Chat with us, powered by LiveChat Management in Healthcare I? Please review chapter 7 (pp. 99-100): Think about the Family and Medical Leave Act (FMLA) from the perspective of?a working department manager.?How has this legislation | Wridemy

Management in Healthcare I? Please review chapter 7 (pp. 99-100): Think about the Family and Medical Leave Act (FMLA) from the perspective of?a working department manager.?How has this legislation

Management in Healthcare I 

Please review chapter 7 (pp. 99-100):

Think about the Family and Medical Leave Act (FMLA) from the perspective of a working department manager. How has this legislation has affected the manager’s ability to manage?

Now think about FMLA from the perspective of the employee. Do you have any frustrations with FMLA? Do you think it is sufficient?

At least 250 words

  

Course Materials 

Required Text or E-Book: McConnell, C. (2015). The Effective Health Care Supervisor, 8th ed. Burlington, MA: Jones and Bartlett Publishers.

The Supervisor’s

Legal Environment

Chapter 7

LEGAL ENVIRONMENT

This chapter provides an overview

of the laws affecting various

aspects of the employment

relationship.

Caution

Nothing in this chapter constitutes

legal advice, and no such advice

should be inferred from its contents.

Turning Point

1964 was the pivotal year for legislation

affecting employment; before 1964

management had to be concerned only

with wage-and-hour and labor laws.

Pre-1964

• Norris-LaGuardia Act (1932)

• National Labor Relations Act (NLRA) (1935)

• Social Security Act (1935)

• Fair Labor Standards Act (FLSA) (1938)

• Labor Management Relations Act (1947)

• Labor-Management Reporting and

Disclosure Act (1959)

• Equal Pay Act (1963)

The Turning Point

Title VII of the Civil Rights Act of 1964

ADEA

The Age Discrimination in Employment Act

(ADEA) of (1967), a significant expansion

of government concern for “age” in

defining a “protected class” under anti-

discrimination law. Amended and

strengthened twice in subsequent years.

Concern for Worker Health and Safety

The Occupational Safety and Health

Act (OSHA) of (1970) gave us OSHA

the Occupational Safety and Health

Administration, the “OSHA” of concern

to all employers.

“Right-to-Know Laws”

State laws that also address exposure

to and handling of more than 1,000

substances considered hazardous

under OSHA regulations.

Rehabilitation Act (1973)

Although disabled persons were

mentioned in the Civil Rights Act of

1964, they were addressed separately

for the first time in the Rehabilitation

Act of 1973.

Employee Retirement Income Security Act (ERISA) (1974)

Passed to protect worker pensions at risk

with failing companies. Required annual

funding of pension plans; employers could

no longer pay pension benefits out of

current income. Created the PBGC – the

Pension Benefit Guarantee Corporation.

Pregnancy Discrimination Act (1978)

This Act defined discrimination on the

basis of pregnancy, childbirth, or

related medical conditions as unlawful

sex discrimination under Title VII;

recognized pregnancy as a disability.

Consolidated Omnibus Budget Reconciliation Act (COBRA) (1986)

Complex legislation addressing many

concerns; most pertinent to employment

is that COBRA allowed for the extension

of group insurance coverage to

employees and their dependents on a

self-pay basis for set periods of time.

Immigration Reform and Control Act (IRCA) (1986)

Required employers to review and as

necessary modify their hiring practices,

instituting procedures to verify that job

applicants are either U.S. citizens or

are otherwise legally authorized to

work in the United States.

Pension Protection Act (1987)

Required organizations with

underfunded pension plans to

make additional payments to the

Pension Benefit Guarantee

Corporation (PBGC).

The Drug-Free Workplace Act (1988)

Required organizations having $25,000

or more in federal contracts or grants

to make good-faith efforts to maintain

a drug-free workplace and to establish

drug education and awareness

programs for employees.

Employee Polygraph Protection Act (EPPA) (1988)

Prevents most private-sector

employers from requiring job

applicants or current employees to

take polygraph (lie detector) tests.

Under EPPA, use of polygraphs is

severely limited.

Worker Adjustment and Retraining Notification Act (WARN) (1988)

Requires employers with 100 or more

employees at any individual site to

provide advance notification of major

reductions in force.

Americans with Disabilities Act (ADA) (1990)

• Provides individuals with disabilities with the same protections afforded minorities and other protected classes under Title VII.

• Frequently in the news and in the courts, with the list of disabilities continually growing and changing.

Older Workers Benefit Protection Act (OWBPA) (1990)

Amends the Age Discrimination in

Employment Act (ADEA) and

clarified the authority of the ADEA

relative to employee benefits for

older workers.

Civil Rights Act of 1991

Amends the Civil Rights Act of 1964: Allows

employees to receive compensatory and

punitive damages for violations committed

with “malice or reckless disregard” for an

individual’s rights, and allows women and

disabled workers to sue for compensatory

and punitive damages.

Family and Medical Leave Act (FMLA) (1993)

Permits eligible employees to take up to 12

weeks of unpaid leave during any 12-

month period when unable to work

because of a serious health condition; to

care for a child upon birth, adoption, or

foster care; or to care for a spouse,

parent, or child with a serious health

condition.

Retirement Protection Act (1994)

Strengthens and accelerates funding of

underfunded pension plans and increases

Pension Benefit Guarantee Corporation

(PBGC) premiums for plans that pose the

greatest risk.

Small Business Job Protection Act (1996)

Included the 1996 increase in the

minimum wage; increased pension

protection; made it easier for workers to

roll over their retirement savings upon

changing employment.

Health Insurance Portability and Accountability Act (HIPAA) (1996)

• Extremely far-reaching Act, going well beyond its name.

• Include five major “Titles” and numerous “Rules,” several not yet implemented.

• Of most significance to healthcare supervisors is a portion of Title II that largely addresses Privacy.

The Patient Protection and Affordable Care Act of 2010 (PPACA)

• “Healthcare Reform,” continuing to evolve.

• Likely to affect healthcare supervisors in two ways: the supervisor may be affected as a participant in the employer’s health insurance plan; and the supervisor is likely to be asked questions by employees the effects of the plan’s changes.

Increasing Social Responsibility

Overall the effect of employment legislation

has been to make employers more socially

responsible for their employees. These laws

have added work and supporting systems

to all organizations and have increased the

cost of doing business.

  • The Supervisor’s Legal Environment
  • Legal Environment
  • Caution
  • Turning Point
  • Pre-1964
  • The Turning Point
  • ADEA
  • Concern for Worker Health and Safety
  • “Right-to-Know Laws”
  • Rehabilitation Act (1973)
  • Employee Retirement Income Security Act (ERISA) (1974)
  • Pregnancy Discrimination Act (1978)
  • Consolidated Omnibus Budget Reconciliation Act (COBRA) (1986)
  • Immigration Reform and Control Act (IRCA) (1986)
  • Pension Protection Act (1987)
  • The Drug-Free Workplace Act (1988)
  • Employee Polygraph Protection Act (EPPA) (1988)
  • Worker Adjustment and Retraining Notification Act (WARN) (1988)
  • Americans with Disabilities Act (ADA) (1990)
  • Older Workers Benefit Protection Act (OWBPA) (1990)
  • Civil Rights Act of 1991
  • Family and Medical Leave Act (FMLA) (1993)
  • Retirement Protection Act (1994)
  • Small Business Job Protection Act (1996)
  • Slide 25
  • The Patient Protection and Affordable Care Act of 2010 (PPACA)
  • Increasing Social Responsibility

,

Policy Making and Implementation

Chapter 6

Policies

Guidelines established for pursuing goals and shaping behavior, reflecting the mission and values of organizations and made more specific by procedures, rules, and regulations

Without Policies —

the “normal” mode of operation is management by crisis

Policies must be regularly updated, especially those addressing:

Salary and benefits programs

Alternative staffing and scheduling practices

Smoking and drugs

Exposure to hazardous agents; “Right to Know” laws

Policies to be regularly updated (more):

Precautions regarding AIDS

Sexual harassment.

Cultural diversity

Discrimination because of age or disability

Employment of persons with disabilities.

Requirements of accreditation and regulatory agencies.

And important to address today:

Policies concerning employee use of:

e-mail

and

Internet

Uses of Policies

promote understanding, clarity, and consistency of behavior

eliminate repetitive decision making

help in orienting of new employees

To Be Effective —

— policies must be explicit, publicized as well as published, and enforced without favoritism.

It’s Up to the Supervisor

The first-line supervisor is the chief activator or enforcer of policies.

A New Policy May Be Needed When:

a new service is introduced

there are frequent violations of procedures or rules

there are Problems of productivity, quality, schedules, or time

there are frequent complaints from customers or employees

A New Policy May Be Needed When: (more)

legal, ethical, or moral problems arise

behavioral inconsistencies surface

repetitive questions are asked about particular procedures or rules

Enforcement

Enforce policies fairly, firmly, uniformly, and consistently. Policies that are not enforced become meaningless, and policies that are enforced just off and on create problems.

“Unwritten” Policies

Avoid so-called unwritten policies; by their very nature these are problematic because they are almost always applied inconsistently.

Special Case: Americans with Disabilities Act (ADA)

It is necessary to have policies that address the complex federal regulations regarding hiring, assigning, promoting, and accommodating people who have physical or mental disabilities, as specified by the ADA.

Reasonable Accommodations

It is essential to have a written policy spelling out “reasonable accommodations” under the Americans with Disabilities Act.

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