1. Staffing in Human Resources Brianna Bower, Cody Bowen, Jordan Aunet, Megan Brinkos, & Iqra Baig

2. Nittany Lion Medical Center Acquisition Acquisition: an act of purchase of one company by another Goal: Address the need for more specialty physicians and services provided within the health system

3. Demographics Total Population- 42,034 Median Age--21.5 Asian Ethnicity- 10.9% Hispanic Ethnicity- 3.9% Black Ethnicity- 3.9% White Ethnicity- 79.4%

4. Role of Human Resources Facilitate the merger by supporting specific departments Areas of concentration include: Staffing Ratios Layoffs/Hires Job Descriptions Workplace Culture Training and Development Benefits

5. Staffing Ratios Recommended by MGMA PositionNumber of Staff per Physician Administrators0.19 Housekeeping/MaintenanceToo low Medical Receptionist0.8 Transcriptionists/Medical Receptionists0.2 Medical Records0.31 RN’s0.34 LPN’s0.38 MA’s0.68 Medical Group Management Association. (2004). Physician compensation and production survey. Heggie Enterprises.

6. Suggested Staff and Staffing Ratios for the Practice Physicians: 16 (1:1) Housekeeping: 4 (1:4) Administrators: 1 (1:16) Medical Receptionists: 16 (1:1) Medical Secretaries/Transcriptionists: 8 (1:2) Medical Records: 12 (3:4) RN’s: 8 (1:2) LPN’s: 24 (3:2) MA’s: 12 (3:4)

7. Comparing with MGMA’s Recommendations Type of EmployeeMGMA Recommended RatioActual Ratio Physician1:1 Administratorsabout 1:51:16 Housekeeping/Maintenancetoo low1:4 Medical Receptionists4:51:1 Medical Secretaries/Transcriptionists1:51:2 Medical Recordsabout 1:33:4 RN’sabout 1:31:2 LPN’sabout 1:33:2 MA’sabout 2:33:4

8. Reasons for Some of the Differences- Not a very large practice, so 1 administrator should be sufficient Will need more medical records employees to assure the successful implementation of Cerner Desire more LPN’s than RN’s because they cost less and can provide the basic bedside care needed There are 3 LPN’s for every 1 RN, but the RN’s should be expected to be leaders and direct LPN’s when necessary

9. Temporary Workers Utilize Part time workers Especially for weekend/floater shifts Core vs Variable Staff Temporary staff used to supplement full time staff

10. Job Descriptions Sample Job template

11. Salaries Type of EmployeeAverage Annual Compensation ($) Primary Care152,478 Pediatrician158,853 OB/GYN237,191 Orthopaedic Surgeon397,059 General Surgeon264,375 Internal Medicine159,978 PA90,000 CRNP80,000 RN50,000 LPN35,000 Midwife86,000 Medical Group Management Association. (2004). Physician compensation and production survey. Heggie Enterprises.

12. Layoffs/Hires Small acquisitions=minimal job eliminations Front line workers Outsourcing / meeting synergies

13. Are Employee Layoffs Necessary? After considering the demographics and needs of the surrounding area, it is suggested that none of the employees should be terminated Actually need to add more employees (nurses, medical records) to provide the supporting staff needed by each physician It is very important for HR leaders to assure employees that they have job security after an acquisition is made

14. Workplace Culture Workplace culture encompasses the values and beliefs in which employees follow that bring meaning to a position as well as drive rules and behaviors in the workplace. Potential Acquisition Problems: Value alignment Backlash of new/existing employees

15. Onboard Training Orientation Training Required by the Occupational Safety and Health Administration Make new employees feel welcome Provide background information on Nittany Lion Medical Center and specific job information Integration of new employees into the workforce Costs associated with training

16. Mentorship Program Oversee Mentorship Program Assign new staff to existing staff member in similar department Benefits Guidance for acquired employees Benefit both existing and acquired employees

17. EMR Training Training provided by Cerner 2-3 hours a day per provider Replaces rounds/paperwork 3 physicians a day 3-4 weeks of training

18. Benefits Vacation and Holiday Time off with Pay Insurance Coverage

19. Benefits Continued Pension Plans Flex Time

20. Job Security Communication Honesty

21. Severance Packages ● A severance package is pay/benefits an employee leaves the organization. ● Sample severance package may include...

22. WORKS CITED Centre-County Pennsylvania. (2012) Centre County Demographics. Retrieved from http://www.city-data.com/county/Centre_County- PA.html. Meister, J. (2013). Lessons For Human Resource Departments. Retrieved from http://www.forbes.com/sites/jeannemeister/2013/07/10/lessons-for-human-resource-departments-from-huffington-post. Smithsonian Astrophysical Observatory (2013). Human Resource Functions. Retrieved from http://www.cfa.harvard.edu/hr/functions.html. The Times 100. (2013). How roles and functions contribute to competitive advantage. Retrieved from http://businesscasestudies.co.uk/tarmac/how-roles-and-functions-contribute-to-competitive-advantage/the-human-resources- function.html#axzz2l7jNsX1z. Flynn, W.J., Mathis, R.L., & Jackson, J.H. (2007). Healthcare human resource management (2nd ed). Mason, OH:Thomson South- Western Benefits." Of Working for Valley General Hospital. Valley General Hospital, 2013. Web. 19 Nov. 2013. "Merger & Acquisition (M&A) Services." Deloitte. N.p., n.d. Web. 19 Nov. 2013.