<--GAT-->

Outdated Processes Hamper VHA in Hiring Medical Staff

by U.S. Medicine

May 9, 2017

By Sandra Basu

WASHINGTON VHA is hampered by outdated human resources processes, as well as competition from the private sector, when it comes to hiring medical professionals, agency officials told lawmakers.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.”

Recruitment Challenges

Also testifying was Government Accountability Office (GAO) Strategic Issues Director Robert Goldenkoff, who cited findings from GAO’s 2015 and 2016 reports that described recruitment and retention challenges for VHA.

Goldenkoff said some of those issues are due to VHA’s limited “HR capacity, including attrition among its HR employees and weak-related HR functions.”

According to GAO, in fiscal year 2015 HR specialists transferred to other federal agencies at a rate six times higher than all VHA employees.

“According to the HR staff we interviewed, this has reduced HR employees’ ability to keep pace with work demands and has led to such issues as delays in the hiring process, problems with addressing important clinical hiring initiatives and an increased risk of personnel processing and coding errors,” a GAO report explained.

Young acknowledged that one reason that HR personnel are leaving is because the job is more difficult in VA than in other federal agencies.

“In VA, we have three HR systems, Title 5, Title 38 and Title 38 hybrid. It makes the HR professionals jobs very complex,” Young told the subcommittee.

 

Attracting Talent

The hearing was held days after the House passed a bill introduced by Wenstrup, who has encouraged the Senate to pass it to strengthen VA’s ability to identify staffing shortages, recruit employees to fill vacant positions and quickly on-board new hires, among other things.

Stier praised that bill but also suggested that Congress reconsider language that was not included but introduced during a previous Congress by Wenstrup, which would expand market pay to include VISN and medical center directors.

He said that, unless pay for these positions is closer to market, there will always be “too many vacancies.”

“Taking that out, I believe was penny wise and pound foolish,” Stier said. “At the end of the day, you are looking at the most important elements of success at VHA, which are the individuals running the medical centers, and they are being paid under $200,000 in a marketplace where their peers for the private sector are being paid $700,000 and plus.”

Meanwhile American Legion National Veterans Affairs and Rehabilitation Division Louis Celli suggested that one way to deal with shortages in medical professionals is for VA to establish its own medical school.

Students could have their tuition paid in full by VA and, upon graduation, the graduate would be required to accept an appointment at a federal health facility at a starting salary comparable to what a new medical graduate would be paid by VA based on their experience and specialty, Celli suggested.

“It’s within their statutory mission. They have the real estate. They have the expertise. They have the reputation and they have the resources,” he told lawmakers.

 


Related Articles

VA Vows to Stop Whistleblower Retaliation; Some Lawmakers Skeptical

VA leaders said loud and clear that the agency “will not tolerate” whistleblower retaliation.

VA Surgeon Sees His Role as ‘Pillar of Hope’ for Veteran Patients

The theme of this year’s Harlem Fine Arts Show—the largest touring African diasporic art show in the United States—is “Health and the Healing Power of Art.”


U.S. Medicine Recommends


More From department of veterans affairs

Department of Veterans Affairs (VA)

VHA Makes Progress in Improving Safety of Opioid Prescribing

VHA medical facilities should ensure that its providers are following three key opioid risk mitigation strategies, including conducting urine drug screening, a recent report recommended.

Department of Veterans Affairs (VA)

VA faces healthcare staffing shortages, barriers to hiring facility leaders

A facility-specific survey found that 138 of 140 VA facilities reported shortages of medical officers, with psychiatry and primary care positions being the most frequently listed.

Department of Veterans Affairs (VA)

Veteran nephrologist labors to improve ESRD treatment at VA

When Terrence O’Neil, MD, retired as chief of nephrology at the James H. Quillen VAMC in Johnson City in December 2016, he left in his wake decades of work treating kidney disease—nearly 35 years in the Air Force and DoD, plus 11 more at VA.

Department of Veterans Affairs (VA)

Committee approves bill to provide agent orange benefits to ‘blue water’ vets

A long sought-after bill that would make it easier for Blue Water Navy veterans to receive Agent Orange benefits has been passed by a key House of Representatives committee.

Department of Veterans Affairs (VA)

Bill to Streamline, Expand VA’s Choice Program Signed Into Law

Legislation that would streamline VA’s community care programs into one program and expand VA’s caregiver program to veterans of all eras was signed into law earlier this month..

Facebook Comment

Subscribe to U.S. Medicine Print Magazine

U.S. Medicine is mailed free each month to physicians, pharmacists, nurse practitioners, physician assistants and administrators working for Veterans Affairs, Department of Defense and U.S. Public Health Service.

Subscribe Now

Receive Our Email Newsletter

Stay informed about federal medical news, clinical updates and reports on government topics for the federal healthcare professional.

Sign Up