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P R A CT I CE M A NA GE M E NT High Cost of Turnover Keith A. Herl, MHA, MBA | Matthew Mingenback Align HR Processes: Administer exit interviews when providers do leave. Alternatively, bring in an objective third-party, who may be able to uncover more valid, detailed information about a provider’s decision to leave than an in-house employee. Measure, Monitor and Adapt Lastly, continue to monitor the positive factors you’ve identified that promote satisfaction and engagement, as well as the negative factors that lead to turnover. By collecting good data on the front end and establishing a valid baseline, you will be able to measure the progress of your interventions. Resources: [1] D. Culhane, J. Munkner and J. Heil, "Shedding Light on the Cost of Provider Turnover (Part 1 of 2)," CEP America, 23 July 2015. [Online]. Available: http://www.cepamerica.com/news-resources/perspectives-on-the-acute-care-continuum/july-2015/cost-of-physician-turnover-r etention. [2] G. J. Stovall and L. Shutte, "Investing in Retention Pays Dividends," Group Practice Journal, September 2011. [3] B. J. Becton, M. C. Matthews, D. L. Hartley and D. H. Whitaker, "Using Biodata to Predict Turnover, Organizational Commitment, and Job Performance in Healthcare," International Journal of Selection and Assessment, June 2009. [4] S. Brown and R. Gunderman, "Viewpoint: Enhancing the Professional Fulfillment of Physicians," Academic Medicine, June 2006. [5] T. Rosin, "Integration and Physician Issues," 5 December 2014. [Online]. Available: http://www.beckershospitalreview.com/hospital-physician-relationships/the-triple-aim-s-fourth-leg-improving-clinicians-work-life.html. Realistically, it could take years before you know the effects of your interventions. However, keep in mind that any effort to proactively retain providers and promote engagement will have a positive effect on your organization and the people who drive it. meet the authors: Keith Allan Herl MHA, MBA COO & President of Career Services at Afferent Provider Solutions, LLC Matthew Mingenback Vice President at Afferent Provider Solutions 27 TODAY ’ S P R A C T I C E : C H A N G I N G T H E B U S I NES S OF M EDI C I NE