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Food-Service-Manual-for-Health-Care-Institutions

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<strong>Food</strong> <strong>Service</strong> <strong>Manual</strong> <strong>for</strong> <strong>Health</strong> <strong>Care</strong> <strong>Institutions</strong><br />

242<br />

within the environment <strong>for</strong> clues and then take steps to improve the situation. An employee<br />

attitude survey or a culture audit (described in Chapter 4) would be a useful tool in this respect.<br />

The rate of absenteeism can be determined by using another simple <strong>for</strong>mula. The rate of<br />

absenteeism equals the number of workdays lost per pay period divided by the average number<br />

of employees, multiplied by the number of days worked, and then multiplied by 100. Or:<br />

Absenteeism rate (%) =<br />

Number of workdays lost per pay period<br />

Average number of employees × number of days worked × 100<br />

Unusual levels of absenteeism among employees also may signal potentially serious personal<br />

problems that should be investigated. The most frequent reason given <strong>for</strong> missing work<br />

is illness, but illness may be an excuse to cover up serious chronic problems such as alcoholism,<br />

substance abuse, or debilitating physical or mental conditions. If a manager suspects that an<br />

employee’s attendance and work per<strong>for</strong>mance are adversely affected by such problems, he or<br />

she should refer the employee to the organization’s employee assistance program if one is available.<br />

An employee assistance program is a <strong>for</strong>mal program that provides employees with counseling<br />

or treatment <strong>for</strong> problems such as alcoholism, gambling, or stress. The employee<br />

assistance program may be an in-house or an out-of-house program provided by the organization’s<br />

contract with a vendor to provide assistance. Regardless whether it is in-house or out-ofhouse,<br />

the program should provide service to assist the employee. The program needs to<br />

include the following:<br />

• Goals: short- and long-term goals that are expected to be achieved by employees and<br />

employer<br />

• Professional staffing: the organization should be staffed by professional licensed persons<br />

• Written purpose: of program, employee eligibility, role, and responsibility of personnel<br />

• Confidentiality: confidential records are maintained<br />

• Legal requirements: all legal requirements are known and followed<br />

The manager should never attempt to diagnose a suspected problem, openly accuse an<br />

employee, or give advice on sensitive subjects such as alcoholism or chemical dependency. If the<br />

organization has no employee assistance program, the manager should strongly recommend<br />

that the employee seek qualified professional assistance to identify a possible problem.<br />

Compensation and Benefits Administration<br />

The human resource department is responsible <strong>for</strong> establishing and maintaining an organization’s<br />

compensation and benefits program. An equitable and competitive program is essential<br />

to the organization’s ability to attract and retain competent and qualified employees. The compensation<br />

system is the mechanism by which the human resource department sets salary and<br />

wage rates <strong>for</strong> new employees, approves increases <strong>for</strong> current employees, maintains and<br />

updates wage and salary schedules and job classification schedules, authorizes position<br />

changes, and authorizes the creation of new positions.<br />

The employee benefits component of the compensation program includes a number of traditional<br />

“perks” as well as more innovative ones. Traditional benefits commonly include vacation<br />

and holiday pay, health insurance, life insurance, short-term and long-term disability insurance,<br />

and pension plans. More and more organizations are offering dental coverage (including orthodontics),<br />

vision coverage, profit sharing, and gain sharing. Limited coverage <strong>for</strong> holistic or alternative<br />

healing methods is not unheard of in some institutions.<br />

Managers outside the human resource department play a role in compensation administration<br />

when they recommend salary or wage adjustments <strong>for</strong> individual employees, when they<br />

recommend changes in the pay scale <strong>for</strong> positions under their management, and when they recommend<br />

salaries or wages <strong>for</strong> new or newly promoted employees.

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