Employee Issues Legal Compliance Part One

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PART ONE

Employee Issues and Legal Compliance:
A White Paper for HR Managers in the
Healthcare and Medical Industry

Employee Issues and Legal Compliance:
A White Paper for HR Managers in the
Healthcare and Medical Industry
Introduction: Employee issues and
legal compliance are a necessary aspect
of human resources management. Even
so, many in human resources (HR)
feel that staying abreast of the laws,
policies, procedures, and documentation
requirements takes valuable time away
from focusing on what matters most to the
operation: ensuring that employees are
acting and being treated professionally.
Given that recruiting, screening,
interviewing, hiring, administration, and
payroll are all challenging tasks, finding
enough time to also research compliance
and employee issues can be a difficulty
for some. But, it’s the job of every HR
manager and specialist to know the laws
and keep the organization compliant
with all relevant legal requirements and
legislation. Without compliance, the
practice or the healthcare facility may be
vulnerable to costly fines and lawsuits.
The list of laws for which the HR
department should be well aware

include Affirmative Action (AA), Equal
Employment Opportunity (EEO), Fair
Labor Standards Act (FLSA), Family
Medical Leave Act (FMLA), Occupational
Safety & Health Act (OSHA), Immigration
Reform and Control Act (IRCA),
Workers’ Compensation, Americans with
Disabilities Act (ADA), as well as those
laws that govern drug testing, overtime,
documentation and recordkeeping.

Unfortunately, these laws governing
employee issues and compliance can
be difficult to understand. They change
frequently, and without much notice. To
stay well-informed and up-to-date on the
legal requirements that may impact their
practice or facility, some HR departments
turn to the aid of an HR consultant or
corporate attorney for help.
The expertise brought by an HR
consultant can help a busy healthcare
operation avoid a catastrophe. It’s
understood that not all HR departments
have the budget to hire professional

consultants or legal counsel, but given the
fact that HR effectiveness depends on a
thorough understanding of compliance
issues, some may be left wondering how
to develop efficient systems for remaining
informed and compliant without tipping
the organization into the red.

The rest of this white paper will describe
some of the common practices employed
by HR managers and HR departments
for staying up-to-date and informed on
employee issues and legal compliance that
affect their people and work environments.
Examples and advice have been drawn
from conversations and interviews with
a number of HR specialists and practice
managers who have openly shared their
knowledge and experience.
First, be informed. Understand that
state and federal laws change frequently.
These laws govern how your practice
or hospital operates in many respects.
Failure to align your HR strategy with legal
compliance can result in steep fines. It’s

2

also important to note that the laws vary
depending on the number of employees
you have on staff. So, some aspects of
the laws may not be relevant to your
healthcare practice. If this creates a sense
of bewilderment in members of your HR
team, that’s understandable. But if that’s
the case, there may be a genuine benefit
in hiring the services of a professional
agency that can consult with your practice
or facility on exactly what you need to do in
order to remain compliant.
If you don’t have time to stay
informed, hire an HR consultant.
Employment laws are often challenging
to understand and interpret. Remember:
ignorance of the law does not excuse
liability. For human resources managers
in the healthcare sector, there are litanies
of state and federal regulations with
which your healthcare practice must
be compliant. But, for small offices or
practices without the sage advice of
an internal HR professional, or no one
in the organization responsible for

assuring legal compliance, the effort to
stay informed and compliant can be a
difficult one to say the least. Fortunately,
there is no lack of external help. As
mentioned earlier, the knowledge and
experience brought by a professional HR
consultant—one who specializes in legal
compliance—can help HR departments
small and large address issues and
care for their employees with all due
attention and respect. And, at the same
time, they can help to prevent any issues
with the law that might cause a negative
impact on the organization.
You can also subscribe to HR
newsletters and updates from
consulting sources. There is much
to be said for up-to-date information
found in newsletters that can be easily
read and understood—especially if the
information is tailored to your practice.
The Society for Human Resource
Management (SHRM) publishes the HR
Issues Update e-newsletter “every other
week when Congress is in session.” This

publication details topics and issues
in a jargon-free language. SHRM also
publishes a variety of free newsletters
that serve to keep their members
informed about specific HR topics. The
Employee Relations & Engagement
e-newsletter covers policies, conduct
and performance management. The
Diversity e-newsletter covers topics such
as gender issues, religious differences, as
well as differences related to age, race,
language, and family status. The Safety &
Security e-newsletter includes updates
on OSHA initiatives. And the Workplace
Law Update offers a look at legislative
and regulatory news.
For many HR managers and staffers,
the SHRM site is an invaluable resource.
SHRM was founded in 1948 and
currently represents hundreds of
thousands of members in countries
all over the world. You can become a
member and sign up for any number of
newsletters at their official website.

3

Identify and define your particular
needs and objectives. There’s
truth to the idea that you can’t create
a strategic HR plan or a series of
solutions to problems in the workplace
if you haven’t identified your HR
strengths, weaknesses, and areas
where improvement may be necessary.
Many HR professionals will begin this
investigational process by conducting
an HR audit, one that looks at the entire
environment—people, practices, policies,
and procedures—in order to fully
understand the details and complexities.
At the very minimum, an HR audit
should be able to show members of
the HR team what needs to be done
in the organization and how changes
to compliance or best practices will
impact individuals, departments, and the
organization overall. Areas involved in an
HR audit may include, but should not be
limited to:
•	 Benefits administration including
401(k)

•	 Documentation of policies and
procedures in the employee
handbook
•	 Employee compensation and pay
equity
•	 Employee performance reviews and
appraisals
•	 Employer-employee relations
•	 Government reporting requirements
•	 Health, safety, and security policies
and practices (Drug-Free Workplace,
OSHA compliance, etc.)
•	 Legal compliance (FLSA, EEO, AA,
ADA, FMLA, IRCA, etc.)
•	 Personnel data and record-keeping
(W-2s, I-9s, W-4s, applications, etc.)
•	 Terminations and related
documentation
Hire a consulting group for your
HR audit. There are many consulting
groups that, for a fee, will come to
your practice or facility and conduct
an HR compliance and effectiveness
audit. This, of course, comes with an
associated cost to the HR department,

but they typically base their fee on the
number of employees you have onsite. Although this may seem like it’s
an easy way to assess compliance and
identify opportunities to improve the
effectiveness of your team, it’s best to
keep in mind that a proper HR audit
is highly specific to the environment
and the workplace. Your people and
workplace are unlike any other. As
such, the hired consulting group should
be given clear objectives and specific
directions by your team. Once the audit
(or investigation), report, and summary
meeting have been performed, and the
effectiveness of the existing HR programs
has been measured, the hired consulting
group may offer follow-up remediation
or, at very least, a set of action plans and
tools to help your HR team mitigate areas
of risk and ensure legal compliance.
Develop efficient, consistent
systems for productivity and
morale. One of the primary goals of the
HR department is to attract, recruit and

4

hire quality employees. But, as many HR
staff members know, the next challenge
is to identify, create, and enforce systems
that allow those employees to succeed in
their positions and be comfortable in their
work environment. Something as simple
as establishing workplace rules, or as
complex as instituting pay plans, provides
necessary structure and consistency in the
workplace. As such, the value of rules and
systems cannot be overstated.
To see the importance of reliable
HR systems, and the need for strict
compliance, one only has to look at
the concerns surrounding the basic
minimum wage and overtime pay—
something that affects most private and
public employers. Here, an important
piece of United States federal labor
legislation governs what is appropriate,
fair, and legal.

In regard to pay plans and compliance, it
should be noted that many wage, work
hours, and overtime pay provisions are

prescribed by the Fair Labor Standards
Act (FLSA). The FLSA, which was
adopted as a federal statute in 1938,
affects employers of full-time and parttime workers in the public and private
sector. As many HR managers and staff
members know, understanding pay
rates, work hours, and overtime hours is
crucial to ensuring employees are treated
fairly and equitably under the rules,
regulations, and laws set by the FLSA. If,
for any reason, the healthcare practice or
hospital employs children under the age
of 16, it should be noted that the rules
and laws contain additional restrictions.
FLSA requirements also state that
employers must be compliant with
required recordkeeping, reporting,
notices and posters for those subject to
the FLSA’s minimum wage provision. But,
here’s where it gets tricky: Paid time off
(sick days, personal days, and vacation
days) has no federal requirement, and
the individual states have been left to
determine regulations. From an HR

One of the primary
goals of the HR department
is to attract, recruit and hire
quality employees. But, as many
HR staff members know, the next
challenge is to identify, create, and
enforce systems that allow those
employees to succeed in their
positions and be comfortable
in their work environment.

viewpoint, it’s
important to
know where
your state
and your
organization
stands on
time off. It’s also
important to create a
formal written policy for
paid time off.

Summary: Human Resources is a major
administrative component with a broad
subset of interests and functions. In a
busy healthcare practice or hospital,
there’s no doubt that a variety of
employee issues and legal compliance
concerns will come up on a weekly basis.
As such, it’s understandable if an HR
team isn’t sure about how to correctly
and efficiently handle each employee
issue or complaint. Unfortunately, issues
such as workplace injuries, violence, and
harassment carry with them a number
of liabilities for the organization. As the

5

practice or organization grows, so will
the need for efficient, consistent systems
that help define HR responses and
decisions to these issues and many more.
This concludes Part 1 of our two-part
white paper series on employee issues
and legal compliance. In Part II, we’ll
look at delegation of duties and how to
mitigate risk by utilizing new hires and
outside HR agencies.
Major Research Links
http://smallbusinessesdoitbetter.
com/2013/12/operating-a-small-businesswithout-a-dedicated-hr-department/

http://www.shrm.org/Advocacy/

http://www.teamonelogistics.com/nearly-

GovernmentAffairsNews/

all-carriers-making-changes-for-health-

HRIssuesUpdatee-Newsletter/Pages/

care-law-tcp-says/

default.aspx
http://www.valencerg.com/hr-services-2/
http://www.hr.com/en/communities/
benefits/healthcare_legislation_and_
compliance/

http://www.evancarmichael.com/Human-

http://www.pebblehr.com/#!/page_

Resources/3362/Operating-Without-A-

Solutions

Human-Resources-Department.html

http://www.greenoughgroup.com/wp-

http://www.realmatch.com/what_we_do

content/uploads/2011/07/GCG-HR-Audit.pdf
http://www.shrm.org/TemplatesTools/
hrqa/Pages/WhatisanHRAudit.aspx
http://ipma-hr.org/sites/default/files/pdf/
hrcenter/HR%20Audit.pdf
http://humanresources.about.com/od/

http://www.strategichrinc.com/legal-

http://hrpmsi.com/cost.php

motivationsuccess/a/manage_systems.htm

compliance.htm

http://www.villanovau.com/humanresource-management-challenges/
http://www.dol.gov/whd/flsa/
http://www.mindtools.com/pages/article/
newLDR_98.htm
http://ucsfhr.ucsf.edu/index.php/pubs/
hrguidearticle/chapter-9-delegation/

http://www.dol.gov/compliance/guide/
http://www.mohave.edu/documents/

minwage.htm#RRN

SBDC/Resources/HR%20_Employment_
Law_Compliance_Guide_AZ_Employers.

http://www.hrsentry.com/site/small_

pdf

businesses

http://www.strategichrinc.com/hr-audit.htm

http://www.suny.edu/compliance/topics/
Topics%20In%20Compliance.cfm

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