WASHINGTON — VHA is hampered by outdated human resources processes, as well as competition from the private sector, when it comes to hiring medical professionals, agency officials told lawmakers.
“We are striving to update not only internal hiring practices, but also open to legislative assistance to reform VHA’s recruitment, compensation, and accountability practices to stay competitive,” explained VHA Deputy Under Secretary for Health for Operations and Management Steve Young. Young made his comments at a hearing held by a House Committee on Veterans’ Affairs subcommittee on VA’s ability to recruit and retain quality providers.
Rep. Brad Wenstrup, (R-OH), DPM, who chaired the hearing, said his subcommittee continues to hear about prospective VA employees who accept jobs elsewhere because the hiring process is “too cumbersome and too lengthy.”
“We have opportunities here to bring excellent doctors in, if we are open-minded about how we go about what we are doing,” Wenstrup suggested.
When it comes to recruitment and retention of medical personnel, Young told the subcommittee that one of the challenges is that “VA has been faced with significant caps on awards for several years, resulting in a limited pool of funds for employee recognition.”
“While these caps were well-intentioned to increase accountability they also result in significant impediments to recruitment and retention in VHA,” he said.
The $230 million cap for fiscal years 2017 and 2018, he explained, “represents a significant decrease in available funding during a time when the market for clinicians is growing increasingly competitive.”
Young also told lawmakers that there is a need to make it easier for individuals to “come into government service.”
He, along with Partnership for Public Service President and CEO Max Stier, pointed out barriers to hiring, such as a lengthy Executive Core Qualification narrative that is required for Senior Executive Service (SES) positions.
Stier pointed out that no private sector employer asks applicants for executive-level positions to write lengthy essays to demonstrate their qualifications, yet this is what the government asks of most applicants for its executive positions.
“They don’t have to fill out huge long essays in any other organization besides the federal government,” he noted. “We have to normalize the process inside the government, if we expect great talent from outside the government to want to come in.”
Since the 1970s, mortality rates have declined, extending average lifespan by almost a decade. Despite limited evidence to support the practice, testing for Helicobacter pylori (Hp) infection is recommended for work-up of unexplained iron deficiency anemia (IDA).
Since the 1970s, mortality rates have declined, extending average lifespan by almost a decade.
Despite limited evidence to support the practice, testing for Helicobacter pylori (Hp) infection is recommended for work-up of unexplained iron deficiency anemia (IDA).