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Get On-Board with New Employee On-Boarding Aaron Austin, MBA VP of Administration & Chief Human Resources Officer, Saint Joseph Regional Medical Center (South Bend, IN) Jennifer Straw Director of Compensation & Benefits, Saint Joseph Regional Medical Center (South Bend, IN) Presentation Objectives Identify& Assess Your Current On- Boarding Process Create a Team to Lead the Orientation Process Design an On-Boarding Process Obtain Senior Leadership Support Measure Outcomes ROI 1 2008 Studer Group

Our Story Where We Were How We Got There Organization s Commitment to Excellence Importance of On-Boarding Our Story Our Future 2 2008 Studer Group

Collect & Assess The Data 90-day Turnover Exit Interviews Termination Reasons Employee Engagement Recruitment Process Management & HR Input Collect & Assess The Data Current On-Boarding Process Who is involved? What is being done? When is it being done? Where is it being done? Why is it being done? What s working well? Where can we improve? Ask a new hire! 3 2008 Studer Group

Create a Team & On-Boarding Process Create a Team Who should be involved? Mix of management & non-management Represent patient care & non-patient care Start with High Performers never low Not just an HR program! How often should we meet? Begin weekly to keep momentum Once process is implemented meet every 3-4 weeks to track progress Create a Team & On-Boarding Process Create a Team Select a team leader Set team expectations Active participation, meeting attendance, idea sharing Develop a Team Charter Team purpose & mission statement What are we trying to achieve? What does the end result look like? Goals & Objectives 1 st 90-days & 1 year Team Boundaries & Ground Rules Be present, begin & end on time, respect confidentiality, etc. 4 2008 Studer Group

Create a Team & On-Boarding Process Develop On-Boarding Process Review Data Team review & comment Begin Brainstorming Develop Process Present to Senior Leadership Support is crucial Show current & future state ROI present potential savings Implement Program Start with small pilot group if possible Measure Outcomes - ROI Analyze the Data Analyze data after 6 months & 1 year 90-Day Turnover Percent reduction from start of program Cost of turnover RN& all Industry avg cost to hire or your avg cost to hire 5 2008 Studer Group

Measure Outcomes - ROI Analyze the Data Exit Interviews Employee Engagement Hire the right people & your workforce will be more engaged. Involve your workforce in the on-boarding of new associates Peer interviewing Mentor/buddy system Saint Joseph Regional Medical Center GrandMean Scores Over Time 2007 2006 2005 2003 2002 2001 4.17 4.00 3.83 3.86 3.82 3.65 Percentile 69 th 59 th 50 th 64 th 67 th 59 th 3.00 4.00 5.00 Note: Percentiles based on the Gallup Q 12 Healthcare Database from survey year Copyright 2007 The Gallup Organization, Princeton, NJ. All rights reserved. 6 2008 Studer Group

Measure Outcomes - ROI Analyze the Data Termination Reasons Did voluntary terms reduce? Recruitment Process Are we hiring the right people? No warm bodies! Management Input Survey managers regarding process Create management ownership This is their tool! Measure Outcomes - ROI Present the Data Did It Work? Present data to senior leaders & entire management group Celebrate success! Thank managers they are the ones who will make or break your on-boarding program Recognize your team Keep everyone informed 7 2008 Studer Group

SJRMC On-Boarding Program Review SJRMC Program Goals Ease anxiety when starting new job Provide professional & organized orientation Eliminate confusion in 1 st 90-days Assist & support management Provide communication tools Reduce turnover Become Employer of Choice SJRMC New Hire Road Map Provided to New Hires prior to first day Employee ID # Manager Name & Phone # Dates for: New hire appt Manager welcome phone call NEO date Dept 1 st day date Orientation Dates 30 & 90 day survey dates 8 2008 Studer Group

SJRMC On-Boarding Program Review Outcomes Reduced 90-day turnover RNs Jul06 7.69% to Nov07 5.00% Since Jan07 only 4 RNs termed in 1 st 90-days All Jul06 10.05% to Nov07 3.06% 67 terms in 2006 & only 11 in 2007 Total savings in hiring costs $1.4M!!! SJRMC 90-Day Turnover Data Savings = $1.4M in Hiring Costs! 14.00% 12.00% 10.05% 90-Day Turnover - All Employees 10.00% 8.00% 3.06% 6.00% 4.00% 2.00% 0.00% Jul '06 Aug'06 Sep'06 Oct'06 Nov'06 Dec'06 Jan'07 Feb '07 Mar '07 Apr '07 May '07 Jun '07 Jul '07 Aug '07 Sep '07 Oct '07 Nov '07 9 2008 Studer Group

SJRMC On-Boarding Program Review Next Steps Improve New Employee Orientation ½ day to 1.5 days Expanded diversity, mission, Joseph on the Journey, Standards of Behavior 90-Day Celebration Celebrate success Getting involved in SJRMC Committees, activities, outreach What to expect after 90-days Annual education, annual PE, rounding, Town Hall SJRMC Future Hospital Opening Fall 2009 10 2008 Studer Group

Contact Information Aaron Austin, MBA VP of Administration & CHRO (574) 247-8755 austina#@sjrmc.com Jennifer Straw Director Compensation & Benefits (574) 247-8702 strawj#@sjrmc.com Questions? 11 2008 Studer Group

Thank You! Aaron Austin, MBA VP of Administration & Chief Human Resources Officer, Saint Joseph Regional Medical Center (South Bend, IN) Jennifer Straw Director of Compensation & Benefits, Saint Joseph Regional Medical Center (South Bend, IN) 12 2008 Studer Group