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Tables of Contents for Personnel Management in the Medical Practice
Chapter/Section Title
Page #
Page Count
Labor and Employment Laws
1
20
Introduction
1
1
Civil and Other Rights
1
11
Nineteenth-Century Civil Rights Acts
2
1
Discrimination under Title VII
2
1
Sex Discrimination
2
1
Vignette for Discussion
3
1
Age Discrimination
4
1
Equal Pay Act
4
1
Disability Discrimination
4
1
Americans with Disabilities Act
4
1
Rehabilitation Act
Vietnam Era Veterans' Readjustment Act of 1974
5
1
Immigration Discrimination
5
1
Rights of Military Personnel
5
1
Privacy in the Workplace
5
1
Vignette for Discussion
6
1
Fair Credit Reporting Act
7
1
Electronic Communications Privacy Act
8
1
Cyberspace, Workspace, and Electronic Systems and Privacy
9
1
Right-to-Privacy Problem Areas
9
1
Vignette for Discussion
10
1
Table 1-1: Laws Enforced by the EEOC and Their Application to Small Businesses
11
1
Discrimination for Sexual Orientation
11
1
Equal Employment Opportunity Commission
11
1
State Statutes against Discrimination
12
1
Health and Safety
12
1
Hours and Pay (Fair Labor Standards Act)
12
1
Family and Medical Leave Act
13
1
Vignette for Discussion
14
1
Immigration Laws
14
1
Drug-Free Workplace
15
1
Workers' Compensation Laws
15
1
Posting Requirements
16
1
Recordkeeping Requirements
16
3
Table 1-2: Posting Requirements under Federal Law
17
1
Table 1-3: Recordkeeping Requirements under Federal Law
17
2
Resources
19
2
The Employment Process
21
48
Introduction
21
1
Hiring
21
29
Job Qualifications
22
1
Attitude
22
1
Job Descriptions
22
1
Writing Job Descriptions
23
1
Maintaining Job Descriptions
24
1
Recruiting Methods and Resources---Where and How to Find Good People
24
1
Advertising
24
1
Vignette for Discussion
25
1
Employment Agencies
25
1
Other Recruitment Methods
26
1
Other Recruitment Resources
26
1
Employment Applications
26
1
Table 2-1, Useful Web Addresses with Medical Job Postings
27
1
Interviewing
27
1
Table 2-2, Sample Employment Application
28
2
Vignette for Discussion
30
2
Checking References
32
1
Table 2-3, Tool for Obtaining Candidate References
33
1
Table 2-4, Tool for Documenting References
34
1
Background Searches
35
1
Background Searches Conducted by Internal Staff
35
1
Background Searches Conducted by Outside Agencies
36
3
Responsibility to Prevent Negligent Hiring
39
1
Table 2-5, Reducing Exposure to Claims of Negligent Hiring and Retention
40
1
Table 2-6, Fair Credit Reporting Act: Disclosure and Authorization Statement
41
1
Medical Examination and Inquiries
41
1
Table 2-7, Notice of Intent to Take Adverse Action
42
1
Pre-Offer of Employment
42
1
Table 2-8, Notification of Adverse Action
43
1
Post-Offer or Conditional Offer of Employment
44
1
Examination of Existing Employees
45
1
Confidentiality of Medical Information
45
1
Employment Tests
45
1
Physical or Skills Tests
46
1
Mental or Personality Tests
46
1
Drug Testing
46
1
Extending the Offer
47
1
Table 2-9, Employment Offer Letter
48
1
Reporting to Work
48
1
Table 2-10, Employment Rejection Letter
49
1
Start Date and Time
49
1
Table 2-11, Checklist for Starting Employee
50
1
Orientation
50
2
Introductions
51
1
Initial Training
51
1
Assigning a Mentor
52
1
Probationary Period
52
1
Training the New Hire
52
3
Table 2-12, New Employee Orientation Checklist
53
2
Recordkeeping Requirements
55
1
Employment Agreements
55
1
``At-Will'' Employment Contracts
55
2
Employment for a Definite Time
56
1
Implied Contracts
56
1
Non-Competition Agreements
56
1
Employee Handbooks
57
1
Hiring Alternatives
57
10
Staffing Through Independent Contractors
57
2
Staffing Through Temporary Employees
59
2
Sources of Temporary or Contingent Staff
61
1
Staffing Firms
61
1
Table 2-13, Temporary Help Agency Screening Worksheet
62
1
Recruiting On Your Own
63
1
Staffing with Part-Time Employees
64
1
Sources of Part-Time Workers
64
1
Leasing Staff Members Through Professional Employer Organizations
65
2
Employer Responsibility and Liability
67
1
Resources
67
2
Compensation and Benefits
69
18
Introduction
69
1
Benefits
69
10
Mandated Benefits
69
1
Social Security
70
1
Unemployment Insurance
70
1
Worker's Compensation
70
1
Optional Benefits
70
1
What Are Benefit Plans?
70
1
Health Benefit Plans
71
1
Traditional Indemnity Plans
71
1
Preferred Provider Organizations
71
1
Health Maintenance Organizations
71
1
Dental Benefits Plans
71
1
Disability Benefits
72
1
Short-Term Disability Coverage
72
1
Long-Term Disability Coverage
72
1
Life Insurance Coverage
72
1
Finding Good Benefit Plans
72
1
Selecting Health Coverage for Your Practice
73
2
Table 3-1, Health Insurance Plan Evaluation Tool
75
1
Retirement Benefits
76
2
Selecting a Retirement Plan for Your Practice
78
1
Keeping Current on Your Benefit Plan
78
1
Figure 3-1, Decision Tree to Select a Retirement Plan
79
1
Compensation, Bonus, and Other Incentives
79
2
Flexible Compensation and Benefits
79
1
Defined-Contribution Health Plans
80
1
Medical Savings Accounts
80
1
Cafeteria Plans (Section 125 Plans)
80
1
Premium Conversion
81
1
Flexible Spending Arrangements
81
3
Other Defined-Contribution Options
81
1
Table 3-2, Advantages of Cafeteria Plans
82
1
Leave
82
1
Perquisites
83
1
Choosing the Right Benefit Plan for Your Practice
84
1
Resources
84
3
Payroll Administration
87
32
Introduction
87
1
Payroll Legislation
87
6
Internal Revenue Service Guidelines
87
1
Who Is Not an Employee?
88
1
Table 4-1, Twenty Questions Used by the IRS to Determine Worker Status
89
1
Fair Labor Standards Act Guidelines
89
2
Table 4-2, Identifying Exempt Employees
91
1
Minimum Wage
92
1
Overtime Pay
92
1
Compensatory Time Off
92
1
Federal Versus State Laws
92
1
How to Make Sure Employees Are Exempt
93
1
Paying On-Call Employees
93
1
Mechanics of Payroll Administration
93
15
Tracking Time
93
1
Calculating Wages
93
1
Table 4-3, Formulas for Calculating Wages
94
1
Calculating Overtime
94
1
Gross Pay
95
1
Exclusions from Wages
95
1
Table 4-4, Overtime Calculation Formulas for Nonexempt Employees
96
1
Deferred Compensation
97
1
Payroll Deductions and Credits
97
1
Taxes and Taxable Wages
98
1
Form W4, Employee's Withholding Allowance Certificate
98
1
Federal Income Tax
98
1
Calculating Federal Income Tax
98
1
Earned Income Credit
99
1
Federal Insurance Contribution Act
99
1
Social Security and Medicare Taxes
99
1
Federal Unemployment Tax
100
1
State Wage and Tax Profile
100
1
State Income Tax
101
1
State Unemployment Insurance
101
1
State Unemployment Insurance---Exempt and Reimbursable
101
1
Special Terminology: ``SUI Less FUTA''
102
1
State Disability Insurance
102
1
New-Hire Reporting
102
1
City or Local Income Tax
102
1
Imputed Income for Taxable Fringe Benefits
103
1
Table 4-5, Formula for Imputing Income
103
1
Other Withholdings
104
1
Disposable Pay
104
1
Net Pay
105
1
Pre-Tax Deductions
105
1
Qualified Tax-Deferred Savings Plans
105
1
Cafeteria Plans
106
1
After-Tax Deductions
106
1
Table 4-6, Cost of Living Adjustments Table
107
1
Methods of Payment
107
1
Pay Statements
107
1
Tax Deposits and Filing
108
3
Depositing Federal Taxes
108
1
Depositing Federal Taxes
108
1
Calendars
108
1
Lookback Period
108
1
Table 4-7, Rules of Deposit: Federal Income Tax, Social Security, and Medicare
109
1
Rules of Filing: Federal Unemployment Tax Act
110
 
Table 4-8, Calculating, Depositing, and Filing Federal Taxes
109
1
Table 4-9, Deposit Schedule
110
1
State Income Tax, State Unemployment or Disability Insurance, and City Income Tax
110
1
Year-End Reporting
110
1
Records and Recordkeeping
111
1
Payroll Register
111
1
Employee Earnings Record
111
1
Handling the Payroll Function
111
3
Keeping the Payroll Function In House
112
1
Outsourcing the Payroll Function
113
1
Selecting A Good Payroll Service Provider
114
1
Recordkeeping Requirements and Retention Periods
114
1
Payroll Information Required under Federal Regulations
114
1
Resources for Payroll Administration
114
5
Table 4-10, Retention Requirements for Payroll Information
115
1
Table 4-11, Document Retention Schedule
116
1
Table 4-12, IRS Publications
117
2
Management of Staff
119
36
Introduction
119
1
The Employment Relationship
119
5
The Seven Needs of Employees
120
1
Communicating
121
1
Access to Information
121
1
Access to Key People
121
1
Formal Communication
122
1
Staff Meetings
122
1
Operational Polices and Procedures
122
1
Other Formal Communications
122
1
Vignette for Discussion
123
1
Informal Communications
123
1
Training
123
1
Assessing Performance
124
9
Ongoing Review and Feedback
124
1
Periodic Performance Review
124
2
Preparing the Performance Appraisal
126
1
Performance Appraisals and the Law
126
1
Vigette for Discussion
127
1
Table 5-1, Employee Performance Appraisal Form
128
2
Conducting Productive Performance Discussions
130
3
Salary Administration
133
5
Pay for Performance
134
1
Table 5-2, Job Evaluation Tool for Salary Administration
135
1
Discussing Pay Issues
135
1
Vignette for Discussion
136
1
When There's No Raise This Year
137
1
Progressive Disciplining
138
17
Performance Problems
138
1
Employee Misconduct
139
1
Corrective Action Plans
140
1
Discharging an Employee
140
1
Table 5-3, Corrective Action Form
141
3
Termination Meeting
144
2
Vigenette A for Discussion: Poor Performance
146
1
Vignette B for Discussion: Attendance Problems
146
1
Separation Letters
146
1
Severance Pay
146
1
Termination Agreement
147
1
Waiver of ADEA Rights
147
1
State Requirements for Notice of Separation
148
1
Avoiding Wrongful Termination
148
1
Figure 5-1, Letter of Separation
149
1
Contesting Unemployment-Compensation Claims
150
1
Table 5-4, Most Common Laws Implicated in Employee Terminations
151
1
Exit Interviews
152
2
Table 5-5, Checklist for the Terminating Employee
154
1
Policies and Procedures
155
16
Introduction
155
1
Employee Handbook
155
5
Identifying the Objectives
156
1
Format and Appearance
157
1
Contents---What Should Be in the Handbook
158
 
Table 6-1, Employee Handbook Elements Checklist
157
3
Maintenance
160
1
Policies and Procedures Manual
160
11
Table 6-2, Some Recommended Policies for Inclusion in an Employee Handbook
161
1
Contents
162
1
Format
162
1
Table 6-3, Policies and Procedures Manual---Table of Contents
163
6
Access
169
2
Health and Safety
171
16
Introduction
171
1
Occupational Safety and Health Administration
171
4
OSHA Recordkeeping and Posting Requirements
172
1
Recordkeeping
172
1
Posting
172
1
Exemptions
173
1
Access to Logs
173
1
Access to Medical Records
173
1
Employee Involvement
173
1
Protecting Privacy
173
1
Bloodborne Pathogens Rules
174
1
Exposure Control Plan
174
1
Other Bloodborne Pathogens Responsibilities
174
1
Bloodborne Pathogens Recordkeeping
175
1
Hazard Communication---Right-to-Know Rules
175
1
Workers' Compensation
175
4
Employer Immunity
176
1
Covered Injuries
176
1
Occupational Diseases
177
1
Types of Benefits
178
1
Disqualification from Workers' Compensation Benefits
178
1
Employer's Responsibility to Comply
178
1
Employee Health Care Benefits
179
1
Federal Laws for Continuation of Health Coverage
179
1
COBRA Rights and Requirements
179
1
State Laws for Continuation of Health Coverage
180
1
HIPAA and the Healthcare Employer
180
2
Vignette for Discussion
181
1
Other Health and Safety Issues
182
5
Workplace Violence by Non-Employees
182
1
Vignette for Discussion
183
1
Workplace Violence by Employees
184
1
State Workplace Smoking Regulations
185
1
Terrorist Acts
185
2
Contemporary Problems in the Workplace
187
22
Introduction
187
1
Sexual and Other Harassment
187
1
Violence in the Workplace
188
3
Vignette for Discussion
189
2
Misappropriation of Assets by Employees
191
1
Substance Abuse in the Medical Practice
191
1
Confidentiality
192
1
Vignette for Discussion
193
1
Cyberspace Privacy in the Workplace
193
2
Risk of Employment Litigation
195
2
Table 8-1, Thirty-two Ways to Reduce Your Risk of Employment Litigation
195
2
Resources
197
2
Conclusion
199
2
Appendix A: State Labor Agencies
201
4
Appendix B: State Workers' Compensation Agencies
205
4
Index
209