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8/7/2019 Talent Mgmt WP 9NOV10 2C
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Talent management:
a crystal ball into yourorganizations futureWill Powley
GE Healthcare
8/7/2019 Talent Mgmt WP 9NOV10 2C
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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.
8/7/2019 Talent Mgmt WP 9NOV10 2C
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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.
2010 General Electric Company All rights reserved.
GE and GE Monogram are trademarks of General Electric Company.
GE Healthcare, a division of General Electric Company
GE Healthcare3000 North Grandview Blvd.
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