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Innovate Workforce
Practices to Ensure
Future Success
Agenda
•

Achieving Alignment in an
Integrated Model:
The Phoebe Putney Story
•
•
•

•

•

Making Talent Strategies an
Executive Priority
Overcoming Middle
Management Resistance
Focus on Culture &
Engagement

Making Talent a Competitive
Advantage
•
•
•
•
•

Joel Wernick is President
and Chief Executive Officer
of Phoebe Putney Health
System in Albany, Georgia.

Create Larger Talent Pools
Drive Greater Selectivity
Hire for Innovation
Require New Necessary Skills
Embrace New Technologies &
Rigorous Processes

Metrics to Receive from HR

Jill Schwieters is President
of Pinstripe Healthcare,
the leader in providing talent
solutions to the healthcare
industry.
Learning Objectives
• The importance of executives taking a lead role in
the evaluation of hiring practices.
• The metrics and measures HR leaders should be
reporting to executives to measure the impact of a
highly functioning workforce.
• Common pitfalls to avoid and change techniques to
embrace to successfully transform an organization’s
workforce to meet the new demands of healthcare.
The Phoebe Putney Health System Story

ACHIEVING ALIGNMENT IN AN
INTEGRATED MODEL
History of Phoebe Putney, Albany’s First Hospital
• In 1905, the Ladies Hospital Aid
Association envisioned a hospital in
Albany, Georgia.
• Phoebe Putney Memorial Hospital
opened its doors in 1911 thanks to a
substantial gift from Judge Francis
Flagg Putney.
• He required three things:
– the hospital be constructed of brick to
withstand fire;
– it be named for his mother;
– it serve all people regardless of their
race or ability to pay.
Phoebe Putney Health System
Phoebe Putney Health System, Inc.
Hospital
Authority

Phoebe Putney
Memorial Hospital

Phoebe
Foundation

Phoebe
Worth
Medical
Center

Phoebe
Putney
Indemnity
SPC

Health
Ventures
(Taxable)
All Healthcare is Local
Phoebe’s
growth
strategy
addresses
local access
to care and
regional
capacity.
Phoebe Family Medicine
Phoebe Oncology
Phoebe Physical Therapy
Phoebe Wound Care
Phoebe Rheumatology
Americus, Georgia (March 7, 2007)
Americus, Georgia
Achievements
Annual Statistics FY 2011
Inpatient Admissions
EC Visits
Clinic Visits
ConvenientCare Visits
Home Health Admissions
Employees

21,298
90,971
583,150
38,911
58,876
4,600

Annual Payroll
Charity/Indigent
Total Community Benefits

$233.6 million
$27.6 million
$136.4 million
Phoebe Talent Statistics
•
•
•
•
•

5,154 total system employees
Annual vacancy: 3.95%
Annual total applications: 27,374
Average time to fill: 54 days
Turnover rate: 7.66%
How Phoebe Putney Did It
• Prioritized Talent Strategies

• Overcame Middle Management Resistance
• Focused on Culture & Engagement
• Made Talent a Competitive Advantage
QUOTE
Operating in a Post-Reform Industry
Cost reduction
opportunity

REVENUE
Medicare
Commercial

COST

State DSH
Medicare DSH
Medicaid

COST

REVENUE
All cases
at
Medicare
Rates
CEO Direct Reports
HR Outsourced Services at Phoebe
•
•
•
•
•
•

Pension Management/Actuary
Legal (EEOC, Labor Relations, etc.)
Payroll
Leadership Development
Executive/Physician Recruitment Search
Why not traditional staff recruitment?
Areas of Focus
•
•
•
•
•
•
•

Economies of size
Economies of association
Best practice system-wide (quality/operations)
Information system investment
Pre-position for managed care changes (no risk)
Talent management
Enhanced quality/value outcomes
Phoebe Putney Health System & Pinstripe Healthcare in Partnership

MAKING TALENT A
COMPETITIVE ADVANTAGE
Healthcare Recruitment Practices Timeline
Evolution of Recruitment Practices
Investment in Talent

40%

of an organization’s costs are directly attributed to Labor. - Aberdeen

$35,000

The average annual productivity cost of a disengaged employee.
- Harvard University Press

$1 million

The estimated cost savings to a healthcare organization that
increases annual retention one percentage point. – ASHHRA
Techniques to Successfully Transform
• Create Larger Talent Pools
• Drive Greater Selectivity
• Hire for Innovation

• Require New Necessary Skills
• Embrace New Technologies & Rigorous Processes
Human Resources Working in Partnership with Marketing

CREATE LARGER TALENT POOLS
Attracting Top Talent
Example Employer Value Proposition
What makes Allstate a great place to work?
• A company that is innovative, successful and
community minded
• Leaders who inspire, build trust and empower
employees to achieve optimal performance
• An environment where employees feel valued and
rewarded
Human Resources as the Talent Gatekeeper

DRIVE GREATER SELECTIVITY
Making the Hard Decisions
How much more does a high performer generate annually than an average performer?

Increased
productivity
in operations
roles

Increased
profit in
management
roles

Increased
revenue in sales
roles
Source: McKinsey & Company
Screening for Cultural Fit
Lack of “fit” – not lack of skills – remains the most
common reason that new employees fail.
Are your recruiters:
• Trained to ask relevant, behavioral-based, openended interview questions?
• Leveraging cultural fit surveys or assessments?
• Trusted to give expert guidance to hiring managers?
Human Resources’ Role in Creating A Culture of Change

HIRE FOR INNOVATION
Formula for Fostering Innovation
People
Collaborative
Customer Service Driven

Processes
Systematic
Flexible

Innovative Ideas
& Results

Challenges
Take smart risks

Culture
Focus on People First…
Discovery-driven

Delivery-driven

• Associating
• Questioning
• Observing
• Idea Networking
• Experimenting

• Analyzing
• Planning
• Detail-oriented
• Implementing
• Self-disciplined
Different
Talents
in Balance
…Then Give Them the Tools to Succeed.
People
• A workforce that
focuses on:
– Service
– Teamwork
– Technology

Processes
• Truly embracing
integrated care
– Removal of silos
– Understanding
indicators
– Efficiencies

Culture
• Customer-service
Oriented
– Teamwork
– Communication
– Patient-centered
– Development
Assessing Candidates
Common Current Practice
•
•
•
•
•
•
•

Performance History
Educational Background
Knowledge Areas
Tactical Abilities
Certifications/Licensure
Likeability
Job Search Motivation

Necessary Next Practice
•
•
•
•
•
•
•

All of those, and:
Cultural Fit
Workplace Motivators
Adaptability to Change
Coach-ability
Customer Service Skills
Openness to Innovation
Human Resources Embracing and Adapting to Change

REQUIRE NEW NECESSARY SKILLS
New Requirements of Healthcare Talent
Passionate &
Engaged
Technology
Oriented

Team Players

Adaptability
to Change
Sense of
Urgency

Critical
Thinkers
Patient
Centered
Human Resources Bringing New and Next Best Practices

EMBRACE NEW TECHNOLOGIES
& RIGOROUS PROCESSES
High Tech to Accelerate Results
Analyze

Attract

• Skills Inventory
• Supply/Demand Research
• Active & Passive Sourcing
• Talent Campaigning
• Social Recruiting

Assess

• Automated Scheduling
• Online Assessments

Engage

• Customized Workflow
• Centralized Processes
Comprehensive Talent Acquisition Management
Attract

Capture

SEO
& PPC

•
•
•
•
•
•
•

Craigslist

Job
Distribution
Social
Networks
Email
&RSS

Viral
Marketing

Employee
Referrals

Repeat
Visitors

Interact

Measure

Talent Community
(CRM)
Alerts &
Updates
Social
Media
Career
Site

Job Marketing
Candidate Experience
Apply Starts/Drop Offs
Visitor Details
RSS Subscribe
Passive Candidates
Higher Conversion

Member
Profiles

Member
Campaigns

Automatic
Job Alerts
RSS Job
Distribution

Talent
Pipeline

Social
Applications
Applicant Tracking
System

Social
Strategy
CRM/
Sourcing

•
•
•
•
•
•
•

Visitor Intelligence
Keyword Rankings
Candidate Demographics
Social Network Monitoring
Source Tracking
Campaign Tracking
Cost Per Applicant
Resource, Infrastructure & Technology Costs

Recruitment Team Models
Internal Team with
Contingent Support

Build Internal
Recruitment Team

Hybrid / Shared Internal &
External Recruitment Team

External
Recruitment Partnership

Flexibility & Scalability
Recruitment Partnership Adoption
43% of healthcare organizations are investing in RPO
as a way to improve efficiencies, stay compliant, and
provide a more effective way to identify quality hires.
- Aberdeen Group (2012)
Other
Industries

Joel & Phoebe
Human Resources Making Data-driven Decisions

METRICS TO REQUIRE FROM HR
Executive Talent Measurements

Quality &
Culture

Efficiency &
Effectiveness
Quality &
Culture
• Time to Productivity
• Turnover/Cost Per Vacancy
• Employee Engagement

Efficiency &
Effectiveness

• New Hire Satisfaction
• Hiring Manager
Satisfaction

• Time to Fill
• Requisition Aging
• Leadership Productivity
Leadership Productivity
Active Candidates

3069

Leader Involvement Ratio

3.9:1
Recruiter
Interviews

772
2.9:1

Hiring Leader
Interviews prior to Offer

262
2.2:1

Accepted Offers

119

*Actual Results for Phoebe Putney, January 2013

Leader
involvement
prior to
partnership

25.7:1
Targeting and Securing the Talent Necessary to Elevate Care Delivery

CLOSING THOUGHTS
With Great People and Great Care
…Healthcare Organizations Achieve:
MORE ENGAGED EMPLOYEES
DEEP-ROOTED CULTURES
LASTING PATIENT RELATIONSHIPS
QUALITY OUTCOMES
Questions For Self-Reflection
Is your HR Team…
• Partnering with Marketing?
• Effectively playing the role of Talent Gatekeeper?
• Fostering a Culture of Change?
• Flexibly adapting their practices to address your new
needs or challenges?
• Knowledgeable about what’s coming next?
• Making proactive decisions based on metrics?
HAVE YOU
SETTLED AT
GOOD OR
DO YOU STRIVE
TO BE GREAT
Joel Wernick & Jill Schwieters

OPEN FOR FURTHER DISCUSSION
Thank You & Please Connect!
Joel Wernick
President & CEO
Phoebe Putney Health System
(229) 312-4053
jwernick@ppmh.org
phoebeputney.com

Jill Schwieters
President
Pinstripe Healthcare
(414) 559-2534
jschwieters@pinstripe.com
pinstripehealthcare.com
Bibliography
Navigating Healthcare’s Perfect Storm - Pinstripe Healthcare Manifesto, Jill Schwieters (2012)
Get it Right to Get Results: Creating the Business Case for RPO, Pinstripe Healthcare (2012)
War For Talent, McKinsey & Company (1997, 2001, 2010)
RPO in Healthcare: Improving Quality and Staying Compliant, Aberdeen Group (2012)

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Innovate Workforce Practices to Ensure Future Success

  • 1. Innovate Workforce Practices to Ensure Future Success
  • 2. Agenda • Achieving Alignment in an Integrated Model: The Phoebe Putney Story • • • • • Making Talent Strategies an Executive Priority Overcoming Middle Management Resistance Focus on Culture & Engagement Making Talent a Competitive Advantage • • • • • Joel Wernick is President and Chief Executive Officer of Phoebe Putney Health System in Albany, Georgia. Create Larger Talent Pools Drive Greater Selectivity Hire for Innovation Require New Necessary Skills Embrace New Technologies & Rigorous Processes Metrics to Receive from HR Jill Schwieters is President of Pinstripe Healthcare, the leader in providing talent solutions to the healthcare industry.
  • 3. Learning Objectives • The importance of executives taking a lead role in the evaluation of hiring practices. • The metrics and measures HR leaders should be reporting to executives to measure the impact of a highly functioning workforce. • Common pitfalls to avoid and change techniques to embrace to successfully transform an organization’s workforce to meet the new demands of healthcare.
  • 4. The Phoebe Putney Health System Story ACHIEVING ALIGNMENT IN AN INTEGRATED MODEL
  • 5. History of Phoebe Putney, Albany’s First Hospital • In 1905, the Ladies Hospital Aid Association envisioned a hospital in Albany, Georgia. • Phoebe Putney Memorial Hospital opened its doors in 1911 thanks to a substantial gift from Judge Francis Flagg Putney. • He required three things: – the hospital be constructed of brick to withstand fire; – it be named for his mother; – it serve all people regardless of their race or ability to pay.
  • 7. Phoebe Putney Health System, Inc. Hospital Authority Phoebe Putney Memorial Hospital Phoebe Foundation Phoebe Worth Medical Center Phoebe Putney Indemnity SPC Health Ventures (Taxable)
  • 8. All Healthcare is Local Phoebe’s growth strategy addresses local access to care and regional capacity.
  • 9. Phoebe Family Medicine Phoebe Oncology Phoebe Physical Therapy Phoebe Wound Care Phoebe Rheumatology
  • 13. Annual Statistics FY 2011 Inpatient Admissions EC Visits Clinic Visits ConvenientCare Visits Home Health Admissions Employees 21,298 90,971 583,150 38,911 58,876 4,600 Annual Payroll Charity/Indigent Total Community Benefits $233.6 million $27.6 million $136.4 million
  • 14. Phoebe Talent Statistics • • • • • 5,154 total system employees Annual vacancy: 3.95% Annual total applications: 27,374 Average time to fill: 54 days Turnover rate: 7.66%
  • 15. How Phoebe Putney Did It • Prioritized Talent Strategies • Overcame Middle Management Resistance • Focused on Culture & Engagement • Made Talent a Competitive Advantage
  • 16. QUOTE
  • 17. Operating in a Post-Reform Industry Cost reduction opportunity REVENUE Medicare Commercial COST State DSH Medicare DSH Medicaid COST REVENUE All cases at Medicare Rates
  • 19. HR Outsourced Services at Phoebe • • • • • • Pension Management/Actuary Legal (EEOC, Labor Relations, etc.) Payroll Leadership Development Executive/Physician Recruitment Search Why not traditional staff recruitment?
  • 20.
  • 21. Areas of Focus • • • • • • • Economies of size Economies of association Best practice system-wide (quality/operations) Information system investment Pre-position for managed care changes (no risk) Talent management Enhanced quality/value outcomes
  • 22. Phoebe Putney Health System & Pinstripe Healthcare in Partnership MAKING TALENT A COMPETITIVE ADVANTAGE
  • 25. Investment in Talent 40% of an organization’s costs are directly attributed to Labor. - Aberdeen $35,000 The average annual productivity cost of a disengaged employee. - Harvard University Press $1 million The estimated cost savings to a healthcare organization that increases annual retention one percentage point. – ASHHRA
  • 26. Techniques to Successfully Transform • Create Larger Talent Pools • Drive Greater Selectivity • Hire for Innovation • Require New Necessary Skills • Embrace New Technologies & Rigorous Processes
  • 27. Human Resources Working in Partnership with Marketing CREATE LARGER TALENT POOLS
  • 29. Example Employer Value Proposition What makes Allstate a great place to work? • A company that is innovative, successful and community minded • Leaders who inspire, build trust and empower employees to achieve optimal performance • An environment where employees feel valued and rewarded
  • 30. Human Resources as the Talent Gatekeeper DRIVE GREATER SELECTIVITY
  • 31. Making the Hard Decisions How much more does a high performer generate annually than an average performer? Increased productivity in operations roles Increased profit in management roles Increased revenue in sales roles Source: McKinsey & Company
  • 32. Screening for Cultural Fit Lack of “fit” – not lack of skills – remains the most common reason that new employees fail. Are your recruiters: • Trained to ask relevant, behavioral-based, openended interview questions? • Leveraging cultural fit surveys or assessments? • Trusted to give expert guidance to hiring managers?
  • 33. Human Resources’ Role in Creating A Culture of Change HIRE FOR INNOVATION
  • 34. Formula for Fostering Innovation People Collaborative Customer Service Driven Processes Systematic Flexible Innovative Ideas & Results Challenges Take smart risks Culture
  • 35. Focus on People First… Discovery-driven Delivery-driven • Associating • Questioning • Observing • Idea Networking • Experimenting • Analyzing • Planning • Detail-oriented • Implementing • Self-disciplined Different Talents in Balance
  • 36. …Then Give Them the Tools to Succeed. People • A workforce that focuses on: – Service – Teamwork – Technology Processes • Truly embracing integrated care – Removal of silos – Understanding indicators – Efficiencies Culture • Customer-service Oriented – Teamwork – Communication – Patient-centered – Development
  • 37. Assessing Candidates Common Current Practice • • • • • • • Performance History Educational Background Knowledge Areas Tactical Abilities Certifications/Licensure Likeability Job Search Motivation Necessary Next Practice • • • • • • • All of those, and: Cultural Fit Workplace Motivators Adaptability to Change Coach-ability Customer Service Skills Openness to Innovation
  • 38. Human Resources Embracing and Adapting to Change REQUIRE NEW NECESSARY SKILLS
  • 39. New Requirements of Healthcare Talent Passionate & Engaged Technology Oriented Team Players Adaptability to Change Sense of Urgency Critical Thinkers Patient Centered
  • 40. Human Resources Bringing New and Next Best Practices EMBRACE NEW TECHNOLOGIES & RIGOROUS PROCESSES
  • 41. High Tech to Accelerate Results Analyze Attract • Skills Inventory • Supply/Demand Research • Active & Passive Sourcing • Talent Campaigning • Social Recruiting Assess • Automated Scheduling • Online Assessments Engage • Customized Workflow • Centralized Processes
  • 42. Comprehensive Talent Acquisition Management Attract Capture SEO & PPC • • • • • • • Craigslist Job Distribution Social Networks Email &RSS Viral Marketing Employee Referrals Repeat Visitors Interact Measure Talent Community (CRM) Alerts & Updates Social Media Career Site Job Marketing Candidate Experience Apply Starts/Drop Offs Visitor Details RSS Subscribe Passive Candidates Higher Conversion Member Profiles Member Campaigns Automatic Job Alerts RSS Job Distribution Talent Pipeline Social Applications Applicant Tracking System Social Strategy CRM/ Sourcing • • • • • • • Visitor Intelligence Keyword Rankings Candidate Demographics Social Network Monitoring Source Tracking Campaign Tracking Cost Per Applicant
  • 43. Resource, Infrastructure & Technology Costs Recruitment Team Models Internal Team with Contingent Support Build Internal Recruitment Team Hybrid / Shared Internal & External Recruitment Team External Recruitment Partnership Flexibility & Scalability
  • 44. Recruitment Partnership Adoption 43% of healthcare organizations are investing in RPO as a way to improve efficiencies, stay compliant, and provide a more effective way to identify quality hires. - Aberdeen Group (2012) Other Industries Joel & Phoebe
  • 45. Human Resources Making Data-driven Decisions METRICS TO REQUIRE FROM HR
  • 46. Executive Talent Measurements Quality & Culture Efficiency & Effectiveness
  • 47. Quality & Culture • Time to Productivity • Turnover/Cost Per Vacancy • Employee Engagement Efficiency & Effectiveness • New Hire Satisfaction • Hiring Manager Satisfaction • Time to Fill • Requisition Aging • Leadership Productivity
  • 48. Leadership Productivity Active Candidates 3069 Leader Involvement Ratio 3.9:1 Recruiter Interviews 772 2.9:1 Hiring Leader Interviews prior to Offer 262 2.2:1 Accepted Offers 119 *Actual Results for Phoebe Putney, January 2013 Leader involvement prior to partnership 25.7:1
  • 49. Targeting and Securing the Talent Necessary to Elevate Care Delivery CLOSING THOUGHTS
  • 50. With Great People and Great Care …Healthcare Organizations Achieve: MORE ENGAGED EMPLOYEES DEEP-ROOTED CULTURES LASTING PATIENT RELATIONSHIPS QUALITY OUTCOMES
  • 51. Questions For Self-Reflection Is your HR Team… • Partnering with Marketing? • Effectively playing the role of Talent Gatekeeper? • Fostering a Culture of Change? • Flexibly adapting their practices to address your new needs or challenges? • Knowledgeable about what’s coming next? • Making proactive decisions based on metrics?
  • 52. HAVE YOU SETTLED AT GOOD OR DO YOU STRIVE TO BE GREAT
  • 53.
  • 54. Joel Wernick & Jill Schwieters OPEN FOR FURTHER DISCUSSION
  • 55. Thank You & Please Connect! Joel Wernick President & CEO Phoebe Putney Health System (229) 312-4053 jwernick@ppmh.org phoebeputney.com Jill Schwieters President Pinstripe Healthcare (414) 559-2534 jschwieters@pinstripe.com pinstripehealthcare.com
  • 56. Bibliography Navigating Healthcare’s Perfect Storm - Pinstripe Healthcare Manifesto, Jill Schwieters (2012) Get it Right to Get Results: Creating the Business Case for RPO, Pinstripe Healthcare (2012) War For Talent, McKinsey & Company (1997, 2001, 2010) RPO in Healthcare: Improving Quality and Staying Compliant, Aberdeen Group (2012)