IN THIS ISSUE...
"No country, however rich, can afford the waste of its human resources." ~Franklin D. Roosevelt
Herman Trend Alert: Consumer Driven Health Care---A Confusing Opportunity
August 16, 2006
The issue of rising healthcare costs is second only to employee retention in the list of challenges facing employers today. Thus it is no surprise that employers are looking for all kinds of ways to make employees responsible for a larger share of healthcare costs.
Enter: Consumer Driven Health Care. Theoretically, the greater the employee participation---through higher deductibles, etc.---the more carefully they will shop for quality and price. Objectives of this strategy are to…
1) Get the consumer more directly involved in making healthcare decisions through larger personal financial risk/expenditure;
2) Make health insurance more like other insurance by covering the more "catastrophic" expenses but not the routine ones (using deductibles in the $2,500-5,000+/year range); and
3) Use tax-favored savings/investment plan options for the routine expenses, e.g., Medical Savings Accounts and Flexible Spending Accounts, etc.
For employers, this approach makes healthcare insurance more of a defined contribution rather than defined benefit, enabling them to control costs and budget more effectively. However, there are several problems.
The first problem is that people don’t really understand healthcare costs. The descriptions of medical problems are complicated and bewildering. Once basic medical information is understood, employees must gather all the numbers and make decisions about where they or their beloved family member should be treated. Often workers are left to compare providers, both facilities and individual physicians, with inadequate information.
How many of us feel competent to make a decision between licensed physicians? Now, those people who were already confused have to decide about medical procedures, often when they are under stress, worrying about themselves or about loved ones.
Let’s try a simple decision first. Given a choice, would you select a Flexible Spending Account, a Health Reimbursement Account, or a Health Savings Account? Do you even know the difference?
Consumer-driven healthcare is currently the fastest-growing benefits process in the country and will continue to be that way for the next several years. If we are unable to understand our healthcare coverage, we will soon rely on specialists who will be hired—-like accountants or attorneys—-to guide us through the maze.
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Changing Role of HR
Jack and Suzy Welch, in the July 10 edition of Business Week, took on the issue of what HR must do to leave the line-item overhead category on most business balance sheets. Any HR professional who has experienced cuts in HR budgets, reductions in staff and outright elimination of HR departments will understand the importance of this move. Every HR professional should read the article, or stop pretending to want a strategic role in the company.
Welch says that HR must first become a functional part of corporate financial management. Quantify. Dollarize. Given the very large, real and documentable costs of vacancies, turnover and legal problems, this is relatively easy. The real payoff, though, is on the positive side of the coin, when HR can track and document the dollars associated with productivity increases, longer tenure, better managers and employee satisfaction. In assuming this role, HR professionals have two major obstacles:
1) Lack of training in finance, numerical reasoning and communication of financial impacts (and worse);
2) Lack of interest in any of these things.
Traditionally, people go into HR because of the warm and fuzzy, intuitive, "health-and-happiness" approach. Welch even counsels, "Drop the socialist 'treat-them-all-the-same' mentality." In the words of cartoon character Pogo, "We have met the enemy and he is us."
If you're still not convinced you can (and must) take this route, answer the Welches' challenge: "What could possibly be more important than who gets hired, developed, promoted or moved out the door?"
If you're having trouble with the numerical side of this challenge, make the CFO your ally. As John Sullivan noted in his Workforce Week review of the Welch position, "The CFO is the undisputed king of placing valuations on activities that are difficult to enumerate." By the way, your CFO is probably as uncomfortable with your warm and fuzzies as you are with the financial reports. But together, you can make things happen.
Look at a specific example of this way of thinking: Talent retention - As far back as most of us care to remember, HR has tracked "turnover" as one of our few consistent metrics. As commonly used, however, turnover is at best a hodgepodge statistic, lumping together the results of current hiring practice, past practice, management change or failure to change, the winds of the economy and goodness knows what else!
Talent retention, on the other hand, is more focused on current practice. According to Leslie Stevens-Huffman, writing for Workforce Week, "Nearly 70 percent of executives say that they view talent retention as important or extremely important." Identify the costs (both direct and indirect) of replacing talented individuals in your company, learn when new hires are most likely to leave and identify the factors causing them to leave.
Design a program to extend the average life of talent in your company by even a few months and calculate the direct dollar impact. You will find you have reduced the costs of hiring, training, unemployment insurance, workers' compensation, management time and negative impacts on coworkers. Simultaneously, you will have improved productivity, job satisfaction and leadership, while holding on to valuable company knowledge and loyalty. The total positive financial impact of your talent retention initiative alone may well pay for your entire HR operation!
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'Execution' in business - Opinion By John W. Howard, Ph.D.
"Business Execution" has become the latest catch word of the book-and-seminar meeting industry. Google the words, you'll get 122,000,000 hits!
Ralph Welborn, in his new book with Vince Kasten, Get It Done! A Blueprint for Business Execution, says, "It's a big, big problem. Consider this statistic: More than 64 percent of C-level executives from 250 midsized-to-large companies in the United States and the European Union have said that being able to execute, to react quickly to changing business opportunities and technologies, is critical for their success. Yet nearly 80 percent of them said that it is nearly impossible to achieve." They go on to say you will never close the execution gap, just reduce it.
In another "execution" tome, Larry Bossidy and Ram Charan (Execution, the Discipline of Getting Things Done) focus on the effect that people, especially leaders, have on execution within a business. They use stories about specific leaders and their effects on business outcomes to illustrate the differences between companies with great execution and those with poor execution. In some cases, they point to changes in leaders that caused a change in the company's ability to execute, and the consequences.
Given the acknowledged importance of the topic, the high probability of differences in execution being differences in leadership and our own strong bias toward empirical data, it would be interesting to see a study based on the Profile XTTM and the Checkpoint 360TM that is looking to identify the differences between the leaders of companies with famously, verifiably good execution, and the leaders of companies with execution challenges. Volunteers, please step forward!
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Trim the Time Wasters - Karen Susman's NextLevel Tools
Summer is still with us, and the heat is on. It can be hard to get things done when you are wishing you were running through the sprinkler or playing in the kiddy pool. If you are spending time with your face pressed against the water cooler, here's a cool way to manage your time: Trim the time wasters!
A few of these productivity piranhas are:
- Unnecessary meetings
- Television
- No plan
- Phone calls
- Unfinished projects
- Tasks interrupted at illogical stopping point
- Human and technological interruptions
- Not listening
- Giving and getting unclear instructions
- Undefined job roles
- Clutter
- Not having supplies handy and ready
- Circulating junk e-mail and junk regular mail
- Lack of support staff
- Technological breakdowns
- Filing systems focused on storage instead of retrieval.
- Bad relationships
If any or all of these strike a chord with you, here are some actions to take:
- Stop. Look. Listen. Be aware of how you spend your time. Keep track for three-to-five days. Determine where time is lost.
- Ask yourself what's in it for you to use your time in unproductive ways. Can you say "procrastination?"
- Delete the time wasters. Pick one or two wasters so you are not overwhelmed with productivity.
- Set boundaries with others so you are not so easily interrupted. This is important when you work from home, too. Friends and relatives often think you are not working if you are at home. Let them know when you can take non-business-related calls (aside from emergencies).
- Set boundaries with yourself. Determine how much time you will sacrifice to television and Internet surfing. Schedule these activities for non-productive hours. (Sorry, Oprah.)
- Get systems in place.
- Delegate.
- Learn to communicate effectively and to the point.
Don't wait until all your ducks are in a row (one more time waster) to start reclaiming your time and productivity. If you are more productive, you will have more time to chill in the kiddy pool and run through the sprinkler!
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Call Center Working to Improve Sales Force with the Profile XT™
An inbound call center for a neutraceutical and supplement manufacturer was experiencing turnover as high as 500 percent a year. Sales performance among its 60 agents varied widely, with top performers producing as much as six times the average sales of marginal performers.
Ten top performers and eight marginal performers were identified in a current study. The 18 agents were instructed to complete the Profile XT™ online during paid working hours. However, two of the marginal performers were terminated before completing the assessment, leaving six in their group providing data.
A success pattern was generated using a concurrent pattern from all 10 in the top-performer group. All agents in the study were matched to the success pattern for top performers. The average match-to-pattern for the top performers was 86 percent, while the marginal performers averaged 73 percent. This 13-point spread between the group averages provides evidence that the pattern is discriminating between top performers and marginal performers.
If this pattern had been used when the sample agents were hired and if the company had used a criterion of 75 percent match-to-pattern or better to select for hire (see Proposed Criterion 1 in the graph), they would have hired all of their top performers in the sample but would have reduced their hiring of marginal performers by 50 percent.
If they had used a more stringent criterion of 82 percent or better to select for hire (Proposed Criterion 2 in the graph), they would have missed 20 percent of the group who became top performers, but would have reduced their hiring of marginal performers by 83 percent! The issue of setting criteria and the factors that should be considered in the process has been discussed in earlier articles in this newsletter (see Volume 3, Issue 6), but the issue of which criterion to use will likely be decided by some intersection of the need to fill seats and handle calls, with the size and characteristics of the pool of available candidates for the sales positions.
If, over time, the bottom 25 percent of the current sales force could be replaced with people who perform at the level of the current top performers, the effects on total sales would be profound. These increases would also be expected to affect profitability to an even greater degree, since the sales increase would come without proportionate increases in fixed costs. Eventual return on investment in the assessment process would likely be in multiples above 10:1.
The call center is now conducting additional differential studies of the sales force, using the Profile Sales Indicator™, and the Customer Service group in the call center, using the Profile XT™, looking for possible additional improvements in the selection process.
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