Kevin Smith has succeeded Dale Lodge as president/CEO of Winchester Hospital in a succession plan announced by the hospital's Board of Directors nearly two years ago. Smith was formerly executive vice president/CFO. Lodge is now president/CEO of Winchester Healthcare Management, the parent organization of the hospital and other subsidiaries.
BlueCross BlueShield of Tennessee named Richard Cassidy, MD, as vice president and CMO for healthcare services. The company also promoted Inga Himelright, MD, to the new role of associate CMO for the division.
I. Leticia (Letty) Ramirez, formerly chief marketing and communications officer for Carondelet Health Network, has accepted a new position as vice president, advocacy, government, and community relations for the Network.
Christopher Cornue resigned as CEO of McKee Medical Center after serving in that role for just more than a year. The final day for Cornue, who started at the Loveland hospital Sept. 15, 2008, was Oct. 23. Cornue said he plans to return to his home in the Chicago area in response to family concerns. He originally had planned to relocate his family within the year after arriving at McKee. Cornue previously served as vice president of Mount Sinai Hospital Medical Center in Chicago. Jim Ferando, president of Banner Health's Western Region, said he plans to fill Cornue's position as soon as possible.
Brigham and Women's/Faulkner Hospitals named Elizabeth G. Nabel, MD, as its next president after a unanimous vote by the board of trustees. Nabel, who will assume her position Jan. 1, will succeed Gary Gottlieb, MD, who becomes CEO and president of Partners HealthCare when James Mongan, MD, retires at the beginning of the new year. Nabel is currently the director of the National Heart, Lung, and Blood Institute at the National Institutes of Health.
Healthcare has been one of the few sectors in the overall economy that has seen steady, albeit slowed, job growth throughout the recession. As a result, it seems like more people are applying for jobs in the healthcare sector. The newly opened St. Luke's Lakeside Hospital in The Woodlands, TX, for example, received more than 4,000 applications for 100 jobs.
The applicants were probably attracted to the hospital because it was one of the few places hiring, and because of relative job security, even in lean times.
The popularity of the healthcare sector as a source of employment will probably increase as we emerge from the recession into what so far has been a jobless recovery. Next week, the Bureau of Labor Statistics is expected to report that the nation's unemployment rate has surpassed 10%. People will gravitate to where the jobs are.
An increasing number of older candidates will likely be included in that mix of applicants. That only makes sense. Baby Boomers, the nation's largest demographic, are getting older, and many of them took big hits in their investment portfolios, or lost their jobs in the downsizing, and are now discovering that they have to delay retirement and take jobs that offer significantly less compensation. While older workers can offer a rich and deep pool of experienced and talented applicants, your HR department and hiring managers have to be careful to avoid any interview questions that might be perceived as ageist.
Janine Yancey, president of emTRAiN, the Sacramento, CA-based on-line HR training and compliance consultants, says she's hearing concerns that older workers are not being given equal consideration. "It's appropriate to train managers not to have stereotypical assumptions about older workers, and not to conduct interviews or make hiring decisions that disproportionately impact in a negative way the older candidate," Yancey says.
"Anything relating to dates, that is typically a no-no; asking the date of education, when they graduated. That is typical," Yancey says. "You see that actually printed on application forms all the time."
That alone won't prompt an ageism complaint, or a lawsuit, but Yancey says it could prompt the job applicant to perceive other instances of discrimination—real or imagined—that were based upon age. "They could piece together a few things and say 'Okay, this was motivated by my age. That's why I didn't get hired,'" Yancey says. Employers can address legitimate concerns that you may have with older candidates without making age the issue. For example, you may doubt the commitment of an older applicant who is willing to take a job that pays half of what he or she earned at their last job.
Yancey says that's a legitimate concern for employers. It costs a lot of money to hire and train people, and you don't want someone who will quit with the first better offer. It's fair game to broach the subject. "We are talking an extra 15 minutes in the interview that convinces you why or why not you believe this person when they tell you 'I was making $160,000 in my last job but I'd be happy to make $70,000 here,'" Yancey says. "Express your concerns and have that person explain to you why you should not be concerned."
Yancey says there is also not completely unfounded concern that older workers may be set in their ways, technophobes, or unable to adjust to flexible job descriptions. There are tactful ways to address those concerns as well. "I always like to give hypotheticals," Yancey says. "'This position and the way our company structures it requires this person filling this position to do a wide range of responsibilities. Give me an example of a situation where you had to go beyond your job description to do a lot of other things.'"
"The easy rule of thumb is every question needs to be job related," Yancey says. "Don't use any subjective criteria based on age or personal traits. Just phrase your questions, as the hiring manager, in terms of what the job requires. Have them explain how they meet those requirements, and express any concerns, if you have any. And don't come to an interview with some stereotypes and assumptions of what they can and cannot do. Let them show you."
Remember, while it may be hard for an aggrieved job applicant to win a lawsuit, Yancey says that's almost irrelevant. "It's not about whether you win at trial. It's about preventing the claim," she says. "It costs $500 to file a claim, and then your life is miserable."
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According to this editorial from the Washington Post, one issue that could end up bringing down the current health-reform effort is the baby steps that the Senate Finance Committee takes toward addressing the problem surrounding "the unfair and counterproductive effect of the special tax treatment given to employer-sponsored health insurance."
Many small businesses say they are facing the steepest rise in health insurance premiums they have seen in recent years, the New York Times reports. Insurance brokers and benefits consultants say their small business clients are seeing premiums go up an average of about 15% for the coming year—double the rate of last year's increases. That would mean an annual premium that was $4,500 per employee in 2008 and $4,800 this year would rise to $5,500 in 2010.
Overall healthcare prices increased 0.2% in September and were 2.8% higher than a year ago, according to data from the federal Bureau of Labor Statistics. According to the BLS' Producer Price Indices, which measure average changes in selling prices received by domestic producers for their output, overall hospital prices increased 0.2% in September and were 3% higher than a year ago, while physician office prices increased 0.1% from August to September and were 2.6% higher than in September 2008.
In a speech on the Senate floor, Senator Bob Corker (R-TN) lashed out at Democrats and their plan to permanently adjust a Medicare doctor payment formula at a 10-year cost of nearly $250 billion that will be added to the federal deficit. Corker said the bill, sponsored by Senator Debbie Stabenow, Democrat of Michigan, is "designed to pass a quarter of a trillion dollars of unfunded liabilities on to future generations." Corker also accused the American Medical Association of prostituting itself by agreeing to support the Democrats' healthcare legislation in exchange for the formula fix.