Healthcare Human Resource Management Flynn, Mathis, Jackson

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Healthcare

Human Resource

Management

Flynn Mathis Jackson Langan

Chapter 12

Healthcare Compensation

Practices

PowerPoint Presentation by

Tonya L. Elliott, PHR

Learning Objectives

After you have read this chapter, you should be able to:

 Describe the differences between an entitlement compensation philosophy and a performance-focused compensation philosophy

 Define the issues confronting the healthcare industry in complying with the Fair Labor Standards Act (FLSA)

 Discuss the various methods of administering a compensation process

 Explain the issues associated with awarding pay increases

 Discuss the five components of executive compensation

2

Healthcare Compensation Responsibilities

4 Objectives :

1.

Legal compliance with all appropriate law and regulations

2.

Cost-effectiveness for the organization

3.

Internal, external, and individual equity for employees

4.

Performance enhancement for the organization

3

Nature of Compensation

Intrinsic Rewards

Psychological effects

Social effects

Examples:

Base pay & Benefits

Extrinsic Rewards

Monetary

Non-monetary

Tangible

- Direct

- Indirect

Examples:

Praise & recognition

4

Direct & Indirect Compensation

Direct Compensation

Base Pay

 Wages

 Salaries

Variable Pay

 Bonuses

 Incentives

 Stock options

Indirect Compensation

Benefits

 Medical/life insurance

 Paid time off

 Retirement pensions

 Workers’ compensation

 Others

5

Compensation Components

Base pay

 Basic compensation an employee receives, usually in a wage or salary

Wages – payments directly calculated on the amount of time worked

Salaries – consistent payments each period regardless of the number of hours worked

Variable pay

 Compensation linked directly to individual, team, or organizational performance

Benefits

 An indirect reward given as part of organizational membership, regardless of performance

6

Figure 12-2

Compensation Approaches

7

Compensation Philosophies

Figure 12-3

8

Market-Based

Compensation

Strategies

Figure 12-4

9

Competency-Based Pay

Employees paid for their knowledge or skill rather than the completion of tasks, duties, & responsibilities

Considerations

Significant time investment

Strong management commitment

Training required to gain & maintain competencies

Limitations on number of people allowed to gain competencies

10

Individual vs. Team Awards

Team Rewards

Use as variable pay added to base pay

Use to reward group performance beyond satisfactory level

Base pay for individual employees paid as competency-based

Most frequently distributed annually as a specified dollar amount, rather than a percentage of base pay

11

Compensation Systems Design Issues

Compensation: The Strategic Decisions

1.

What philosophy and approach will be taken?

2.

How will the firm react to market pay levels?

3.

Is the job to be paid on the person’s level of competence?

4.

Will pay be individual or team-based?

12

Perceptions of Pay Fairness

Pay Openness

– The degree or openness or secrecy that organizations allow regarding their pay systems

External Equity

– The perception of the degree of equity that employees have regarding their pay in their job as compared to similar jobs in other organizations

13

Fair Labor Standards Act (FLSA)

Enforced by: U.S. Department of Labor

Provisions of the Law :

 Establishes a minimum wage floor

 Defines exempt and non-exempt status

 1990: exempts highly paid computer workers

 Sets rules for compensatory time off

 Child labor – minimum age requirements

 age 16 – unlimited hours

 Sets overtime provisions

 1 ½ times pay for hours worked over 40 in a week

14

Wage/Hour Status Under Fair Labor Standards Act

Exemption

Category

A

Discretionary Authority

B

Percent of Time

C

Earning Levels

Executive 1.

Primary duty is managing

2.

Regularly directs work of at least two others

3.

Authority to hire/fire or recommend these

1.

Must spend

20% or less time doing clerical, manual, routine work

(less than

40% in retail or service establishments)

2.

Paid salary at $155/wk or $250/wk if meets A1-

A2

Figure 12-6

15

Wage/Hour Status Under Fair Labor Standards Act

Exemption

Category

A

Discretionary Authority

B

Percent of Time

C

Earning Levels

Administrative

1.

Primarily responsible for non-manual or office work related to management policies

2.

Regularly exercises discretion and independent judgment and makes important decision

3.

Regularly assists executives and works under general supervision

1.

Must spend

20% or less time doing clerical, manual, routine work

(less than

40% in retail or service establishments)

1.

Paid salary at $155/wk or $250/wk if meets A1-

A2

Wage/Hour Status Under Fair Labor Standards Act

Exemption

Category

A

Discretionary Authority

B

Percent of Time

C

Earning Levels

Professional

1.

Performs work requiring knowledge of an advanced field or creative and original artistic work or works as a teacher in an educational system

2.

Must do work that is predominantly intellectual and varied

1.

Must spend

20% or less time doing nonprofessional work

1.

Paid salary at least

$170/wk or

$250/wk if meets A1-

A2

Wage/Hour Status Under Fair Labor Standards Act

Exemption

Category

A

Discretionary Authority

B

Percent of Time

C

Earning Levels

Outside

Sales

1.

Customarily works away from employer site and

2.

Sells tangible or intangible items or

3.

Obtains orders or contracts for services

1.

Must spend

20% or less time doing work other than outside selling

2.

No salary test

Independent Contractor Regulations

Figure 12-6

19

Equal Pay and Pay Equity

The Equal Pay Act of 1963

Prohibits using different wage scales for men and women performing substantially the same jobs

Pay differences can be justified based on merit

(i.e. better performance, higher seniority, etc.

Pay Equity

A concept that the pay for all jobs requiring comparable knowledge, skills, and abilities should be the same even if job duties and market rates differ significantly

20

State Laws & Garnishment Laws

State Laws

Many states have enacted modified versions of federal laws, and they must be recognized

Garnishment Laws

Garnishment – when a creditor obtains a court order that directs an employer to set aside a portion of one employee’s wages to pay debt owed

Consumer Credit Protection Act – sets limitations on amount of wages that can be garnished, and restricts employers for discharging affected employees

21

Compensatio n

Administratio n Process

Figure 12-8

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Job Evaluation

Job Evaluation

– A systematic basis for determining the relative worth of jobs within an organization

– Priced according to

:

 Relative importance of the job

 Knowledge, skills, & abilities (KSAs) needed to perform the job

 Difficulty of the job

Benchmark Jobs

– Jobs found in other healthcare organizations and performed by several individuals who have similar duties that are relatively stable and that require similar KSAs.

23

Methods of Job Evaluation

Ranking Method

Classification Method

Point Method

Factor Comparison

Integrated & Computerized Job Evaluations

24

Legal Issues & Job Evaluation

Americans with Disabilities Act (ADA)

Job evaluation considers all functions of the job, not just the essential functions

Gender Issues

Traditional job evaluation programs place less weight on knowledge, skills, and working conditions for many female-dominated jobs

25

Pay Surveys

Pay Survey

– A collection of data on compensation rates for workers performing similar jobs in other organizations

Legal Issues

Using outside consultants to conduct pay surveys helps avoid charges of “price-fixing” on wages

26

Pay Structures

Types of Pay Structures:

1.

Hourly and salaried

2.

Office, technical, professional, and managerial

3.

Clinical allied health and support

4.

Clerical, information technology, professional, supervisory, management, and executive

27

Pay Structures: Pay Grades

Pay Grades

– Grouping of individual jobs having approximately the same job worth

Broadbanding

– Practice of using fewer pay grades with much broader ranges than in traditional compensation systems

– Why Broadbanding?

 Creates more flexible organizations

 Encourages competency development

 Emphasizes career development

28

Pay Ranges

Start with market line, used as the midpoint

Determine minimum and maximum pay levels

Types of Jobs

Executives

Range Above Minimum % Around Midpoint

Mid-Management/Professional

Technicians/Skilled Craft & Clerical

General Clerical/Others

50%-70%

40%-50%

30%-40%

25$-35%

+ or –20-25%

+ or –16-20%

+ or –13-16%

+ or –11-15%

29

Pay Rate Issues

Rates out of Range

RedCircled Employees

An incumbent who is paid above the range of the job

GreenCircled Employees

An incumbent who is paid below the range of the job

Pay Compression

– Occurs when the pay differences among individuals with different levels of experience and performance becomes small

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Performance-Based Pay Adjustment Matrix

Figure 12-11

31

Pay Adjustment Factor: Compa-Ratio

Compa-ratio

– A person’s pay level divided by the midpoint of the pay range

Examples:

Employee A

$25.00

(current pay)

$24.00

(midpoint)

100

104

Employee B

$22.00

(current pay)

$24.00

(midpoint)

100

92

32

Issues Involving Pay Increases

Seniority

– Time spent in the organization or on a particular job

– Step systems -- pay increases based solely on how long they have been with the organization

Cost-of-Living Adjustments (COLA)

– A standard raise given based on economic pressure, such as the consumer price index

Lump-Sum Increases (LSI)

– A one-time payment for all or part of the yearly pay increase

– Does not increase base pay

33

Executive Compensation Components

Figure 12-13

34

Executive Compensation

Executive Salaries

 Vary by job type, organizational size, region, & industry

 Typically 40% - 60% of total compensation package

Executive Bonus Plans

 Usually tied to specific performance measures

 Typically 25% of total compensation package

Performance Incentives

 Attempt to tie executive compensation to the longterm growth & success of the organization

35

Executive Compensation (cont’d)

Benefits for Executives

– Includes traditional benefits (health insurance, retirement, vacation, etc.)

– Additional benefits not available to most employees

(deferred compensation, no-limit health plans, etc.)

Executive Perquisites (Perks)

– Special executive benefits, usually non-cash

36

Executive Compensation (cont’d)

Executive Perquisites (Perks)

 car allowance

 first class air travel

 financial/tax planning

 legal counseling

 health club memberships

 lunch club memberships

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