How to Improve Employee Handbook to Reduce HRM Risks at John Hopkin Hospital Introduction Located in Baltimore, Maryland, John Hopkins Hospital, founded in 1889, is a medical and biomedical research facility in the United States. The facility, which also functions as a teaching hospital for the John Hopkins school of medicine, also founded at the same time, enjoys the privilege of being the founder of modern medicine and technology. The Hospital’s philanthropist founder John Hopkins, who died in 1873, set the milestone for John Hopkins Hospital’s millennial success by investing approximately $7 million in its startup (Park & Wenger,2020). The vast land the Hospital occupies, about 13 acres, made its growth and capacity development fast. The current handbook, published in 2019, gives directives on employee conduct to achieve the Hospital’s mission. From the employee’s guide, John Hopkins offers medical treatment, inpatient and outpatient, to over 1 million patients in a year. Regarding its employees, John Hopkins hospital employs over 1500 workers annually to cater to diverse health issues. The employees are placed in various sectors, including the Blomberg school of public health. School of nursing, medicine, John Hopkins Hospital, homecare group, and ventures. Due to the various designations, John Hopkins employs different professionals depending on their workplace. Nurses’ medical doctors, nutritionists, medical technologists, and pharmacists make up the number of employees at John Hopkins hospital. In carrying out their duties, the organizational culture guides employees on issues that promote excellence; high-quality services result from a supportive corporate culture that promotes employee satisfaction, appreciation, and adherence to the joint commission. The intensity of the recruitment, training, and actual health delivery process has increased John Hopkin’s vulnerability to Human resource risks, necessitating change to the existing provisions in the Hospital’sHospital’s employee handbook. Specific Risks faced at John Hopkin’s Hospital Within Recruitment and Hiring Concerning the hiring process, John Hopkins hospital is faced with the risks of high turnover rates and staff shortages due to the high patient-staff ratio. Burnout is a norm in the health profession since 38% of medical professionals in the United States quit the health sector for other occupations (Park & Wenger,2020). According to John Hopkins hospital Handbook, the Hospital has only 30,000 employees to attend to over 1 million patients annually. According to the handbook, John Hopkin hospital uses the attendance management policy, which stipulates that employees are only allowed to be present for work if authorized by the human resource manager. Strict penalties stipulated in the HR601 disciplinary action include pay cuts and working time compensation. Setting harsh conditions on the employees predisposes risks since it can alleviate industrial action by labor movements, which can lead to the depletion of financial assets in the Hospital to curb the employees’ outcry. Even with medical reasons, employees are prohibited by human resource management from being absent for two consecutive shifts, according to the handbook. Mounting pressure on the employees can trigger mental illnesses among the active personnel, leading to increased treatments. Also, insurance givers can legally evade clients’ compensation from the hospital if a staff dies of work-related illnesses. Claims submitted to the patient’s insurers can be quickly down looked at, leading to financial losses amongst the medics through the disposition of their assets. To the hospital, a lack of trust in its employees will therefore lead to Additionally, John Hopkins hospital is faced with a mitigation risk of replacing the employees; for instance, nurses who quit due to the expensive recruitment process set in the United States, and replacing a single nurse who quit approximated $82,000 (Kumari et al., 2020). The reportedly high cost is due to overtime, onboarding, and recruitment costs. Other medical practitioners’ recruitment costrangefrom$60,00 to $120,000, increasing the Hospital’s chances of insolvency in the event all the staff are laid off (Kumari et al., 2020). Downtime presents a high cost of replacement; human resource management at John Hopkins hospital is required to promote a favorable working environment by revising the policies to include exceptional cases that give the employees the right to rest. Terms and Conditions of Employment John Hopkins hospital employees’ handout strictly stipulates a probationary period as one of the essential tools for newly employed health workers. The handbook stipulates that employees working more than 20 hours a week are subject to 90-day probation before earning permanent employment. On the other hand, employees working less than 20 hours a week are required to wake for 180 days to earn permanent employment. During the probationary period, John Hopkins hospital must terminate employees’ contracts based on performance. The performance is monitored by a single supervisor, who might be biased and give negative reviews on employee performance. To curb biased monitoring, human resource management must employ several supervisors who will give separate review reports and a compilation to determine the employee’s performance before termination. Multiple evaluations promote integrity and save the hospital from other training costs. The employee handbook does not guarantee employees’ comfort since they are prohibited from resting at the lounges. Staff is the biggest asset, and its comfortability replicates organizational performance and success (Brigham et al., 2021). Revising the resting place policy will ensure that the staff works better and haves mental rejuvenation when delivering health services. The hospital staff’s primary duty is to promote- patients’ well-being. Comfort to the caregivers results in quality healthcare services; hence the resting restrictions need to be removed for health practitioners at John Hopkins Hospital. Compensation And Benefits At John Hopkins Hospital, human resources play a massive role in ensuring employee satisfaction and reducing the chances of burnout in a highly active environment. As it is known, medical practitioners, such as nurses and doctors, quit the health profession to venture into another profession due to high stress in the environment and lack of efficient human resource manager hiring, employee compensations, tax withholding, overtime, and incorrect payment. Work stress occurs due to high patient employment operations, leading to burnout and exposure of hospital staff to quitting, leading to a health crisis and fall. To prevent these risks, John Hopkins hospital needs to look into the employment, pay increase, and wages sector. Compensation is a vital factor in addressing human resource management risks. Through efficient evaluation, individual employee performance is achieved. With clear records, the highest-performing staff is determined; therefore, fair rewards are necessary to promote equity and enhance motivation. Salary groups need to be implemented based on performance and the work done by the employees. For instance, at John Hopkins Hospital, the research personnel tend to carry out more tedious exercises than the nurses in the home care facilities. The workers ahead are paid differently to promote equity and escape the cases of burnout which promotes mental illnesses among the employees. Employee Performance and Evaluation Performance dictates the advancement from a probationary period to permanent employment at John Hopkins Hospital with the proper evaluation; employees are taken through intensive performance scrutiny to determine their fitness for roles in the Hospital. Termination of a contract is based on the number of patients an employee attends, their views given by the employees, and friendliness to co-workers. In a hospital setting, teamwork is critical; therefore, being a reserved employee makes it the chance of termination. On the other hand, good performance is rewarded with promotions, salary increments, and giving out awards. Employee Discipline and Termination Under the involuntary termination policy, John Hopkins hospital puts poor use of emails as a core reason for contract termination, in conjunction with the use of computers for unintended hospital purposes. Employees are not brought into a fair hearing during the termination. Hence some are subjected to unfair judgment. The hospital handbook does not consider the current increase in cybersecurity crimes and the breach of data privacy ins the current technological era. Dismissing employees without proper investigation can trigger legal action, leading to court proceedings and depleting hospital revenues. Therefore, John Hopkin hospital must follow a plenary method in addressing disciplinary actions, specifically the termination of its employees and as risk prevention measures. The handbook stipulates that the employees must give a written reprimand after the disciplinary cases are concluded. The written reprimand requires electronic backup in the of natural disasters. An electronic copy is necessary for risks such as theft and fires that will erase the information making the Hospital lose its case to unfit employees. Losing the case means financial compensation to the employees. Dual employment is acceptable at john Hopkins hospital. The chances of having ghost workers are propagated by dual employment, increasing the Hospital’s wage bill
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