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September 25, 2012
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CIGNA
Conference Highlights

We kicked off Monday morning with a hearty breakfast and a wealth of knowledge from three health care industry leaders, each with a long list of accomplishments and experience in the field. "Journeys of Excellence: Innovative Strategies that Transform Care," sponsored by Diversified, brought think-tank take-aways from Michael Robinson, Chief Executive Officer and Senior VP of Operations at Bon Secours Memorial Regional Medical Center; Kenneth W. Lukhard, President at Advocate Christ Medical Center; and Robert G. Riney, President and Chief Operating Officer at Henry Ford Health System. A few of the questions and answers presented to the panel follow:

If you were to leave your organization tomorrow, what do you think your legacy would be?

Bob Riney: "I spent a bulk of my career in human resources and then moved to operations, showing human resources leaders are really leaders in everything they do. ... I have been fortunate to be a role model for internal job progression."

Ken Lukhard: "When I first arrived in Chicago, our campus had no strategic vision, had no clear goals ... we birthed an entire different vision for that south side of Chicago. We created a blueprint to move us forward in a very competitive market. We were committed to a relentless pursuit of excellence. Being good is not OK, and pursuing excellence is the daily commitment there. ... We created for our associates and physicians a culture of kindness and appreciation."

Michael Robinson: "I promote succession planning. We work a lot on developing internal talent, talent mapping, and we have a chief talent officer. I think we've done some superb work in that area. ... We've done a lot of work partnering with local universities. Three years ago we were named as one of Gallop's 25 best workplaces in the world."

How does a challenging economy affect your organization?

Ken Lukhard: "We all know that if you don't have a margin, you don't have a health care organization. You have to create a sustainable model, and that's getting more challenging. We are heading toward a value proposition: managing population health. If your CEO is not thinking about that, he or she needs to be thinking about that. The key going forward is not business as usual; it really isn't. It's looking at how our health care system can adapt to this new model without bleeding out on the journey."

Michael Robinson: "We recognized almost a decade ago the importance of building a very strong platform of engagement. We focused first on employee engagement. ... As I teach on engagement, I say that engagement translates into one word: ownership."

Bob Riney: "Your core business must be as efficient, effective, and high value as possible, and you need diversification of your portfolio (his hospital recently hired a chief innovation officer). The core business is getting tougher and tougher to make a margin on. We’ve tried to turn conventional thinking on its head." According to Riney, about a year ago, the CEO of one of his hospitals came to him and asked to build a greenhouse that would produce fresh food for patients at a cost of $2 million. Through 100 percent philanthropic donations, that hospital now has the ability to produce 80 percent of the produce and fresh vegetables used in the hospital. The hospital now has a resident farmer. "How cool would it be if this industry found more farmers on its payroll?" he said.

Just prior to an audience Q&A, Riney was asked, "What do you look for in your chief human resources officer?" He responded, "The health care systems in this country are going to connect and come together in a dramatic fashion in coming years. We're going to have much larger organizations across the industry. ... They will need to learn how to drive efficiency and scale while maintaining the intimacy of a small shop." HR professionals who can keep up with those changes will be "worth their weight in gold," he said.

We'd like to extend a big thank you to Cigna for their sponsorship of Tom Flick's keynote presentation on Sunday morning.

We look forward to seeing you this morning for our final round of education and an undoubtedly rousing send-off from Carson Kressley at our 10 a.m. closing ceremony brunch!

 
SKILLSURVEY
Video Highlights

Stefan Keller, President of Certiphi Screening, presented, "Monsters in the Closet: Identifying Red Flags during the Hiring Process." During his learning session, Keller gave attendees examples of red flags from different portions of an employment application.

Social media red flags: Watch for unprofessional email addresses, such as "partygirl," "gr8wrkr" and the like. Also, social media presents a great temptation to learn more about a potential hire. Keep in mind the validity of information and protected class information. The legal waters are untested at this stage regarding social media and its contribution to the hiring process.

Previous address red flags: Take a close look at the street address to make sure it is valid and isn't the address of a correctional facility. Look for continuity. Compare the residential history to work, school, and licensure histories.

Job details red flags: Watch out for too much information and items that seem too good to be true, i.e., salary being inappropriate for the position and a specific request to work night shift. What are the intentions of that potential hire?

Education red flags: Make sure you verify schools. Watch out for diploma mills.

Previous employment red flags: Make sure titles and dates of employment are correct and there are no gaps. Make sure the applicant gives you permission for background checks from schools, previous employers, etc. If you ran a background check and found something negative, before you take action on that information, you must provide a copy of what you found to the applicant and give that individual a chance to dispute it. A number of lawsuits have been filed when companies did not follow this practice.

Other key takeaways from Keller’s presentation:

When asking about criminal records, remember you cannot ask about arrests, and there is a "whole world" of options between arrest and conviction (such as deferred prosecution and adjudication). Keller suggested adding "ever pled guilty or no contest" rather than "ever convicted" to an application's criminal records question.

At the state level, the "ban the box" movement (wherein an employer cannot put a checkbox on an application asking a potential employee about his or her criminal record; that information must be gathered at the interview) is gaining momentum, and each state law is unique.

Make sure you ask for an individual's full, legal name. When an individual gets into trouble, his or her legal name is used, and many background investigation searches are legal name based. Always check into maiden names and AKAs, particularly for education verification.

"If you're getting negative information from a previous employer, get it in writing," Keller said.

Attorneys David D. Powell, Jr. and Austin E. Smith kept attendees engaged in a session devoted to an issue becoming more and more problematic for the workforce.

Their presentation, "Avoiding FLSA Liability through a Culture of Work-Life Balance: How the Smartphone Has Upset That Balance and What Can Be Done to Stem the Tide," offered different fictional scenarios to allow attendees to determine what they would do if faced with a legal issue related to smartphone use.

Smith gave a few statistics as a backdrop to explain the effect smartphone use has on workplace productivity:

• Employees with company-issued cell phones have been found to work more than 50 hours per week (Pew Internet and Merican Life Project).

• A study of Microsoft employees showed one group of employees averaged 15 minutes to return to serious mental tasks (writing reports or computer code) after responding to emails or text messages. Instead, they replied to other messages, or browsed news, sports, or entertainment websites.

Much of the session focused on whether employees are spending too much time off the clock responding to work email and whether expectations have been established by an employer for the employee to respond quickly. Courts are seeing more cases of this nature as non-exempt employees claim they are entitled to overtime pay for these off-the-clock activities. A few of the more important recent cases on this subject are: Allen vs. City of Chicago, Agui v. T-Mobile USA, Inc., and Rulli v. CB Richard Ellis, Inc.

A key element of the presentation that resonated with hospital HR executives was the differentiation of on-call status and whether that means "engaged to wait" or "waiting to be engaged."

Powell reviewed the general rule that if an employee who is required to remain "on call" on the employer's premises or so close that he or she cannot use the time effectively for his or her own purposes is working while "on call." An employee who is not required to remain on the employer's premises, but is merely required to leave word at his or her home or with company officials where he or she may be reached is not working while "on call." The key inquiry is whether the employee can use the time effectively for his or her own purposes?

Some generic solutions to avoid non-exempt employee use of smartphones after work hours are: Implement policies prohibiting smartphone use after hours; require that employees record their time (this can be accomplished through apps); and do not issue smartphones to non-exempt employees.

We’ll have one Learning Session block this morning from 8:15-9:45., where you can select from the following education sessions:

• T1 - Cultivating Effective Medical Staff Leadership and Creating a Culture of Respect
• T2 - Breaking Down Silos: Exploring Wage and Hour Issues
• T3 - OMG! Why Can't I Text My Boss?
Note: this session has been CANCELED: T4 - Healthy Hospital Choices: A National Perspective
• T5 - ASHHRA HR Metrics Tool
• T6 - Engaging Your Medical Staff
• T7 - Health Care's Game Changer: The Talent Implications of Reform
• T8 - Thought Leader Forum Panel: Physician Integration

 
Attendee to Attendee

"As a first-time attendee, I am very impressed with all of the programs, and I have gained a tremendous amount of information."
Donna Greeley, Director of Human Resources, Spalding Rehabilitation Hospital, Aurora, Colo.

"I have been impressed with the resources offered, the availability of information about those resources, and the hospitality provided here in Denver at the convention center. ASHHRA has so many things to offer that I was unaware of prior to attending the conference."
Joyce McDanel, Vice President of Human Resources, Iowa Health-Des Moines, Des Moines, Ia.

"As a first-time attendee and new to the health care industry, I've been impressed with the quality of the speakers and the focus around employee engagement. I have a lot of great information to take back to my colleagues back home."
Carlos Vargas, Director of Human Resources, Adventist HealthCare, Rockville, Md.

 
Save the Date

MetLife® once again sponsored scholarships for each region, giving each winner $1,500 to attend this year’s conference. What a generous way to promote health care HR! This year’s MetLife® Scholarship Award winners are:

Region 1: Nicole Landi
Region 2: Allen McMillin
Region 3: Emily Endert
Region 4: Jana Jilton
Region 5: Karyn Batdorf
Region 6: Karen Gillespie
Region 7: Cherie Williams
Region 8: Margaret Porter
Region 9: Kimberly Washburn

We also had a great closing day on the expo floor and saw great fun and engagement with industry product and service providers that help us bring this conference to you.

Conference App Highlights

White papers: Please review the app's white papers that include educational content from Cigna, LexisNexis, Truven Health, and Towers Watson.

Surveys and polls: Please take a few minutes to take these conference surveys and polls by Highroads and Truven Health.

Enjoy your final conference day!

 
ASHHRA
155 North Wacker, Suite 400
Chicago, IL, 60606
Phone: 312-422-3720 | Fax: 312-422-4577
Email: ashhra@aha.org
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