federal Contract Compliance (OFCCP)
State and Local Enforcement Agencies
Uniform Guidelines on Employee Selection Procedures
82
1
``No-Disparate-Impact'' Approach
Job-Related Validation Approach
Elements of EEO Compliance
83
4
EEO Policy Statement
EEO Records
EEOC Investigation Process
Employer Responses to EEO Complaints
Ethics, Law, and HR Healthcare Management
87
1
Case
88
1
End Notes
89
1
Job Design and Analysis
90
24
Healthcare HR Insights
91
1
Accomplishing Strategic Objectives through Job Design
91
2
Productivity and Job Design
Work Analysis
Nature of Job Analysis
93
1
Task-Based Job Analysis
The Importance of Job Analysis in Healthcare Organizations
94
3
The Competency Approach to Healthcare Job Analysis
Continuum of HR Activities and Healthcare Competencies
Uses of Job Analysis
97
4
Job Families, Departments, and Organization Charts
Job Analysis and HR Activities
Job Analysis and Legal Issues
101
1
The Americans with Disabilities Act (ADA)
Wage Hours Regulations and the Fair Labor Standards Act
Behavioral Aspects of Job Analysis
102
1
Job Analysis Methods
103
1
Observation
Interviews
Questionnaires
Computerized Job Analysis
The Job Analysis Process
104
2
Planning
Preparation and Communication
Conducting the Job Analysis
Developing and Maintaining Job Descriptions, Job Specifications, and Performance Standards
Job Description Components
106
5
Identification
General Summary
Essential Functions and Duties
Job Specifications
Performance Standards
Disclaimer and Approvals
Case
111
1
End Notes
111
3
Healthcare Recruitment and Selection
114
28
Healthcare HR Insights
115
1
Recruiting and Labor Markets
116
1
Planning and Strategic Decisions Regarding Recruiting
116
4
Internal versus External Recruiting
Flexible Staffing
Float Pools
Employee Leasing
Internal Recruiting
120
1
Job Posting and Bidding
Internal Recruiting Database
Promotion and Transfer
Current Employee Referrals
External Recruiting
121
1
Schools, Colleges, and Universities
Media Sources
Professional Associations
Employment Agencies
Executive Search Firms
Internet Recruiting
122
4
E-Recruiting Methods
Effective Online Job Postings
Advantages of Internet Recruiting
Disadvantages of Internet Recruiting
Other Sources for Healthcare Recruitment
126
1
Clinical Rotations
Preceptorships and Internships
Fellowships
Summer Employment, Shadowing, and Volunteer Pools
Recruiting Evaluation
127
1
Nature of Selection
127
12
Criteria, Predictors, and Job Performance
Legal Concerns
Selection Responsibilities
Reception and Job Preview/Interest Screening
Application Forms
Selection Testing
Selection Interviewing
Background Checking
Medical Examinations and Inquiries
Making the Job Offer
Relocation Assistance
Case
139
1
End Notes
139
3
Organizational Relations and Employee Retention in Healthcare
142
26
Healthcare HR Insights
143
1
Relationships
143
3
The Psychological Contract
Factors Affecting the Individual/Organizational Relationship
Job Satisfaction and Organizational Commitment
146
1
Retention of Human Resources
147
12
Importance of Retention
Why People Stay or Leave
Retention Determinants
Organizational Components
Organizational Career Opportunities
Rewards and Retention
Job Design Selection, and Retention
Organizational and Employee Relationships
Retention Management Process
159
1
Retention Measurement and Assessment
159
4
Retention Interventions
Evaluation and Follow-Up
Case
163
1
End Notes
164
4
Training and Development in Healthcare Organizations
168
30
Healthcare HR Insights
169
1
Nature of Training in Healthcare Organizations
170
3
Integration of Job Performance, Training, and Learning
Training as Performance Consulting
Integrating Training Responsibilities
Legal Issues and Training
173
1
Strategic Training
The Training Process
174
4
Assessment of Training Needs
Training Design
Types of Training Design
178
9
Orientation: Training for New Employees
Encourage Self-Development
Ongoing Training and Development
Delivery of Training
Internal Training
External Training
E-Learning: Training Online
Evaluation of Training
Developing Human Resources
187
3
Developing Specific Capabilities
Development Needs Analyses
Succession Planning
Choosing a Development Approach
190
3
Development Approaches: Job-Site Methods
Development Approaches: Off-Site Methods
Management Development
Mentoring
Special Issues in Healthcare Employee Develpment
193
2
Academic and Credential Requirements
HR Development and Organizational Restructuring
Case
195
1
End Notes
196
2
Performance Management in Healthcare Organizations
198
20
Healthcare HR Insights
199
2
Job Criteria
Performance Standards
Performance Appraisals
201
4
Administrative Uses
Development Uses
Informal versus Systematic Appraisal
Who Conducts Appraisals
205
2
Supervisory Rating of Subordinates
Employee Rating of Managers
Team/Peer Ratings
Self-Rating
Multi-Source Ratings
Methods of Appraising Performance
207
2
Category Methods
Comparative Methods
Narrative Methods
Behavioral/Objective Methods
Combination of Methods
Rater Errors
209
2
Recency
Central Tendency, Leniency, and Strictness Errors
Rater Bias
Halo Effect
Contrast Errors
Appraisal Feedback
211
2
Feedback Systems
Appraisal Interview
Reactions of Managers
Reactions of Employees
Effective Performance Management
213
2
Identifying Performance Problems
Meeting with the Employee
Agree Problem Exists
Developing a Performance-Improvement Plan
Monitoring Improvement
Case
215
1
End Notes
215
3
Employee Relations in the Healthcare Industry
218
24
Healthcare HR Insights
219
1
Nature of Employer-Employee Relations
219
1
Rights and Responsibilities
220
3
Statutory Rights
Contractual Rights
Implied Contracts
Employment Practices Liability Insurance
Employee Relations and Rights of Employees
223
5
Employment-at-Will
Wrongful Discharge and the Importance of Documentation
Just Cause
Constructive Discharge
Due Process
Resolving Employee Complaints
Balancing Employer Security and Employee Rights
228
5
Employee Records
Employees' Right to Free Speech
Honesty in the Workplace
Polygraph-and-Honesty Testing
Off-the-Job Behavior
Employee Substance Abuse and Employer Drug-Testing Policies
Human Resource Policies, Procedures, and Rules
233
1
Coordinating Policies and Procedures
Employee Handbook
Other Internal Communications
Employee Discipline
234
3
Reasons for Not Using Discipline
Training Managers
Employee Termination Decisions
Innovative Employee Relations Strategies
237
2
Employee Attitude Surveys
Employee Assistance Programs
Employer of Choice (EOC) Programs
Reward and Recognition
Standards of Behavior
Case
239
1
End Notes
239
3
Labor Relations and Healthcare Organizations
242
22
Healthcare HR Insights
243
1
Unions in the Healthcare Industry
244
1
Why Employees Unionize
Labor-Relations Philosophy
245
1
Adversarial Relationships
Collaborative Relationships
Legal Framework for Union-Management Relations
246
2
National Labor Relations Act (NLRA)
NLRA and the Healthcare Industry
The Unionization Process in Healthcare
248
6
Organizing Compaign
Healthcare and Bargaining Units
Representation Elections
Certification---Decertification
Collective Bargaining
Collective Bargaining and the Negotiating Process
254
5
Contract Components
Negotiation Process
Planning for Strikes
Formalizing the Agreement
Contract Administration
259
1
Labor-Management Committees
Grievance Procedures
Effective Union-Management Relations in Healthcare Organizations
259
1
Case
260
1
End Notes
261
3
Healthcare Compensation Practices
264
32
Heathcare HR Insights
265
1
Healthcare Compensation Responsibilities
266
1
Nature of Compensation
266
8
Compensation Components
Healthcare Compensation Approaches
Compensation Philosophies
Decisions about Healthcare Compensation Levels
Compensation System Design Issues
Perceptions of Pay Fairness
Legal Constraints on Pay Systems
274
5
Fair Labor Standards Act (FLSA)
Independent Contractor Regulations
Equal Pay and Pay Equity
State Laws
Garnishment Laws
Development of a Base Pay System
279
8
Job Evaluation
Legal Issues and Job Evaluation
Pay Surveys
Legal Issues and Pay Surveys
Different Pay Structures
Pay Ranges
Individual Pay
Rates Out of Range
Pay Compensation
Issues Involving Pay Increases
287
3
Pay Adjustment Matrix
Seniority
Cost-of-Living Adjustments (COLA)
Lump-Sum Increases (LSI)
Executive Compensation
290
3
Executive Salaries
Executive Bonus Plans
Performance Incentives: Long-Term versus Short-Term
Benefits for Executives
Executive Perquisites
Current Nature of Healthcare Executive Compensation
Determining ``Reasonableness'' of Executive Compensation
Case
293
1
End Notes
293
3
The Management of Benefits and Variable Pay in Healthcare
296
28
Healthcare HR Insights
297
1
Strategic Perspectives on Benefits
298
2
Goals for Benefits
Benefits Needs Analysis
Funding Benefits
Types of Benefits
300
2
Government-Mandated Benefits
Voluntary Benefits
Temporary and Part-Time Employee Benefits
Security Benefits
302
1
Workers' Compensation
Unemployment Compensation
Severance Pay
Retirement Security Benefits
303
3
Retirement Benefits and Age Discrimination
Social Security
Pension Plans
Pension Terms and Concepts
Individual Retirement Options
Healthcare Benefits
306
3
Controlling Healthcare Benefits Costs
Managed Care
Healthcare Legislation
Financial, Insurance, and Other Benefits
309
6
Financial Benefits
Insurance Benefits
Educational Benefits
Social and Recreational Benefits
Family-Oriented Benefits
Family and Medical Leave Act (FMLA)
Family-Care Benefits
Benefits for Domestic Partners and Spousal Equivalents
Time-Off Benefits
Benefits Administration
315
1
Benefits Communication
Flexible Benefits
Benefits in the Future
Variable Pay: Incentives for Performance
316
5
Types of Variable Pay
Effective Variable Pay Plans
Individual Incentives
Group/Team-Based Variable Pay
Organizational Incentives
Case
321
1
End Notes
322
2
Safety, Health, and Security in Healthcare Organizations
324
31
Healthcare HR Insights
325
1
Nature of Safety, Health, and Security
326
1
Safety, Health, and Security Responsibilities
The Joint Commission and Safety, Health, and Security
327
1
Surveillance, Prevention, and Control of Infection (IC)
Legal Requirements for Safety and Health
328
2
Workers' Compensation
Americans with Disabilities Act and Safety
Occupational Safety and Health Act (OSHA)
330
8
OSHA Enforcement Standards
Ergonomics and OSHA
Work Assignments and OSHA
Record-Keeping Requirements
OSHA Inspections
Safety Management
338
4
Organizational Commitment and Safety Culture
Safety and Engineering
Individual Considerations and Safety
Safety Policies and Discipline
Safety Committees
Safety Training and Communications
Employee Safety Motivation and Incentives
Inspection, Accident Investigation, and Evaluation
Health
342
6
Healthcare Workplace Health Issues
Health Promotion
Security
348
3
Workplace Violence
Security Management
Employee Screening and Selection
Security Personnel
Case
351
1
End Notes
351
4
Glossary
355
10
Index
365