Talent Mgmt WP 9NOV10 2C

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    Talent management:

    a crystal ball into yourorganizations futureWill Powley

    GE Healthcare

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    What will your organizationsnext generation of leaderslook like? With a generation of

    baby boomers approachingretirement age, the reinsare about to be handed toa new, younger set of nowmanagers and supervisors.Will they be prepared to

    assume the responsibilitiesof their forebearers?

    As healthcare organizations face

    mounting pressure to maximize

    efciency and minimize costs, they are

    increasingly taking cues from other

    industries on effective operation and

    administration. But one critical area is

    often overlooked: talent management,

    a rigorous, structured process necessary

    to identify and nurture the leaders

    of tomorrow.

    Adapting to the changes and challenges

    of healthcare reform means healthcare

    organizations are faced with the

    perfect opportunitynot to mention

    the economic impetusto upgrade to

    a more rigorous and consistent talent

    management process. This includesevaluating both employee performance

    (i.e., what they have accomplished) and

    employee values (i.e., how their work was

    accomplished). Moreover, this process

    should be performed, at a minimum, on

    an annual basis. Although it takes effort

    and time, investing more strongly in your

    employees will yield ample returnsand

    failing to do so may result in nancial

    losses or even obsolescence.

    Consequences of neglectingtalent managementUnfortunately, healthcare organizations are far less likely

    than top companies in other industries to have formal

    talent management processes in place. The fast pace of

    healthcare engenders an environment in which the natural

    state is reaction, not proactive preparation. Recent data

    warn, however, that healthcare organizations will soon have

    no choice but to confront the issues arising from insufcient

    talent management. According to Press Ganey Associates

    2010 Hospital Pulse Report: Employee and Nurse Perspectives

    on American Health Care,1 45% of hospital employees say

    theyre disengaged, disempowered, and unhappy with their

    jobs. The survey, which garnered responses from more than

    235,000 employees at nearly 400 U.S. hospitals, pinpoints a

    generation gap when it comes to employee satisfaction; both

    Gen Y and Gen X employees report low job satisfaction, putting

    them at retention risk. The report also notes that organizations

    providing the best environments for their employees receive

    higher satisfaction scores from patients.

    The nancial impact of neglecting to properly foster

    organizational talent can be staggering. In hospitals, the

    median length of transition between a successor being named

    and that successor assuming his or her new role approaches

    a full year.2 The price of identifying and hiring an outside

    replacement for a position can mount quickly. Setting aside

    costs associated purely with recruitment, other factors that

    contribute to the economic impact of hiring a leader from

    the outside include:

    Overtime logged by employees in roles adjacent to the

    open position

    Lost productivity from the team or department absent its leader

    The new hires signing bonus

    In total, the economic impact of hiring a C-level executive

    from the outside can approach $70,000. And the costs dont

    end there: research by Equilar Inc., Redwood Shores, CA,

    indicates that in 2007 and 2008, the median compensation

    for an external hire was 65% higher than that for an internally

    promoted individual, in part because executives hired from the

    outside want a higher salary to compensate for the risks and

    costs associated with leaving one organization for another. Yet

    2 of 5 new corporate CEOs fail in the rst 18 months, according

    to theHarvard Business Review

    .

    3

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    Assess all levels

    Talent assessment should not be limited to C-level positions,

    but should be a systemwide initiative aimed at building strong

    managers, directors, and supervisors, and shoul

    start as early as an individuals rst year on the

    job. Smaller projects and assignments can be

    used to assess the potential of employees who

    are young in the organization, helping leaders

    identify those individuals on whom to focus thei

    development efforts.

    Talent management should be a highly visible

    organizational initiative, with high-potential

    individuals and their managers included in the

    feedback loop. This transparency motivates

    employees to work harder and encourages

    talented top performers to remain with anorganization where they feel valued and

    appreciated. This is particularly critical for healthcares at-risk

    Gen X and Gen Y employees, who, according to a May 2010

    Harvard Business Review article,4 grow when leaders are

    recognizing early and often, explicitly linking their individual

    goals to corporate ones, and letting them help solve the

    companys biggest problems.

    Current leaders should not be content with accepting the

    assessment of an individuals job performance delivered by his

    or her direct superior. Instead, the process of assessing talent

    should be diversied to ensure no diamonds in the rough

    are overlooked. Assessment interviews, testing by assessment

    experts and attendance at leadership programs are all means

    by which current leaders can both verify and attain a deeper

    understanding of an employees performance evaluations.

    Include all levels

    Talent assessment also should not be limited to the human

    resource department. Instead, the process should be owned

    by all levels of management, informed by input from individua

    employees and supported by C-level personnel. The human

    resource department should provide tools and guidelines

    for talent review and management, supporting instead of

    superintending efforts by current leadership.

    As the Baby Boom Generation approaches retirement age and

    younger generations of workers cope with the apathy and

    restlessness engendered by a lack of engagement with their

    positions, employee attrition will become a problem healthcare

    organizations literally cannot afford to

    ignore. Now, more than ever, it is critical that

    healthcare organizations develop effectivetalent management processes to ll the

    leadership roles of tomorrow.

    Steps to effectivetalent managementAs we look at developing talent within an

    organization, it is important to look at how

    this activity links with the operations of

    the health system. Talent identication,succession planning, and organization design

    assessments, which encompass the leadership

    and talent review box (see Figure 1), are directly linked to how

    work gets accomplished, how organizational strategy is dened

    and activated, and how a health system meets its nancial

    commitments each year. If health system C-teams are serious

    about improving operating margin, revenue, and efciency,

    leaders must make an investment and commitment to spending

    20% to 30% of their time developing their people in a formal

    process such as the leadership and talent review.

    Develop a cross-organizationsuccession plan

    Beginning with high-risk positions, managers should build

    a pool of candidates suited to occupy these roles should they

    become vacant. This approach represents a departure from

    the traditional practice of grooming a single candidate

    for a higher-level role. Instead, managers should look for

    individuals with leadership skills who will be capable of moving

    laterally as well as vertically within the organization, and helpthese leaders of tomorrow develop competencies in new

    areas to better prepare them for the future. This is particularly

    critical in healthcare; hospitals have a tendency to buttonhole

    talented employees in limited roles, when in fact the core

    competencies that serve them well in their current positions

    can often be leveraged elsewhere.

    Leaders must make

    an investment and

    commitment to

    spending 20% to 30%

    of their time

    with developing

    their people.

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    important to note that at-risk employees are not just those

    who might leave the organization, either for another position

    or to retire; top talents likely to be promoted to higher position

    are also retention risks.

    Predictive workforce planning

    Although its often more efcient and effective for organizationto promote internal employees, there are circumstances unde

    which hiring from the outside represents the best possible

    option. Instead of beginning the search for outside candidates

    when a position becomes vacant, current leaders should

    anticipate which roles are at a high retention risk and conduct

    ongoing exploratory interviews with potential external hires.

    Establishing a pipeline of qualied outside individuals saves

    both time and money in the event that an internal candidate

    cant be identied for a position. Additionally, the process of

    conducting exploratory interviews can help leaders identifyadditional qualities and competencies theyre seeking from

    internal candidates, fostering even more thorough talent

    development within the organization.

    Envisioning the futureAs the Baby Boom Generation approaches retirement age

    and Generations X and Y begin to dominate the workforce,

    healthcare organizations that neglect talent management will

    nd themselves behind the curve, risking both nancial securit

    and employee satisfaction. Those organizations that adjust to

    the opportunities and demands of healthcare reform, as well a

    the mounting importance of actively engaging new generation

    of employees, will attract and retain top talent.

    Cultivating the leaders of tomorrow is critical to ensuring no

    management position at any level stands vacant, and requires

    current leaders to devote larger proportions of their time and

    energy to developing and managing their staffs. Investing in

    future leadership will yield enormous returnsnot only in the

    expense saved by having a pipeline of qualied candidatesat the ready when positions become open, but also in the

    retention of talented employees whose potential matches

    their performance, enabling current leaders to see with

    certainty the future of their organizations.

    Building a comprehensiveorganization chart

    An issue faced by organizations across all industriesbut one

    increasingly pertinent to healthcare as its nancial, regulatory,

    and technological climates all rapidly evolveis the inability to

    predict future leadership structure. Assessing the organizational

    chart for gaps in leadership helps identify where new positions

    may be needed, and underscores the importance of developing

    talent who can step into more than one role if required. Thisapproach not only ensures a pipeline of viable candidates will

    exist for any potential leadership position that may arise, but

    it also enables organizations to better reward high-performing

    employees by moving them into higher-level positions as they

    open up instead of reserving them for specic roles that may

    not be vacated for years.

    A timely example is healthcare IT. Healthcare reform aims to

    accelerate the adoption of healthcare IT, offering hospitals

    the necessary funding to modernize their processes through

    the implementation of technologically complex information

    systems. Of course, most hospitals dont currently have the

    organizational infrastructure to support these IT projects;

    building a good talent development strategy around the IT

    department will be critical, and this will include identifying rising

    stars both within and outside the organization. Effective talent

    management processes could have prepared hospitals for

    this technological revolution, and implementing them now will

    ensure organizations are prepared for the changes to come.

    An effective organizational chart doesnt merely map anorganizations chain of command, but it also includes detailed

    information on each individual, including how long he or she

    has held his or her current position; the complexity of the

    position; and the positions key deliverables. Assessing this

    information will enable managers to identify both leadership

    gaps and positions that are at a high retention risk, two

    areas on which to focus their talent management efforts. Its

    The process of assessing talent should be

    diversied to ensure no diamonds in the

    rough are overlooked.

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    Mission/vision

    Stategic imperatives

    Stategicoperating plan

    1-year operatingplan/budget

    Goals andobjectives

    Leadershiptalent review

    Performancereview

    Values andbehaviors

    Quarterly/monthlyreviews

    Leadershipdevelopment

    PerformanceImprovement

    Talent management components Leadership and talent review is an integral part of the talent management components in the model.

    Figure 1: Model for Organizational Strategy and Talent Management

    Getting started

    Our GE Healthcares Performance Solutions experts

    recommend three steps to launching a rigorous, effective talent

    management program:

    1. Build the road map. Assemble your executive team for a dayor two for a strategic leadership working session evaluating

    the current and future state of the organizations operating

    calendar, management systems, talent development

    program and processes.

    2. Create the tools and templates. Design and implement

    an annual talent assessment process, aligned with your

    organizations operating cycle. The templates are a guide

    to having robust dialogue about each key talent.

    3. Keep up the momentum. Ensure follow-up, coaching, and

    consistency of the talent review program. Remember thatyou are initiating a cultural change, and let leaders and

    their employees know this process is an integral part of you

    organizations operations.

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    Author

    Will Powley, Senior Consulting Manager

    with Performance Solutions. He has

    imparted the GE talent assessment

    approach to more than 15 healthcare

    system clients across the United States,

    applying his knowledge of human resource

    processes, continuous improvement,organization design, leadership curriculum,

    customized design, leadership competency,

    and values development to solve complex

    human capital problems. Leading human

    resource teams in three different GE industries,

    Will brings diverse experience to his

    work with healthcare leaders. He can be

    reached at [email protected].

    References

    1Press Ganey Associates. 2010 Hospital Pulse Report: Employee and Nurse

    Perspectives on American Health Care. Press Ganey Associates, 2010; accessed

    online at http://www.pressganey.com/galleries/default-le/2010_Hospital_PulseReport_

    Employee_Nurse.pdf on 8/16/10.

    2Garman, A and Tyler, JL. CEO Succession Planning in Freestanding U.S. Hospitals:

    Final Report. American College of Healthcare Executives, October 27, 2004; accessed

    online at http://www.ache.org/pubs/research/SuccessionRpt04.pdf on 8/16/10.

    3Ciampa, D. Almost Ready: How Leaders Move Up. Harvard Business Review, January 1,

    2005; accessed online at http://hbr.org/product/almost-ready-how-leaders-move-up/an/

    R0501D-PDF-ENG on 8/16/2010.

    4Martin, J and Schmidt, C. How To Keep Your Top Talent. Harvard Business Review,

    May 1, 2010; accessed online at http://hbr.org/2010/05/how-to-keep-your-top-talent/

    ar/1 on 8/16/10.

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