The HR Toolkit is for board members, managers and supervisors who are responsible for recruiting, onboarding, training and managing staff. This HR Toolkit was created to support Medical Staff Associations (MSAs) and Physician Societies to utilize best practice and equitable approaches to people management, while also highlighting the employer’s obligations.
The practices suggested in this HR Toolkit will assist individuals in:
Throughout this HR Toolkit, you will find BLUE boxes indicating ‘Equity, Diversity and Inclusion (EDI) Best Practices.’ EDI refers to the fair and respectful treatment of all people, particularly those that have been historically marginalized [equity]; the promotion of differences among people’s life experiences and perspectives, which may involve their race, ethnicity, skin colour, religion, ability, gender identity, sexual orientation, and more [diversity]; and the creation and continuous practice of a respectful and diverse culture that welcomes and supports all [inclusion]. EDI best practices are essential for the success of any organization and are ideally incorporated throughout an employee’s life cycle – from recruitment to offboarding. The ‘EDI Best Practices’ boxes highlight top tips and recommendations for incorporating this perspective.
Additionally, within PURPLE boxes, you will find the resources, tools and templates relevant for each section of the HR Toolkit.
There are many types of staff that work within MSAs and Physician Societies. The table below highlights some of the key features that defines each category of staff.
The distinction between employees (salaried and hourly) and contractors is important.The decision whether to hire a staff member as an employee or a contractor has many different implications. Making sure you make the right call and ensuring that your internal practices are aligned with your decision is critical.
There are resources and tools to support employers in determining whether a staff member should be an employee or a contractor.
Once an assessment has been completed, it is important that all on-going practices are aligned with the original determination. If the needs of the organization change and, for example, a contractor is being asked to work more like an employee, the contractual relationship will need to be reviewed and a new assessment and determination completed.
Resources:
There are occasions when a MSA or Physician Society has a staff member who is hired though a health authority or another external partner. On these occasions, these employees are subject to the terms and conditions of their employment contract with their employer (i.e., health authority or external partner). While these partnerships can be beneficial, they can cause confusion when staff who work side-by-side but are appointed through different organizations have differences in:
It is important in these situations that all parties understand how this employment relationship will work and what are the differences in policy and practice between a MSA appointed and hired employee, and a MSA staff member hired through a health authority or external partner.
Should you have any additional questions or concerns regarding the topics covered in this HR Toolkit, please consult your Engagement Partner. The role of the Engagement Partner is as a strategic advisor in identifying appropriate staffing needs to achieve your organizational priorities in alignment with your Document of Intent (DOI) and Memorandum of Understanding (MOU), as applicable.
When your human resources questions are more complex, it may be important to consult an external HR expert. HR consultants or employment lawyers can be hired on an hourly or project basis to meet your needs. Your Engagement Partner may have recommendations of companies who can support your needs.
This HR Toolkit is a living document and will be updated to reflect current legislation and best practice.
The success of any organization is closely tied to the quality of its employees. An employer’s recruitment methods affect the individuals it hires, their performance and the retention and engagement rates of employees. Investing in a strong recruitment process will ensure you hire the right person for the position and your organization.
The following section outlines the key steps and considerations in the recruitment and hiring process. It highlights processes that consider an equity, diversity and inclusion (EDI) lens, as well as other best practices in finding and attracting quality candidates.
If you have additional questions or concerns, please consult your Engagement Partner.
EDI Best Practices:
- Use gender neutral pronouns. Avoid binary personal pronouns and instead use ‘they’ or ‘the candidate’.
- Be aware of ‘feminine’ versus ‘masculine’ words.
- Avoid extreme modifiers such as, ‘world class’ or ‘unparalleled’. These can discourage qualified candidates who may not self-identify with the terms or language used.
- Focus on the necessary requirements rather than the ‘nice to haves’ to give latitude to candidates with transferable skills.
- Communicate your commitment to equity, diversity and inclusion. Doing so will help signal to potential candidates that their personal identity and experience will be welcomed and supported.
Resources:
Resources:
Resources:
Resources:
Resources:
Resources:
EDI Best Practices:
- To support diversity and inclusion, some policies include statements that describe the organization’s acknowledgement that there can be stigma surrounding people’s criminal history. To avoid perpetuating shame, the organization may not consider crimes around drug offences, sex work, property offences, or poverty-related offences as relevant in determining a candidate’s suitability for a role.
Once you have received a signed employee agreement from your new hire, it is time to start preparing for the appointment and onboarding process. Appointment refers to collecting all of the critical information to set them up as an employee within your organization. Onboarding is the process of equipping new employees with the knowledge and skills necessary to become an effective team member.
A seamless and thoughtful appointment and onboarding process is critical for setting the individual and the organization up for success. As a senior leader, make sure you carve out the time required to do this process effectively. This early investment will pay dividends in the future. Being prepared shows that you are committed to supporting your new hire in quickly gaining confidence and becoming productive in their role.
This section outlines the critical steps required for a successful appointment and onboarding process. It also highlights best practices and other considerations organizations should make when welcoming a new employee.
Resources:
Resources:
Resources:
Effective compensation programs are designed to support the organization in attracting and retaining high-calibre talent. Effective compensation strategies balance internal equity, external market, and ease of administration. It thinks about ‘total compensation’ and considers factors beyond salary to reward and retain employees. These may include benefits such as health coverage, paid time off, and/or retirement benefits; as well as non-quantifiable factors such as culture, recognition, flexible work arrangements and/or development opportunities. Research consistently indicates that non-salary compensation is extremely vital to the engagement and satisfaction of employees.
The following section provides guidelines on what to consider when developing your organization’s compensation strategy.
EDI Best Practices:
- In accordance with the Employment Standards Act, employees may substitute another day off for a statutory holiday if the employer and employee agree to the substitution. Employees affected by the substitution have the same rights and their employer has the same duties (e.g., statutory holiday pay) as if the other day were a statutory holiday. Employers are required to retain records of any such agreements with employees for at least 4 years.
- Some workplaces, to recognize the diversity of their staff, allow their employees to replace Easter Monday and Boxing Day with another day to celebrate an ethno-cultural event of their choosing. This option is given to employees where the workplace has the option of them working on those two designated days (Easter Monday and Boxing Day).
There are several types of leaves available to employees, as outlined in the federal and provincial Employment Standards Act and other related legislation. These are referred to as statutory leaves and are available to employees regardless of how long they have worked, as long as they meet the eligibility criteria. These leaves represent the minimum entitlements for all employees in Canada and/or British Columbia.
Many workplaces supplement the leaves offered to employees through provincial and federal legislation. Some workplaces will offer to continue to pay full or partial amounts of the employee’s wages while they are on a statutory leave. Some workplaces offer additional leaves of absences, such as short-term sick leave, professional development leave, educational leave and/or a general unpaid leave of absence.
This section reviews the responsibilities of the employer and employee regarding leaves, leave management and record keeping. It outlines best practices that workplaces can adopt to ensure they are well-positioned to support the health and wellness of their employees. It articulates some of the common challenges and complexities workplaces can discover in managing leaves of absence and provides the tools and resources to successfully navigate common leave requests.
For more information on statutory leave of absence, refer to the Employment Standards Act.
Resources:
Resources:
- Leave of Absence Checklist
- Leave of Absence Form
- Leave of Absence Confirmation Letter
- Return to Work/Stay at Work Physician & Counsellor Planning Form
- Return to Work/Stay at Work Physician & Counsellor Planning Form - Employee Cover Sheet
- Return to Work/Stay at Work Physician & Counsellor Planning Form - Manager Guidelines
- Sample Return to Work Plan
- Medical Duty to Accommodate Letter
EDI Best Practices:
- Some workplaces, to recognize the diversity of their staff, allow eligible employees time off to vote in an Indigenous election.
Resources:
Resources:
Resources:
Resources:
Performance management is an on-going process involving a series of activities to help employees succeed and attain organizational goals. It should not be relegated to a once-a-year annual review process. When done well, performance management is a conversation between the employee and their supervisor/manager that includes discussions about employee goals, expectations, hopes and visions, as well as clear and thoughtful feedback from the supervisor about strengths, areas of growth and opportunity.
This section outlines some of the best practices related to supporting and growing your staff. It provides you with clear guidelines and forms to use when having performance management discussions with staff. By using these tools, it is hoped you will have meaningful and thoughtful staff engagement that fosters and encourages organizational success.
If you have additional questions or concerns, please consult your Engagement Partner.
Resources:
Having difficult conversations is critical for the health of any organization. Difficult conversations can trigger lots of emotions in those who initiate them and/or receive them.
Each new employee has a probation period that commences on their start date. Standard probationary periods range from 3 months to 6 months to one (1) year. The probation period allows the employee and the employer time to mutually determine the suitability and/or fit with the organization.
Resources:
Resources:
Consider:
In the event that an employee’s conduct is so egregious and performance management is not resulting in a change in behavior, disciplinary measures and/or termination must be considered. As in all employment matters, the disciplinary process must be fair, constructive, and consistent. The objective process should be focused on resolving and addressing unacceptable conduct or performance. Similarly, a termination whether for cause or not for cause, must be informed, well documented and respectful. The objective of the process must be focused on supporting the employee in their exit from the organization in a fair, clear and transparent manner.
The following section outlines the considerations an MSA executive should make when preparing for and executing discipline. We discuss a progressive disciplinary process with five (5) different stages and/or levels of consequences to reflect differences in the nature of the conduct or performance issue. Depending on the severity of the misconduct or the frequency of its occurrence, the progressive disciplinary process can start at any of its stages.
In this section, we also discuss the considerations and steps for executing a termination process. Terminations can be done for cause or not for cause. A for-cause termination is a termination that is the result of a severe error in actions or judgement, such as a violation of the company code of conduct or ethics policy, a breach of contract, violence or threatened violence, stealing, etc. A not-for-cause termination is when the termination is being done as a result of no fault of the employee but due to a lack of fit between the employee and the employer, change in need of the organization, end of funding, etc.
Disciplines and terminations can be complex and difficult to navigate. If you have questions or need support, it is recommended that you reach out to an expert in human resources who can support you and your employees in these matters. By using the tools and following the guidelines provided, you will know of the key considerations and best practices regarding these matters and will be better informed to execute a thoughtful, fair and equitable process.
If you have additional questions or concerns, please consult your Engagement Partner.
The employer has a responsibility to inform employees of unsatisfactory performance in a timely and open manner and, where appropriate, to provide employees an opportunity to correct unsatisfactory performance. Except for very serious offenses resulting in dismissal for just cause, the employer may support a progressive discipline approach.
Progressive discipline intends to raise the employee’s awareness of the problem and the need to change based on an escalation of consequences for failure to comply. These escalating consequences may include the following five (5) steps:
Depending on the nature of the misconduct and other factors, the ‘step’ the employer chooses to initiate may vary.
Verbal warnings are used for minor unacceptable conduct and/or performance.
Written warnings are used for repeat of minor unacceptable conduct and/or performance after verbal warning, or for conduct and/or performance which is more serious in nature.
Resources:
The Performance Improvement Plan (PIP) is an objective and clearly outlined plan created to ensure the employee understands the expectations with regards to conduct and/or performance within their role. It must outline any remedial action they are required to take as a result of their poor conduct and/or performance, as well as the consequences if unacceptable conduct and/or performance continues.
An employer can terminate an employee at any time, for any reason, provided that the reasons are not based on discriminatory grounds as set out by the British Columbia Human Rights Code. Protected characteristics include race, colour, ancestry, place of origin, political belief, religion, marital status, family status, physical or mental disability, gender, sexual orientation, age, or because a person has been convicted of a criminal or summary conviction offence that is unrelated to the employment or to the intended employment of that person.
There are two types of terminations: terminations with cause and terminations without cause.
Notice requirements and/or severance entitlements are subject to all applicable statutory and regulatory requirements, including requirements established by the Employment Standards Act. Employers have the option of paying out the employee’s notice period, also known as providing severance, or providing the employee with working notice.
Notice of termination or severance is not appropriate in the following circumstances:
Working notice is when an employer requires the employee to work out their notice period.This option is appropriate in circumstances where the employee has been hired for a set term and has a pre-established end date since they were hired.
Severance refers to ‘paying out’ the employees notice period entitlement. Often in these cases, employers will provide additional severance pay in addition to the minimum required by the Employment Standards Act.
Release refers to a written document the employee is required to sign outlining the terms in which they will receive additional payment (i.e., severance). In a release may be terms related to confidentiality, etc.
Resources:
Resources:
The following are general suggestions to assist with the termination process:
Note: The termination process applies to a termination without working notice. If someone is given working notice, they would not be asked to leave immediately, pack up their items, etc.
Resources:
This section discusses the process and procedures related to when an employee decides to end their employment with your organization. Unlike in a termination where the employee may or may not have notice in advance of their departure, employee-initiated resignations or retirements mean the organization has time to prepare and ensure a smooth transition of information, projects and relationships. This process of ensuring a smooth transition, organizational stability and supporting the final stage of an employee’s life cycle is called offboarding.
Offboarding leads to the formal separation between an employee and employer, and involves not only exit interviews and feedback opportunities - which are discussed below - but also transferring the employee’s workload while you hire their replacement; initiating final pay and payouts (e.g., vacation, benefits, overtime); turning in equipment, tools and keys; deactivating access rights and passwords; etc.
With both onboarding and offboarding, the more time and care you take with these processes, the better experience your employees will have. Departing employees do not want to end their last day feeling unappreciated, nor do they want to receive an email two weeks later asking for their office keys. An effective offboarding process supports the organization’s reputation, improves your employee’s working experience, and helps build advocates for the organization.
This section reviews some of the key steps to supporting an employee and your organization through the end of employment.
If you have additional questions or concerns, please consult your Engagement Partner.
Resources:
Resources:
Occupational Health and Safety refers to the requirements an employee and employer are expected to implement and follow to ensure organizational safety and well-being. In British Columbia, WorkSafeBC establishes the organizational standards that employers are expected to implement.
This section outlines WorkSafeBC requirements and provides tools and guidelines for how MSAs and Physician Societies can meet these obligations and support the health and well-being of their employees.
If you have additional questions or concerns, please consult your Engagement Partner.
Resources:
Resources:
One of the most important aspects of occupational health and safety is regular workplace inspections. The purpose of a workplace inspection is to identify occupational hazards, prevent unsafe working conditions from developing, and assess risk in the workplace on an ongoing basis.
Resources:
Resources:
Resources:
This chapter outlines policies and procedures that can support the governance and operational structure of your organization. The first section highlights two (2) policies that are required within your workplace – a bullying and harassment policy and a privacy policy – while subsequent sections provide suggestions of policies that you may want to consider for your workplace.
Depending on the size of your organization, you may choose to implement a HR policies and procedures manual or include your policies within an employee handbook. For smaller workplaces, an employee handbook may be sufficient. An Employee Handbook Template can be found here
If you have additional questions or concerns, please consult your Engagement Partner.