50 Essentia Health workers fired for refusing flu vaccine

https://www.hrdive.com/news/50-essentia-health-workers-fired-for-refusing-flu-vaccine/511593/

Dive Brief:

  • Essentia Health terminated 50 employees for refusing to get the flu vaccination, reports the Star Tribune. Hundreds of other workers agreed to be vaccinated after the Duluth, Minnesota-based healthcare system threatened to fire them if they refused.
  • The new policy requires all employees to get vaccinated to protect patients, Dr. Rajesh Prabhu, Essentia’s chief patient safety officer and an infectious disease specialist, told the Tribune. He said severely ill patients are more susceptible to complications and death from the flu, which is why the need to vaccinate employees is greater.
  • The Tribune says three unions oppose the new policy, which covers 15 hospitals in the system and 75 clinics. The United Steelworkers, which represents some employees, failed to get a court injunction to block the terminations.

The American Hospital Association​ (AHA), along with the National Business Group on Health and the American Academy of Family Physicians, strongly supports vaccinations to prevent the spread of the flu. The AHA backs mandatory patient safety policies that require workers to get flu vaccinations or wear hygienic masks when coming in contact with patients during the flu season.

Statistics from the Centers for Disease Control (CDC) show that less than 45.6% of Americans got flu shots during the 2015 to 2016 flu season. According to the CDC, some people don’t think the flu vaccination is effective, while others don’t think they’ll come down with the flu or think the side effects will be worse than the disease. Other workers might be eligible for a medical or religious exemption.

Employees routinely come to work ill, spreading infections to coworkers. Some 80% of employees came to work sick last year based on findings from Staple Business Advantage’s cold and flu survey. The cost of the flu alone is  $10.4 billion in medical expenses and, for employees, $16.3 billion in lost earnings each year.

Healthcare statistics would seem to support the argument for mandatory flu vaccinations. However, legal considerations come into play. States like New York allow employers to have blanket mandatory flu vaccination policies, but the Equal Employment Opportunity Commission (EEOC) is against mandatory policies. Employers will need to pay attention to local and state law before making any such policies of their own.

 

Sexual abuse scandals: What hospitals can learn from high-profile Hollywood, government cases of harassment

https://www.fiercehealthcare.com/healthcare/sexual-abuse-scandals-what-hospitals-can-learn-from-high-profile-hollywood-government?mkt_tok=eyJpIjoiWVRBeE5EQTFaREJqWVRJMiIsInQiOiJnUXl5b3pxcXlaRVo0Nm51UVcxOXdXd3IybE96SnNuOVhaNzR6UjBUMDMxdUJUN2h0MzlpNXdPRFdwcVwvS0MwQk1SSWdjMFM3T3FuN2tnbThoNjVzVmg2V0NEQmdrOXFcL05BQ1dRWCtkeExsbGxMTWJaMjUyMlwvUklJcGErd1BiYiJ9&mrkid=959610&utm_medium=nl&utm_source=internal

Female nurse looking stressed

While media attention has focused on the accusations of sexual misconduct among Hollywood heavy hitters, television personalities and politicians, the healthcare industry isn’t immune to misbehavior in the workplace.

Indeed, one of the biggest payouts for workplace harassment occurred in 2012 when Mercy General Hospital in California and its parent company, Catholic Healthcare West (now Dignity Health), were ordered to pay more than $167 million to Ani Chopourian, a former physician’s assistant who says she was fired after she complained of sexually inappropriate conduct, bullying and retaliation, in addition to inferior patient care by surgeons.

While USA Today reported that the judge later vacated the award after attorneys on both sides negotiated a settlement, the large payout should serve as a wake-up call to hospital leaders that they can’t ignore complaints of misconduct in the workplace.

The recent high-profile cases that have made national headlines also offers lessons to healthcare leaders. Lawyers say leaders must:

  • Establish policies that address disruptive behavior: Healthcare organizations must foster a culture of teamwork and the need for a safe, cooperative workplace, Anne Murphy, a Bloomberg Law advisory board member and partner at Hinckley Allen in Boston, told Bloomberg BNA.
  • Be willing to investigate complaints, even if they involve a high-profile physician: Hospital leaders must be willing and able to identify and avoid sexual harassment claims and apply the policies equally to everyone. Employees must feel safe to report complaints and leaders must be willing to address those complaints and not sweep them under the rug.

    “Healthcare entities must take these actions in spite of the prospect of losing a significant revenue generator or a critical skill in a single physician,” wrote Katherine Dudley Helms in National Law Review. “Failing to address the situation creates legal liability and sends a loud negative message to employees regarding the importance the organization places on its workforce versus certain key employees.”

  • Develop an action plan to address complaints: David Jarrard, president and CEO of Jarrard, Phillips, Cate & Hancock in Brentwood, Tennessee, told Bloomberg BNA that organization must have plans in place just as they would other responses to natural disasters or mass shootings.
  • Be aware of red flags: Sexual harassment claims shouldn’t come as a surprise. Often, gossip spreads among employees, so leaders should keep their ears open, Jarrard said. He told the publication that senior leaders must be visible and engaged with employees and patients.

    “Hospital leaders might hear about suspect behavior simply by getting out of their offices and walking the hospital’s hallways,” he said.

  • Monitor social media accounts: Jarrard also said that accusations of misconduct often will appear in social media platforms so leaders should monitor accounts for mentions of their organizations. This way they may be able to intervene before the situation becomes worse.
  • Consider peer intervention: Clinical leaders might be able to diffuse a situation by talking to the person accused of misconduct over coffee and before a formal complaint is filed, according to the article.

“Now is an excellent time to remind your employees of your refusal to accept this behavior,” said Helms in the National Law Review piece. “Remind employees and supervisory personnel of your harassment policies, and refresh your sexual harassment training.”

 

When Dying Man’s Last Wish Is Against Hospital Rules, Nurse Goes Above And Beyond To Fulfil It

https://www.upliftpo.st/when-dying-mans-last-wish-is-against-hospital-rules-nurse-goes-above-and-beyond-to-fulfil-it/

Carsten Hansen’s dying wish wasn’t a complicated one. The 75-year-old man wanted to smoke a cigarette, drink a glass of white wine, and watch the sun set. His wish was, however, against hospital rules.

After suffering an aortic aneurysm, Hansen was admitted to a Denmark hospital in April. The surgery to repair the aneurysm was long and complicated, and Hansen would need to stay in the hospital for the recovery.

However, Hansen was too weak and sick to survive the surgery. Without it, he probably wouldn’t live more than a few hours, since the aneurysm had caused significant internal bleeding. Knowing that he had just a few hours to live, Hansen told nurses that he wished to smoke a cigarette, drink white wine, and watch the sun set.

Working together, the nurses found some white wine. Hansen’s hospital room had a view of the setting sun, so that part of his wish would be taken care of. Finding a cigarette proved to be a challenge, though. The hospital had a no-smoking policy to help protect its patients’ health. However, Rikki Kvist, Hansen’s nurse, decided that just this one time it would be okay to break that rule.

Nurses wheeled Hansen out onto the balcony, lit a cigarette for him, and gave him a glass of white wine. Hansen was able to watch the sun setting with his family.

According to Kvist, the atmosphere was a relaxed one. Hansen’s family was doing their best to cope with the fact that he was going to die, but the moment was also filled with love and humor.

When the nurses shared the special moment through a Facebook post, other Facebook users praised their actions in fulfilling Hansen’s last wish.

Users posted comments in support of the nurses, stating that the hospital provided hope, and some users even posted that they wished their own relatives had had such an experience.

Hansen passed away on April 28, but thanks to a special team of nurses, he got to live out his dying wish.

What do you think of the nurses’ actions in fulfilling Hansen’s wish?

What Will You Do When One of Your Employees Is Outed Online For Their Activism?

https://www.eremedia.com/tlnt/what-will-you-do-when-one-of-your-employees-is-outed-online-for-their-activism/?utm_source=Marketo&utm_medium=Email&utm_campaign=TLNT%20Daily-2017-08-17T05:30:00.000-07:00&mkt_tok=eyJpIjoiTUdRek5UTTVaREpoTWpnMyIsInQiOiJRSTl0K210V003czlJRDJ3bmtzNW9IbVBiSHhcL3BvbzdFK0pGMlBOK2E0YUFhRmlaTElCWmYxV2hGV1VVMEpHTm43Wm1GMHlUekl0SnZ5cHA0QUdaUXJRVExJNkIzcWhhWDhlbjAzUXA5K3hoU0prTHZITnhDbGd0S1l1bFBicTUifQ%3D%3D

It should be no secret to anyone that political activity and tensions are currently high in the US. And by now, everyone in HR has heard about the Top Dog restaurant employee who resigned as a result of his participation in the Charlottesville turmoil and the Google employee who was fired because of his controversial “diversity manifesto.”

Rather than just being news items, these cases should be treated as illustrative examples of the recent dramatic increase in political sensitivity in and around the corporate world. Executives and HR should treat them as a wake-up call and begin asking themselves a question that has become extremely pertinent. And that question is:

Does our firm have a formal plan of action covering what to do and how to limit the damage if one of our employees is publicly ridiculed as a result of what is known as Internet shaming?

If you’re not familiar with the term “Internet shaming” in the corporate world, it is when a firm’s employee is publicly exposed and ridiculed on the Internet for something they did that was controversial.

The need for a social controversy plan

The need for a policy and an action plan relating to political and social controversy increases every day for a variety of reasons. They include the combined impact of a higher number of public marches, the proliferation of mobile phone videos of these protests and the rise of Internet and social media websites (e.g. YesYoureRacist Twitter account) that actively use pictures/videos to shame individuals and their employer. Unfortunately, this shaming often results in the public making the connection (fairly or not) between an individual’s actions and the company that employs them. And that becomes a major corporate issue when that employee shaming leads to on-site protests, a loss of customers and damage to your firm’s product and employer brand image.

In the past, at least in the US, many firms have been operating under the legal principle that activities outside of work and that an employee’s personal beliefs are none of an employer’s business. However, when an employee’s actions or publicly exposed beliefs hurt the company or its employees, in my view a firm must at least consider revisiting its existing approach to employee activities.

Top 10 “Should I fire a controversial employee” action steps to consider

You should of course always consult with legal counsel before taking any action. But as part of your policy review process, here are 10 steps you should consider.

  1. Make a strong business case – You can’t expect executives to take action until they fully understand the dollar consequences of an action. So start by working with the CFO’s office to identify and then quantify in dollars all of the possible negative consequences that may result when an employee is publicly shamed. These consequences should include on-site protests, boycotts, employee turnover, employee brand/recruiting damage and damage to product sales and your product brand image.
  2. Consult with your corporate counsel – There are many complex legal issues involved so work closely with legal counsel. Also be aware that some states (e.g. California) specifically prohibit the firing of employees for lawful activities outside of work. And it’s also true that the laws and employee expectations are completely different in each country around the world. If you have a union, you should also consider involving them.
  3. Be aware that every available solution has negative consequences – Be aware from the start that, unfortunately, there are no perfect solutions to political controversies surrounding your employees. And that means that whatever solution you select will have many negative downsides. Prevention is the highest impact action, so begin by warning your employees to avoid controversy. Ignoring the problem is the solution with the highest negative consequences. However, firing or releasing controversial employees can also result in a backlash (e.g. marches are planned this weekend on Google headquarters and elsewhere protesting the firing of the employee who wrote the diversity manifesto).
  4. Educate your employees and applicants – Because your employees will likely be thinking about this issue already. It’s critical that you quickly let them know your expectations and provide them with illustrative examples of activities that they should avoid. You should also have a process for answering anonymous questions in this area. And if your policy extends to job applicants, you may want to add a social media check to your hiring process so that you don’t hire already controversial employees.
  5. Clearly define the activities that are prohibited/questionable – Perhaps the most difficult task is clearly defining what is acceptable behavior and what is not. Start by assuring employees that you are politically neutral and that you will look at damaging behaviors across the political spectrum. Whatever boundaries you set, it’s critical that you pretest them to ensure that they are clear to your employees. In most cases, it is easier to legally terminate an employee if violence or illegal activities are involved. It is also sometimes easier to terminate if the controversial employee is highly visible or if they are a manager.
  6. Specify the possible outcomes – If you are going to sanction or even fire employees for controversial beliefs or actions, you need to make those punishments crystal-clear. Some possible actions include: asking the employee to disavow, suspension, encouraging them to resign, or termination. In some cases, it may be wise to simply provide the employee with a severance package if they voluntarily leave and agree not to sue and if they stay out of the public limelight.
  7. Monitor what’s happening – As long as the political climate is highly charged, your social media employees could be asked to pass on any possible social media issues in this area. Internal employee forums and affinity groups could also be monitored. You might also encourage your employees to make HR aware when they spot potential issues.
  8. React quickly – No one that I have encountered has ever suggested that a delay is a good thing. So be able to react within a day or two if you want to minimize the damage to your firm.
  9. Reveal the actions that you take – The company’s image may continue to be damaged if you fail to make the public aware of the corporate actions that you took to resolve the controversy.
  10. Learn from each event – Finally, because this problem will be continually evolving, it’s important to learn from your errors and those made by other firms. And then, continually update your policies and processes to reflect the latest best practice approach.

Final thoughts

The free-speech article of the Constitution only protects citizens against government actions. So if you are a private employer, rather than the Constitution, you need to consider other elements including local employment laws and the best interests of your employees, customers and shareholders.

Because this is a highly complex and risky area, I expect many firms to do nothing. However, that can be a major mistake because in the near future you are likely to see many more protests that are videoed, an increase in Internet shaming and many more controversial tweets and Internet exchanges covering your employees and contractors. As a result, in my view, the time to at least begin the conversation on how to improve your reaction is today.

Are Masks a Good Alternative to Flu Shots for Healthcare Workers?

http://www.medpagetoday.com/HospitalBasedMedicine/InfectionControl/54905

At some hospitals, it’s vaccinate or be fired

Strategies for Managing Aging Clinicians

http://healthleadersmedia.com/content.cfm?topic=PHY&content_id=322541

aging-doctors_newm-1050x702

Physicians experience cognitive declines just like anybody else in the workforce. It’s time for hospitals to establish policies that will protect patient safety and prepare the next generation of clinicians.