1. Lecture 2
The Nature and Challenges of
Healthcare HR Management
Human Resources Management in Health Care
Institute for Nile States Strategic Studies and
Researches
2. Lecture Objectives
After this lecture, you should be
able to understand:
◦ Types of healthcare organizations and employment
◦ Changing nature of healthcare and its impact on HR
◦ Human resource management activities and role in healthcare
◦ Human resource challenges in healthcare
◦ Human Resource Development in Healthcare Organizations
4. Types of Healthcare Organizations
Physician Offices and
Clinics
Hospitals
Nursing and Personal-Care
Facilities
Home Care
Health and Allied Services
Medical and Dental
Laboratories
Offices and Clinics of Other
Health Practitioners
Dentist’s Offices and Clinics
4
7. Key Initiatives of HR Management
Workforce Planning
Staffing and Selection
Compensation and Benefits
Employee and Labor Relations
Government Compliance
Training and Development
Health, Safety and Security
7
9. Current State of Healthcare
• Current Strengths of Healthcare:
– Reasonably easy access to care
– Effectiveness of treatment
– Continuous advancement in technology
• Current Issues Facing Healthcare:
– Financial Crunch
– Rise in Consumerism
– Labor and Talent Shortages
– Scientific Advancement
– Assessing & Applying Information
9
10. Joint Commission on Accreditation of
Healthcare Organizations
JCAHO is a quality accreditation organization whose members
subscribe to a standard-based review process to ensure that the
consumers of healthcare are receiving consistent levels of safe,
quality care.
10
11 Hospital Standards or Performance Areas
11. JCAHO – Standards That Impact HR
HR departments in healthcare organizations that are surveyed
by JCAHO are responsible for the HR standards; however,
there are standards in other functional areas that have a
significant HR focus. These include:
Leadership (LD)
Environment of care (EC)
Information Management (IM)
JCAHO Standard Responsibility
HR, LD Staff competency
HR, LD, IM, EC Education and training needs
HR, LD Staffing plans and levels
11
12. The HR Function in Healthcare
HR Management is becoming an equal contributor to other
organizational areas:
Need to provide more efficient and effective HR services
Greater need for human resource training, skills, understanding,
and competency
As challenges and complexities of healthcare HR management
has grown, healthcare managers are requiring more strategic
support from their HR departments
12
16. HR: A Strategic Business Partner
HR becomes a strategic business partner by:
Analyzing the internal strengths and weaknesses of the people in
the organization
Developing the capabilities of all individuals in the organization
Working with executives and managers to revise the organization
and its components
Participating in strategic planning
Ensuring financial accountability for HR results
Advising on decision making on mergers, acquisitions, and
downsizing
16
18. HR Challenges in Recruitment and
Retention
A growing number of healthcare professionals are
retiring
An increasing number of aging and requiring care
Fewer younger people are choosing the profession:
– Shift in view of profession from high tech to low tech
– Shift from a secure & prestigious profession to chaotic & unstable
– Many more employment options for women to choose from
– Healthcare workers have less connection with patients due to shift
to shorter-stay hospital systems
– Shift from mass-production society to information society makes
the 24/7 schedule demands less attractive
18
20. Healthcare Service Delivery
Input Outcome
Health
Systems
Drugs
Well
being
Customer
Satisfaction
Patients
Healthcare
EmployeesEquipment /
Technology
Human
Resource
22. Current Research Studies
Employee
Satisfaction in
Healthcare
•Physician satisfaction
•Nursing cadre
satisfaction
Key Recommendations include
Satisfaction in caring for patients
Less complaints from customers
Areas
•Department
level
•Emergency
Room
•Overall Hospital
facilities
Key Recommendations include
Change in Employee behaviour / skill/ attitude
Patient Satisfaction
Areas
23. Hypothesis
Implications for healthcare
•Retention of employees
•Improvement of patient care
Patient
Satisfaction
Employee
Satisfaction
Food service Salary
Hospital
cleanliness
?
Empathy
Empowerment
Relationship
with colleagues
Editor's Notes
Where Physician office and clinics represents 41.1%
Where employment in hospitals represents 39.3% of the total Healthcare organizations
And Physician office and clinics comes the second as it represents 19.7%
In general, From top to bottom:
Executive Management
Senior Management
Middle Management
First-line Supervision
Nonclinical stuff
Clinical Professionals
Technical Workers
Clerical Workers
Service Workers