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Connecting HR to the Board with a Strategic People Plan Kevin Haeberle – Exec. VP, MSA HR Capital Along with all of you attending today www.IHStrategies.com Exclusive to Healthcare. Dedicated to People. SM Securities offered through First Allied Securities, Inc., A Registered Broker Dealer, Member FINRA/SIPC. MHA March 2009

Connecting HR to the Board with a Strategic People Plan

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Presented at the Montana Hospital Association's Spring 2009 Conference. See more at: http://www.integratedhealthcarestrategies.com/knowledgecenter.aspx.

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Page 1: Connecting HR to the Board with a Strategic People Plan

www.IHStrategies.com

Connecting HR to the Board with a Strategic People Plan

Kevin Haeberle – Exec. VP, MSA HR CapitalAlong with all of you attending today

www.IHStrategies.com Exclusive to Healthcare. Dedicated to People. SM

Securities offered through First Allied Securities, Inc., A Registered Broker Dealer, Member FINRA/SIPC.

MHA March 2009

Page 2: Connecting HR to the Board with a Strategic People Plan

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Objectives for Today:

1. Discussing the argument why a People Plan is more strategic than a Human Resources Plan

2. Ideas on how to frame the conversation with your Senior Team on the value of a People Plan and its Strategic Value

3. How to help ensure success – Board Accountability

4. Thoughts about becoming a farmer/gardener - Planting the seed, water, and fertilizer

Page 3: Connecting HR to the Board with a Strategic People Plan

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The best thing about working in healthcare is ....

67%

22%

11%

We change ... Healthcare... That it is...

1. We change people’s lives2. Healthcare is not recession

proof but better than most3. That it is not AIG or any

other financial organization

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Spring in Montana is .....

Whe

n the f

lowers

star.

..

Whe

n it is

OK to st

art...

Whe

n you st

art w

eari.

.

July

4th

We d

o not

have a

Spr...

0%

33% 33%

11%

22%

1. When the flowers start to bloom

2. When it is OK to start complaining how hot it is

3. When you start wearing shorts, no matter the temperature

4. July 4th

5. We do not have a Spring, just mud

Page 5: Connecting HR to the Board with a Strategic People Plan

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The Best Thing about Being an HR Leader is...

Bein

g a mem

ber of S

t...

You can m

ake a

diffe

...

You alway

s enjoy w

o...

You impac

t all a

spec

t...

Policies

, Polic

ies, P

oli...

Everyt

hing...e

xcep

t fo...

0%

17% 17%

0%

50%

17%

1. Being a member of State and National Associations

2. You can make a difference3. You always enjoy working

with people4. You impact all aspects of

the organization5. Policies, Policies,

Policies...Yeah!6. Everything...except for the

people!

Page 6: Connecting HR to the Board with a Strategic People Plan

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What is the difference between an HR Plan and a People Plan

PerspectiveHR or Organizational

ResponsibilityManaged by HR Leaders or Led by HR Leaders

ComprehensivenessPolicy and Process or Every Aspect of Health Care Business

AccountabilityHR or Everyone

Page 7: Connecting HR to the Board with a Strategic People Plan

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What level of responsibility does your most senior HR leader have in your organization?

Senior H

R Execu

tive

Dire

ctor L

evel

HR

Execu

tive

HR M

anag

er

Other

HR

44%

22%

0%

22%22%

1. Senior HR Executive2. Director Level HR3. Executive4. HR Manager5. Other HR

Page 8: Connecting HR to the Board with a Strategic People Plan

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Who does your organization’s senior HR leader report to?

100%

0%0%0%0%

CEO COO CFO VP Level Position Other

1. CEO2. COO3. CFO4. VP Level Position5. Other

Page 9: Connecting HR to the Board with a Strategic People Plan

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How do you think most healthcare Senior Executives nationwide perceive HR leadership?

High le

vel s

trateg

ic p...

A m

ix of s

trateg

ic ad

vi..

Primari

ly fun

ctiona

l/ o...

Chief

party p

lanner

Can

’t I ju

st do

what

I...

8%

67%

0%0%

42%

1. High level strategic player2. A mix of strategic advice

and operational support3. Primarily functional/ or

operational support4. Chief party planner5. Can’t I just do what I want

to do

Page 10: Connecting HR to the Board with a Strategic People Plan

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How do your Senior Executives perceive HR leadership?

High le

vel s

trateg

ic p...

A m

ix of s

trateg

ic ad

vi..

Primari

ly fun

ctiona

l/ o...

Chief

party p

lanner

Can

’t I ju

st do

what

I...

30%

50%

0%0%

20%

1. High level strategic player2. A mix of strategic advice

and operational support3. Primarily functional/ or

operational support4. Chief party planner5. Can’t I just do what I want

to do

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3 Key Signs an HR Leader is Perceived as Strategic

1. Chief HR leadership has regular access to Senior Executives and Board of Directors§ Chief HR leader reports to the highest ranking official in your division

or location, i.e. President, CEO, Administrator, Executive Vice President, etc.)

§ Chief HR leadership regularly attends the Senior Executive meetings.§ Chief HR leadership regularly attend Board Meetings§ Conversations and discussions between Senior HR Leadership and

Executives relate to overall organizational strategy and objectives, not just HR related matters

§ Chief HR leadership included in social engagements with other Senior Executives.

§ Chief HR leadership is included on all important tours of the organization and in meetings with key constituents of the organization.

§ Chief HR leadership is located in the C-Suite

Page 12: Connecting HR to the Board with a Strategic People Plan

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What is the Senior Financial Officer’s Official Title?

92%

8%

Chief Financial O... Vice President of... Senior Vice Presi... Director of Finance They are only kno...

1. Chief Financial Officer2. Vice President of Finance3. Senior Vice President

Finance4. Director of Finance5. They are only known by

their “unofficial” title

Page 13: Connecting HR to the Board with a Strategic People Plan

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What is Senior HR Leaders Official Title?

7%

36%50%

7%

Chief Human Resou... Chief People Offi... Vice President of... Senior Vice Presi... Director of Human... Personnel Director

1. Chief Human Resources Officer

2. Chief People Officer3. Vice President of Human

Resources4. Senior Vice President

Human Resources5. Director of Human

Resources6. Personnel Director

Page 14: Connecting HR to the Board with a Strategic People Plan

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What is the most important factor for HR leadership to be perceived as a strategic partner?

Low turn

over c

osts

Positive

employe

e rel.

..

HR se

en as

acco

unta...

Well

atten

ded em

ploy..

Kee

ping out

unions

Effecti

ve orie

ntation ...

0%

17%

0%0%0%

83%

1. Low turnover costs2. Positive employee

relations3. HR seen as accountable

for people side of strategic and tactical initiatives

4. Well attended employee rewards banquet

5. Keeping out unions6. Effective orientation

program

Page 15: Connecting HR to the Board with a Strategic People Plan

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3 Key Signs an HR Leader is Perceived as Strategic

2. HR leadership has opportunity to (and has accountability for) influencing non-HR functional decisions.

§ Chief HR leader (or other appropriate HR leader) proactively and routinely gives advice relating to the “people impact” on organizational strategic matters (finance, quality, growth initiatives, etc.) outside of the HR function.

- The senior executives routinely solicits support and/or input/advice from Human Resources for their position on any matter before the meeting on that matter takes place.

- Monthly financials, quality reports, etc. are automatically given to Chief HR leadership

- Chief HR leadership is held responsible for identifying and developing solutions for “people” issues relating to any tactical or strategic initiative.

Page 16: Connecting HR to the Board with a Strategic People Plan

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3 Key Signs an HR Leader is Perceived as Strategic

3. Senior Executives in your organization sees value and provides the same support and focus for all HR specific initiatives that they do for financial or quality initiatives.

§ CEO holds the Senior Executive Team accountable to participate in Management Development, Orientation, and other HR specific initiatives similar to financial and quality initiatives.

§ CEO holds Senior Executive Team accountable for supporting and consistently upholding HR policies and procedures

Bottom Line:

Senior HR leader operates as a business leader accountable to support the organizations business objectives as a whole, who happens to oversee the HR function, not the other way around.

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Developing a Successful People Plan

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What is a People Plan?

■ Every strategic initiative has a people component.■ Identifying issues, solutions and the impact the people side

has on the particular strategic initiative■ Both comprehensive to the organization and specific to each

strategic and tactical initiative.■ HR leadership is responsible for the people plan, similar to

how the CFO is responsible for the financial issues related to strategic plans.

■ A people plan includes issues surrounding employees, leadership, physicians, board members.

■ While the details of each people plan are unique to the specific initiative, certain considerations are common to most people plans.

Page 19: Connecting HR to the Board with a Strategic People Plan

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Key Inquiries of How People Impact a Strategic Initiative

1. What will be the skills and talents needed for the strategic initiative to be successful?

2. Does the current marketplace contain those skills?

3. Will the strategic initiative cause a skill depletion in other areas of the organization?

4. Does the initiative alter the supply and demand for needed skills in the marketplace?

5. What level of leadership is required to oversee the initiative and manage the resulting change?

6. Is leadership for the initiative developed internally, externally or a combination?

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Key Considerations Impacting the People Side of Any Strategic Initiative§ Will the initiative, to be successful, require a change in the

compensation model?

§ Does our current “people” systems have the capacity and/or ability to support the new initiative?

§ Does the community (all key constituents) support and understand the need for the initiative?

§ What plans are in place to facilitate, support and accountability from Board Leadership?

§ What plans are in place to facilitate, support and accountability from Physicians?

§ Will the initiative require a fundamental cultural change in the organization and, if so, what plans need to be made to address?

Page 21: Connecting HR to the Board with a Strategic People Plan

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Key Trends Impacting the People Side of the Business

§ Employed Physician Initiatives§ Eliminating Services/Facilities§ Mergers/Additions to Service Lines§ Academic Affiliations§ Changes in Religious Sponsorship§ Governance Structure Changes§ Generational Changes§ Diversity and Inclusion§ New Union Influence

Page 22: Connecting HR to the Board with a Strategic People Plan

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The following trends are currently impacting my organization (select top three that apply)

Employe

d Physician In

itia...

Elim

inating Servi

ces/F

acil..

.

Merg

ers/A

dditio

ns to Serv.

..

Acad

emic

Affilia

tions

Chan

ges in R

eligio

us Spo

...

Gove

rnance

Structu

re C

h...

Gen

erati

onal Changes

Dive

rsity

and In

clusio

n

New U

nion Influ

ence

0% 0% 0% 0% 0%0%0%0%0%

1. Employed Physician Initiatives2. Eliminating Services/Facilities3. Mergers/Additions to Service Lines4. Academic Affiliations5. Changes in Religious Sponsorship6. Governance Structure Changes7. Generational Changes8. Diversity and Inclusion9. New Union Influence

Page 23: Connecting HR to the Board with a Strategic People Plan

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Selling Your Plan to the C-Suite

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Step 1: Raising the Awareness of the C-Suite

§ A successful people plan spans beyond traditional “HR”responsibilities.

§ Illustrating the significant risks of not considering the “people”issues in assessing cost, feasibility, and timeline.

§ The needs for HR leadership assume the responsibility to raise people issues and develop plans, but share accountability.

§ Showing that success of any strategic initiative is enhanced by proactively considering and developing plans to manage the people side of the initiative.

Page 25: Connecting HR to the Board with a Strategic People Plan

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What is your C-Suite’s current awareness of the importance of a comprehensive People Plan

High, w

e alre

ady h

av...

Mode

rate,

some s

upp...

Low, mor

e trad

itional

...

If it w

asn’t f

or the P

eop..

0% 0%0%0%

1. High, we already have a People Plan

2. Moderate, some support.3. Low, more traditional view

of HR function4. If it wasn’t for the People

this would be a great job

Page 26: Connecting HR to the Board with a Strategic People Plan

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What are the two biggest roadblocks to raising the C-Suite’s awareness?

1. L

imite

d role

in Se..

.

Percep

tion th

at ex

ecu..

.

HR le

aders

hip not a...

Ove

rcoming hist

orica

l...

CEO fo

cus n

ot on p

e...

0% 0% 0%0%0%

1. Limited role in Senior Executive meeting

2. Perception that executives already experts in the people aspects

3. HR leadership not assuming a role beyond traditional HR

4. Overcoming historical view of HR’s role

5. CEO focus not on people side

Page 27: Connecting HR to the Board with a Strategic People Plan

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Step 2: Changing HR Leadership’s Role

§ Gaining additional business knowledge (i.e., finance, quality, etc.) to enhance insights and people solutions.

§ Broadening the perspective of Directors/Managers within HR.

§ Sharing new knowledge and insights with all levels of HR leadership and staff.

§ Gaining input from HR Directors/Managers on people issues and solutions for specific organizational strategic initiatives.

Page 28: Connecting HR to the Board with a Strategic People Plan

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What are the two biggest roadblocks to changing HR Leadership’s role?

1. F

ear o

f bro

ader

r...

Limite

d stra

tegic

skil..

Ove

rcoming hist

orica

l...

Lack o

f res

ource

s to...

Knowled

ge focu

s too...

Not r

eward

ed fo

r stra

...

Lack o

f time o

r suppor

...

0% 0% 0% 0%0%0%0%

1. Fear of broader responsibility2. Limited strategic skills and

experience3. Overcoming historical view of

HR’s role4. Lack of resources to develop

plans5. Knowledge focus too narrow6. Not rewarded for strategic

thinking7. Lack of time or support for

gaining knowledge

Page 29: Connecting HR to the Board with a Strategic People Plan

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Step 3: The Key - Develop at Board Level People Plan Awareness and Accountability

§ Establish similar accountabilities for the people side of the initiative as would be for finance, quality, and operational feasibility.

§ Create a people plan report similar to periodic financial and quality reports.

§ Replace Board HR committee with People Plan committee.

§ Regular attendance of Chief People Office at Board meetings.

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What is the openness of your Board Leadership in adopting a People Plan approach?

High, w

e alre

ady h

av...

Mode

rate,

some s

upp...

Low, mor

e trad

itional

...

If it w

asn’t f

or the P

eop..

0% 0%0%0%

1. High, we already have a People Plan

2. Moderate, some support.3. Low, more traditional view

of HR function4. If it wasn’t for the People

this would be a great job

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Do you or your senior HR leader attend Board of Director meetings?

Yes, e

very

time

Yes, m

ost of th

e tim

e

Yes, b

ut only

occas

io...

Very ra

rely

We h

ave a

Boa

rd of

D...

0% 0% 0%0%0%

1. Yes, every time2. Yes, most of the time3. Yes, but only occasionally

to speak to specific HR initiatives (i.e., employee survey, etc.)

4. Very rarely5. We have a Board of

Directors?

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Major Challenges to Strategically Developing a People Plan

■ Numbers are easier to manage than People

■ People Plans are incredibly complex and require sophisticated management and management systems

■ People Plans are ‘given’ in strategic discussions

■ Everyone is an ‘expert’ in people, don’t need expert guidance

■ Many Healthcare Senior Leaders are natural introverts

■ Board Members have historical conditioning to establish financial and quality accountabilities – people accountabilities are new

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Starting the Process

■ What seeds are likely to grow – gain understanding with a few leaders and expand

■ What can water the seeds – risk aversion and risk management

■ Fertilizer (natural or chemical) – Demonstrate Successful Strategic Initiative because of People Plan

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What do I think can happen next

Wow

– I c

an ch

ange

...

This ca

n work

at our ..

.

We j

ust are

not rea

dy ...

Wha

t are

you sm

oking...

We a

lread

y do it

How ca

n we m

ake t

hi...

0% 0% 0%0%0%0%

1. Wow – I can change the world

2. This can work at our organization, but it will take time

3. We just are not ready yet, so mostly foundation work first

4. What are you smoking, this will never work

5. We already do it6. How can we make this a

national trend