HRM 2

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

3. TYPES OF HEALTHCARE
ORGANIZATIONS AND EMPLOYMENT
Objective 1/5

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

5. Employment in Healthcare
Organizations
5

6. Healthcare
Positions
Hierarchy
6

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

8. CHANGING NATURE OF HEALTHCARE
AND ITS IMPACT ON HR
Objective 2/5

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

13. HUMAN RESOURCE MANAGEMENT
ACTIVITIES AND ROLE IN HEALTHCARE
Objective 3/5

14. 14
HR
Management
Activities

15. HR Management Roles
15

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

17. HUMAN RESOURCE CHALLENGES IN
HEALTHCARE
Objective 4/5

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

19. HUMAN RESOURCE DEVELOPMENT
IN HEALTHCARE ORGANIZATIONS
Objective 5/5

20. Healthcare Service Delivery
Input Outcome
Health
Systems
Drugs
Well
being
Customer
Satisfaction
Patients
Healthcare
EmployeesEquipment /
Technology
Human
Resource

21. Determinants of Healthcare Success
Healthcare
Customers
Internal Customer
(Employees)
External Customer
(Patients)
Organisational
Success
Patient satisfaction Employee Satisfaction

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