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How to build a racially diverse workforce
© 2019 Advisory Board • All rights reserved • advisory.com
Today’s Research Experts
Christopher Kerns
Vice President,
Executive Insights
@CD_Kerns
Micha’le Simmons
Managing Director,
Workforce Research & Inclusion
© 2019 Advisory Board • All rights reserved • advisory.com
3
Source: Lorenzo, R, Voigt, N, Tsusaka, M, Krentz, M, Abouzhar, K, “How Diverse
Leadership Teams Boost Innovation,” Boston Consulting Group. January 23, 2018;
Tulshyan, R. “Racially Diverse Teams Outperform Industry Normsby 35%” Forbes, Jan 30,
2015; Bourke, Juliet. “The Diversity and Inclusion Revolution: Eight Powerful Truths.”
Deloitte Insights. Deloitte, July 22, 2018
Workforce diversity matters for bottom line and our mission
Diverse teams improve business outcomes
Higher revenue due to innovation from
companies that have more diverse
management teams 19%
Inclusive leaders unlock higher performance
Likelier to financially outperform industry
median, companies ranking in the top quartile
of executive-board diversity43%
Likelier to experience above-average profits,
companies in the top quartile for gender
diversity on their executive teams21%
Diverse teams innovate more
And financially outperform more homogenous ones
Increase in
team performance 17%
Increase in
decision-making quality 20%
Increase in
team collaboration29%
© 2019 Advisory Board • All rights reserved • advisory.com
4
Source: HR Advancement Center, Annual Turnover, Vacancy, and Premium Labor Benchmark Generator,
2019, https://dag.advisory.com/2013_B_DAG_BGFramework/Main/I/HR_TV_Sys/050ffaee-a15b-4efa-8a04-
59f09e3847bd/2016HRACX154?m=7080001
.
One-third of frontline staff are racial or ethnic minorities
© 2019 Advisory Board • All rights reserved • advisory.com
5
Source: HR Advancement Center, Annual Turnover, Vacancy, and Premium Labor Benchmark Generator,
2019, https://dag.advisory.com/2013_B_DAG_BGFramework/Main/I/HR_TV_Sys/050ffaee-a15b-4efa-8a04-
59f09e3847bd/2016HRACX154?m=7080001
Racial diversity drops by half in frontline management
© 2019 Advisory Board • All rights reserved • advisory.com
6
Source: HR Advancement Center, Annual Turnover, Vacancy, and Premium Labor Benchmark
Generator, 2019, https://dag.advisory.com/2013_B_DAG_BGFramework/Main/I/HR_TV_Sys/050ffaee-
a15b-4efa-8a04-59f09e3847bd/2016HRACX154?m=7080001
Racial diversity in senior leadership drops by two-thirds from the frontline
© 2019 Advisory Board • All rights reserved • advisory.com
7
Source: HR Advancement Center, Annual Turnover, Vacancy, and Premium Labor Benchmark Generator, 2019,
https://dag.advisory.com/2013_B_DAG_BGFramework/Main/I/HR_TV_Sys/050ffaee-a15b-4efa-8a04-59f09e3847bd/2016HRACX154?m=7080001; McKinsey and Company,
Women in the Workplace 2019, https://wiw-report.s3.amazonaws.com/Women_in_the_Workplace_2019.pdf.
Racial and ethnic diversity decreases drastically toward the top
HR Advancement Center interviews and analysis.
33.90%
15.24%
9.97%
Frontline staff Managers Senior leaders
Percentage of racial and ethnic minorities (median)
Racial and ethnic diversity in the
health care workforce (median)
2019
n=42
68%
57%
51%
45%
35%
18%
24%
26%
27%
30%
10%
12%
14%
17%
16%
4%
7%
7%
12%
18%
C-Suite
VP
Director
Manager
Entry-levelWomen of color
Men of color
White women
White men
All industry workforce diversity by level
© 2019 Advisory Board • All rights reserved • advisory.com
8
Build a racially diverse workforce
Instill accountability for racial and ethnic
diversity in your workforce
Invest in an equitable, inclusive
employee experience
Cultivate the next generation
of diverse leaders
Debias the hiring process
HR Advancement Center interviews and analysis.
© 2019 Advisory Board • All rights reserved • advisory.com
‹#›
Road map9
Instill accountability for racial and ethnic diversity in your workforce
© 2019 Advisory Board • All rights reserved • advisory.com
10
Source: “Diversity and Disparities: A Benchmarking Study of U.S. Hospitals in 2015,” Institute for Diversity in Health
Management, Health Research & Educational Trust (2016): http://www.diversityconnection.org/diversityconnection/leadership-
conferences/2016%20Conference%20Docs%20and%20Images/Diverity_Disparities2016_final.pdf
Too reluctant to set diversity goals
Health Care Organizations
with Executive
Compensation Tied
to Diversity Goals
Health Care Organizations
with Documented Plan to
Increase Number of Ethnically
Diverse Executives on Senior
Leadership Team
31%20%20%
1Lingering stigma
of “affirmative
action.”
Leaders are afraid of
“lowering the bar” and often
react negatively to quotas.
2Misconception
that “I’m not
biased.”
Leaders feel if they value
diversity, then representation
will eventually change. They
hesitate to acknowledge their
inherent unconscious bias.
Two Factors Contributing to
Senior Leaders’ Reluctance
HR Advancement Center interviews and analysis.
© 2019 Advisory Board • All rights reserved • advisory.com
11
Clarify your commitment to increase racial and ethnic diversity
1Align with diversity
in your community
Track progress
toward your goal
42Prioritize key roles
to increase diversity
3Define your goal
• What does racial and
ethnic diversity look like
in our community?
• What specific types of
racial and ethnic
diversity do we need to
increase to mirror our
community?
• What levels in our
organizations are lacking
racial and ethnic
diversity?
• What are in-demand,
key positions that we
should prioritize?
• Identify process metrics
e.g., number of racial and
ethnic minority candidates
for roles
• Monitor retention of racial
and ethnic minorities
• Report progress toward
your goal to board and C-
suite at least quarterly
• How much do we want
to increase racial and
ethnic diversity over the
next three years?
• How will we establish
shared accountability?
• What talent
management processes
will have to change to
support this goal?
HR Advancement Center interviews and analysis.
© 2019 Advisory Board • All rights reserved • advisory.com
‹#›
Road map12
Cultivate the next generation of diverse leaders
© 2019 Advisory Board • All rights reserved • advisory.com
13
What comes first: diverse staff or diverse leaders?
A Chicken-or-Egg Question
Senior leaders can’t
build a diverse
leadership bench if
there aren’t enough
diverse staff in the
pipeline
Frontline staff need
to see diverse
leaders to pursue
leadership roles
Start with the Top? Start with the Bottom?
HR Advancement Center interviews and analysis.
© 2019 Advisory Board • All rights reserved • advisory.com
14
Source: Garman AN, Tyler JL, “CEO Succession Planning in
Freestanding U.S. Hospitals: Final Report,” prepared for the American
College of Healthcare Executives, October 27, 2004; Workforce Best
Practice Collaborative interviews and analysis.
Succession management key to diversifying leadership ranks
17%
Succession
Management
Leadership
Development
ScopeCritical positions,
high-potential leaders
All positions,
all leaders
Objective
Prepare leaders for
next-level role
Improve leader’s
performance in
current role
Typical
Development
Methods
Hands-on
project work
Classroom training
complemented
with projects
Differentiating Leadership Development
ACHE’s¹ Definition of
Succession Planning
“A structured process
involving the identification
and preparation of a
successor for a given
organizational role that
occurs while that role is still
filled.”
HR Advancement Center interviews and analysis.
© 2019 Advisory Board • All rights reserved • advisory.com
15
Source: Grossman R, “The Care and Feeding of High-
Potentials,” Society for Human Resource Management, August
1, 2011; “Corporate Performance at Risk as Today’s Rising
Talent Prepares to Jump Ship,” Corporate Executive Board,
June 1, 2010; HR Advancement interviews and analysis.
Falling into common biases when evaluating talent
Leader Misperceptions When Selecting Hi-Po Talent
Common
pitfalls:
Potential
consequences:
“Mini-Me”
Younger version of current leaders;
similar qualities and experiences
Staff distrust in selection
process
“Old Faithful”
Reinforcement
of status quo
Long-time employee; loyal to leaders;
has deep institutional knowledge
“Ivy League”
Poor performance in
position
Highly intelligent; may hold several
degrees; performs well in academia
DATA SPOTLIGHT
Percent of managers ineffective
at identifying high-potentials
due to inconsistent standards48%
HR Advancement Center interviews and analysis.
© 2019 Advisory Board • All rights reserved • advisory.com
16
Underrepresented staff face unique challenges in moving up
Faced with pervasive
stereotypes
Navigating as a minority in
a majority environmentLocked out of informal
mentorshipChallenge:
Representative
example:
Whenever I step up to take the
lead on my team, I get the sense
that I’m perceived as bossy.”
Everyone is very direct with their
supervisor. I grew up in a culture
where it was polite to defer. It’s hard
to know how to conform.”
I see that Bob is mentoring Greg.
I’d like that, but I don’t know who
to reach out to…”
HR Advancement Center interviews and analysis.
© 2019 Advisory Board • All rights reserved • advisory.com
17
Two approaches to increase leader diversity
BO
TT
OM
-UP
Mentorship or Sponsorship Peer Cohorts
Goals Evaluation of high-potential talent
TO
P-D
OW
N
Formalize Accountability
Address Unique Barriers
Give senior leaders formal goals for
increasing diverse representation
Provide a mechanism for diverse staff to
form meaningful professional relationships
with senior leaders that can help guide their
career progression
Support diverse staff by providing formal
opportunities to connect and relate to
peer colleagues
Establish clear, consistent criteria to evaluate
your top talent
HR Advancement Center interviews and analysis.
© 2019 Advisory Board • All rights reserved • advisory.com
‹#›
Road map18
Debias the hiring process
© 2019 Advisory Board • All rights reserved • advisory.com
19
Source: Kang SK, et al., “Whitened Resumes: Race and Self-Presentation in the Labor Market,” Administrative Science Quarterly, 1, no. 34 (2016):
https://www.scribd.com/doc/305221179/Administrative-Science-Quarterly-2016-Kang-0001839216639577#download&from_embed
Qualified Black and Asian candidates less likely to receive call backs
Commitment to diversity not enough
Call-Back Rates for Resumes of African
American and Asian Candidates
“Whitened Resumes: Race and Self-Presentation
in the Labor Market”
• Resume audit of pro-diversity organizations—those with
diversity statements on their websites
• Two versions of identical resumes: one “whitened,” one
“non-whitened”
• African American and Asian candidates were more likely to
receive a call back if they changed their names and
included “white” experiences
• Researchers found that organizational diversity statements
are not actually associated with reduced discrimination
STUDY IN BRIEF
increase in call back
rates for African-
American candidates
with ‘whitened’ resumes
14%
increase in call back rates
for Asian candidates with
‘whitened’ resumes
11%
HR Advancement Center interviews and analysis.
© 2019 Advisory Board • All rights reserved • advisory.com
20
Over-relying on our gut to make hiring decisions
Affinity Bias
The tendency to view favorably others who are
like us, and to hold unfavorable views of those
who are unlike us.
“Look, we’re all a bunch of alphas on this team
and he was just so passive, he’ll be eaten alive.”
Halo/Horns Effect
The tendency to view a person or group
positively (halo) or negatively (horns) based on
a single attribute or pre-existing like/dislike.
“She said all the right things, but I’m worried
that she’s been too long in the private sector. ”
Perception Bias
The tendency to form assumptions or judgements
about a group that make it impossible to
objectively assess an individual.
“I’m only interested in Ivy League graduates, I
need the best and brightest for my unit.”
Confirmation Bias
The tendency to seek information that confirms
existing beliefs or assumptions about a person
or group.
“He was a typical millennial, no tie, weak
handshake, he’s not a serious candidate.”
HR Advancement Center interviews and analysis.
© 2019 Advisory Board • All rights reserved • advisory.com
21
Source: Mercy Health: Using evidence to drive hiring and
advancement, https://www.aspeninstitute.org/of-interest/mercy-health-
using-evidence-drive-hiring-advancement/.
Mercy Health increases non-white hires with objective hiring assessments and standardized interviews
HR Advancement Center Interviews and Analysis
Category Description Assessed via
Skill Reading prose, Reading
documents, Quantitative reasoning
ETS WorkFORCE
Competency Perception, Service orientation,
Active learning, Office
administration
Standardized
recruiter interview
Competency Time management, Influence,
Teamwork, Critical thinking
Standardized hiring
manager interview
Overall Fit Index Conscientiousness, emotional
stability, agreeableness, etc.
ETS WorkFORCE
20%Percentage point increase in
non-white hires (from 18% to
38%)
6.6%Percentage point increase in
total non-white workforce
makeup (from 13.4% to
20%)
18.7% First-year turnover (reduced
from a baseline of 25.3)
6 days Decrease in time-to-fill
(37 days to 31 days)
Mercy Health standardizes evaluation criteria
to reduce interview bias
© 2019 Advisory Board • All rights reserved • advisory.com
‹#›
Road map22
Invest in an equitable, inclusive employee experience
© 2019 Advisory Board • All rights reserved • advisory.com
23
Source: McKinsey and Company, Women in the Workplace 2019, https://wiw-
report.s3.amazonaws.com/Women_in_the_Workplace_2019.pdf; Center for
Talent Innovation, Being Black in Corporate America,
https://www.talentinnovation.org/_private/assets/BeingBlack-KeyFindings-
CTI.pdf;; Employment and Discrimination: Exploring the Climate of Workplace
Discrimination from 1997 to 2018, https://www.paychex.com/articles/human-
resources/eeoc-workplace-discrimination-enforcement-and-litigation.
Employee experience often less favorable for people of color
Is this a place where people of color want to work?
Of all employees think
their company D&I
efforts are ineffective
60%
Black employees more
likely to report intending
to leave their job
within 2 years
30%
69%
51%
33%
69%
48%
31%
63%
42%
27%
62%
44%
31%
56%
35%
24%
I have equal opportunity forgrowth and development
Promotions are fair andobjective
I have the sponsorship neededto advance my career
All men White women Asian women Latinas Black women
Employee sentiments about career
investment by race/ethnicity and gender
n=68,500
Workplace complaints due
to race/color discrimination,
the highest of any category,
only 15% resolved
35%
HR Advancement Center interviews and analysis.
© 2019 Advisory Board • All rights reserved • advisory.com
24
Source, HR Advancement Center, how Employee Resource Groups Drive Diversity, Inclusion, and
Business Outcomes, https://www.advisory.com/research/hr-advancement-center/resources/2019/how-
employee-resource-groups-drive-diversity-inclusion-and-business-outcomes
Children’s Minnesota engages and retains staff of color
HR Advancement Center Interviews and Analysis
Children’s Minnesota
5,200-employee pediatric health ; relevant specs • Minneapolis, MN
• Children’s MN uncovered disproportionate turnover
among employees of color
• Through six listening sessions with employees of color,
facilitators uncovered need for more training and development
opportunities, a desire to have a greater sense of belonging,
and manager training on managing diverse teams.
• In an effort to improve retention and employee engagement
by acting on these themes, Children’s Minnesota decided to
build out a robust Employee Resource Group program.
• Children’s MN decreased the number of “under engaged” and
“somewhat engaged” employees of color by 3%; engagement
for employees of color has increased by 6%
CASE EXAMPLEChildren’s Minnesota employee resource group
success factors
• Dedicated time to participate: Children’s MN ERG members
get up to 12 hours paid time annually. Allies get up to 4 hours
of paid time annually.
• Formal goals: ERGs advance key workforce priorities
including recruitment, retention, inclusion, and community
engagement
• Executive commitment: Senior leaders participate in all
ERG events and serve as ERG sponsors
New hires in 2018 that are
people of color1 in 3
6% Increase in employee
engagement for staff of color
© 2019 Advisory Board • All rights reserved • advisory.com
25
Source: Why your top performers quite and how to keep them,
https://www.advisory.com/daily-briefing/2018/01/23/why-people-quit.
Surface career goals and unique barriers for staff of color
Learn What Is Most Important
for Their Future
• Are there any responsibilities you
don’t want to let go of?
• What skills do you consider most
critical to your development over
the next year?
• Is there something I can do to
make this job feel more fulfilling
for you?
1
Understand the Frustrations
They Can’t Live With
• What frustrations or parts of this
job or team dynamic keep you up
at night?
• What’s one thing that might make
you not want to work here?
• If you were to give your next
manager advice on how to best
support you given your personal
style, what would you share?
2
Surface Relevant Professional
Goals and Life Events
• Where do you see your life going
in the next three years?
• What challenges might that create
for you in your current role?
• How can I best support your
progress toward your future
goals?
3
FOR MORE RESOURCES
on stay interview questions visit this link.
HR Advancement Center interviews and analysis.
© 2019 Advisory Board • All rights reserved • advisory.com
26
Your next steps to build a racially diverse workforce
Action ResourcesEvaluate • Workforce diversity benchmarks: Access within the annual turnover, vacancy and
premium labor benchmark generator in related resources “Health System Workforce
Benchmarks
• How to embed diversity and inclusion in organizational strategy: Assess how well your
talent management strategy advances diversity and inclusion
Educate • Diversity, equity and inclusion conversation starters: Understanding and discussing
identity in the workplace
• Webinar: Mindset of an inclusive leader
• Webinar: Social determinants 101
• Webinar: Health equity 101
• Podcast: Why racism is a health care issue
Commit to
workplace
diversity and
inclusion
• How employee resource groups drive diversity, inclusion, and business outcomes:
Lessons from organizations with highly effective employee resource groups
• How to build a diverse leadership bench: A Q&A with Ricardo Forbes, former Chief
Diversity Officer, Baptist Health South Florida, to learn more about how Baptist Health is
builds a diverse leadership teams.
HR Advancement Center interviews and analysis.
© 2019 Advisory Board • All rights reserved • advisory.com
Meet our experts
Christopher Kerns
Vice President,
Executive Insights
@CD_Kerns
Micha’le Simmons
Managing Director,
Workforce Research & Inclusion