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Human Resources
This area deals with assessing the need for and the supply of professional and other personnel. Functions include recruitment, selection, training, compensation, and evaluation of such personnel and examining ways to evaluate productivity and monitor accountability for results.
Consistent application of compensation versus inconsistent market pressure
Posted by: Barry Goettsch on December 11, 2008 at 9:28PM EST

    In our organization we compete for qualified staff on a daily basis as does everyone.  We utilize our state hospital association's annual salary survey to maintain consistency, as do other hospitals, or so they claim.  However, as we interview candidates and verify wages they claim to be being paid or being offered we find inconsistencies with what hospitals are reporting to the salary survey and what they are actually paying.  How do you maintain consistency in applying wages fairly and achieve competetiveness when you feel other hospitals are paying more?  How do you adapt your wage application processes so you are not stuck in an less then competitive situation?  I have suggested taking the figures stated in the wage survey and adding a percentage across the board that we feel represents what others may be paying.  What do you think?  What would you suggest?  Thanks

Barry Goettsch

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(2) Comments
Posted by: Elaine Charest on December 12, 2008 11:42AM EST
In my opinion, hospitals are not only competing with ther hospitals for staff but with other healthcare organizations. Nurses and therapists have a variety of different employment opportunities that can afford significant differences in compensation and benefits. For example, there are significant differences in compensation between a non-profit hospital, for profit hospital, home care agency, school system and private practice. I believe hospitals need to be looking beyond just hospitals for comparative measures but I do not think those figures exist.

Elaine Charest

Posted by: Bryan Miller on February 18, 2009 6:03PM EST
This aspect of compensation continues to present challenges in maintianing consistency with recruitment/retention and maintaining a competitive wage structure when compared to other providers within a given market. While state association benchmarks derived from state/federal associations have value in determining compensation, the most accurate and relevant source for wages in many acute-care markets (my market included) are the rates offered by local competitors. While some organizations utilize salary surveys and similar tools in decision-making, all too often it appears that wage increases occur in response to incremental increases by market-based competitors. This continues to create a challenging recruitment/retention environment, particularly when taking into account the number of clinical staff who split work schedules between two competing organizations.

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