Skip to content

Workforce

Category: Archive

Posted on April 1, 1995July 10, 2018

Changing Culture, Changing Rewards

An organization’s culture can be defined as “What it’s like to work around here.” Its dimensions include the following:


  • What the organization expects from its people and how it communicates those expectations
  • How the organization does its work
  • Whether there are major class distinctions between employee groups (e.g. management vs. line employees) or if the work environment is more egalitarian
  • How and by whom decisions are made
  • How work is organized-by functions, business lines or customers
  • The level of employee involvement and to what degree employees are encouraged to take risks
  • Whether employees are encouraged to compete with one another or to support one another
  • The meaning of success in the organization.

SOURCE: Sibson & Company


Personnel Journal, April 1995, Vol. 74, No. 4, p. 32.


Posted on March 1, 1995July 10, 2018

EARTH TECH Recycles Corporate Environment

Last January, Carole Collins and three other women climbed Mt. Kilimanjaro—Tanzania’s extinct 19,340-foot volcano near the Kenya border. “I’m going to make it to the top,” said Collins, a few days before her departure. As vice president of human resources at Long Beach, California-based EARTH TECH, an environmental consulting and engineering firm, Collins’ mindset applies to work and play. In Tanzania, she says, one is able to view Kili’s immense glaciers covering Uhuru Peak and also feast one’s eyes on the flocks of zebras, antelopes and gnus grazing on the Serengeti Plain. It’s a world far removed from the toxic landfills that her company deals with every day.


Likewise, when Diane C. Creel isn’t running EARTH TECH as president and CEO, she’d rather fly 200 miles per hour in a Bonanza V-35, single-engine plane. “Flying is the most exhilarating thing I’ve ever done in my life. It keeps your adrenaline pumping,” she says. Creel also loves to sail, but when the sea got a little too peaceful, she decided she needed to race. “I enjoy a little competition now and then,” she says. Indeed, whether they’re on land, in the air or on the sea, both women love to tackle big challenges. They’re also ever mindful of the environment around them. Not only because they respect and honor Mother Earth, but because it’s the nature of their jobs.


EARTH TECH’s 1994 annual report aptly describes what that job is: “Successful companies, like healthy organisms, are in constant development. They adapt over time. From its genesis as a geotechnical firm [in 1970], EARTH TECH evolved into an environmental services company assessing, managing and remediating environmental problems for government and industry. Occasionally in the evolutionary cycle, the pace quickens, yielding dramatic change. A metamorphosis. So it was for EARTH TECH in 1994.”


New corporate identity evolves after recent mergers.
Last May, Earth Technology Corporation merged with Canton, Ohio-based Summit Environmental Group, forming what is now known as EARTH TECH. Later, the company announced it also had signed an agreement in principle to acquire Richmond, Virginia-based HazWaste Industries, one of the nation’s largest rapid-response, full-service remediation [cleanup] contractors. By acquiring Summit and HazWaste, the former company grew from a $62 million company with 500 employees to a $200 million company with 1,700 employees in 40 locations. The integration of Earth Technology with Summit was completed in six months—positioning it as one of the top 20 full-service environmental consulting and engineering firms in the United States. “The greatest pressure in a merger process comes on the HR department,” says Creel, the country’s first and only woman to run a publically-owned engineering firm. “HR has probably borne the brunt, but they evolved as the heroes. The merger worked, and we got it done in a very short amount of time.”


Indeed, when a growing company such as EARTH TECH expands through mergers and acquisitions, human resources professionals play a key role in unifying the two different cultures. Because they manage people, they understand that employees may become particularly vulnerable or insecure about keeping their jobs. Most of EARTH TECH’s employees are educated professionals with such job titles as geologist, asbestos specialist, hydrologist, structural engineer, toxicologist and geophysicist. “These are people who want longevity in the kind of work they’re doing,” says Collins. EARTH TECH’s HR, therefore, performed several critical tasks. Among them: defining a new HR structure, centralizing policies, streamlining compensation and benefits, and propagating the new policies and corporate culture through as many creative venues as possible. Collins and her HR staff had to begin managing an employee base that more than tripled in size. Asked how she felt when she was told about the Summit merger, Collins recalls: “I looked this elephant in the eye and said, “You’re mine. We’re going to do this one step at a time.”


In order to proceed with those steps, Creel made a decision to form an Integration Committee that would oversee all aspects of creating the new corporate identity: integration of management; technology transfer; compensation and benefits; work force coordination; and communication. The eight members included the four top executives from Earth Technology and Summit. (Summit Environmental Group Inc. was a holding company for environmental firms with established reputations in air quality, infrastructure development and management of water and waste water systems.) Because the committee relied on HR for its expertise on benefits and policies, and insights about the employees’ needs, Collins worked closely with Creel and attended several meetings in which HR-related issues were discussed. “We put everything on the table. I think that was a very good move. It made everyone participate in what was going to be the new EARTH TECH,” says Collins.


In other words, Creel offered her management team a new corporate landscape. She asked them to join her in pondering: Where have we been, what do we want to be doing, and where do we want to go?


Government regulations and public consciousness drive the industry.
As Creel explains it, the environmental services industry in the ’90s is a mature industry. But only 30 years ago, the American people were just beginning to learn about the dangers of the pesticide DDT on the chain of life, when biologist Rachel Carson wrote Silent Spring in the early ’60s. When the U.S. Environmental Protection Agency (EPA) was created in 1970-71 and the first sets of mandates such as the Clean Water Act and National Environmental Policy Act were issued, many businesses didn’t even know those regulations existed. By the ’80s, the environmental services industry was beginning to develop. The main challenge then was to find the right people to do the work, says Creel. Today, amid greater public awareness, more governmental regulations, market competition and company downsizings, organizations such as EARTH TECH are emerging as environmental service industry leaders. The field of competition, she says, has narrowed and matured. Where regional companies once divided the work, the jobs are now being done by national firms. And the market is oozing with opportunity. Here’s just a few of the EPA’s statistics:


  • Twenty years after the passage of the Clean Air Act, one in five Americans live in areas where the air does not meet federal air quality standards
  • Fourteen years after Love Canal, one in four Americans lives within four miles of a toxic waste dumpsite
  • Thirty years after Carson’s book, the use of pesticides has doubled.

The costs to remediate and manage existing waste sites could reach $400 billion over the next three decades. Moreover, the Department of Energy and DOD are currently projecting expenditures of between $65 and $100 billion in just the next five to seven years. Their combined 1994 budgets were approximately $9 billion.


Within the context of the environmental services industry, Creel was responsible for expanding the company’s market, geography and technology, and cultivating the organization’s collaborative management team. Her leadership emerged when she became the company COO in 1987, the president in 1988, and the CEO and chairwoman in 1993. Today, mid-size firms like EARTH TECH are hoping to increase their Fortune 500 portfolio and grab a bigger chunk of the Pentagon’s post-Cold War base closure contracts. “Years ago, when we sited nuclear power stations and missile sites for the Air Force, we used to say that the greatest threat to our strategic plan was peace. Now, with our involvement in the environmental aspects of base closures, the greatest threat to our strategic plan is war.”


According to the White House Office of Science and Technology Policy, the environmental services industry reaped $134 billion last year in four categories: pollution prevention; pollution control; monitoring; and remediation. EARTH TECH intends to cash in on the growing market, but to do so, the company had to expand its services and geographical presence. Since the Summit merger and HazWaste acquisition, EARTH TECH’s client base now comprises 44% federal government, 38% private industry and 18% municipal government. Among its key government clients are the U.S. Air Force Center for Environmental Excellence, the EPA, U.S. Army Corps of Engineers and the U.S. Coast Guard. Some commercial clients include 3M, Chevron, Dow Chemical USA, Occidental Chemical and General Motors Corporation. To meet this growing market, EARTH TECH had to be created as a new corporate identity.


The Integration Committee seeks buy-in.
When former Earth Technology and Summit consummated its merger last May, Creel knew that she couldn’t proceed without input from her executives and top managers. “Clearly, we could have made in three months at our corporate office decisions that the committee made in six months. But I was looking for buy-in,” says Creel, who began her career at Earth Technology as vice president of marketing in 1984. She understands the importance of having consensus. Her own climb up the corporate ladder, she says, wasn’t easy. She had three strikes against her: “I wasn’t an engineer; I was a female; and I came out of marketing.” (Creel also received bachelor’s and master’s degrees in journalism from the University of South Carolina.) So when company founder Jack J. Schoustra wanted her to serve as COO and president in 1988, Creel insisted upon receiving a vote of confidence from the board of directors. Likewise in 1993, when Schoustra was asked to step down as CEO after a series of money-losing acquisitions and a struggle to replace him, she did not accept the top position without the board of directors’ endorsement. “I wanted it on record that the entire board backed the decision. I wanted to make sure that I had their support before I took the job,” she says.


As Creel established the Integration Committee, she kept those lessons in mind. She made it clear that she not only wanted it to be a well-endorsed unit, but a fast-tracked vehicle toward change. Why? “I believe people are inherently afraid of change,” she says. At first, she received some resistance from the Summit executives. Some felt the integration would be too disruptive to employees, and that the transition should evolve more slowly. Creel disagreed, won them over and believes that those same managers would now say, “Thank God, it’s over.” Her reasoning was that the quicker the integration, the lower the fear factor.


One of the first actions the Integration Committee took was to approve the new HR structure that would manage the new employee base. As CEO, Creel announced that Collins would remain as director of the human resources department and invited her to attend several Integration Committee meetings. Collins, who came to Earth Technology in 1980, had built the department from the ground up and had proven her HR management skills during the last 15 years. “There was no HR department when I first arrived,” she says. She remembers hopping from department to department, taking burdensome tasks away from other managers so that personnel files, benefits and payroll information would be organized and stored in one place. “As you start building on this, people started using me more. They were very glad to give me some of their tasks. That’s how HR started.” Then in 1986, Collins began to feel the crunch of government regulations. It was the year that COBRA (Consolidated Omnibus Budget Reconciliation Act) was passed. From then on, the government regulations started piling up one after another. If it wasn’t the Immigration and Reform Act, it was the Americans with Disabilities Act or the Drug Free Workplace Act. “What’s become the biggest issue in my mind is complying with these regulations and then being able to still add value to the company,” she says. “It takes time away from developing programs that are more valuable to management and employees.”


Today, government regulations still burden the HR department. But Collins’ first task after the merger was to restructure her department. Before the merger, there were only five people in the HR department: Collins, Mark Coulombe (benefits manager), an HR coordinator, an employment specialist and a secretary. They operated out of the corporate office in Long Beach. After the merger, the Integration Committee recognized the challenge of managing larger numbers of employees nationwide, including those in the Midwest and Northeast regions gained from Summit. Collins, Coulombe and two HR employees still operate out of the corporate office. But the employment specialist’s functions were given to three HR managers overseeing the West, Midwest and Northeast regions. The regional HR managers’ main assignment, she says, is to implement company policies and corporate procedures in recruitment and employee relations. Each of the regional offices in turn employ three to four HR staffers. After Collins and the Integration Committee met many times, members approved a set of recommendations regarding HR’s structure, management approach and proposals for centralized policies, benefit package and an incentive compensation program for executives, she says. They primarily relied on Collins to provide insight about how the merger would impact employees, financial information about benefits and ways to remain competitive in the marketplace. Did she receive some resistance from the acquired company’s HR managers? Not surprisingly, she did. But in any merger, she says, employees of the acquired company are more likely to be resistant to change. “For the HR [managers] that were interested in our proposed structure, they stayed on. For those that felt it wasn’t something that they wanted to participate in, they left,” she says. Once the new HR structure was established, however, Collins was then able to focus on centralizing EARTH TECH’s benefits and policies.


HR designs new corporate policies and benefits.
One of HR’s most daunting tasks was consolidating the policies and benefits of the merging companies. Again, the Integration Committee and the HR staff approached these tasks with the same general philosophy that Creel had applied to all other areas impacted by the merger. “What we tried to do was start with a clean slate,” says Coulombe, who says that after the merger, his reponsibilities primarily changed in scope. He and Collins focused on planning and implementing the new policies, benefits and executive incentive compensation package. “When you start new programs, it takes a lot more creativity to get the information out that will help people take it in,” he says.


Instead of nitpicking each company’s policies and benefits, HR proceeded by asking the question, “What do we want in this new organization?” After some cursory comparisons, Coulombe began researching the policies and benefits of other companies in the same market. Most of the policies that were finalized covered many of the basic areas of any employee policy handbook. The process allowed EARTH TECH to consolidate or formulate policies that the merging companies were either enforcing or lacking. For example, Earth Technology employees didn’t have floating holidays, but Summit did. The new policy established them for all employees. At Summit, bereavement and sick days were separate. After the merger, they were combined. HR also came up with a combined policy for jury duty. Previously, Summit paid its employees for serving jury duty. Earth Technology didn’t. “That’s important because if someone wants to serve jury duty and one company pays, and the other doesn’t, that’s not good. These are the things we had to throw on the table,” says Collins. The same process applied to reviews, evaluations and classifications of employees. For example, HR and the Integration Committee had to decide who’s a part-time employee. At what point do individuals receive benefits? After 30 hours or 32? “We had to come up with an agreement that was going to affect some new employees who would have to accept the new policies. But existing employees of Earth Technology had to be informed that they weren’t going to receive benefits unless they worked at least a 32-hour week,” she says.


Most of the employees, Coulombe recalls, wanted to know more about their benefits. “People had a lot of concerns. They get very specific about my medical plan, my doctor… the things very personal to me,” he says. HR’s challenge was to offer the best benefits the company could buy for the dollars it had and to streamline them because of the merger. Because medical benefits usually cost the most, the company underwent a bidding process among different insurance carriers. The goal: To find a national carrier that could service all the company’s geographical areas and offer some type of consistent managed-care program. “There was going to be gives and takes on both sides,” says Coulombe.


After several discussions between HR and the Integration Committee, these are some of the new benefits that were designed for EARTH TECH:


Before the merger:
There was a variety of medical insurance carriers, including HMOs, PPO, EPO [Exclusive Provider Organization] and indemnity plans.


After the merger:
The company signed with one national carrier who provided a point-of-service medical program and a high network match throughout the company. Employees now enjoy low copayments, prescription benefits and out-of-area coverage for non-networked areas. This supported HR’s goal of having one national carrier providing a managed care program for the majority of employees.


Before the merger:
The mental health coverage for most employees was included in the medical plan. There were stand-alone employee-assistance programs (EAPs).


After the merger:
Mental health and substance abuse were carved out of the medical plan and placed with a specialty carrier. EAP benefits were included for all employees with additional mental health coverage for employees enrolled in the medical plan.


This supported HR’s goal of providing an EAP for all employees and providing a separate mental health carrier.


Before the merger:
Earth Technology had a choice of indemnity or EPO dental. Summit had no dental plan.


After the merger:
The company signed with one national carrier to provide dental coverage for all non-operation services employees and freedom to choose between indemnity and managed-care coverage. Here the goal was to select an experienced dental carrier for all employees.


Before the merger:
There was a variety of life insurance carriers, and the coverage was from two to three times the annual salary with different maximums. After the merger: Again, EARTH TECH used one national carrier with coverage up to three times the annual salary and a maximum of $500,000.


Before the merger:
There was no travel medical assistance program.


After the merger:
A program was included with AD&D coverage. It helps employees in the event of medical or other emergencies while traveling away from home, especially in foreign countries.


In addition to establishing the companywide benefits, Collins was the main architect of EARTH TECH’s revised executive incentive compensation plan. One of the reasons the plan had to be revised is that Summit didn’t have one in place. Earth Technology did. “We had to consider how to make it fair and equitable,” says Collins. About 15% of EARTH TECH’s 1,700 employees are eligible to participate in the program. Targeted for top-level managers, the program includes senior-level managers all the way up to the company executive vice president.


EARTH TECH’s program, she explains, has seven levels of eligibility, depending upon the employee’s fiscal year performance at a specific level of responsibility within the company. The incentive plan is composed of two components. One component is based on the company’s overall profit as a percent of net revenue. The other is based on individual objectives established between each individual participant and senior management. This second component includes quantitative objectives for the individual profit and losses for a region or department, and includes profit as a percent of net revenue, accounts receivable goals, booking goals and utilization goals. Marketing personnel, however, will have individual revenue goals apart from the program. Although Earth Technology managers took a major cut in their maximum bonus levels, the main goal of HR was to “bring everyone into the larger corporation and come up with something that was quantifiable and perceived as fair,” she says.


Stop rumors, eliminate fear, offer multiple forms of communication.
Throughout the first six months of the integration, EARTH TECH executives and managers were true to the open process advocated by Creel. She and Denise Pierangeli, director of public relations, issued a periodic newsletter called Synergy. Creel says she picked the name because that’s exactly what she was trying to achieve between the two companies. Employees from both companies received the newsletter soon after the committee had met. It provided updates on everything from the new organizational chart to health and safety issues to changes in policies and benefits to the new company logo. “Diane made an all-out effort to communicate,” says Collins. Through Synergy, employees kept abreast of the agendas, management decisions and timetables. Then Coulombe would follow up with a more specific benefits newsletter. Because there were 1,700 employees nationwide, the Integration Committee also installed an E-mail system so the employees could be networked online. “It was our policy to respond within 24 hours,” says Creel. “We put [E-mail] in place prior to closing the merger.”


But even with the speed of technology, EARTH TECH executives still valued the importance of human contact. “The more you communicate, the more people will understand the direction of the company and feel a part of it,” says Coulombe. With that awareness, HR launched a communications campaign by announcing that meetings would be held throughout the country to address benefits. Prior to the meeting, each employee received a newsletter with a benefits overview, a letter from Creel and a special benefits enrollment guide. Then HR formed six teams that included an HR manager—Collins and Coulombe also participated—insurance company representatives and brokers. “We conducted 35 employee meetings within one week,” he says. Spouses also were invited to attend. Because the employees had already received written information, most meetings lasted about two hours. “In most cases, the spouses had more questions.” Clearly, by allowing the employees to raise all of their concerns, they became active participants of the new corporation.


CEO’s corporate vision includes HR as strategic partner.
One thing Collins is certain about is that Creel doesn’t just pay lip service to HR’s role in a company. Her commitment was first proven in 1988 when Creel became Earth Technology’s president, in addition to her position as COO. The company held brainstorming sessions with non-management employees to receive their input about benefits and other HR issues. They were asked what attracted them to other companies, and what they liked about Earth Technology. “The process let us know what the value system of the employees was,” says Creel. As a result of these sessions, the company’s programs and policies were streamlined for the first time. It was a major change, one that Collins attributes to Creel. “The company was made up of separate entities then, and people liked doing things their own way. A lot of mentoring and support came from Diane. She came on the scene and developed the HR department,” says Collins.


Now that the HR functions have been even more systematized since the merger and integration, Collins has set her eyes on positioning HR as a more visible strategic partner. What that means, she says, is showing how HR adds to the bottom line. “As part of HR’s annual goals, we’ll start quantifying the processes we do,” she says. Are they reducing the number of days to bring in a new hire? How long are they taking to fill a request? Are they improving the process and how? For example, if it takes 45 days to find a geologist, what can they do to find one in less time? What kind of recruiting techniques have been most successful, and how much is the company spending on benefits per hire? The tougher issues to evaluate, she says, are employee relations. “It’s hard to know how long it will take to solve a problem with a supervisor. It could take one conversation or several months.”


As EARTH TECH’s HR department tackles these issues, Creel will be thinking more about the company’s direction as a whole. Each year, EARTH TECH establishes a three-year strategic plan. But due to the nature of the industry, which fluctuates according to the economy, government regulations and public sentiment, management adjusts the plan accordingly. “One has to be flexible and responsive to the client. If the client needs missiles, you site missiles. If the client needs base clean up, you clean up the base.” Part of EARTH TECH’s future strategy, she says, includes laying the foundation to absorb the global market, particularly in the Pacific Rim. For example, if EARTH TECH had been operating in Kobe, Japan during last January’s earthquake, the company might have been charged with responsibility for the repair and rebuilding of water and waste-water treatment systems. Likewise, other Asian countries, she adds, appear more willing to pay for cleaning up contaminated water and waste water in that region.


But until the global opportunities become more concrete, Creel plans to continue overseeing the integration of the Summit merger and HazWaste acquisition. Last year, she traveled 233,000 air miles. This year, she expects to continue at the same rate. She believes that her accessibility will demonstrate her commitment to open communication between EARTH TECH’s executives and the new employees. But if she’s learned any lesson from the Summit merger, it was this: Don’t neglect the employees of the original company. “With Summit, I was so concerned about reaching out to the new employees, I didn’t give as much attention as I should have to the [others]. The original employees need the same amount of time and attention. Through the second merger [HazWaste], I’ll be more sensitive to that.” That’s good news for Collins, who says that working on the same floor and being involved in the transition helped her to keep pace with Diane’s direction. Now, was that by air, land or sea?


Personnel Journal, March 1995, Vol. 74, No. 3, pp. 34-41.


Posted on March 1, 1995July 10, 2018

Why Health Insurance is Vulnerable to Fraud and Abuse

The increased use of computers for processing claims may be making health-care fraud more inviting to unscrupulous providers. There also are some basic characteristics inherent in the health-insurance system in the United States that enables fraud and abuse to flourish unchecked. Some examples:


Obstacles to Detection:


  • More than 1,000 payers process 4 billion claims each year to pay hundreds of thousand of providers, using different payment methods and subject to different billing regulations.
  • Providers’ claims are paid by many different insurers, making billing patterns hard to identify. Thus, a provider who bills for more than 24 hours of visits on a single day might not be discovered when the claims filed by that provider are split among many insurers.
  • Collaboration among insurers to detect improper billing can be hindered by privacy concerns and incompatible claims data.
  • Insurers must weigh the financial benefits and deterrent value of their detection efforts against the legal and administrative burden they may cause providers.

Obstacles to Prosecution:


  • Successful prosecutions may not result in insurers recovering their money.
  • Federal prosecutors may not accept criminal health care cases involving less than $100,000 because of limited resources.
  • An insurer’s efforts against unscrupulous providers can result in scams being shifted to other insurers. For example, when Medicare excluded providers who were cheating the program, the providers moved their unlawful operations to private insurers.

Issues that Foster Fraud:


  • Increasingly, health providers are investing in medical facilities, allowing them to control the demand for and supply of services; this creates a potential conflict of interest.
  • Insurers are limited in their ability to trace and hold accountable the source of fraudulent billing in new, unregulated medical facilities.
  • Physicians frequently invest in medical facilities but aren’t always required to disclose their investment in facilities to which they refer patients.
  • Anti-kickback statutes aren’t always applicable to providers who, through private insurance, profit from their patient referrals.

SOURCE: Health Insurance: Vulnerable Payers Lose Billions to Fraud and Abuse, U.S. General Accounting Office, Washington, D.C. May 1992.


Personnel Journal, March 1995, Vol. 74, No. 3, p. 32.


Posted on March 1, 1995July 10, 2018

A Hospital Takes Action on Employee Survey

For 15 years as a human resources professional, I managed to stay clear of employee opinion surveys. I’d been warned against them early on by my first boss: “Never conduct an employee survey,” she said. “They raise expectations. Stay away from them.”


Having been properly admonished about the inherent dangers of employee opinion surveys, I managed to avoid them throughout my career. When I joined Doctors Hospital of Manteca, however, my luck ran out. My first assignment as HR director was to participate in the analysis and communication of a recently completed employee opinion survey.


Doctors Hospital of Manteca, California (DHM), is a 73-bed acute-care hospital with 375 full- and part-time employees. For most of its 32-year history, the majority of employees were represented by a collective bargaining unit. In 1991, the employees voted to decertify the union.


Despite the decertification vote, the hospital’s administration was aware that the union’s absence left a number of employees feeling unsettled. The open-door policy and employee forums regularly held by Rich Robinson, the CEO/Administrator, helped maintain open communication between the hospital’s administration and employees. However, Robinson and Barbara Mathis, then director of HR, concluded that an employee opinion survey would be the best way to comprehensively measure employee satisfaction with the hospital while guaranteeing the confidentiality of the participants.


DHM has a hand in developing the survey.
To ensure an accurate measurement of employee opinion, an outside firm was needed to conduct the survey. Before beginning its search, the hospital established specific criteria that the survey firm must meet. Knowledge, experience and understanding of health-care organizations was a primary consideration. In addition, the ideal firm would have a survey questionnaire that was comprehensive yet offered the flexibility of adding facility-defined questions; it would also boast a fast turnaround time and the ability to present a thorough explanation of the data. After an intense search, DHM identified Atlanta-based Avatar International Inc. as meeting these standards, and signed the company to conduct the study.


The ideal survey was comprehensive yet flexible, boasted a fast turnaround time, and was able to present a thorough explanation of the data.”


Avatar’s survey was a particularly good fit with DHM’s needs. The questionnaire consisted of 115 “statements” designed specifically for health-care organizations.


For each statement, employees expressed their opinion using a five-point scale which ranged from strongly agree to strongly disagree. The survey’s statements addressed a variety of issues, such as:


  • The people in my work area encourage each other to give their best effort
  • Considering the skill and effort I put into my work, I am satisfied with my pay
  • There are significant problems of communication between my department and others.

The survey also allowed for 10 facility-defined statements and two open-ended questions soliciting direct employee comment. The hospital had only to decide which 10 issues it wanted to address. To ensure hospital-wide representation, HR established an Employee Opinion Survey Committee. Eleven employees from departments as diverse as data processing, radiology, surgery, staff development, food service, critical care and HR were tapped to form the committee.


The group met three times over a one-month period to develop the facility-defined questions. In the end, the 10 questions queried employees on such topics as:


  • Whether their department maintained an adequate amount of supplies
  • The perceived level of in-house educational opportunities
  • The quality and cost of employee meals
  • The way in which confidential matters and concerns were handled—in regards to both hospital employees and patients
  • The level of comfort employees had in pursuing solutions to problems they feel are not being adequately addressed by supervisors.

The questionnaire also included an area for written comments to allow employees to give feedback on any issues unaddressed by the survey and to comment on ways in which the hospital’s work environment had improved over the year.


Upon completion, the survey was distributed to all employees. To encourage participation and further guarantee confidentiality and anonymity, employees mailed their completed survey questionnaires to the survey firm utilizing the preaddressed, postage-paid envelope included with the form.


For most mail-in surveys, a 40% response rate is considered very good. DHM achieved a 50% response rate—even more impressive considering that about 170 of DHM’s 370 employees work on a part-time basis.


DHM didn’t have to wait long to find out the survey’s results. About a month after the questionnaires were returned, the Employee Opinion Survey Committee and the hospital’s top management, known as the administrative group, each met with Avatar representatives to review the data.


To make the review process quickly understandable, survey statements were designed in such a way that groups of related statements made up an overall survey factor. For instance, survey statements such as “How hard I work makes a big difference in the success of the hospital” or “I have a clear understanding of what is expected of me” all address the issue of Performance Expectations. The results of these statements can be measured individually, and also were grouped together to communicate a composite result for the Performance Expectations factor.


To ease the communication of the survey’s results, the hospital identified the five most positive factors and the five factors representing areas needing the most improvement. DHM now knew where it stood.


The hospital sets its plan for improvement into motion.
Michael Everett, Avatar CEO, said that a 35% or higher rating of “unfavorable” response to any survey question indicated an area of concern. The Survey Committee and Administrative Group reviewed the survey to identify these problem spots. They were:


  • Communication
  • Career development
  • Identifying staffing needs
  • Performance evaluations
  • Compensation and benefits
  • Cafeteria.

The Employee Opinion Survey Committee and the Administrative Group set out to create action plans to correct the problems. Department directors whose areas of responsibility were identified as needing improvement were included in the action plan discussions and participated actively in developing the final draft.


The action plans varied depending on the problem spots identified. For instance, 46% of the survey respondents indicated that “there are significant problems of communication between my department and others.”


The action plan to correct the situation included such steps as:


  • Presenting a management training program highlighting communication within and between departments
  • Implementing a “walk a mile in my shoes” program to encourage understanding between departments.

After all the action plans had been decided, they were communicated, along with the survey results, to all hospital employees in a special edition of the hospital newspaper. The eight-page issue also included a review of the survey’s purpose and methodology. While the positive factors were clearly communicated, special attention was given to those factors identified as needing improvement. Each factor identified as a weak area was accompanied by a corresponding action plan, which was printed in a shaded box. By highlighting the action plans, employees could see the importance being placed on the plans and the seriousness with which the hospital’s administration viewed the survey process.


“By highlighting the action plans, employees could see the seriousness with which the hospital’s administration viewed the survey process.”


To further drive home this final point, the special edition also included letters from the CEO/Administrator, the assistant administrator and the human resources department. Each letter emphasized the writer’s support for the survey and for the action plans which had been developed as a direct result of employee participation. Management also committed to future newsletter updates designed to keep employees informed concerning the implementation of each action plan.


The special edition of the newsletter was published in July 1992, six months after our CEO/Administrator announced the hospital would be conducting an employee opinion survey. Since then, hospital-wide memos have announced implementation of each action plan, and two newsletter updates have been published since.


Currently, 13 of the 17 action plans developed have been completed. The remaining action plans, most of which deal with the hospital’s cafeteria service, should be complete by the end of the summer.


Through the employee opinion survey, and the action plans which resulted from it, the administration of Doctors Hospital of Manteca demonstrated the seriousness with which it views issues that are important to its employees. The survey also provided the impetus for creating new programs that have resulted in greater efficiencies while improving the quality of the care the hospital provides.


The Partners in Education was one such program. The initiative was created to address what employees felt was a lack of opportunity to pursue continuing education. The Partners in Education program identified and addressed barriers that lower-income employees face while trying to complete their education. For instance, the hospital’s Education Funds committee realized that although the hospital reimburses 100% of tuition, it does so at the end of the semester. This prohibited many employees from using it. Now, tuition is provided up front. To address employees’ flexibility and mobility problems, the hospital introduced a loan program to assist employees with costs not covered by the tuition assistance program, such as child-care expenses.


In addition, a Student/Employee program permits a select few to attend class and work part-time while maintaining their full-time benefits and salary. The program is open to two employees a semester. Partners in Education had such an impact at Doctors Hospital of Manteca that the program was awarded the Society of Human Resources 1994 Creative Application Award.


My first boss was right. Employee opinion surveys do raise expectations and, as such, can be dangerous. But if conducted with the sincere desire to find out what employees are thinking, the intent to act upon that information and, most importantly, with the commitment of the organization’s top management to the survey process, they can also be a powerful employee relations tool.


Personnel Journal, March 1995, Vol. 74, No. 3, pp. 74-77.


Posted on March 1, 1995July 10, 2018

Balance on the Fine Line of Employee Privacy

Everyone gets a little touchy about the privacy issue. What’s business as usual to one employee may be a serious personal invasion to another. Employers need to look to the law for guidance on this highly subjective subject—one that spans from hiring practices to surveillance operations. And differentiating between private and public information will only get more complicated as we expand into E-mail and voicemail arenas.


Gerald Skoning, partner at Chicago-based employment law firm Seyfarth, Shaw, Fairweather & Geraldson and editor of the firm’s newsletter, Labor & Legislative Report, offers some advice on gauging the line between what employees have a right to keep private and what employers have a right to know.


Is employee privacy really becoming a serious issue?
With the technological explosion we’re experiencing, we’ve got quite a number of risks in terms of personal privacy and confidentiality. I think a lot of people are much more sensitive to privacy concerns in this day and age than perhaps ever before because of the types of technology that by their very nature carry with them risks to confidentiality. We all feel a little more vulnerable. It’s a “Big Brother Is Watching” sort of an Orwellian society we’re headed toward. At the same time I think that the courts and juries are going to be pretty vigilant in protecting unnecessary intrusions into individual rights to privacy. So I think as a trend, if a plaintiff employee can point to a federal statute that says these materials are supposed to be confidential, and an employer negligently or intentionally breaches that confidentiality, it’s a pretty sensitive case to be presenting to a jury.


You mention new technology as a potential trouble spot. What areas of technology do you see as problems?
In terms of areas where we’ve advised our clients: The surveillance cameras companies use to guard against security breaches or theft, the Email systems that many large companies use for intra-office or inter-office communication, the use of PCs and what goes into a PC data bank. Some of our clients use phone banks for sales, and they want to monitor them to make sure that they aren’t being abused. These are kind of the new cutting-edge areas of privacy and confidentiality.


So is there any basic guideline to know when you’re crossing the line?
The fundamental issues in all of these cases, particularly dealing with PCs and E-mail and so on—and I’m generalizing in terms of the state of the law of privacy—is whether the employee has a reasonable expectation of privacy. Whether its his E-mail bank or her PC input—Is there a reasonable expectation of privacy? That’s basically the standard that’s applied under the law. So the way an employer protects itself against claims by an employee that there is this expectation of privacy is to defeat the expectation of privacy up front by various types of disclaimers.


Can you give an example of what this disclaimer would look like?
For instance with a PC, before you access the system, a disclaimer comes up on the screen, and says as an example: “This computer network, including all data files and applications, is the property of XYZ corporation. All materials and information created, transmitted or stored on this system are the property of XYZ corporation and may be accessed by authorized personnel.” In other words, anyone can access that data. The final statement is “Users should not have any expectation of privacy with respect to the materials and information stored on the system.” That legally removes any expectation of privacy.


Would a similar notice work for such things as security cameras?
Exactly: “Employees are advised that we maintain security cameras that routinely scan the work area. These cameras will be monitored to ascertain that security is maintained, and people should understand that there’s no expectation of privacy with respect to activities in the workplace.”


What’s the best way to communicate this notice?
There are a lot of ways to do it. You can circulate a memo to all personnel. The problem there is proving that everyone got it. If you’re really concerned about the potential for someone getting upset about a breach of privacy rights, when they sign on with the company, you could have them sign a declaration of understanding that they’ve been advised of the policies, and that they understand that they have no right to privacy as to activities in the workplace. The same story with phone banks. Let employees know that phones will be monitored as necessary to protect legitimate business interests involved in sales activity.


How else may companies overstep the privacy boundaries?
One area is psychological testing for job applicants, which a lot of companies use. That’s a very problematic area because the courts have generally recognized that psychological testing can have proper business objectives, but with the ADA and other privacy interests, there is some concern that these psychological tests occasionally stray into statutorily or constitutionally protected privacy areas of applicants or employees. In fact, recently a major U.S. company settled a class action by job applicants who were required to answer pretty intimate personal questions in pre-employment psychological examinations. The case was settled—but settled for big dollars.


What kinds of questions would generally get an employer in trouble?
The questions in this case dealt with whether or not the applicant engaged in any unusual sex practices, questioned whether the male applicant ever wished he was a girl, whether they’re strongly attracted by members of their own sex, whether they believe sins are unpardonable, whether they feel sure that there is only one true religion, whether a minister can cure a disease by praying and putting his hands on your head… pretty intimate stuff.


You mention privacy protection surrounding the ADA. What are the issues that employers should be aware of?
The Americans with Disabilities Act provides that an employer must keep confidential any information on any employee’s medical condition or history and must maintain this information in a separate file. Historically what employers have done is put it in the personnel file. You can’t do that anymore. It must be in a separate, locked cabinet away from normal personnel records.


Then who should be allowed to see these records?
There’s very limited access allowed to those records. Supervisors and managers may have access on a need-to-know basis—first aid and safety personnel may be informed if the employee’s disability might require emergency treatment. Government officials have access to this information or folks who deal with workers’ comp matters or insurance claims, but otherwise access is out of bounds. And it’s a real trap for the unwary employer because the information that goes into these files can be pretty damned interesting stuff. Just take a hypothetical case. An employee is being treated for HIV. The horror-story thought is that someone—a clerk in the insurance claims department—reads about Joe Smith who’s being treated for HIV and goes down to the cafeteria for lunch and says “You wouldn’t believe what I’ve found in the file.” And suddenly by communicating that information to another person, they’ve breached a federally protected right of confidentiality.


What can a company do to prevent this type of problem?
Our counsel to clients is you have to regularly warn anyone who has access to these materials that they’re absolutely confidential as a matter of federal law and that any breach of that confidentiality is a serious disciplinary offense which could result in discharge. I recommend that an employer—to be doubly certain to protect themselves—issue a memo to anyone who has access to that info, documenting the fact that they’ve been advised that it’s confidential. Then if there is a breach down the road, you can argue to the jury that you did everything possible and shouldn’t be blamed for any slip up.


What about privacy issues concerning employee evaluations?
Early on, there were a number of cases involving the issue of performance evaluations that said really negative things about an employee. So the courts have developed what’s known as a qualified privilege that attaches to any communications internally in the HR field that are ordinary and necessary parts of running a personnel operation. In other words, if the plaintiff can show that it’s a malicious effort to willfully destroy someone’s career, and it’s done maliciously and it isn’t true, then they can bring a suit. But if it’s simply part of the ordinary HR process, there’s a qualified privilege.


What’s the bottom line in knowing how courts would review a claimed invasion of privacy?
Essentially what the courts do in evaluating claims based on privacy is a balancing test. Balancing the business justifications—the legitimate business interests of the employer—against the employee’s expectation of privacy or confidentiality. That’s why the disclaimers are important. Congress was considering a statute introduced last year called the Privacy for Consumers and Workers Bill, which would require employers to notify employees in advance when they’re being monitored or recorded electronically at work. But the law has not passed, and I think it’s unlikely that it will in the current political environment. Nevertheless, what this law would have provided—forcing employers to notify employees in advance—is something employers should do anyway so to avoid common law privacy implications.


In many instances when the monitoring is regular and frequent, it makes sense to have employees sign some sort of an acknowledgement that they understand that it’s part of their job, that there may be monitoring, there may be surveillance, so then you have a signed acknowledgement that they understand what’s going to be done, and therefore they’ve effectively waived any privacy rights.


Personnel Journal, March 1995, Vol. 74, No. 3, pp. 90-92.


Posted on March 1, 1995July 10, 2018

MTA Travels Far with Its Future Managers Program

It’s not easy to find hard-working, dedicated employees, and it’s even more difficult to find a good manager. Qualified candidates aren’t exactly breaking down the doors. Yet New York City-based Metropolitan Transportation Authority (MTA) is doing pretty well for itself, thanks to its Future Managers Program.


The Future Managers Program (FMP) was created in 1989 to address the findings of a management needs assessment study conducted by an outside agency—Towers Perrin Foster Crosby. As part of their report, TPFC interviewed the presidents of each of the five different MTA agencies: Long Island Railroad, Metro-North Commuter Railroad, Long Island Bus, Bridges and Tunnels, and New York City Transit Authority. The prognosis was that the MTA needed a system for continually developing managerial candidates—across all five of its agencies.


The MTA did its homework before diving into a solution. An HR generalist from Metro-North assisted in laying the groundwork by traveling to other organizations that had managerial internship programs.


In response, MTA established the executive and organizational development department, which in turn created the Future Managers Program—an intense, two-year training initiative that prepares its members to take on first-level management positions within MTA’s operational agencies.


The FMP has two unique aspects. First, the program combines management training sessions with a demanding job rotation. Classroom instruction gives a solid learning foundation while the job rotations expose them to a variety of on-the-job experiences. Second, the classroom contains a mixture of employees from the five different MTA agencies. “A goal of this program was to make the MTA more of a family of interagencies, rather than separate agencies working autonomously,” explains Loriann Hoffman-Ho, manager of executive and organizational development. “An employee who works on a subway learns what happens on a commuter railroad and vice versa, and they start exchanging information. Future managers learn they don’t work for just one agency; they’re part of a whole network. Participants get the big picture.”


But the program isn’t just a free-for-all for wannabe managers. It’s exclusive by design, and open only by invitation.


The MTA chooses its best and brightest for the Future Managers Program.
The few selected for the FMP have survived a grueling selection process that narrows more than 500 qualified applicants to a small class of six to eight.


When the program first started, the MTA advertised outside the company and received 4,000 resumes for 10 slots; since the third class, they’ve only advertised within the MTA, which has over 60,000 employees. In order to qualify, potential candidates must work in an operations department, must have two years’ work experience, and must have at least an associate degree.


At the beginning of a recruitment season, an advisory committee—comprising representatives from the MTA, liaisons and technical advisers from each agency—meets to discuss scheduling and planned changes. Each agency receives a request for a headcount of how many positions it’s offering in the upcoming FMP class.


Posters go up throughout the various agencies, stating the program guidelines, and listing a resume due date. Each agency knows what kind of person it needs—for instance, someone with a degree in mechanical engineering and computer skills—and they put that information on the recruiting poster.


Each agency brings a diverse selection team—(mixed gender, mixed race, reps from operating departments and human resources)—to examine the pile of resumes from their agency. Their task is to whittle that pile to 30 people, who are invited to an open house at a hotel. Then about 150 people (five agencies with 30 candidates) come for interviews at the open house. The same team that selects the 30 resumes conducts the interviews; now they must cut 30 candidates down to six finalists.


At the open house, candidates are scheduled for 30-minute interviews; each agency has its own room. After the interviews, potential candidates hear an overview of the program, watch a video, get the chance to ask questions and mingle with people already in the program. “We want them to get a very clear picture,” says Hoffman-Ho. “This program is about constant change in your life schedule for two years. We want people who really want to play.”


Hoffman-Ho tells candidates the great part of the FMP is visibility; they’ll meet lots of people during rotations. But the two years involve much ambiguity. She tells them their actions will make them succeed; the program just supplies the tools. She says if anyone wants to withdraw to call her, but very few do; almost everyone stays until the end.


After the interview process, each agency selects the six people to invite to an assessment center that runs all day; each agency has its own assessment center, where potential candidates take tests, do role plays, participate in individual and group activities. Assessors are usually the interviewers; they might include the agency liaison, the technical adviser, reps from human resources, or FMP graduates. To prepare for the assessment, they all attend a two-day training session, where Hoffman-Ho teaches them how to evaluate candidates.


The final day of the four-day process is spent integrating data, writing reports and making recommendations. The decision is never just one person’s. The six finalists from each agency receive written reports on how they performed in the assessment center, but only three are invited into the final round of interviews. This committee is designed by each agency; it may include the president, the top operations person, managers, etc. The committee interviews the three finalists and selects one or two (depending on the number of managerial positions they need to develop) for the FMP. All told, it takes six months from initial resume reviews until the final selection.


“We’re looking for down-to-earth people who want to learn and who can deal with ambiguity,” Hoffman-Ho states. “All the MBAs in the world don’t make a future manager. What succeeds is willingness and flexibility. Since the selection process is so long, we get to see consistency in a person’s behavior, so the eventual choices make sense.”


Future managers plunge headfirst into the fray.
Those who survive the selection process are submerged in classroom training and job-rotation duties.


Management training classes, run by Hoffman-Ho at MTA’s Manhattan headquarters, make up the smaller portion of the FMP. During the first six months, (the most crucial time), the classes meet weekly; for the remaining 18 months of the program, it meets every other week.


Yet the instruction remains an important part of managerial development. Mornings are devoted to formal training: case study analysis, team building, problem solving, delegating work, developing leadership, improving communication skills. Afternoons are spent discussing what’s happening out in the field.


Toward the end of the second year, the class must decide on a final project. At this point, students have already done individual projects and presentations—such as hosting a tour of their agency—but now they must reach a consensus and work as a team. And though the class is largely self-governing, they often struggle to find a common denominator.


The group project is demanding. Future managers must balance job rotations while also arranging time to meet their teammates and develop the project. The class receives a budget and guidelines; they have six months to do the project. The audience for their elaborate presentation includes families, the upcoming class, agency heads, vice presidents. Then there’s a reception on a balcony in Grand Central Station, where the MTA president gives certificates.


The projects are as diverse as the groups themselves. One class traveled to Washington, D.C., to study a similar agency. Another class looked at Flushing, Queens, a busy transportation hub with a large Asian population. They created a customer service brochure in Chinese on how to use the five systems. Yet another group developed a transportation curriculum for school kids to rid them of their fear of riding the subways.


The managerial classes not only provide technical instruction, they help students deal with workplace politics—a serious issue because program members constantly move around in their job rotation assignments and must deal with different management cultures.


“Our goal is to develop people at the first level of management who know a lot about what makes the railroad or the subways or the buses tick,” says Hoffman-Ho. “If we give them continuous management development training and diverse rotation assignments, they’ll know enough so that later on they can move into a new area if a position opens up. Maybe they’re in transportation, but they learned enough about maintenance to know they can do this job. The rotation gives them wider promotional opportunities.”


Although Hoffman-Ho says the ideal situation would have candidates rotating through the five agencies, the amount of time this would take makes it unrealistic. As it is, future managers spend most of their week out in the field, following a job rotation plan within their own agency. Each of the five agencies has a technical adviser who designs a job rotation schedule. Four of the agencies have specific slots in mind for their FMP members at the class start, so rotations are individually tailored to meet the needs of each future manager. The tasks to be carried out and the learning objectives of each assignment are written on a rotational assignment work plan form. At the end of each rotation, the supervisor rates the candidate.


Sherry Herrington, assistant superintendent of transportation at Metro-North Commuter Railroad, and technical adviser to the FMP, says that very specific steps are involved in designing a rotation schedule. “The first thing we do is look at what position they’re going for and what they need to learn to fulfill that position. With that overall picture in mind, we design rotations into different areas of the department, so that the participant gets some understanding of various job responsibilities. We’ll pick an expert—who the person rotates with—and we’ll design a rotation form that addresses the learning needs we expect that future manager to come away with in that specific rotation.”


Herrington stays in close contact with both candidates and their rotation supervisors; she speaks to candidates at least once or twice during a rotation, so she can judge whether a specific rotation should be shortened or extended, or whether a rotation is giving overlapping information.


Herrington designed the rotation schedule for Gus Meyers, a future manager in training for a transportation department position as train master with Metro-North. (A train master manages movement of a specific line.) Prior to the program, Meyers was an iron worker who built bridges for the railroad. “It can be hectic and demanding, but I’m learning a lot,” Meyers said about the job rotations. “When you’ve been working in one department, you tend to have tunnel vision. The rotations give you a broader perspective on how one department affects another. Plus, when we’re in class, we meet our counterparts at other agencies and we see how they solve problems. The contacts and the people you meet are the best part of this program.”


Meyers described some of his job rotation assignments during his first year:


  • One month in Metro-North’s training department, where he took the conductor’s class
  • One month at Grand Central Terminal, where he worked with the system road foreman
  • Two months at the Pelham, New York train station, where he worked with the road foreman
  • One month at Grand Central Station, where he worked with the rail traffic controller in the operations control center
  • One month in a midtown Manhattan office, where he worked with the assistant director of transportation planning
  • One month in New Haven, Connecticut, where he worked on the line with the train master
  • Six weeks in various locations, where he worked with different train masters, spending two weeks in the mechanical, signal and power departments.

As noted from these job descriptions, another defining element of the FMP is that it only trains people for positions in operating departments—not finance, not HR, not administration, not computers.


In addition, extra attention is given in recruiting and developing women and minorities—particularly women, who often face challenges in this area. “Women have a harder time in operations,” asserts Hoffman-Ho. “We pay extra attention to making sure they’re not just filing or typing. If I hear someone’s been filing too long, I’ll call.”


Unlike the four other agencies, the LIRR decided upon a more standardized rotation schedule for its future mangers. During the first year, students spend three months rotating through four main departments: transportation, passenger service, equipment maintenance, engineering. During the next six months, they rotate through support areas, such as police and public affairs. By the last six months, the LIRR knows where they need that person and where they excel; then an individualized schedule is created.


Program members receive constant support and feedback.
Future managers are often confronted with situations different than their prior work experience; that’s where the mentor serves as coach or role model. Mentors are experienced people already in management and working in the same division of operation as their mentee. They’re chosen by the individual agencies because they’ve excelled in their positions. Chosen toward the end of the class selection process, they meet their mentee during orientation week.


“I would have killed for this opportunity 10 years ago,” says mentor Bill Cronin, administration and finance officer, New York City Transit Authority, division of electrical systems. “I wish this program had existed when I was coming up.”


Mentors listen to problems and supply information about the culture of their agency. It might be a simple question like whether to wear a shirt and tie or jeans to this department. When the future manager starts working on an agency specific project (at the end of the first year), the mentor drops into the management development class to make sure he or she understands the technical guidelines of the assignment.


Pat O’Brien, chief officer, NYC Transit, department of buses, mentored FMP graduate Craig Cipriano, and was his rotational supervisor for six months. At that time, O’Brien was a general manager in Manhattan, working on providing extra bus service during the Democratic National Convention. Cipriano got to see this system being set up and helped supervise it. He’s now a superintendent, who analyzes operations to see what can be done to improve the buses’ on-time performance. “FMP is a vital part of developing our future managers,” says O’ Brien, who also interviews potential candidates. “We’re developing a cadre of leaders.”


A mentor-participant contract cuts down the gaps in a mentoring relationship. Both parties desighn and sign a contract stating when and how they will communicate.


But forging a relationship is not always easy. Since the MTA is a huge transportation company, it’s possible a mentor and mentee may be stationed miles apart; a future manager might be rotating at Penn Station, Manhattan, while his or her mentor is working at the tip of Long Island. Or a mentor works 9 to 5, while the mentee works the graveyard shift. To avoid communication gaps created by different hours and long distances, Hoffman-Ho designed a mentor-participant contract. Both parties design and sign a contract stating when and how they will communicate, how they will handle issues of confidentiality, and what their plan of action will be.


“When I met with my mentee and we worked out a contract, we agreed our relationship was going to be as open and frank as possible,” says Cronin, who meets his protege, Yvette Anderson, in person every two weeks. “She need not worry about our conversation going anywhere. I’m a sounding board. I try to make her solve problems herself. I try to channel her thinking or efforts toward what I feel is the best solution and hopefully we can agree.”


Cronin observes that he too has benefitted from the mentoring relationship. “I’m at a level where I may not get the whole story. I may get the spin. Yvette is out there, bringing back first-hand information. Working with her keeps me fresher.”


In addition to a mentor’s ear, students receive continual evaluations throughout the two years. The feedback is supplied by three main methods of performance monitoring. First, the rotation supervisor fills out a rotation evaluation form at the end of each rotation. In addition, every six months, students evaluate each other on a management development evaluation form and give each other feedback on these reviews. This exercise helps them apply what they’re learning in class. Hoffman-Ho collects these forms and then does her own evaluation. Based upon these evaluations, students create an action plan detailing where they need to concentrate in the future. Finally, each agency’s liaison to FMP receives these evaluation forms and does an agency write-up.


If a candidate gets poor reviews, Hoffman-Ho sits down with that person, the mentor, and the rotation supervisor. The candidate is warned and goes on a one month probation. If there’s no improvement, he or she is asked to leave. That’s only happened once.


Six months prior to graduation, the MTA starts discussions about final placement. And though graduates are not guaranteed a job after completing the program, the MTA and the agency have invested considerable time and money, so clearly they want to put that investment to work. The majority of graduates have received jobs in their targeted position after graduation; however, they are competing with in-house managers at the various agencies who have come up through the ranks.


As for the long-range success of the program, Hoffman-Ho thinks it’s too early to grade the results in terms of succession planning. “I think we’d need 10 years to follow up and see where our numbers go.” Every year the president of each agency meets with MTA chair, Peter Stangl, and gives him the status of his FMP graduates and discusses development plans for them.


“A lot of companies do job rotation programs,” observes Hoffman-Ho, “but what’s different is that we’re developing people in operations. We don’t develop them for a back office position. I think this kind of program—constant job rotation and constant management training—could work in other organizations [as well]. People in the Future Managers Program have lots of potential. We give them visibility; what they do with it is up to them.”


Personnel Journal, March 1995, Vol. 74, No. 3, pp. 68-72.


Posted on March 1, 1995July 10, 2018

Learning to Manage Host-country Nationals

When Personnel Journal started our Going Global series in October 1993, we set out to discover how human resources professionals in American companies approach the issue of expatriates. We looked at: transplanting corporate culture, selecting expatriates, making an international move, handling cultural and ethnic diversity, managing performance and repatriation planning. Readers gave us positive feedback. We’ve received letters and requests for reprints of the entire series when we’ve met HR professionals in person. It’s clear that we’ve just scratched the surface of the issue—that international HR is a growing area requiring ongoing attention.


Laura Bozich accomplished a formidable task. As the regional director of Central Europe for Chicago-based Tellabs, Inc., a designer and manufacturer of telecommunications products, Bozich was sent to Munich to open a German branch in 1994. Her primary job? To impart Tellabs’ corporate culture before handing the office over to host-country nationals.


Tellabs’ culture is very informal and flexible—everyone calls each other by their first names; they share information widely; and employees have direct access to senior management. In an industry that changes in the blink of an eye, Tellabs operates on the premise that all employees have a stake in the outcome of the business. Tellabs’ global policy reflects the conviction that host-country nationals know the marketplace as well as the business, so most international operations are headed by locals.


Bozich had her work cut out for her. She not only had the difficult task of enticing top-notch Germans to work for a start-up operation—especially tough because American companies are viewed as having a hire-and-fire mentality—but she also faced a society whose cultural values seemed completely contrary to the corporate culture she needed to create.


Multinationals want to promote local managers.
As global companies such as Tellabs expand beyond their national borders, companies will increasingly continue to recruit and groom the talent available all over the world. On the one hand, multinationals may send expatriates to manage for many years and then transfer control to local employees (and with specific projects, such as oil exploration, expatriates may always remain in charge). On the other hand, global companies will find talent anywhere around the world and rotate employees based on expertise, not geography, and use local talent immediately.


Indeed, the number of foreign workers employed by U.S. companies has been on the rise. American companies employ 5.4 million people abroad and investment by American firms in overseas operations was at $716.2 billion in 1993, according to The New York Times. International companies of all sizes are dealing with the question of host-country nationals. Interestingly, a recent study by Drake Beam Morin Inc. and International Business magazine of 1,200 U.S. multinational companies with annual sales of $1 billion or less, revealed that 60% of mid-size firms hire primarily local nationals, 23% hire a mix of local nationals and Americans, and 17% hire primarily U.S. expatriates.


With this increasing recognition of the importance of the world-wide labor pool, what are the implications for American businesses? What are the issues HR managers—and expatriate managers—need to know? How is managing host-country nationals different? What are the challenges associated with recruitment, training and retention? What are the legal and immigration implications? What compensation and benefits questions arise?


“The whole question of how do you manage—how do you plan and staff; how do you organize, how do you lead—all these management activities have a strong cultural component that enters into the equation,” says Stephen H. Rhinesmith, author of A Manager’s Guide to Globalization [published by the American Society of Training and Development (ASTD] and Irwin Professional Publishing, 1993). “There are major differences in perception. For example, Americans tend to be egalitarian and look for empowerment and delegation, people taking personal initiative and responsibility. However, in places like Asia, Latin America, and the Middle East, workers look up to authority figures and expect the authority to make decisions. They’ve been taught it’s their responsibility to be part of a group and respect authority. So there’s a whole set of management activities that one has to deal with in learning to manage a joint venture abroad. And it varies by country, depending on what the cultural issues are,” Rhinesmith says. Overlay cultural conditions and interweave that with corporate culture and the business agenda, and you have a maze of international HR issues as you approach host-country employees.


Tellabs, believes that localizing its global facilities is crucial in several ways. Not only are local nationals more in-tune with the quickly changing market, but Tellabs’ management views it as essential to recruiting talent. Tellabs is a medium-size company that started overseas operations six years ago when it bought a company in Ireland. This year, about 800 of its 2,500 employees live outside the United States, and most of them aren’t U.S. citizens. Their philosophy is to localize the operation as quickly as possible, but only after management is assured that the company culture has permeated the new location.


It’s never very easy. In fact, success of the German company’s operations is the result of lessons learned from the Irish facility, which didn’t get closely tied into the corporate culture. “There was no cross-pollinization of resources—of the Irish coming to the States and learning our culture and no one going to Ireland to learn their culture,” says James Coppens, Tellabs’ manager of international HR. So when an American executive went to Ireland, the Irish would appear to agree with his suggested changes, but when it came down to implementing them, they didn’t always proceed in the anticipated manner. “It seemed to be its own separate company. The impact on business in this type of situation can take a while to correct,” he says. The corporate headquarters, therefore, believed it would benefit business to approach another acquisition differently.


With that goal in mind, Tellabs spent $70 million to acquire Helsinki-based Martis Oy, in 1993. It employs 230 Finns. “When we acquired Martis Oy, we wanted to maintain the entrepreneurial spirit that made it successful, but also tie employees into the corporation so they weren’t out there by themselves,” says Coppens. “We sent the vice president of Europe, the Middle East and Africa to tie into the corporate culture as well as provide leadership and direction and also (serve as) the link back to headquarters. We also sent a marketing manager who had started in the Irish operations. Everyone else were local nationals.”


Tellabs issued company stock to local nationals as another way to get them to buy-in to the corporate facility. They also sent many of the Finnish engineers to the States—and to the Irish plant—to learn to interface with the other employees.


“I’ve been with this company for eight years, and never considered many of these questions myself. —Laura Bozich, Tellabs


“Our problems with cross-cultural sensitivity became apparent when our corporate people went overseas,” says Coppens. For example, midway through one sales presentation in the Netherlands, an American marketing representative addressed the company president by his first name and asked him what he thought. Even though the American was met with stonefaced silence, he didn’t realize the major faux pas until he lost the sale and several local salespeople informed him that it’s rude to call company presidents by their first names.


This led Coppens and others to institute cross-cultural counseling throughout the organization, with particular emphasis on Finland. All executives—vice presidents, directors and managers—and anyone else who might interface with the Finnish people were given cultural training. Learning from previous experience, the employees in the Irish facility were included.


The executives examined the basic cultural differences between Americans, Finns and Irish, and identified the differences that would play into the business arena. “We focused on how to conduct business meetings, the components of the supervisory relationship, how to communicate effectively,” says Coppens.


For example, they learned that employees in Finland prefer written communication to face-to-face interaction. Consequently, everything is sent by letter or by fax. In interactions, the Finns tend to be more reserved than Americans. Managers, therefore, had to realize they would have to overcome communication barriers because they weren’t dealing with highly expressive Americans. Were managers unaware of this cultural difference, it would impair their ability to judge situations and read their employees. But when you realize you want to approach people differently and need to establish a relationship first to get past the cultural barriers, it enhances the work situation.


Learning the cultural differences while infusing corporate culture is paying off. Tellabs has doubled sales at the Martis Oy facility. Building on that success, the company headed into Germany.


Culture and government affect recruitment, performance evaluation and training.
Tellabs’ success in Germany attests not only to the company’s ability to be sensitive to cultural differences, but to adapt when necessary. Although Bozich’s casual style and determination to create a flexible team environment is working, she also had to change recruitment techniques. For one thing, Coppens and Bozich knew it was critical for the local facility to be headed by a host-country national as soon as possible—and that the transfer of leadership be promoted when recruiting. It sends a message that Tellabs will promote local people to their highest positions. This is extremely important since local talent wants to know it can reach the top.


“It took seven months to hire a sales manager,” says Bozich, who found the candidate through a search firm. The German she hired had worked for another American company for eight years and already was attuned to the atmosphere and culture of an American firm. “It’s incredibly difficult to attract Germans to an American company, particularly because they don’t think they’ll get the top positions. That’s how we sell this job. They know they’ll get my job in a few years. We have evidence of that throughout Europe because all of the offices are run by local people.”


Moreover, when Bozich talked with recruits and new hires, she had to be much more flexible and specific about benefits than she’d ever been before. For example, most German firms offer 25 to 30 days off for vacation. Tellabs initially offered 15 vacation days, which is Germany’s legal requirement. But now, the company offers 25, plus one more day each year. When she did performance evaluations, she had to write down in detail what would happen every step of the way. What if a new product wasn’t introduced? What if the company didn’t make the amount of money it projected? Because German companies offer great security, she was asked extremely detailed questions. Sometimes they were about disability insurance, travel insurance, pension plans or other issues that hadn’t occurred to her before. “I was impressed,” she says. “I’ve been with this company eight years, and never considered many of these questions myself. But because companies are very paternalistic in Germany, we had to provide much of the same (benefits).”


Cultural differences aren’t the only factors in the labyrinth of human resources issues that multinational companies face. Often, even straightforward tasks such as training are complicated by legal and immigration tangles.


Global HR issues aren’t exclusive to American companies.
Multinationals around the world face similar global challenges. ANZ Bank (Australia and New Zealand Banking Group Ltd.), headquartered in Melbourne, Australia, is one example. With $100 billion in assets, ANZ employs 40,000 people in 41 countries around the globe, predominantly in the Asian Pacific basin. With a strong base of 28,000 employees in Australia and New Zealand, the bank has only about 500 to 600 expatriates. The rest of their employees are local nationals, with large numbers in India and the Arab world as well as in money centers such as Singapore, Hong Kong, Malaysia, Tokyo and Taiwan.


“When you’re talking about Tokyo and Hong Kong, the whole idea of managing local nationals is going to be different than if you have greenfield [start-up] operations in Vietnam or China,” says Arie Veenman, chief manager of succession planning.


In the latter instances, where unemployment is high and foreign firms are seen as employment opportunities, concerns center around the basic educational level of the local people, knowledge of English [which ANZ Bank uses as a minimal requirement for employment since it’s the company language], training and the more troublesome matters of local industrial relations and specific government controls.


Case in point. ANZ needed 28 people to open its Vietnam facility. Although senior management positions were going to be filled by expatriates, they needed locals to fill clerical and top supervisory positions. The main criteria wasn’t to find people with financial services experience since they didn’t exist; the main concern was to hire those with English-language ability so they could be trained. The company tested about 400 people during a three-hour language exam at a local university.


Once selected, three Australian trainers took about three months to teach the Vietnamese employees about credit analysis, money transfers and general financial responsibilities. These financial experts were already briefed in Vietnamese culture at one of Melbourne’s leading universities, which draws on its large Asian faculty to help prepare up-and-coming expatriate managers.


With this fundamental background, the Vietnamese were able to open the doors. “Fortunately, there isn’t an onslaught at the beginning, so you get a bit of time to do the processing and continually take stock and upgrade the skill sets of your staff,” says Veenman. It’s been in operation for 12 months, and the bank is just starting to make a profit.


Initially, most countries don’t mind if you have a large contingent of expatriates. But, with experience, countries want progression for their own staff.


But Veenman had more to worry about than just making a profit. As part of the agreement for getting the license, he had to guarantee the government of Vietnam that the same number of Vietnamese would come to Australia to be trained about Australian banking techniques.


“In countries like Vietnam and China, people are very keen to work for foreign national companies. The difficulty isn’t getting people to come work, the difficulty is with the government relations, the language skills and standards of education. You’ve got to support the employees with a lot of training,” he says.


Increasingly, U.S. and other global companies are exporting their management development and training systems, according to J. Stewart Black, associate professor of international management at Thunderbird, The American Graduate School of International Management in Glendale, Arizona. In other words, they are offering educational courses abroad that used to be offered only on home ground. They are making strong commitments to training opportunities—in technology, management techniques, culture—either alone or in cooperation with universities and colleges. “Traditionally, they haven’t offered these types of opportunities before,” Black says.


ANZ is attempting to train and develop local people, and then transfer them across borders as needed. But the company is encountering government controls on both sides. “Part of our development plan had been hindered by immigration controls,” says Black. “We had a real breakthrough when we recently reached an agreement with the Australian immigration authorities to bring employees from other countries into Australia. Now we can bring 180 people—middle management—into the corporate center and then turn them out again back into different countries.”


It works both ways, though. “Initially, most countries don’t mind if you have a large contingent of expatriates. But, with experience, host countries want their companies to be managed by local people. They want progression for their own staff,” Black says.


This is happening more and more often. Recently, ANZ encountered this in Taiwan. Three years ago, it was almost an automatic rite of entry to bring in expatriates to manage; but today, the company has to show need of high educational qualifications, language criteria, indications that very senior-level responsibility is needed. The country is making sure that there’s fair and equitable progression opportunities for its people. Beyond that, says Veenman, you have to get approval from local central banks. They have to concur that there aren’t local nationals who could take the position. How do companies learn to navigate the tangle? Veenman, Rhinesmith and others suggest cultural interpreters. “If you’re operating in the business environment, you develop cultural mentors from your business contacts,” explains Veenman. These mentors are individuals who are host-country nationals who can explain the host culture to the newcomer, whether that’s an expatriate or an individual considering new operations in the country. These interpreters know enough about the host culture and expat’s culture to explain why things occur and where the individual may encounter surprises or difficulties. “We relied fairly heavily on individuals to understand all the complexities. It’s important to do your homework; to do as much preparation and learning about the government agencies as you can.”


Compensation and benefits is a maze unto itself.
Any time you’re moving somebody from one country to another, or when you have local regulations to consider, it’s ten times more complex than moving somebody domestically, according to Coppens. There are tax structures on each side, government programs of social benefits, hospitalization, unemployment insurance, retirement accounts and innumerable agreements between countries.


Normally, U.S. expatriates are maintained as if they are still in America, and in addition, they’re given other perks to be sure they’re not disadvantaged because of housing and cost-of-living differences. “By definition, the compensation package will be very different for local nationals in the same location,” explains Doug Morris, international consultant with Chicago-based Hewitt Associates. “We need to realize that there are more ways of doing things than just the U.S. way,” he says. For example, in Singapore, people receive 13 months pay rather than 12. In addition, cultural differences affect compensation. In the United States, individuals are paid based on performance directly related to their own activities. In Asian and many South American countries that are group oriented, to pay an individual for superior performance could actually embarrass an individual and demotivate people.


“The best result is to design compensation packages to recognize cultural differences,” he says. “You might develop an incentive plan based on the performance of the group rather than the individual.”


Clearly, you can’t go it alone. Consulting firms, as well as industry associations, are good initial sources of information about taxes, immigration, compensation and benefits package development. In the international arena, compensation and benefits can be more intricate than for domestic employees. There are medical benefits to consider, for example. When Americans travel outside the United States, they have to have the continued support of their U.S. medical benefits. When you’re handling employees from other countries, that’s not always the case. For example, the United Kingdom and Finland have a reciprocal health care agreement because they both have socialized medicine. This means that when people from either country travel, they use the health care facilities of the host country. Companies don’t have to provide additional benefits for foreign employees when their host governments already cover them. But, many countries don’t have reciprocal agreements. Human resources professionals who send expats across borders need be aware of these innumerable options.


The situation can be even further complicated by the local medical coverage. Mexico has socialized medicine, for example. It’s considered fairly good although it may take two to three days to see a doctor. “We can’t have our people who are traveling all over to customers in South America be out of our offices for two days if they need to get treated for a cold,” says Coppens.” We need them to be more productive than that.” So Tellabs issues supplemental medical coverage that allows its employees to visit private medical-care providers. “It’s more expensive,” he says, “but it keeps the business moving.”


Some companies use their benefits to enhance retention. San Francisco-based Bechtel Corporation is one of them. Bechtel has been operating in the international arena for more than 80 years. Philip Hidalgo, a human resources supervisor for the Latin America Organization, sees retention as one of the emerging problems when addressing the issue of local staff. “There is a tendency of the expatriate employer to essentially throw money at the problem,” he says. “But, it’s not just a case of paying the highest salary and blowing the market out-of-whack. You need to look at some of the benefits programs.”


Salaries in Hong Kong are skyrocketing, for example. The region’s turnover rate has been tremendously high. But according to Thomas K. Fuegner, human resources manager, project operations, Bechtel has been relatively successful managing through that. One reason? A company-adopted retirement plan for local nationals. This is especially appealing because Hong Kong doesn’t have mandated retirement funds.


Furthermore, the company has developed a dental plan for Hong Kong. Another example of innovative benefits: Bechtel put together profit sharing for its local nationals in Thailand (a country that only recently started its social security program).


“I think you need to be a more sophisticated, more market-oriented, more innovative employer so you foster some of these other allegiances that are important to retaining a long-term work force,” says Hidalgo. “You need to put together a good package and not just overpay the market.”


Bechtel has recently restructured its organization to establish four regional centers to use local talent and execute work more efficiently. These centers are located in North America, Latin America, the Asian Pacific and a group referred to as EAMS—Europe, Africa, Middle East and Southwest Asia. In the Asian Pacific, for example, the company has 470 employees, about 250 of whom are local nationals; 250 national staff in Latin America; almost 1,300 in EAMS. In addition, the company has joint stock companies in Indonesia and Taiwan with limited expatriate management. These organizations will become independent operating units as quickly as possible.


“About 20 years ago, Bechtel was an American company that worked overseas. Now, we’re developing more of a global perspective; we’re moving toward a commitment to establish ourselves as regional companies and get even more local,” says Fuegner. “The motivation is two-fold. One is cost-driven. The other is that it just makes good business sense; there are talented labor pools in the regions who are familiar with the markets and business customers.”


Companies who try to retain their staff with old techniques might be unsuccessful, anyway. For example, in countries that tend to have periods of hyperinflation, such as Argentina and Brazil, compensation and retirement savings plans lose their value, and therefore, these types of benefits have to be structured differently.


Finally, Bechtel has also instituted a year-end bonus program to a large segment of its worldwide staff. An executive communication goes out to all Bechtel employees. “Whether it’s one of our Thai nationals, one of our Chilean nationals or one of our employees working in our Houston office, they all get the same letter, and to varying degrees get a bonus check,” says Fuegner. “We recognize all of our employees as contributing to the success of the company and regardless of individual performance, if the company has done well, there’s the opportunity to share in the rewards.”


Managing people from countries other than the United States presents continual questions and complicated situations. Cultural, political and legal factors come into play as well as social problems prevalent in the country. International HR professionals who support their company’s global business objectives face more questions than ever before: How do you supervise people? Do you do it on an individual or group basis? What are the implications for a hierarchical society when your organization flattens and eliminates titles like vice president and director? When do you need to call in cross-cultural counselors and cultural interpreters? What kind of legal, tax and compensation advice do you need?


Everyone is looking for answers. As Rhinesmith puts it, “Globalization has arrived in the world, but not in most of the world’s organizations.” As he says, although conventional wisdom focuses on our inadequate spending in technology and equipment as fundamental restraints to our effective competition, there’s evidence that the real problem, “… may lie in the lack of global mindsets in key managers.”


Black, co-author of Global Assignments: Successfully Expatriating and Repatriating International Managers (Jossey Bass, 1992) puts it this way, “You still have to have certain business results. The key is to make sure that you don’t insist on the same means to the same result. If a different approach will get it done in a different country, that’s the way to go. You have to care about the results more than the method.”


The caveat: HR practitioners have to understand effective approaches and allow the host-country nationals to use them.


Personnel Journal, March 1995, Vol. 74, No. 3, pp. 60-67.


Posted on March 1, 1995February 22, 2021

HR Attacks Health-Care Fraud

We read a lot these days about health-care costs. While much of the debate centers on the escalating costs of providing treatment, we hear less about another menacing phenomenon-health-care fraud and abuse.


According to the Washington, D.C.-based National Health Care Anti-Fraud Association (NHCAA), as much as 10% of what the United States spends on health care is lost to outright fraud. Last year’s dollar amount could be as high as $100 billion, according to the U.S. General Accounting Office. “Any health-care fraud means totally wasted dollars,” says Jim Garcia, head of the health-insurance tracking unit for Hartford, Connecticut-based Aetna Life & Casualty Co. “It’s making it difficult for us to compete in the world.”


It may be a while before health-care reform takes effect. Even then, it’s unclear whether any reform will address fraud and abuse. Employers and human resources professionals, therefore, need to take immediate, proactive steps to recognize and prevent such practices. Otherwise, a company could end up spending wasted dollars on health problems that never existed or were unnecessarily treated. Consumers, of course, would bear most of the burden through skyrocketing insurance premiums, higher taxes, increasing medical expenses, shorter hospital visits and inferior health services. So whether your company is self-insured or not, HR professionals must be involved in learning how to detect and prevent fraudulent practices early on.


Health-care fraud and abuse include a variety of practices.
The most common examples of fraudulent abuse include misrepresenting services, overcharging for services delivered or providing more costly services than required. Abuse may involve actions that are inconsistent with acceptable business and medical practices, such as the approach taken by one mother who called her infant’s pediatrician to the house four times in two days-once at 3:30 a.m.-because the child had a cough. (Because the employer’s health insurance covered the charges, the mother was unconcerned about the cost.)


Fraud, on the other hand, involves a willful misrepresentation, concealment or nondisclosure of a material fact or misleading conduct that results in some unauthorized benefit such as receiving money. For example, a provider bills the insurance company for procedures that weren’t actually performed, along with legitimate claims for the same patient. Health-care fraud and abuse can be committed on any level or at any stage of the health-care delivery system. The culprits can be an employee, a service provider, an insurer, a lawyer, a claims processor or a third-party administrator and investigator. But San Francisco-based Blue Shield of California has found that most fraud and abuse practices it discovers occur among service providers, according to Louis L. Lovato, manager of the company’s special-investigations department. Although the majority of health-care providers are honest and ethical, NHCAA estimates that about 2% engage in deliberate or systematic criminal attempts to defraud the private and public-payment systems.


The intent may be as innocent as trying to get the health-insurance company to pay for a needed treatment, or it may simply be an attempt to make extra money. Some examples of provider-generated fraud include:


  • Overcharging;
  • Billing for services not rendered;
  • Rendering unnecessary or inappropriate services;
  • Altering diagnoses;
  • Waiving copayments;
  • Submitting claims for free services.

Some of these practices may involve a conspiracy between the doctor and the patient, usually in an effort to get the insurance company to pay for a procedure that isn’t covered by the insurance, such as a tummy tuck. “We get records and are careful, but plastic surgeons sometimes get these through,” Lovato says.


Providers may be tempted to waive copayments for a patient who seems to be in need of treatment but unwilling or unable to take on the expense involved. In such cases the provider may submit to the insurance company a bill for an amount of which 80% covers the entire cost. Sometimes, to avoid detection, the provider may even bill the patient for the remaining 20%, but tell him or her to disregard the bill. These bills are then written off at the end of the year as bad debt.


Although insidious and costly, these practices usually are a byproduct of legitimate use of the health-care system. Other cases of fraud are more blatant. Some operations have no purpose in mind other than to bilk the system. Common scams include rolling labs, programs for weight-reduction, detoxification programs and basic health screenings.


One of the most costly and effective fraud schemes, however, is the rolling lab. According to Harry S. Miller, vice president of consumer affairs for Blue Shield of California, rolling labs set up operations in a mobile van unit or temporary-office locations-sometimes appearing in shopping malls or other public locations-and offer health screenings to people who have health insurance. They perform routine, noninvasive procedures, such as blood pressure measurements.


After obtaining identifying information such as plan and group numbers on the insured’s health-care plan, Miller says, the scam artists use the information to bill health carriers and insurers directly for amounts as much as $10,000 or more, usually by using false diagnoses. Normally, they have made no effort to contact the patient’s personal physician to verify the need for these procedures. If the insurer’s anti-fraud program results in nonpayment, the rolling-lab personnel may hire collection agents to attempt to collect from the patient.


One of the most famous rolling-lab scams operated in California until May 1991. It was run by two individuals who set up mobile, noninvasive testing labs in Los Angeles, San Diego and Orange counties, according to Lovato. The pair and their accomplices offered people free screenings, and the lab spent at most an hour processing the tests. Then they wrote false diagnoses on the claim forms, Lovato explains. The scam artists made no effort to make the diagnoses fit the patient. “Health problems common to people in their 70s were reported for people in their 20s and 30s,” he says. The bills could be for as much as $150,000 for an hour’s work. Insurance companies received bills for $1 billion; $50 million of that amount was actually paid, he says.


Insurers began working with authorities as early as 1985 to try to stop the rolling-lab scam. In August 1994, two of the principals were sentenced to 21 years in prison, fined and ordered to pay restitution, according to Lovato. This scam may have been the largest in California, but by no means was it the only one. At one time, as many as 348 different operations were under investigation by a joint state and federal crime task force, according to Miller.


Lovato also says that psychiatric fraud started escalating in the ’80s. For example, some psychiatric hospitals promote admitting patients for weight reduction or substance abuse. The admitting psychiatrists then lie to the insurance company about the severity of the problem or the diagnosis. This problem often goes beyond an attempt to get coverage that patients legitimately need. Sometimes the treatment program provides little benefit except to line the pockets of unscrupulous providers.


“People are sent to Florida or California and admitted to the hospital just for a simple weight-reduction program or a substance-abuse program involving little more than Alcoholics Anonymous-type activities. They go on outings to ball games, or to Disneyland, and the insurance company pays for it,” Lovato explains. The insurance companies think that they’re paying for treatment for severe depression or alcoholism. The patients may think that the program is costing as little as $8,000, but the hospital is billing the insurance companies for far more. “This type of scam has cost insurance companies at least $100 million,” Lovato says.


Employees in an employee-assistance program (EAP) may also knowingly or unknowingly fall into the hands of unscrupulous scam artists. Lovato says that he knows of one individual who worked in an EAP and received $2,000 to $3,000 for each referral to a certain treatment program. Another employer was concerned about such abuses, but was afraid to monitor its EAP [it was controlled by the union] too closely. “The company was afraid that the union would think that it was trying to deprive people of benefits if they tried to get the records for people referred through the EAP,” Lovato says.


Some fraud has been generated by unscrupulous or underfunded insurance companies and collective schemes, such as multi-employer benefit trusts. Some set up shop while planning to abscond as soon as enough money has been accumulated from companies that provide health-insurance coverage for their employees without sufficient background checks. “Some aren’t even licensed to write coverage. Some are based in the Bahamas or Cayman Islands,” Lovato explains. Other insurance companies succumb to poor management and become bankrupt. In either case, both the organization and the employees are left holding the bag of unpaid medical bills.


Employees also can be guilty of fraud and abuse.
Among the more common employee-generated fraud schemes are:


  • ID-card abuse;
  • Non-COBRA former employees still using the plan;
  • Listing ineligible dependents;
  • Billing for unqualified dependents;
  • Billing for unqualified expense;
  • Seeking reimbursement for phony medical bills.

Many employers would add employee abuse of the organization’s sick-leave policy. Although this practice doesn’t involve the insurance company, it does cost the organization through a program that provides for the health of its employees.


Some employees defend their abuse by claiming they were desperate. Many say their legitimate health-care needs were denied under his or her plan. Patient and doctor may subsequently conspire to use another diagnosis to obtain payment for treatment of the condition. “It’s a sneaky fraud,” says Marilyn Eisele, former personnel administrator for Kent, Ohio-based Schneller Inc. “It’s not as blatant as changing billing amounts from a doctor’s office. It’s often a gray area,” she adds.


In other cases, the intent is clearly to receive money. Lovato cites the case of a man who worked as a clerk for a financial institution. The man took his family to Egypt each year, whereupon he became ill. A private investigator, however, went to Egypt and was able to get the doctor there to admit to the fraud, which amounted to $80,000, according to Lovato.


HR can reduce health-care fraud.
One way HR can protect its health-care benefits from fraud and abuse is by thoroughly investigating all organizations that impact the health-care program it provides, including third-party administrators, insurance providers and multi-employer benefits trusts.


For example, before entering into a contract with a multi-employer benefits trust, investigate that organization’s track record. “Before entering such a union, check with the department of insurance and talk with brokers,” says Lovato, noting that multi-employer benefit associations are unregulated at the current time.


When choosing an insurance company or its counterpart, some advise getting recommendations from other companies, investigating the company’s past performance and other ratings, and checking with other companies with which they have conducted business.


When Robinson Memorial Hospital in Ravenna, Ohio offered a new health-care plan, the staff formed a task force to evaluate the plan, according to Bill Timmins, the hospital’s manager of compensation and benefits. “Members of the task force included a nurse, a doctor, a utilization review specialist and someone from HR,” Timmins explains. They asked the candidate insurance provider for a list of current customers. To check the references, they called hospital providers and doctors, as well as employers using the plan to see how well the insurance company provided service and made payments. In addition, they checked the potential insurance provider’s record with the Ohio State Insurance Commission, as well as the Small Business Bureau, the Better Business Bureau and the local hospital association in the city in which the organization’s headquarters are located.


In making a request for a bid, Robinson Memorial presented the candidate organization with six pages of questions it was asked to address, says Timmins. Then they went through the bidding process. “During that time you should be able to flush out anything that isn’t legitimate,” he says.


If the insurance company you’re considering has a reputation for being ethical and well-financed, the next step is to find out what provisions have been made by the company for identifying fraud. If your organization is self-insured, what kind of help can you expect from your third-party administrator or your in-house people?


One thing to look for during the investigation stage is a method for dealing with illegal or unethical conduct by claims processors or fraud investigators. A person who discovers a case of significant fraud, for example, may be tempted to try to blackmail the provider or individual committing the fraud. An effective fraud-investigation unit in an insurance company should have safeguards in place to prevent such activity. Aetna has a system called C-fraud, which monitors the employees who have responsibility for adjudicating claims, according to Garcia.


If the problem of health-care fraud is to be resolved, HR must be knowledgeable about it and know how to prevent it. “People in HR play a key role,” Garcia says. “They have the responsibility for communication with employees. They receive a lot of complaints, and they may be in a key position to identify different instances of fraud,” he says.


Some attempts are being made to address this problem. For example, New Jersey’s Fraud Bureau is a clearinghouse for information about providers that commit fraud. “The unit can solicit information from insurers on the providers it’s investigating and alert other insurers to providers suspected of fraudulent or abusive activity,” the GAO report says. Without some kind of information sharing, scams can just move on to other locations or to other providers after they’ve been discovered by an organization’s fraud-detection efforts.


Many companies may curb their investigations because of costs. If done correctly, however, the returns can outweigh the costs. Blue Shield’s experience bears this out. “For every dollar invested in ferreting out fraud, the company has averted $12 in charges,” says Miller.


The city of Chicago also gained cost-effective results. The organization had been paying out an estimated 10% of its health-care costs in unnecessary expenses, according to John Holden, a spokes-person for the organization. The city discovered that it had been paying medical expenses for ineligible dependents, in-cluding grandchildren or dependent children above the eligibility age. Now it requires proof of relationship for dependents to receive coverage.


Donald B. Franklin, deputy comp-troller for the city of Chicago, says that it has eliminated more than 11,000 ineligible persons from its benefit eligibility files. “This was done by extensive auditing of every file and (requiring) relationship documentation for all dependents for whom coverage was requested,” he says.


Take steps to combat fraud.
The first step in reducing health-insurance fraud and abuse is to find out what other companies are doing. Some organizations are banding together to help each other fight fraud. One way to do this is through membership in the National Health Care Anti-Fraud Association. The NHCAA is an issue-based organization comprising private- and public-sector individuals and organizations responsible for the detection, investigation and pro secution of health-care fraud.


Linn Downs, vice president of Campton, New Hampshire-based TE Corporation, also recommends contacting the National Association of Claims Assistance Professionals. “Their members are certified to handle claims processing and they’re watchdogs on health-care fraud,” she says. “If a company outsourced its health-care processing to one of their certified members, it might help cut down on health-care fraud,” she recommends.


For anti-fraud programs to be effective, more attention must be paid to educating the consumer, says Miller. Employees need to know about the tactics unscrupulous providers use to perpetrate fraud. This isn’t an expense borne by the insurance company and the employer alone. Some of the expense filters down to the employee as well. But that isn’t the only concern he or she should have. The employee could end up being harassed by a collection agency for bills. He or she might even wind up with a record of a diagnosis that may surface later and make it difficult to get life insurance or result in unwanted exclusions under another health-insurance plan.


Downs says, “Employees must understand that health coverage isn’t a free lunch. The money has to come from somewhere, and eventually the employee is paying, whether it’s directly or indirectly,” she says.


“People should be informed consumers,” Lovato says. “If it seems too good to be true, it probably is. Before they become involved in health screening or any other procedure that seems to be questionable, they should ask the people who monitor the services for their employer or ask the medical society,” he says.


Employees also should learn to ask their doctors or hospitals if they are unsure about a recommended procedure or its costs. They also should know not to sign blank claims forms for any provider. A blank claims form is just like a blank check.


In addition to investigating the recommended procedure, employees and their dependents should investigate any provider they consider using if the provider is not part of a plan’s preferred-provider list or HMO. They should take special care to investigate any provider they learn about through advertising or encounter while shopping or attending a fair or other public event. If contemplating entering any treatment program, they should check into similar programs before making a decision. Most urban areas have consumer watchgroups that can provide information about health-care providers.


Employees also should learn to be informed consumers when using health-care providers for themselves and their families, even if the provider is on a list provided by the company’s health plan. Make sure that employees know that feedback on providers is welcome, and that they know how to register a complaint. It’s only through this kind of vigilance that inadequate providers can be weeded out. A toll-free hot line can make it easier for them to report any questionable charges or activities.


Some companies have even begun to offer incentives to employees who uncover and report instances of provider fraud. The city of Chicago pays 25% of recovered money, subject to a $500 award limit, to employees who report claims paid in error or for services they didn’t receive, according to Franklin. “In 1993, the city recovered nearly $100,000 while paying out about $15,000 in incentives,” he says. “This year, the city already has recovered more than $55,000, while paying out $9,000 in awards.”


Whatever consumer-education plan you choose or develop, make sure that it demonstrates:


  • The importance of eliminating health-care fraud and abuse to the organization;
  • The cost to employees and their families of health-care fraud and abuse;
  • What employees and their dependents can do.

Educating employees can be ineffective if the policies you have are unfair, or even if employees only perceive that they are being treated unfairly. “Coordination of benefits between the corporation and its health-care policy administrator (payer) are often miscommunicated,” Downs says. According to Downs, HR personnel often are caught in the middle, trying to maintain the precarious balance between the interests of the health-care administrator, the corporation and the employee. “In general, employees respond to corporations in the way they perceive they’re treated,” she says. “If employees feel that the corporation is good and treats them respectfully, they don’t abuse the company’s health-care policy or sick day limits.”


As for the service providers who commit fraud, Garcia says: “We just can’t tolerate it. They’re like weeds in a garden. If you let them go, they’ll suffocate the garden.”


Personnel Journal, March 1995, Vol. 74, No. 3, pp. 28-33.


Posted on March 1, 1995July 10, 2018

Steelworkers’ Contract Reflects Changing Union Agenda

Two years ago, the United Steelworkers devised a model contract to be used by its local affiliates in negotiations. The key components of the contract reflect the changing concerns of all unions today. According to the Harvard Business Review, the major provisions of the model contract are:


  • No-layoff guarantees
  • Labor involvement at all levels
  • Longer term contracts, with caveats, which would provide stability for markets, companies and employees
  • Revitalization of craft apprenticeships and job-training programs
  • Health-care reductions through managed care, without shifting costs to employees
  • Preservation of the pensions, insurance and other benefits for active and retired workers
  • Company neutrality in organizing drives and a simplified process of union recognition
  • Continuing commitment to plant modernization.

Furthermore, as Barbara Presley Noble writes in the Harvard Business Review, “The Steelworkers would also like the industry to join the union in lobbying for a mutually beneficial public policy agenda: investment in rebuilding the nation’s disintegrating infrastructure, adoption of a national health-care program, enforcement and strengthening of U.S. trade laws, and labor law reform. With such an agenda, two legendary antagonists may one day stand shoulder to shoulder.”


Personnel Journal, March 1995, Vol. 74, No. 3, p. 45.


Posted on February 1, 1995July 10, 2018

Helping Foreign Nationals Adapt to the U.S

A manager from Thailand leaves his temporary assignment in Boston to visit his homeland for several weeks. It’s in the middle of winter. To save money and energy, he completely turns off the heat in his house. When he returns to the East Coast, however, he discovers frozen water in the toilet bowl and the pipes. No one had thought to teach him how to close up a house during the winter season, and it never occurred to him to ask. Damage to the rental property, leased to his employer, was $5,000.


A couple with two children arrives in the United States from Brazil. They describe their housing needs to their relocation representative: a four-bedroom home, with one bedroom separated from the rest of the house, preferably off the kitchen. It turns out that the only house matching this description is more expensive than the manager’s package allows. When asked why he needs the fourth bedroom off the kitchen, the employee responds, “Where else would the maid sleep?”


A German woman initially frowned upon her husband’s transfer to the United States. But learning English, she reasoned, would be useful to her career when she returned home. Because she encountered American women who seemed either too busy or disinterested in her, she devised a way to still enhance her language skills. Every morning she would write summaries of the stories in the morning newspaper, then show them to a neighbor for review. “If they won’t speak to me, at least they’ll read what I write.”


HR managers must approach these issues with creative and individually tailored solutions. We work hard to address each family’s specific concerns.


In most global companies today, managers destined for top management positions often assume temporary assignments in foreign countries. Both domestic and foreign-based firms are therefore in the business of bringing employees from other countries to live in the United States. Very often, these employees bring their families with them. What problems do these families face, and how can companies address them? HR managers—through a combination of in-house policies [compensation and benefits] and contracted relocation services—are placed in the position of assisting the temporary employees’ transition. Because of the increasing cultural diversity of foreign employees working in the United States, HR managers must approach these issues with new, creative and individually tailored solutions, says Pat Foley, senior international personnel representative of Boston-based Gillette Corporation. “We work hard to address the specific concerns of each family,” she says. Among some of the most prevalent: dual-career couples, children’s education, learning English and adjusting to American customs and values at home and at the workplace.


Organizations should try to support dual-career couples.
As women’s social status changes worldwide, they increasingly are becoming the managers being transferred to the United States. Moreover, the wives of male managers today also have careers they’re reluctant to leave. For many families, the best outcome is for a spouse to continue his or her career while in the United States. In the case of a female spouse, perhaps she may have her own sponsor for a work visa, or have a transportable career. Government regulations about dependents’ work visas differ from country to country, and the United States is viewed by many as having particularly tough laws. Solutions might include finding the qualified spouse a job within the same company; paying for his or her education and further training; or supporting two households (one for the employee in the United States, the other for the family remaining in the home country during the overseas assignment.) Still other companies offer a salary adjustment to make up for lost income, or try to make up for the loss in some indirect way, such as paying for a house with studio space so the spouse may pursue a new interest.


Families are concerned how their children will manage at school.
One of the most pressing questions parents have is, “Will the academic work be at an appropriate level for my child?” Families from some countries will be concerned that their children won’t be adequately prepared for the American classroom. Others might be concerned that their children won’t be challenged. Helping families find a school is one of the most important aspects of relocation support. For some families, this will mean that a school administrator takes the time to examine each child’s academic background rather than make an individual placement based simply on age. For others, it will mean a school has support for non-English-speaking children. The careful choice of a school, teacher and grade level—and for older children, an academic track—will be crucial first steps in the child’s successful adjustment.


Parents also ask, “Will my child be prepared to step back into school when we return home?” This is where families feel the adjustment pangs associated with cross-cultural differences, according to Peggy Love of McLean, Virginia-based Full Circle International Relocations. “What they’ll have learned in an American school will most likely be different from what they would’ve learned at their home school. Each country has its own philosophy about how and what to teach in the classroom,” she says. For example, is math best taught by rote or logic? Is discipline or innovation more important for children? How much free choice should children be given about what they study? How much freedom should be given to teachers in planning curriculum? At what age should children begin reading? How much emphasis should be given to group versus individual projects and achievement? These are the roots of cultural differences in education, and it’s unlikely that the American school will match the philosophy of the home school. These differences make up the richness of the cross-cultural experience, but families don’t always expect or understand that this is so. “If what you want is an individualist, an independent adult (as Americans do), you have to start teaching children very young to think for themselves, that their own ideas are worthwhile, and that they will be judged by their own work, not by that of their peers. That’s what’s going on in our schools, from kindergarten on,” says Helenann Wright of Savoir Faire, a relocation and cultural-orientation firm based in Lexington, Massachusetts.


But Gillette’s Foley, like many global human resources professionals, believes a company should try to accommodate an individual family’s needs as much as it can. “If a family from the UK is worried about their child’s preparation for the A-level exams, we’ll buy the books needed for that preparation. If the children start school at age 4, we’ll pay for nursery school here,” she says.


Companies also can help the employee family’s English-speaking ability.
Employees being transferred to the United States from non-English speaking countries may have some English-speaking background. But their families may not have the same skill level or confidence. And while children seem to pick up English quickly if they’re in English-speaking schools, the spouse left at home may face some difficulties. The spouse may have studied English in school, but not feel comfortable with conversational English. Hence, many companies pay for English lessons for family members, either pre-departure or post-arrival, or both—an important benefit that should be offered to the whole family.


However, as crucial as they are, English lessons may not be enough to allow spouses to become as connected to American life as they’d like. Especially in communities where there are many foreign nationals who speak the same language, spouses may not be able to practice enough English in order to combat their isolation. Both employees and children are more likely to be in situations where they only practice the English they know. In this situation, it’s understandably easy for spouses to succumb to feelings of uncertainty, shyness and even bitterness. Companies should therefore ensure an ongoing structure for small-group or one-on-one interaction between workers’ spouses and English-speakers. Such arrangements might be as important as that initial set of English lessons. For some foreign nationals, these interactions occur spontaneously. But others may need some structure to make them happen. Successful interactions may occur through schools, through programs that match American volunteers with newcomers, through relocation support services or through conversational English courses. Gerald Lucht, senior consultant for expatriate services at Wilmington, Delaware-based DuPont Corporation, says that language and cultural adaptation training go hand in hand. Savoir Faire, for example, conducts monthly meetings for families on their client list. Men and women can share their views, ask questions, listen to lectures and make connections with each other, all in English.


Many foreign nationals express reservations about American culture.
For some, becoming too Americanized can mean involvement with sex and drugs. For others, it means developing habits and attitudinal changes that distance the child from the family and make it hard to return home. Or it can simply mean working a lot of unexpected overtime, having too many choices or accepting different medical, sanitary, dietary and lifestyle standards.


One English mother told a story about her son speaking English with an American accent. The boy explained that he wanted to fit in with the other children at school. The mother felt she had lost him, that he had sacrificed his own identity. To her, an American accent represented an informality she didn’t like to see in her son. A Japanese mother worried that her children would not be willing to spend as much time doing homework after experiencing a more relaxed American school system. In order to help balance the old and new cultures, some companies pay for children to attend classes that maintain their connection to their home language and culture. “Living as a foreigner is an experience that prepares children for belonging to a larger, global community,” says Marvina Shilling, president of Arlington, Virginia-based Intercultural Management Training and Consulting. The company helps families appreciate the value of exposure to cultural differences through its program called Living and Working in the United States. Some men also have commented that their wives seem to become more liberated after moving to the United States. Of course, countries differ widely in what women’s lives are like. But for women from many foreign countries, living in the United States means more freedom and control than they’re accustomed to at home. It’s often a satisfactory trade-off for the lack of a live-in maid commonplace in many Latin American countries.


Diana Geofroy, international personnel representative at Gillette Corporation, knows what it’s like to make such adjustments. A recent resident of the United States herself, she recalls one Mexican woman who initially longed for her lifestyle at home. Later, she had grown accustomed to her husband’s shorter working hours in the United States, and the ease of getting from one place to another. Now, she’s reluctant to return home. Even when husbands are supportive of their wives’ newly found freedom, the wife and family will probably face adjustment problems when they return home. And in marriages where husbands aren’t supportive in the first place, the problems will be exacerbated even further.


To help balance the old and new culture, some companies pay for children to attend classes that maintain their ties with their home language and culture.


Families may need professional help in maneuvering through these adjustments before, during and after an assignment. For some, a short-term orientation addressing family adjustment may be enough. Others may require consultation with a professional who understands the effects of cultural transition on family life. HR managers need to remember that asking for this kind of help isn’t easy in any culture. Just because an employee isn’t requesting it doesn’t mean that his family is adjusting smoothly.


Employees’ work lives also are likely to be different from the home country. In the United States, wives and children may be invited to company dinners, parties or picnics. Or employees from other cultures may find themselves working longer or different hours, or having shorter or longer vacations. These changes add to the cross-cultural adjustment these families face. Japanese wives, for example, may not be accustomed to having their husbands home for dinner or available to tuck their children in for bedtime. Even in the happiest of families, this marks a major change in how families run, a change requiring a period of adjustment.


Violence on American streets is a news story abroad.
Foreign nationals coming to the United States often hear about children being abducted, German tourists being carjacked and Japanese students being shot. The prevalence of weapons in American schools understandably alarms many families moving here. Most often, this concern for their family’s safety and well-being is managed as a housing issue. Human resources managers can help families get accurate information and practical advice about which communities, schools and neighborhoods are the safest. Human resources and relocation firms also can help find appropriate housing and utilize a variety of multimedia programs that describe American demographics. These efforts will no doubt help the family to get around in their new location, as well as ease some anxiety.


Most people can easily imagine the problems of moving to a different country. But it’s harder for people anywhere to anticipate the problems foreign nationals will have in moving to their own country. The peculiarities of a nation’s values, behavior, attitudes, daily practices and customs become invisible to those who have always lived there. It is the American human resources manager’s job to learn to see the United States from the foreign national’s eyes. Only then can they provide the information and support needed for making sure each family has a successful assignment in the United States.


Anne P. Copeland is a clinical psychologist and associate professor of psychology at Boston University. She also publishes Newcomer’s Almanac, a monthly newsletter for international families who have recently moved to the United States.


Personnel Journal, February 1995, Vol. 74,, No. 2, pp. 83-87.


Posts navigation

Previous page Page 1 … Page 576 Page 577 Page 578 … Page 591 Next page

 

Webinars

 

White Papers

 

 
  • Topics

    • Benefits
    • Compensation
    • HR Administration
    • Legal
    • Recruitment
    • Staffing Management
    • Training
    • Technology
    • Workplace Culture
  • Resources

    • Subscribe
    • Current Issue
    • Email Sign Up
    • Contribute
    • Research
    • Awards
    • White Papers
  • Events

    • Upcoming Events
    • Webinars
    • Spotlight Webinars
    • Speakers Bureau
    • Custom Events
  • Follow Us

    • LinkedIn
    • Twitter
    • Facebook
    • YouTube
    • RSS
  • Advertise

    • Editorial Calendar
    • Media Kit
    • Contact a Strategy Consultant
    • Vendor Directory
  • About Us

    • Our Company
    • Our Team
    • Press
    • Contact Us
    • Privacy Policy
    • Terms Of Use
Proudly powered by WordPress