
It never ceases to amaze me that a hospital will not pay someone $2.00 per hour more in order to fill a vacancy that is costing them $80 per hour in contract labor. If the hospital CFO was making this decision, would this be the one he/she would make? Unfortunately, many times the person making the decision on what to pay has no skin in the game. Meaning, if HR does not agree to pay a
Physical Therapist $35/hr instead of $33/hr, who's production does it affect? My guess is that the Physical Therapy Department will suffer from the decision. Therefore, shouldn't the Director of Physical Therapy or Rehab make the final call?
This frustration stems from countless examples of HR Departments not paying (or being unable to pay) the
market rate for a candidate. Some positions remain vacant for months because many hospitals are not keeping pace with competing markets that drive up healthcare wages. By the way, when you look at adjusting wages, look at pay rates in ALL MARKETS, not just your state.
As a recruiter, we are faced with this situation daily.
Human Resources tells us that they can only pay a certified healthcare professional $30/hr, even though the person has the experience to expect $35/hr. Yes, internal equity matters. But so does filling a position that's been vacant for 6 months and where you have a temp that's charging you twice the rate. Furthermore, what is it costing you NOT to fill the position?
Please give me a straight answer. We all know $2.00 per hour annualized is $4,160 per year. But what is it costing you NOT to pay it? Funny, it seems no one wants to answer that question.
Now that I've gone on my rant, let me be clear. This should not be done when you have 15 qualified candidates applying for a job. However, some types of candidates are just hard to find. If you lose a Specialty RN, Physical Therapist or a triple modality Sonographer over 2 bucks an hour, your organization is on the wrong track. You may ruffle a feather or two by doing it, but that's only if someone finds out. If you're like me, you don't run around telling everyone in your department what you make in the first place.
It's simple economics... a calculator, pen and paper. If it makes sense, do it! And apologize later if necessary.
Dale Hannegan
www.radsciences.comwww.mymedport.com