| Inside
This Issue:
• Streicher Appointed to the NAPR Board of Directors
• Hospital Wants to Build a Large Medical Practice
• Law Change to Ease Doc's Transition to E-Records
• May Recruiters Solicit Employees from Clients?
• Healthcare Turnover Tops Median
• Ask Miss Deed
• National Conferences of Interest
Contact Us:
NAPR
Website
E-mail NAPR Headquarters
NAPR Board:
President
Karen Zeller
President-Elect
Jo-Ann Toldt
Vice President
Martin H. Osinski
Secretary/Treasurer
Tammy Jamison
Immediate Past President
Sandi Brewer
Directors:
Marc Bowles
Susie Brown
Pat Doyle-Grace
Neal Fenster
Michael Levison
Ronald Watson
Patrice Streicher
NAPR Services, Inc.
Julie Sherriff
Ethics
Richard Glehan
Internet/Website
Michael Levison
Education
D.R. Richards
Executive Vice President
Bill Kautter
|
| WEDNESDAY, MAY 2, 2007 |
| 8:00 a.m. -7:00 p.m. |
Registration Open |
| 8:30 a.m. -5:30 p.m. |
School of Healthcare Recruitment: 101 Beginning Recruitment |
| 6:30 p.m. -7:30 p.m. |
NAPR/NALTO Welcome Reception |
| |
| THURSDAY, MAY 3, 2007 |
| 7:30 a.m. -4:30 p.m. |
Registration Open |
| 7:30 a.m. -3:30 p.m. |
Exhibit Hall Open |
| 8:00 a.m. -8:30 a.m. |
NAPR Annual Business Meeting |
| 8:30 a.m. -9:00 a.m. |
Opening Remarks |
| 9:00 a.m. -10:15 a.m. |
General Session
* "Physician Workforce: Is a Shortage Looming?" |
| 10:45 a.m. - 11:45 a.m. |
Concurrent Sessions
* "Streamlining Expenses"
* "Behavioral Based Interviewing" |
| 10:45 a.m. -1:00 p.m. |
NALTO Business Meeting & Luncheon (Members Only)
Sponsored by Elsevier |
| 11:45 a.m. - 1:15 p.m. |
NAPR Awards Luncheon
|
| 1:15 p.m. - 3:00 p.m. |
* "NALTO Session: Contracting" |
1:15 p.m. - 2:15 p.m.
2:15 p.m. - 3:00 p.m. |
* "Measuring Your Results" * "NAPR Town Hall Meeting: Issues of Importance to NAPR" |
| 3:30 p.m. - 5:00 p.m. |
* "Retaining Your Best"
* "NALTO Session: JCAHO Staffing Certification" |
| 6:30 p.m. - 9:00 p.m. |
Disney Theme Park Offsite Event
Sponsored by PhysicianWork |
|
| FRIDAY, MAY 4, 2007 |
| 7:30 a.m. -4:30 p.m. |
Registration Open |
| 7:30 a.m. -1:00 p.m. |
Exhibit Hall Open |
| 8:30 a.m. - 9:45 a.m. |
General Session * Customer Service/Disney Style
|
| 10:15 a.m. -11:30 a.m. |
* "Communication Skills" * "NALTO Session”
|
| 1:00 p.m. -2:45 p.m. |
General Session * "Panel-Future of the MGMA/NAPR First Year Compensation Survey"
|
| 2:45 p.m. - 4:00 p.m. |
General Session
* "Advertising and Sourcing"
|
| 4:00 p.m. - 5:00 p.m. |
General Session * "Working Together: Facility-Based and Fee-for-Service Recruitment Firms"
|
| 5:00 p.m. -5:15 p.m. |
Closing Remarks/Drawing |
| 5:15 p.m. |
Convention Adjourns/Open Evening |
|
|
| SATURDAY, MAY 5, 2007 |
|
| 8:30 a.m. - 5:00 p.m. |
School of Healthcare Recruitment: 201 Level |
QuickFlash
The NAPR Pulse (newsletter) is interested in receiving newsworthy information about our members. Please email Tammy Jamison, editor of the NAPR Pulse, at tammy.jamison@lvh.com with announcements, awards, promotions, or anything else that is fit to print. For advertising information, please contact Elaine York at NAPR Headquarters for rates and deadlines.
Streicher Appointed to the NAPR Board of Directors
Patrice Streicher, Vice President at Fox Hill Associates, has 20 years combined healthcare experience in physician recruitment and patient care delivery systems. In 2004, Patrice was inducted into the Manchester Who’s Who for her outstanding professional and academic accomplishments. The National Register’s Who’s Who included Patrice in their 2005-2006 edition, which is registered at the Library of Congress in Washington D.C. Among Patrice’s academic achievements, she holds a Bachelor of Science in Journalism and Public Relations from Carroll College in Wisconsin. While at Carroll College, Patrice was the sole recipient of the Thesis of the Year Award for her study “A Competitive Edge: Effective Compliance Gaining Strategies in Physician Recruitment.” In 2005, Patrice presented her thesis at the Association of Staff Physician Recruiters and Tennessee Hospital Association annual conferences.
Patrice’s public relations experience includes her participation on the American Heart Association PR Committee for mass training events, which included interviews with Gordon Hinckley, the Milwaukee Journal Sentinel and Milwaukee television stations. She also served as the President of the Parent Teacher Group and was the unanimously voted Chair for the Redistricting Committee in her community.
Patrice Streicher currently serves as the NAPR Public Relations Chair and was appointed to the Board of Directors to fill a vacancy with a remaining term ending April 2008.
Hospital Wants to Build a Large Medical Practice
Memorial Hermann is setting out to build a large medical practice, starting with six doctors in the fold.
The purchase and formation of doctor groups is a top priority for Houston's largest hospital chain, said David Whelan, vice president of business development. He said the chain would "move aggressively" to buy physician groups or recruit doctors for its new unit. - By Brett Brune
Law Change to Ease Doc's Transition to E-Records: Hospitals Now Able to Help Defray Cost
The federal government has had a change of heart that will make it easier for independent physician offices to convert to electronic medical records.
A change in what is often referred to in the health care community as the Stark Law now allows hospitals to pay up to 85% of the cost of software and training related to implementing an electronic medical record system for independent doctors' offices. The doctors must foot the remaining 15% of the bill up front, according to the law.
Under the old law, hospitals could not provide any of the money because it was seen as a kickback, said Anetha Daniels, a partner at Cleveland law firm Calfee, Halter & Griswold LLP and president of the American Health Lawyers Association in Washington, D.C.
"Before these exemptions, in order for the hospital to be able to offer software or training, they had to charge fair market value for the service," she said. "No one could really afford it."
"We felt it was in the best interest of the community to get the physicians up and running on an electronic medical record system." - Charles Vignos, Vice President, Summa Health Network
The change in the law makes converting to electronic medical records much easier on the physician's wallet, said Dr. Shelly Senders, CEO of Dr. Senders and Associates pediatric practice in University Heights.
May Recruiters Solicit Employees from Clients?
Case law indicates that recruiters have no fiduciary duty to clients
As the competition for qualified employees becomes more intense, employers often retain recruiters or search firms to help find and recruit new employees. Employers, however, may not realize that the recruiters who are assisting them may also be placing their own employees with other companies. The role of recruiters and the limits on their conduct in soliciting employees from one of their own clients has not yet received extensive judicial attention but should be of growing concern in an increasingly competitive market. This article examines whether and how a company can protect itself from a recruiter that the company has retained.
A company using a recruiter to solicit new employees should be aware that little prevents the recruiter from placing the company's own employees with another company for which the recruiter is also working. The multiple allegiances that recruiters have to any company that retains them leads to the sometimes harsh reality that turnabout is fair play. While it might seem like a conflict of interest for a recruiter to solicit the employees of a company while also seeking to help that company find new employees, there are a few common law limitations on a recruiters ability to place employees of its own clients at other companies.
No fiduciary relationship
First, recruiters do not typically owe their clients a fiducuary duty, particularly if they are working on a nonexclusive basis. Forum Personnel Inc. v. David J. Greene and Co. LLC, No. 01-402, 2002 WL 424344, at *1 (N.Y. App. Term 1st Dep't March 14, 2002). Even when a recruiter works closely with a company, the recruiter's role is to typically locate and forward potential candidates to the company. The company conducts its own interviews with the candidates, makes the decision about whom to hire, and is not obligated to hire any of the candidates forwarded by the recruiter (although the company might have to pay the recruiter even if it hires a candidiate the company locates through other sources).
Since the recruiter's role is limited to finding and presenting candidates to the company and the company conducts its own dilligence by, at least, interviewing the candidates and deciding whether to hire a candidate, the relationship between the recruiter and the company typically does not rise to the level of a fiduciary relationship. Id. at *1; Mount Sinai Med. Ctr. of Greater Miami Inc. v. Heidrick & Struggles Inc., No. 04-13880, 2006 WI. 1914587, at *2 (11th Cir. July 12,2006) (per curiam); see, e.g., Northeast Gen. Corp. v. Wellington Adver. Inc., 624 N.E.2d 129 (N.Y. 1993) (a finder does not owe its client a fiduciary duty since, among other things, the finder's role is to locate and introduce to the client potential targets for acquisition, the finder had no power to negotiate transactions and the client company was capable of, and could perform, its own due diligence).
In Forum Personnel Inc., the plaintiff recruiter sucessfully placed a candidate with the defendant company. The recruiter subsequently placed the defendant company's own personnel manager with another of the recruiter's clients. As a result, the defendant company refused to pay the recruiter's fee for the original successful placement. The recruiter sued to recover the fee and the company counterclaimed for, among other things, breach of fiduciary duty. The trial court dismissed the company's breach of fiduciary duty counterclaim and granted judgement for the recruiter. On appeal, the New York appellate court affirmed, recognizing that there was no fiduciary relationship between the recruiter and its client company.
Second, while it may seem reasonable to believe that a recruiter who uses his knowledge of a client's organizational or compensation structure to recruit the client's employees has misappropriated confidential information and can be held liable for doing so, such a claim is unlikely to be successful. Initially, a company would need to prove that the recruiter actually used the company's information to solicit the company's employees. Then a company would need to prove that the information the recruiter used was confidential. A number of courts have held that information identifying an employee or the employee's contact information, position, experience and compensation is not confidential. See Lockheed Martin Corp. v. Aatlas Commerce Inc., 725 N.Y.S.2d 722, 725-26 (N.Y. App. Div. 3d Dep't 2001); Unisource Worldwide Inc. v. Carrara, 244 F. Supp. 2d 977, 988 (C.D. Ill.2003) (applying Illinois law). Thus an employer would need to show that the recruiter relied on something more than basic information about the employees being solicited to prevail on a claim of misappropriation of confidential information.
Third, it is unlikely that a recruiter's placement of a client's employee with another company gives rise to a claim that the recruiter has breached a duty of good faith and fair dealing. While a duty of good faith and fair dealing is implied in most contractural relationships, the recruiter's obligation is limited to presenting candidates to the client. A claim that the recrutier breached its good faith obligation through conduct unrelated to the recruiter's location and presentation of candidates to the client is unlikely to be successful. See e.g. Mount Sinai Med. Ctr. of Greater Miami Inc. v. Heidrick & Struggles Inc., 329 F. Supp. 2d 1309 (S.D. Fla.2004). aff'd 2006 WL 1914587 (11th Cir.2006) ( a recruiter's alleged material misepresentations of a candidates career and qualifications could not constitute breach of duty of good faith and fair dealing since the central purpose of the contract was for the recruiter to present candidates to the client so the client can make its hiring decisions and the recruiter's alleged bad acts did not obviate that central purpose).
No one industry standard
With a few common law limitations on a recruiter's conduct, there does not appear to be a uniform position within the recruiting industry regarding whether and when a recruiter can place employees of a current or recent client with a different client. For example, the Professional Practice Guidelines of the Association of Executive Search Consultants do not contain any explicit limitation on a recruiter's ability to recruit from a current or recent client. Instead, they state that the recruiter and client should agree "concerning any 'off limit' restrictions or other related policies that govern when and how the recruiter may recruit from the company in the future." The implication of this guideline is that absent an agreement between the recruiter and client, there are no limits on the recruiter's ability to recruit from the client.
The consultants' code of ethics provides no insight into what this "reasonable belief" should be based on, giving the recruiter a tremendous amount of room to recruit from its former or current clients.
Healthcare Turnover Tops Median
Healthcare providers reported significantly higher voluntary turnover in 2005 than other U.S. industries, according to a survey by the American Society for Healthcare Human Resources Administration and Watson Wyatt. The median voluntary turnover reported by 110 healthcare employers, including hospitals, clinics and other provider organizations, was 14.1%, compared with 10.6% for all U.S. industries. Among workers identified as critical to the business, median voluntary turnover was 9% in the healthcare industry, compared with 5% elsewhere. Among nurses, median voluntary turnover was 12%.
Employers said that relocation, limited opportunities for promotion and pay scale were the three primary reasons for turnover.
Source: Modern Healthcare's Daily Dose, October 12, 2006
Ask Miss Deed...
Dear Miss Deed:
I am the owner of a very small company (three people) and we utilize the World Job Bank as a source for doctors. As you know, it is very hard to get in touch by phone with candidates, so I find it very time-saving to e-mail them.
Our clients always put pressure on us to get good candidates and want anyone we identify sent to them ASAP. When I read the background of a candidate on the World Job Bank that fits what my client is seeking, I simply e-mail my client the information about the doctor. Sometimes it's the CV, other times it's the summary. The client loves this because they can then call or e-mail the doctor directly, thus speeding up the process. Besides, my client knows far more about their own situation than I do. One of my partners thinks this may not be "according to Hoyle."
Yours truly,
On the Brink
Dear On:
I think it is great you are so heavily immersed in the electronic information age. Regardless, we are, hopefully not surprisingly still in a people-to-people business. Talking to candidates is still the foundation of what we do. While e-mails may be (in your eyes) more efficient, they do not provide all the key information in the detail your clients should expect and deserve.
Furthermore, and certainly of equal importance, the Code of Ethics which you agreed to live by is very specific on the issue of referrals. The candidate must first be made aware of who your client is and must, additionally, give you permission to send their CV to your client. Sending a CV to your client without the doctor's knowledge or permission is a very serious breach of the Code of Ethics. Additionally, you are potentially blocking the proper referral from a recruiter who has truly spoken with and is working with the physician.
I think it is probably time to reassess your referral procedures.
Cordially,
Miss Deed
Miss Deed is an expert on all things ethical, and is ready to answer your questions. All questions to Miss Deed must be accompanied by the individual's name, telephone, and e-mail address. If the individual does not want his or her name published, we will publish the question with the statement: "Name Withheld by Request." No questions will be considered without verifying who the sender is. Send your questions to Miss Deed at the following e-mail address: DearMissDeed@napr.org and your question may appear in an upcoming NewsFlash!
National Conferences of Interest
Websites that offer upcoming conference information:
The Journal of American Medical Association Calendar of Events:
http://pubs.ama-assn.org/cgi/calendarcontent
If you have questions or comments about
NewsFlash, please contact: Bill Kautter at bkautter@napr.org (800-726-5613) or NewsFlash Editor Ron Watson at watson_16252@msn.com
Please note that letters and comments sent to the publisher are automatically considered for use in upcoming issues unless you expressly request that they not be used. You may request that you remain anonymous in the case that your letter or comments are used. We reserve the right to edit for brevity and/or clarity.
This eNewsletter is automatically sent to all NAPR members as an added, free benefit of membership. Non-NAPR members are invited to subscribe to this newsletter by contacting Judy Clark at jclark@napr.org.
The National Association of Physician Recruiters (NAPR), headquartered near Orlando, Florida, was founded in 1984, for the purpose of creating a national organization through which professional physician recruiters could work together to maintain standards of excellence within the industry and ensure the highest degree of quality in recruitment services. Today, the NAPR represents over 400 members, including recruitment firms, in-house staff physician recruiters, as well as contract staffing and management, trying to make a difference in the physician recruiting industry.
NAPR, 222 S. Westmonte Dr, Ste 101, Altamonte Springs, FL 32714, 800-726-5613.
|