Professional Documents
Culture Documents
PROJECT REPORT
ON
EMPLOYEE TURNOVER & RETENTION
AT
SUBMITTED TO:
(2017-2018)
IN THE PARTIEL FULFILLMENT OR THE REQUIREMENT FOR
THE DEGREE OF MASTER OF BUSINESS ADMINISTRATION
GUJARAT TECHNOLOGICAL UNIVERSITY, AHMEDABAD
PREPARED BY:-
PARSHWA SHAH
(167680592084)
I, the undersigned hereby declare that the work incorporated in the Summer Internship
Report Titled A Study of Employee Perceptions at the time of exit towards HR practices At
the CIMS (Care Institute of Medical Science) Hospital is original and has not been submitted
to any university as part fulfilment of award of any degree or diploma.
The material obtained and used from other sources has been duly acknowledged in the
report.
Place: Ahmedabad
PREFACE
It is said that practice makes a man perfect. So professional study is incomplete without its
practical knowledge. In the field of business, theory provides the fundamental stone for the
guidance of practice but practice examines the element of truth lying in the theory therefore
stand coordination between theories and practice is very essential to make MBA perfect.
Each & every activity is started for the accomplishment of goals & for this purpose
management is required. As being student of MBA, a management stream, we have to go in
different types of analysis for practical knowledge & practical training.
A project is a systematic and scientific study of Human Resource related problem with
application of HR skill and concepts. Every company has to recognize its strength and
weakness, opportunities and threats in field of HR to stay in the cut throat competition.
Secondary is to share the practical knowledge and real experience in world of HR. The
details mention in this report is based on real situation and research.
I hope the report will be special interest to the HR students who are on look for such real life
situation beyond their class room study.
ACKNOWLEDGEMENT
I would like to thank CIMS hospital for providing me an opportunity to grow and enhance my
knowledge and skills.
I would like to thank CIMS hospital for providing me an opportunity to grow and enhance my
knowledge and skills.
I also take this opportunity to thank Miss. Radhika Joshi, HR Department, CIMS hospital,
Mohali for her guidance and help in procurement of the required information for my project
and the jobs I was assigned.
It was the extreme cooperation of the staff members that I was able to learn a lot about the
practical aspects and got an opportunity to work for the regular affairs and get a real time
experience. The completion of the project was a not an individual but indeed a joint effort of
all the staff members.
Last but not least, I pay my deep regard to my family and the ultimate power, without whom I
would not have been able to complete this project.
The study was conducted with a few objectives in mind which were to study the HR practices
in the organization, to find out the problems faced by employees of the organization, to find
out certain factors responsible for high Exit rate in the organization and to suggest some
ways by which the company can retain its employees.
With these objectives a primary research was conducted in the months of April and May. For
secondary data, a detailed analysis of the Exit patterns department wise, grade wise, time-
span wise, rating wise, qualification wise and month wise was done. Based on which the
hypothesis was formed. The primary data was collected through a few unstructured
interviews and questionnaire which was administered to employees of CIMS hospital.
During the research 100 employees were covered. Survey results revealed that most
important factor behind employee Exit is Opportunity for development and growth, second
most important factor is Salary, third most important factor is Job content and fourth most
important factor is Relationship with supervisor. Also contained in the report are talent report
tables and tables which show the reasons that are central to Exit in CIMS hospital and their
relative importance.
At the end I suggest certain activities that CIMS hospital can take in order to decrease Exit
rate and retain employees.
INDEX
7 Findings 71
8 Recommendations 72
9 Conclusion 73
11 Bibliography 75
Introduction of Sector
CHAPTER 1
Whats more the consistent influx of money into research and development by
pharmaceuticals and into innovative healthcare practices, raise the bar for revenue
generation and employment.
With todays baby boomer generation to retire from the labour market, many companies are
finding it increasingly difficult to retain employees. Attrition is becoming a serious problem in
todays cooperate environment. The employment culture is changing as well. It is now
relatively common to change jobs every few years, rather than grow with one company
throughout the employment life as was once commonplace. In addition, employees are
increasingly demanding a balance between work and family life.
Exit costs for many organizations are very high and can significantly affect the financial
performance of an organization. Direct costs recruitment, selection and training of new
people. Indirect costs include such things as increased workloads and overtime expenses for
co-workers, as well as reduced productivity associated with low employee morale. Estimated
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costs vary from organization to organization, some as low as a few hundred dollars to as four
times the annual salary of the employee. Employee attrition is very big problem not only in
Indian but outside India too. Attrition rate is increasing day by day and its especially the
software industry which is affected the most. Why an employee leaves a company is the
question asked by most of the employers. Companies even hire private HR professionals to
study companys work and find out why an employee is dissatisfied.
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Top 5 Hospitals in Ahmedabad
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Healthcare Industry Top 10 Risks
RANK RISKS
1 Regulatory/legislative changes
2 Failure to attract
4 Increasing Competition
5 Damage to reputation/brand
6 Failure to innovate
8 Political risk/Uncertainties
9 Workforce shortage
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THE HEALTHCARE MARKET FUNCTIONS THROUGH FIVE SEGMENTS
Government hospitals It
includes healthcare centres,
district hospitals and general
hospitals
Hospitals
It includes manufacturing,
extraction, processing,
purification & packaging of
Pharmaceutical chemical materials for use as
medications for humans or
animals
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Scope of growth
Considering the demand given above, the domestic healthcare sector is expected to rise to
$100 billion by 2015, according to the India Brand Equity Foundation. And 71% of this growth
is expected to take place in hospitals.
Investment in private healthcare is going up too. The sector was the second favourite
destination for foreign investment in 2013, receiving 27 investments worth $181 million from
the US. Overall, hospitals and diagnostics centres received an FDI of $2191.91 million, while
medical and surgical appliances (medical equipment) received $741.80 million in the last 13
years. (April 2000-December 2013) according to the Department of Industrial Policy and
Promotion.
What are these funds being utilised for? Setting up new facilities, research and development
into innovative practices, super-specialisation for chronic diseases like diabetes, Hepatitis B
and medical treatments for both the domestic patients and those from abroad. These mean
rise in recruitment and acquisition of a skilled workforce too.
While established medical chains like Apollo, Max and Fortis are branching out, new ones are
coming up too. An 11-hospital set up in Kochi, called Aster Medcity is in the pipeline too for
2014. Apollo Hospitals is looking east, with plans to set up new facilities at Kolkata, Patna,
Raipur and Guwahati.
According to a sectoral outlook prepared by Accenture on India, the country hosts 150,000
medical tourists and this number will see a hike of 15% every year. To capture this segment
many corporate ventures have stepped into the sector, offering multi-specialty healthcare,
diagnosis and treatment packages.
Low cost medical innovation is an Indian specialty too, attracting investment from both
domestic sources and foreign companies. Currently GE is in the process of setting up a
manufacturing plant in Pune, which will see production of medical and surgical products too.
This is expected to become operational by mid-2014.
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Meanwhile, National Instruments, a US-based company, is in talks with Indian Institute of
Technology, Madras, to work on a research facility for healthcare technology innovation.
Apart from working towards newer processes to make diagnostics more efficient, this facility
would look at production of automated testing equipment and virtual instrumentation
software.
Year-on-year, the challenges facing the sector have remained the same. While we are
looking at a $100 billion growth by 2015, the perennial problems facing India are still those
arising from malnutrition (infant mortality, lacking overall development), sanitation and access
to affordable hospitalization and clinical care.
On the other end of the spectrum, availability of a skilled workforce both doctors and
nursing and support staff is cringing. Doctor-nurse density per 10,0000 persons of the
Indian population is an abysmal 19 (6.5 doctors + 13 nurses). (WHO report 2012).
Compliance to regulations is still a cause for concern in both government as well as private-
run organisations. Whats more the system suffers from the lack of a quick response and
redressal system, with matters related to medical negligence and failure largely relegated as
consumer affairs troubles.
Further, we need an effective mechanism to address demand for safe, affordable and quickly
available healthcare for all.
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STRONG GROWTH IN HEALTHCARE
EXPENDITURE OVER THE YEARS
Healthcare has become one of India's largest sectors both in Healthcare sector growth
trend (USD billion) terms of revenue & employment. The industry is growing at a
tremendous pace owing to its strengthening coverage, services and increasing
expenditure by public as well private players
During 2008-20, the market is expected to record a CAGR of 16.5 per cent
The total industry size is expected to touch USD160 billion by 2017 & USD280 billion
by 2020
As per the Ministry of Health, the government is working on the development of 50
technologies for treatment of diseases such as cancer & TB
Government is emphasising on the eHealth initiatives such as Mother & Child Tracking
System (MCTS) & Facilitation Centre (MCTFC)
Indian companies are entering into merger & acquisitions with domestic & foreign
companies to drive growth & gain new markets.
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Introduction Of
CIMS Hospital
INTRODUCTION OF COMPANY
CIMS HOSPITAL
(CARE INSTITUTE OF MEDICAL SCIENCE)
INTRODUCTION
Delivering the highest standards of global healthcare, CIMS Hospital is accredited by JCI
Joint Commission International (USA), NABH (National Accreditation Board for
Hospitals & Healthcare Providers) and NABL (National Accreditation Board for Testing
and Calibration Laboratories) for providing quality healthcare and patient safety across
India.
Spread across two spacious and state-of-the-art buildings viz. CIMS EAST AND CIMS
WEST, CIMS Hospital offers a combination of the most experienced doctors, latest
technology and excellent infrastructure ensuring world -class patient care and treatment.
Then you are on the right track, as CIMS Hospital is one of the most reputed hospitals
of Gujarat being conferred recently with the Trusted Healthcare Distinction Awards
2017, National Quality Excellence Awards, 2017 for Best Multi-Specialty Tertiary Care
Hospital.
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Our motto of PATIENT FIRST ALWAYS is the backbone of firm commitment to deliver the
best and safest care to our patients.
rd
Adding to its clinical triumphs, CIMS Hospital recently performed the 3 Heart Transplant of
Gujarat. And has recently established Paediatric Bone Marrow Transplant program.
Also, CIMS has set up its own Blood Bank within the premises of the hospital to facilitate
smoother services for all patients.
CIMS Hospital has got some amazing lifesaving results with the help of its expert team of
experienced clinicians in Cardiology, Cardiothoracic Surgery, Critical Care, Oncology,
Trauma, Neurosurgery, Orthopaedics, Gastro sciences, Nephrology, Urology, Neonatology,
etc.
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HISTORY
CIMS Hospital is one of the hospital in which the relationship and the emotions always
matters. The magic of the CIMS Hospital was started in 1995 - 2001 with the first step of the
friendship between the Doctors and then they all are become the partners for the one good
cause of the society. In august 2001 the friends are becomes the partners as a care
cardiovascular consultants and the saga begins.
The friends who be together are the experts into their respective practices and they
are Dr.Keyur Parikh, Dr.Urmil Shah, Dr. Milan Chang, Dr.HemangBaxi, Dr. Anish Chandarana
and Dr. Ajay Naik and later They all are becomes the founder of Care Institute Of Medical
Science.
In December 2004, They had creating a milestone in group practice OPD- non-
invasive diagnostic centre at Balleshwar clinic, Opprajpath club, Ahmedabad with Dr.Dhiren
Shah, cardiac surgeon and later Dr. Satya Gupta. CIMS Commitment to education begins
first annual national conference organized on cardiovascular medicine and services.
At October 2007, they had taken the first step towards the CIMS Hospital they had
acquired the land for the hospital.
At March 2009, they had laying the foundation for the brighter and healthier future and
they had made the foundation stone laid for CIMS. In December 2009, the construction of the
hospital was in progress and with this they also made an auspicious beginning for a better
tomorrow with the pooja.
At November 2010, they have organised a grand inauguration of CIMS Hospital by the
Honble Minister Shri JaynarayanVyas and Mayor Shri. AsitVora. Actually the CIMS had
started serving to the society on the year 2010. With this they had also developed the cardiac
team of the CIMS Hospital.
On November 2011, The CIMS has also started the CIMS KIDS which provide the
services like Neonatology and Paediatrics. Which inaugurated by Honble health minister Shri
Jaynarayan Vyas and Honble minister of state, higher and Technical Education and Women
and Child Development Shri Vasuben Trivedi.
After that the CIMS have started to steady progress into the healthcare industry and
they have developed the many more things for the hospitals like the advanced technology
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services and the many advanced practices which can be able to provide the safe and the
advanced medical services and the treatment to the patients.
At the November 2011, the CIMS have launched the Trauma and Critical Care Centre.
Which was inaugurated by Dr.SharadVyas, Dr. Rajesh Kishore andMaror Shri Asit Vora.
In to the time of January 2012, the hospital has spread their wings and they have also
inaugurated the CIMS Clinic in the area of maninagar by and it will also inaugurated by
Mayor Shri Asit Vora.
After that in August 2013, they had started the Radial Lounge for patients undergoing
angiography and with this they are also providing the proper professional environment for the
all the employees and try to provide all the proper policies and the procedures for the
important resource which is human resource and satisfy with the proper rewards.
On the day of February 2014, CIMS have started the Cancer Centre: A Centre of
Excellence of complete cancer care under one roof with most advanced Radiotherapy
centre.
Board of Directors
Dr.Keyur Parikh Chairman
Dr. Milan Chag Managing Director
Dr. Anish Chandarana Executive Director
Dr.Urmil Shah Director
Dr.HemangBaxi Director
Dr. Satya Gupta Director
Dr.Dhiren Shah Director
Dr. Ajay Naik Director
Prof.DilipMavlankar Director
Dr.Kamlesh Pandya Director
Dr.Ashit Jain Director
Mr. Kirti Patel Director
Dr.Ashwani Bansal Chief Operating Officer
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ORGANISATIONAL STRUCTURE
Chairman
Board of Directors
Executive Committee
Finance IT
Human Clinical
Supply Resource Service
And
Chain
And Internal Core Delivery
Purchase Audit Team Communication
Hospitality and and Marketing
Administration
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Vision:
To be one of the most trusted hospital in India by providing personalised care for best patient
experience.
Mission:
Care
Innovation
Manage lives
Save lives
To provide superior quality health Care using Innovation to Manage and save lives.
Values
Patients well-being: It will be our top most priority.
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Services provided by the CIMS
East + West Wing
Anaesthesiology
Radiology
East Wing
Arthroscopy and Sports Medicine
Cosmetology
Critical Care
Family Medicine
Gastroenterology
Gastro Intestinal Surgery
General Surgery
Haemato-oncology
Health Check-up and Preventive Healthcare
Infectious and HIV Diseases
Internal Medicine
Joint Replacement Surgery
Laparoscopic Surgery
Nephrology
Neurology
Obesity Management
Onco Surgery
Ophthalmology
Orthopaedics
Pathology and Microbiology
Paediatric Surgery
Pulmonology
Spine Surgery
Urology
IVF
Obstetrics &Gynaecology
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West Wing
Cardiology
Density
Oncology
Pain Clinic
Vascular Surgery
Sleep Medicine
Radiation Therapy
Renal Transplant
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CIMS Special
Patient Centred
Organ Donation Awareness
Guiding the guest
H2H ( Hospital to Home visit)
Memorise the patients medicine
Communicating with lakhs of countrymen for health awareness through FOC journals
Yearly outcome book
Kem Cho Round (Complimentary tea to guests, suggestions and feedback)
Involvement of Doctors in Management through MEC
Radial lounge with more than 400-500 admissions in a month
Patient birthday celebration
Patient Anniversary Celebration
New born baby Celebration
GRE Playing indoor games with patients
Drawing Activities
Indoor games in relatives waiting area
Interactive Forums Antibiotic awareness week Hand hygiene education
Music Therapy
Magazine and Books Distribution
Patient gifts
Yoga Classes
Get Well Soon Compliments With Flowers
Thanks letter to patient after discharge
Patient Care Mega Round
Support Through CIMS Foundation
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Staff Centred
Annual Day Celebration
Nurses Day Celebration
Birthday Celebration
Reward Ceremony
Arranging picnics and parties
Arranging movie shows
Staff Children Welfare Activities
Outside Training opportunities like AMA
Supporting through CIMS Foundation
Providing Discounts Through Employee Discount Policy
Regular Increments and Bonus
Library for a staff
Womens day celebration
Staff Accommodation / Uniform
Staff Accidental Insurance
Festival Celebration
Doctors day Celebration
Wedding Gift
Sports Activity
Page | 18
COMPETITORS
Zydus Hospital
Apollo Hospital
Sterling Hospital
Sal Hospital
Shalby Hospital
Columbia Asia Hospital
HCG Hospital
FUNCTIONAL DEPARTMENTS
IT
BILLING
ACCOUNTS AND FINANCE
HR
MARKETING
PURCHASE
QUALITY ASSURANCE
PATHOLOGY
SUPPLY CHAIN
PHYSIOTHERAPY
BIO MEDICAL
MEDICAL GAS
CATHLAB
CLINICAL RESEARCH
DIETETICS
RADOILOGY
OT
NURSING
INFECTION CONTROL
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SWOT ANALYSIS
The process of corporate diagnosis usually begins with SWOT analysis i.e. the
Strengths, Weaknesses, Opportunities and Treats. SWOT is a diagnostic
exercise which assist top management in integrating the organization with its
environment. The top management analyse the strengths and weaknesses of
the organization as a whole and evaluates those opportunities and threats that
exists at the time of review.
1. Strengths:
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2. Weakness:
CIMS have a locational disadvantage because the hospital is located at a sola which is
not a much developed area so it can be said that the hospital has a one disadvantage
because of the location.
The hospital do not have the legal advisory department so it can be said one of the
disadvantage.
One of the barrier is a language barrier because most of the nursing staff is a south
Indian and they are not able to properly understand the instruction of their senior so we
can said that a one of the disadvantage.
3. Opportunities:
As people are going more health conscious the demand for health care industry is
increasing. CIMS is making itself ready to grab the opportunities to capture the market.
The demand for CIMS is not only in India but also in other countries where the demand
for CIMS service is increasing day by day.
They can further increases their international services capacity from the existing one as
they enjoy goodwill of customer abroad.
The company has capability of achieving global standards.
A scope in expansion of its service on wider network of countries around globe.
Capacity of meeting higher demand and attain optimum utilization of existing
resources.
If the organization will manage their staff properly they can be able to achieve more
and more quality standards.
More training to the staff for improving their behaviour and medical knowledge.
To increase the facilities they provide
To become more specialised in various fields.
4. Threats:
Due to globalization more number of hospitals in healthcare sector has entered into
global market. This has enlightened the competition much more.
Another threat the company is facing is of substitutes.
It fails the competitors in advertisement and promotion.
If the company does not update itself in proper intervals the competitors may become
strong into market.
The instable government and changing policies and procedures.
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The government is reducing the grants given to hospitals, thus making it impossible to
cater to the poor people.
CODE OF CONDUCT
Practice CIMS Values
Must wear I Card, when on duty.
Do not smoke Cigarette or any Tobacco products.
Do not consume / chew any tobacco or gutkha product.
Observe adequate hygiene.
Always follow all policies and procedures, related to their job profile.
Limit the use of internet for CIMS Business only.
Limit the use of a phones for a CIMS Business only.
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HUMAN RESOURCE MANAGEMENT IN
CIMS HOSPITAL
Human resource policies:
Leave Policy
Overtime
Leave Policy:
There are 3 types of the leaves that an employee can avail
Privilege Leave
All employees will earn 21 leaves annually, credited on a monthly basis, which can be
accumulated after completion of 240 days as a new employee.
Casual Leave
All employees will earn 6 leaves annually, credited on a monthly basis, which can be
accumulated after completion of 180 working days as a new employee.
Sick Leave
All employees will earn 6 leaves annually, credited on a monthly basis, which can be
accumulated after completion of 180 days as a new employee.
Overtime Policy:
If any employee works more than his/her total working hours, he/she is entitled to take
either incentive or compensatory of, as case may be.
All overtime should have an authorization by the concern immediate supervisor within
24 hours with a prior permission or post-datereasoning for their requirement of doing
overtime.
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Working Hour Policy:
Number of working hours will normally be consistent for all employees of CIMS.
In order to support the emergency facility in a hospital, working hour of employee are
divided into various shift timing which are predefined.
There will be 6 working days in a week.
Working hours for a general shift of all employees of CIMS will be approximately 8
hours every day.
The working hour will be notified by their immediate supervisor
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Nursing Induction:
Nursing Induction will be done within 15 days of date of joining.
Refresher Training:
It is to be conducted twice a year. It includes the revision of all common induction
topics.
Departmental Training:
It is to be conducted at the time of joining, transfer, Promotion, any changes in a
departmental policy, Protocol, and for regular updates and revisions.
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Grievance Redressal Policy:
The first step consist of the employee and their immediate supervisor talking together
to try to resolve the grievance.
If the grievance is not mutually and satisfactory resolved, then the grievance is
appealed in writing to HR.
An employee can directly approach to Grievance Redressal Committee through
coordinator for any sought of grievance.
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Introduction of Employee
Exit
CHAPTER 3
INTRODUCTION OF EMPLOYEE EXIT
Exit is one of the biggest challenges and it represents significant costs to Hospital. A
high Exit reflects poorly on the hospitals ability to hold on to its people. The toughest concern
for an HR manager is the high turnover rate
Causes of Exit
Higher Pay: The most obvious reason for employees leaving any hospital is higher salaries
offered by other hospital with better job opportunity.
Unexpected Job Responsibilities: Sometimes the job responsibilities dont come out to be
the same as expected by the candidates. Unexpected job responsibilities lead to job
dissatisfaction.
Job & person mismatch: A candidate may be fit to do a certain type of job which matches
his personality. If he is given a job which mismatches his personality, then he want be able to
perform it well and will try to find out reasons to leave the job.
Less growth opportunities: No or less learning and growth opportunities in the current job
will make candidates job and career stagnant. Only 20% of employees are able to go to
senior levels. The remaining 80% of employees look for other Hospital where they can get
opportunities for growth.
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Lack of appreciation: If the work is not appreciated by the supervisor, the employee feels
de-motivated and loses interest in job.
Lack of trust and support in co-workers, seniors and management: Trust is the most
important factor that is required for an individual to stay in the job. Non-supportive co-
workers, seniors and management can make office environment unfriendly and difficult to
work in. When employees are happy with their superiors they choose to stay, if not they look
for a switch.
Stress from overwork and work life imbalance: Job stress can lead to work life imbalance
which ultimately many times lead to employee leaving the organization. If employees feel
stressed out due to the workload trusted on them they tend to look for a change.
Working more than standard time repeatedly makes employee stressed out and they tend to
look for a change.
An attractive job offer which an employee thinks is good for him with respect to job
responsibility, compensation, growth and learning etc. can lead an employee to leave the
hospital.
Personal problems: the exit reason for over 25% of all the exits. Unfortunately this
reason indicates incomplete data capture by HR or line managers, typically indicating a
lack of a good exit interview. HR should ensure that each employee has a formal exit
interview through which the exact reason for exit can be captured.
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Family Reasons: This include employee exit reasons such as relocation due to
marriage, maternity, unwell family members and a number of similar situations. You can
prevent this type of exit by offering options of part-time work, work from home and flexi work
hours.
Miscellaneous Reasons: This covers about 22% exits and includes many
varied reasons such as commuting issues, interpersonal conflicts, quality of work, work-
life-balance and many others.
HR should analyse reasons such as interpersonal conflicts and determine if these are
related to the supervisor or management issues. This can prevent costly lawsuits in the
longer terms and also increase retention.
These days, in many hospitals, employees are joining at very young age because of lucrative
salaries being offered. But with time, they apply for higher education and try to move on to
other hospitals or sectors to occupy top positions.
Appreciation by words and regular increments or rewards provides the golden handcuffs
that keep from getting away and when these are not considered by a hospital, the employee
tend to move on to other hospitals.
Marriage or Relocation
The percentage of women workers is very high, around 30%. Generally, women workers
leave the hospital after marriage to take up their house-hold duties or leave an hospital on
maternity. Even when someone relocates with their spouse or partner, it comes outside the
control of any employer.
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High Turnover rate contributes to increased costs and lowers revenue.
This forces additional cost reduction and austerity measures.
This in turn makes working more difficult, causing the best performers with the most
external opportunities to leave
Loss of Hospital Knowledge When an employee leaves, he takes with him valuable
knowledge about the Hospital, customers, current projects and past history (sometimes to
competitors). Often much time and money has been spent on the employee in expectation
of a future return. When the employee leaves, the investment is not realized
A. Recruitment Cost
The cost to the business when hiring new employees includes the following six factors plus
10 percent for incidentals such as background screening:
Time spent on sourcing replacement
Time spent on recruitment and selection
Travel expenses, if any
Re-location costs, if any n Training/ramp-up time
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C. Administration Cost
They include:
Set up communication systems
Add employees to the HR system
Set up the new hires workspace
Set up ID-cards, access cards, etc.
The tangible costs of employee turnover would be the cost of training new employees, the
recruitment and selection costs, adjustment time, possible product and/or service quality
problems, costs of agency workers/temporary staff, the cost of loss productivity, the cost of
lost knowledge and the cost of the position remaining vacant till a suitable replacement is
found.
The intangible costs, which may be even more significant than the tangibles, involve the
effect of turnover on hospital culture, employee morale, social capital or Hospital memory. All
these costs would significantly take away the profitability and the competitive advantage of
the firm.
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Promotion & transfer issues (absence or compulsion or partiality)
Lack of flexibility
Lack of abroad going facility
Miss communication & miss understanding in between employee & any body else
Change in commitment by the employer
Extreme work pressure & stress
Lack of job security
Not satisfied with Hospitals welfare & other facilities
Absence in the carrier growth of employees
High Turnover rate or employee turnover is a great loss towards any Hospital. Its true
because a Hospital invest a lot on employee with the expectation of some return. So, if the
employee leaves the Hospital in the early stage or middle stage then the loss cant be
fulfilled. Some good Hospitals are not even ready to leave their employees at their last stage
of their professional career (after retirement). Hospital keeps them in the advisory board with
less work pressure. Example- In the Hospital where I am working currently has
employed Mr. M.K. Chaudhary who was the ex-Dean of the Hospital He is 72 yrs. old.
But he is in this college since last 14 yrs. So after the retirement the management
requested him to be in the advisory board with less work pressure, time & working hour
flexibility & little bit less package in comparison to the salary he was drawing before.
Employee turnover hampers the working environment of the Hospital. De satisfaction among
employees may cause turnover. But high Turnover rate discourage the remaining employees
to continue in the same Hospital. Unknowingly employee turnover creates gap in between
the employer & the remaining employees. Misunderstanding & misbelieve will be developed
among them. At the same time it distracts the talent from the market and can create a black
spot on Hospitals brand image. All these reasons either directly or indirectly bear some
investment for the failure of the Hospital. Many Hospitals ignore it or respond it when it is
getting out of hand. Its the biggest reason for increasing employee turnover & unsuccessful
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retention. If we note down some of the investment cost on people in the Hospital, those
are.
1. Induction, Orientation & training cost
2. Craft cost & production cost
3. Time investment in the early stage
4. Performance appraisal cost ,welfare cost like other HR cost
5. Exit cost.
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The traditional model of Employee Exit.
Mobley suggests that the decision to quit is made in a logical and step-by-step fashion,
largely in response to dissatisfaction with the present job. Individuals begin by evaluating the
current job and level of satisfaction or dissatisfaction. It they are dissatisfied, they may begin
to think of quitting, and then assess the costs of quitting and the costs and the likely success
of searching for an alternative job. It they believe they have a reasonable chance of finding
another job, they may begin a search. After the search, they compare the job alternatives
they have discovered to the present job and decide whether it is better to quit or stay. This
model suggests that the process of deciding to quit is gradual and that an alternative job is
located before the current job is left.
Assess cost of
If lternative(s)
Employee Job quitting and
seen possible
likelihood of
initiate search
Dissatisfaction finding a better
for alternatives
alternative
If alternatives alternative
are superior found evaluate
Quit
develop against
intention to current job
According to Angelo S. DeNisi and Ricky W. Griffin (2009:266-68) the simplest view of the
employee Exit process suggests that, if job satisfaction increases employee Exit decreases.
Although this basic view is correct, the processes involved are somewhat more complex for
different reasons. These reasons are: the economy and the labour market play a role. It is
noted that the prevailing unemployment rate is as big a factor in whether a person leaves a
job as is the level of job dissatisfaction. This explanation clearly makes a great deal of sense.
Page | 34
Even if an employee is extremely dissatisfied, he or she is unlikely to quit without real
prospect of finding another job.
Job dissatisfaction
Looking for
alternatives
Intention to Quit
Employee Exit
A Model of Employee Exit
from Angelo DeNisi and Ricky W. Griffin, Human Resource Management 2nd Edition
Indian Adaptation.2009 p. 267
The process begins with factors leading to job dissatisfaction such as nature of the work,
pay and benefits, supervision and coworkers. If job dissatisfaction makes the employee
to begin thinking about quitting, that leads to a search for alternatives. Only when those
alternatives look better the employee decides to leave his/her present job a decision
first manifested by an intention to quit. According to these authors, the implication of this
type of model is that managers should reduce the sources of job dissatisfaction.
It is best to stop the turnover before the employee begins searching for alternatives
because he/she might find an alternative that is more attractive. Once an employee
begins searching for alternatives, it may still be possible to retain him/her by convincing
that the present job is really better than the alternatives. In fact, the search for
alternatives sometimes leads to increased satisfaction on the present job after the
employee discovers that the alternatives were not as positive as once believed
Page | 35
Costing of Employee EXIT
It is a common experience, perhaps of all employers/managements, that replacing an
employee is both time-consuming and expensive. According to Bohlander, Snell and
Sherman cost of turnover can be broken down into three categories: separation costs for the
departing employee, replacement costs, and training costs for the new employee. According
to the American Management Association, the cost to replace an employee who leaves is,
conservatively, 30 percent of their annual salary. For those with skills in high demand, the
cost can rise to a frightening 1.5 times the annual salary to replace them. Further, research in
the most profitable companies in America indicates that happy employees produce more,
and are less likely to leave. The Hospitals ability to retain the kind of workers wanted and
needed has a direct impact on its profitability and effectiveness. The costs are both direct
and indirect. There are the direct costs to recruit and train, and even greater indirect costs in
loss of productivity. Less obvious are the costs of maintaining morale when there are change
and threats of job cuts.
However, more complex approaches to turnover costing give a more accurate and invariably
higher estimate of total costs (Janas:2009). A widely quoted method involves estimating the
relative productivity of new employees during their first weeks or months in a role and that of
leavers during the period of their notice.
And according to Michael Armstrong (2009:502) the factors affecting the cost of employee
turnover are:
Direct cost of recruitment replacements (advertising, interviewing, testing, etc). Direct
cost of introducing replacements (induction costs).
Direct cost of training the replacements in necessary skills.
Leaving costs payroll and HR administration.
Opportunity cost of time spent by HR and line managers in recruitment, induction and
training.
Loss of output from those leaving before they are replaced.
Loss of output because of delays in obtaining the replacements.
Loss of output while new starters are on their learning curves acquiring the necessary
knowledge and skills.
Page | 36
In fact, there are 9 key costs associated with departing
employees:
Exit interviews
Advertising
Recruiting
Interviewing
Testing
Hiring
Orientation
Training
Lost productivity until they learn the job
Many of these costs consist of management or administrative staff time (opportunity costs),
but direct costs can also be substantial where advertisements, agencies or assessment
centres are used in the recruitment process.
According to Cynthia D. Fisher, ET. Al. the benefits of employee turnover to the Hospitals are
the following ones (P. 757):
Poor performers may choose to leave and can be replaced with better employees.
Leavers are replaced with more junior employees who cost less and who may also
stay longer.
Morale improves following the departure of problematic employees.
Leavers are replaced with people with more up-to-date job skills.
Vacancies are created to allow for internal promotions of other employees, thus
increasing their career satisfaction and motivation.
Page | 37
Receptiveness to innovation and change may increase.
Voluntary turnover is less painful than retrenchment.
At CIMS
1. Higher pay package in another Hospital,
2. Good Working Conditions,
3. Opportunities for growth in new Hospital,
4. Change or place problem,
5. A better Boss in new Hospital, and
6. Brand image of the new Hospital.
The employer or the CIMS management is not only worried about the various factors that
cause high Turnover, but more importantly he is worried about the high cost involved in
employee Turnover.
1. Conveyance cost,
2. Cost of lodging of the new employee,
3. Training costs,
4. Cost of venue where training will be conducted, and
5. Materials to be supplied during the training process
Page | 38
6. Career Path for Employees: Employee career path must be declared during the
recruitment process and should be explained to the recruited people.
7. Feel Valued in Hospital: Non-financial rewards, a pat on the back in time and
celebrating small achievements with great fan-fare will help employees feel valued in
the Hospital.
8. Contact with Senior Management: Senior Management should address employees
periodically and should make them feel like a family.
9. Feel Part of the Hospital's Mission: The Hospital's mission must be reiterated from
time to time to reinforce the learning and experience of the people.
1. Educate Employees on their Impact: Educate employees regularly on what kind of
impact they are creating on Hospital through their contribution.
2. Flexibility: Immediate bosses and middle level managers must be flexible and act as
Chief Happiness Officers to avoid triggers of Turnover.
Page | 39
TYPES OF TURNOVER
Employee turnover is classified into five types, namely:
(5) Drag and Drive type or Pull and Push form of turnover.
Crude turnover figures are used by all of the major employee turnover surveys, including the
annual CIPD and CBI surveys, as they are necessary for effective benchmarking purposes.
However, it is also useful to calculate a separate figure for voluntary turnover and to consider
some of the more complex employee turnover indices, which take account of characteristics
such as seniority and experience (Suff, 2010).
Since employee turnover means departure of an employee once for all from the Hospital, the
Hospitals need to replace him/her sooner or later to keep the
Hospital moving. Hence, it is necessary to measure the rate of turnover and also its cost. To
measure the rate of turnover several mathematical formulae are available. The following are
some such formulae:
Page | 40
Page | 41
Literature Review
LITERATURE REVIEW
Khusbu S Dave (2014) with her study entitled Performance appraisal of nurses in hospitals
with special reference to Sourashtra region, the objective of the research paper is to analyze
the parameters that should be considered for performance of nurses in hospitals and based
on parameters what wheitage should be given to each parameter. For the study nurses from
Rajkot were selected. Random sampling method was used to taken sample. The study found
that ten parameters that are to be considered on priority at the time of performance appraisal
of nurses of hospitals.
Patil and Choudhari (2013) with their study entitled Investigation of HRM Practices in
hospitals of Jalgaon districts; the study found that HRM practices are very skilfully applied
by private hospitals. They have applied all superficial practices in higher proportion as
compared to govt hospital but the core practices are applied only in govt hospitals. In this
study data was collected through self developed questionnaires and chi square test was
used to test the hypotheses. Study addressed that mission and vision there awareness is
less.
Lamba and Chaudhary (2013) done study on Impact of Human resource management
practices on organisational commitment of employees, the study aim of study to is to
examine The impact of human resource management practices on organisational
commitment of employees in various sectors in India. Researcher has used secondary data
sources for this study and data was gathered through various research papers. The study
showed that HRM practices have a significant role on organisational commitment of
employees.
Singh and Negi (2013) conducted study on Human resource management practices in
large hospitals of Dehradun, Uttrakhand; the study analyze the human resource
management process and practices into large hospitals of Dehradun. Three hospitals were
included in this study and assessment was carried out on the basis of primary and secondary
information based on the personal visits. Study suggested that HR functions are very
important in healthcare facilities. The HR processes and procedures are fairly good in
hospitals and HR policies are very important for healthcare facilities
Osman et al (2011) in their study on the Relationship between human resource practices
and firm performance: An empirical assessment of firms in Malaysia, found that the
effectiveness of implementing HR practices in a company does indeed have a major impact
of 50 per cent towards a firms performance.
Page | 42
Saxena and Tiwari (2009) examined the HRM Practices implemented by leading IT
Companies such as TATA, Infosys and Wipro in India. They developed the 3cTER
Framework of HRM practices and identified Training and Development, Employer-Employee
Relations, Recognition through Rewards, Culture building, Career Development,
Compensation and Benefits as important HRM Practices.
(J. Bruce Tracey, Ph.D, Cornell University School of Hotel Administration Timothy R.
Hinkin, Cornell Hospitality Quarterly February 2008 vol. 49 no. 11)
From this another study we observe that how salaried employees having share in
development activities of organization. Here we study conducted analysis of a survey through
this we understand that 667 employees think that on job trading which is providing to
employees positively increased the commitment of employees towards organization and
create positive image about organization and will result in reducing the rate of employee
turnover.so the employee Exit can be reduced through providing them job related training and
prepared them for marketable place and improve their skills. Promoted the employees and
build good relationship to reduce the Exit rate.
Satheeshkumar L. (2008) in his article entitled Payment System has stated that
concentration on quality is increasingly a characteristic of strategic planning. It is an
important element in HRM as employees effort is directed towards organization survival and
development.
Jacobson (2006) in his research paper has emphasized that the most widely used and an
effective tool for performance appraisal as perceived by human resource professional is 360-
degree competency assessment process. Ramesh (2005) studied the changes occurring in
the field of human resource management in todays era.
He observed that todays competitive business climate presents the HRM function with a
number of important challenges and opportunities dramatic advances in technology, in
recruiting, selection, training, appraisals, rewards and other human resource practices.
Page | 43
Sandra King and Kauanui et al (2006) took a study on Impact of HRM : SME Performance
in Vietnam. A sample of 200 Hanoi manufacturing SMEs was surveyed regarding their
training, performance appraisal and incentive compensation have positive effects on
Vietnamese SME performance, with incentive compensation having the greatest impact.
(George S. Benson, MAR 2006, Human Resource Management Journal, Volume 16,
Issue 2, pages 173-192)
Here in this study we find that salaries issues and incentives are the reasons of employee
Exit and low productivity. For this we collected data from 400 retail shop of UK.here in UK all
the 400 shops compensate their employees on hourly basis, and there is no reward for
workers on their productivity basis. When there is no productivity reward for workers then it
create negative image. The employees who are productive will leave the firm and only low
productive employees remains with the firm. When employees are satisfied with their jobs
then productivity will increased.
Hanif Khaki (2006) is of the views that, todays businessman have understood the value of
hiring professionals with experience working in HR. The companies have learned the
importance of good relations with their workforce. The company which does not realizes the
importance of its human resource cannot progress. The employee also likes an organization
which cares for them and rewards their services accordingly. Likewise, health benefits are
probably the second most important factor, besides financial benefits which is always
welcomed by the employee. The HR department is generally very open for such aspects in
the workspace.
Andre Luiz Fisher and Lindolfo Go De Albuquerque (2005) undertook a study on Trends
of HRM Model in British Companies A Forecast according to Opinion Leaders from the
Area. Having consulted more than 160 people, it was observed that themes such as the
management of competences, corporate education and encouragement for organizational
learning will be gradually assimilated by companies.
Page | 44
Cherrie Juhna Zhu et al (2005) attempted a research study on A Problematic Transition to
a Strategic Role: HRM in Industrial Enterprises in China. The study revealed the
changingbusiness environment in China and participation by the HR function in strategic
decision making were the strongest predicators of HRM practices.
Fiona Edar and Alan J Geare (2005) conducted a study on Employee Voice on HRM. This
exploratory study examined the current views of 626 New Zealand employees about HRM in
their organizations. The study revealed that from an employees perspective training and
development is becoming an increasingly important issue.
Kassahun (2005) As per his findings, there is a significant difference in perceptions of Indian
employees towards the level of their commitment to their organization.
Sanne (2005) their paper examined the effects of Human Resource Management (HRM)
practices and antecedents (personal variables, job and role characteristics, and work
experiences) on organizational commitment among Dutch university employees.
From this study we get understanding 353 nurse leavers the hospital in the national health
and service of England nad Wales.it describe why the nursing Exit rate is so higher in
hospital of national health and service.its reason is that the understanding and image of
hospital is not good in the minds of nurses that's why their Exit rate is so high.the analysis of
this research is that how employee Exit rate can be reduced.it can be reduced by improving
the understanding of image of hospital in the minds of employees.it is also benificial for
management and organization that their nursing Exit can reduced and it will be cost effective
for hospital.
Page | 45
Pawan S. Buhdwar and George Boyne (2004) conducted a study on, Human Resource
Management in the Indian Public and Private Sectors: An Empirical comparison. The
Investigations is based on a questionnaire survey of 137 large manufacturing firms(public
sector=81;private sector=56). In functional areas like compensation and training and
development, Indian private sector firms have adopted a more rational approach than their
public sector counterparts.
Simmons (2003) highlighted the need for balancing performance, accountability and equity
in stakeholder relationships by pursuing socially responsible HR practice.
(Chevalier, Arnaud, Siebert, W. S, Viitanen Tarja, May 2003 University College Dublin.
Institute for the Study of Social Change (Geary Institute)
In this study we find that when the top management or leaders of an organization change the
policies or structure at grand scale without proper planning or the frequency of these
changes is high this results in high employee Exit and also cause senior employees to leave
as it becomes difficult for them to cope with these changes as they have practiced old
policies for a long time and are not able to change themselves quickly.
Singh (2003) examined that the aim of the human resources in the organization context is to
ensure the availability of competent, motivated and learning employees to the organization to
facilitate the achievement of its business objectives.
Wright et al (2003) with their study entitled The impact of HR practices on performance of
business units; the study evaluate the HR practices and organisation commitment on the
operating performance and profitability of business units. The purpose of this study is to
examine the relationship between HR practices and firm performance in a way that improves
the casual inferences that can be drawn. Questionnaires were used to survey employee
attitude. So business units were sampled within on large corporation. The articles revealed
that both organisational commitment and HR practices are significantly related operational
measure of performance, as well as operating expenses and pre tax profits.
(Kevin Morrell, John Loan-Clarke, Adrian Wilkinson (DEC 2002), International Journal
of Management Reviews, Volume 3, Issue 3, pages 219-244, September 2001)
From this study we can find what the relationship between organizational change and
employee Exit is. Organizational change means the environments are not suitable for
employees and employees are not compensating according to their rights that's why
employee Exit rate is higher. If the organizational changes are in favor of employees then Exit
can be reduced and it is also important for manager that the Exit can be controlled.
Page | 46
(Daniel J. Koys, Personnel Psychology, Volume 54, Issue 1, pages 101-114, March
2001)
From this study we understand that satisfaction level and perception of employees about
jobs can be examined by checking the behavior of employees and organization. We
examined that if employees are treated well they have good image of organization and
satisfied with their jobs. If employees are satisfied with the behavior of organization that
organization treat them fair attitude then satisfaction level about jobs of employees will be
higher and Exit will be low.
(Naresh Khatri, Chong Tze Fern, Pawan Budhwar, Human Resource Management
Journal, Volume 11, Issue 1, pages 54-74, January 2001)
From this study we examined that there is high employee Exit rate in private clubs and
industries. It is said by management that the reason for this is that employees are leaving
their jobs on hourly basis that leads to high rate of employee turnover. Managers of private
clubs and industries are appointed to find the reasons of employee turnover. Because
manager having vast experience in their relevant field they can easily suggested that what
are the reasons of employee turnover. We find that it is difficult for a team manager to create
positive environment in industry to build the image of clubs and industries in the mind of
employees to control the employee Exit rate.
(Naresh Khatri, Chong Tze Fern, Pawan Budhwar, Human Resource Management
Journal, Volume 11, Issue 1, pages 54-74, January 2001)
We do another study we get understanding that how employee Exit can be control. Here 153
New Zeeland companies are selected to determine their employee Exit rates.153 companies
of New Zeeland use the skilled based and grouped based compensation plan to control the
employee Exit rate. Its means that they compensate their employees according to their skills,
experience and qualifications. We observed that if employees are compensate according to
their rights,that are provided bounses,incentives then the employee Exit can be reduced.
(Daniel J. Koys, Personnel Psychology, Volume 54, Issue 1, pages 101-114, March
2001)
From this study we understand that satisfaction level and perception of employees about
jobs can be examined by checking the behavior of employees and organization. We
examined that if employees are treated well they have good image of organization and
satisfied with their jobs. If employees are satisfied with the behavior of organization that
organization treat
Page | 47
them fair attitude then satisfaction level about jobs of employees will be higher and turnover
will be low.
Dhawan (2001) found in his study that job satisfaction varies with the type of job, level of
organizational hierarchy, personality types etc.
Page | 48
Research Methodology
Research methodology
Research methodology is purely and simply the framework or a plan for study that guides the
collection and analysis of data. Research is the scientific way to solve the problems and is
necessarily used to improve market potential. This involves exploring the possible methods,
one by one, and arriving at the best solution, considering the resources at the disposal of
research.
Research methodology is a way to systematically solve the research problem. It may
be understood as a science of studying how research is done scientifically. In it we study
steps that are generally adopted by a researcher in studying his research problem along with
the logic behind them.
Primary Data:
Primary data is information that you collect specifically for the purpose of your research
project. An advantage of primary data is that it is specifically tailored to
your research needs. A disadvantage is that it is expensive to obtain.
The organization asking for the research has the complete control on the process and the
research is streamlines as far as its objectives and scope is concerned. Researching
company can be asked to concentrate their efforts to find data regarding specific market
rather than concentration on mass market.
Proprietary Issues.
Collector of primary data is the owner of that information and he need not share it with other
companies and competitors. This gives an edge over competitors replying on secondary
data.
Time Consuming.
Because of exhaustive nature of the exercise, the time required to do research accurately is
very long as compared to secondary data, which can be collected in much lesser time
duration.
Page | 50
Inaccurate Feed-backs.
In case the research involves taking feedbacks from the targeted audience, there are high
chances that feedback given is not correct. Feedbacks by their basic nature are usually
biased or given just for the sake of it.
Secondary Data:
Secondary dataarethosewhicharegenerallypublishedsourc
whichare e s b e e n c o l l e c t e d originally for some other purpose they are
not gathered S specially to achieve the objectives of particular research project. d a t a i s
econdaryd collectedthroughthedocumentsprovidedbyHRsuc
e p a r t m e n t h a s almanac and annual report of the company.
Time and Cost effective : Usually time and cost required to collect secondary data is
less than efforts required to collect primary data. Data is available freely or at far lesser
cost through secondary sources.
Extensiveness of data : Data collected by governments and other institutes is usually very
extensive and covers a large spectrum of issues. An organization can filter that data and
consider only parts which they are targeting.
Basis of Primary Research : Data collected from secondary sources gives an idea to
organization about effectiveness of primary research. From secondary data one can form
hypothesis and can evaluate the cost and efforts required to conduct own surveys. One can
also note down issues, which are not covered from secondary research and, need to be
addressed through primary research.
Time Lag Issues: Information collected from books, historical surveys are usually not
sync with the times and might have changed drastically. Thus making such information a
foundation of research may be highly risky for the business or project.
Proprietary Issues : Some of the secondary sources might have copyrighted their
information and using them without permission can lead to various legal complications.
Type of sampling:
T yp e o f s a m p l i n g u s e d i n t h i s s u r v e y w a s s i m p l e r a n d o m s a m p l i n
g . I n t h i s m e t h o d , t h e sampling units had chosen randomly from the total ex-
employees at all the levels of the organization.
Research Instruments:
Questionnaire refers to a device for securing answer to a formally arranged list of questions
by using the term, which the respondent fills in himself.
METHODOLOGY:
Exit NOC of CIMS hospital was used as secondary data to collect the data for the calculation
of turnover rate.
Page | 52
Data Analysis &
Interpretation
CHAPTER 6
DATA ANALYSIS & INTERPRETATION
Gender
Category percentage
Male 60%
Female 40%
Percentage
40%
Male
60% Female
Interpretation
This data shows that about 60% of the employees at CIMS are male and 40% of them are
female.
Page | 53
Age:
45
Category 18-25 26-35 36-45
Above
Percentage 27% 49% 16% 6%
Age
6%
16% 28%
18-25
26-35
36-45
50%
45 Above
Interpretation
The above data shows that 27% of the employees fall under the age group of 18-25 years,
49% of them falls under the age group of 26-35 years, 16% of them falls under the age
group of 36-45 years and 6% of them are of age above 46 years.
Page | 54
What Are the Reason for Leaving
CLOSER TO HOME 17%
Social or Personal Reason 16%
BETTER CAREER OPPORTUNITY 17%
BETTER PERKES 3%
CAREER CHANGE 15%
HIGHER PAY 8%
JOB DISSATISFACTION 3%
ON ACCOUNT OF MARRIAGE 3%
GOING ABROAD 5%
CONFLICT WITH OTHER EMPLOYEESORSENIOR 3%
HIGHER STUDIES 10%
3%
10% 17%
3% 5%
3%
16%
8%
15% 17%
3%
INTERPRETATION
The above data shows the reason behind leaving the organization. Among which 17% of
the employees has given the reasons closer to home and better career opportunity.
Page | 55
What Irritants Did You Face While Working
HOME SICKNESS 30%
POLITICSORWORKING ENVIRONMENT 8%
LONG WORKING HOUR 24%
ATTITUDE OF SENIORS 12%
COMPANY POLICIES 17%
ATTITUDE OF COLLEAGUES 2%
ATTITUDE OF JUNIORS 1%
TOUGH TARGETS 6%
2% 1% 6%
30%
17%
12%
24%
8%
INTERPRETATION
The above data shows the irritants that the employees face while working in the
organization. Among which the major irritant is HOIME SICKNESS which is faced by 30% of
the employees.
Page | 56
Joining Formalities
Excellent 30%
Very good 25%
Good 42%
Fair 0%
Poor 3%
Joining Formalities
Fair
Poor
0%
3%
Excellent
Good 30%
42%
Very good
25%
INTERPRETATION
The above data shows the joining formalities of the organization. Among which 45% of the
employees shows that the joining formalities are good.
Page | 57
Training Opportunity
Excellent 31%
Very good 32%
Good 28%
Fair 5%
Poor 4%
Training Opportunity
FAIR POOR
5% 4%
EXCELLENT
GOOD 31%
28%
Very good
32%
INTERPRETATION
The above data shows the training opportunity in the organization. In which 32% of
the employees rated it very good.
Page | 58
Employee Morale
Excellent 22%
Very good 26%
Good 38%
Fair 8%
Poor 6%
Employee Morale
FAIR POOR
8% 6% EXCELLENT
22%
INTERPRETATION
The above data shows the employee morale of the organization. Among which 38% of
the employees found it good.
Page | 59
Support of Work life Balance
Excellent 18%
Very good 24%
Good 42%
Fair 7%
Poor 9%
7% 9% 18%
24%
42%
INTERPRETATION
The above data shows the support of work life balance. In which 42% of the employees
rated it fair.
Page | 60
Communication between Management And Employees
Excellent 22%
Very good 25%
Good 28%
Fair 14%
Poor 11%
FAIR
POOR
INTERPRETATION
The above data shows the communication between management employees of the
organization. Among which 28% of the employees rated it good and 11% of them rated it
poor.
Page | 61
Performance & Development Planning And Evaluation
Excellent 28%
Very good 20%
Good 33%
Fair 11%
Poor 8%
INTERPRETATION
The above data shows the performance & development planning and Evaluation of the
employees of the organization. Among which 33% of the employees rated it good and 8% of
them rated it poor.
Page | 62
Administrative Policy and Procedure
Excellent 22%
Very good 27%
Good 34%
Fair 6%
Poor 11%
POOR
INTERPRETATION
The above data shows the administrative policy and procedure of the organization. In
which 34% of the employees rated it good.
Page | 63
Concern with Quality and Excellence
Excellent 24%
EXCELLENT
27%
Very good
GOOD
FAIR
38%
POOR
INTERPRETATION
The above data shows the concern of employees with quality and excellence. Among them
38% of the employees rated it very good.
Page | 64
Behaviour of Hr
Excellent 24%
Very good 34%
Good 27%
Fair 8%
Poor 7%
Behaviour Of Hr
7%
8% 24%
EXCELLENT
27% Very good
GOOD
34% FAIR
POOR
INTERPRETATION
The above data shows the behaviour of HR towards the employees. In which 34% of
the employees rated it very good.
Page | 65
Internal Communication worked well
AGREE 59%
Neutral 0%
DISAGREE 14%
Neutral
59% DISAGREE
STRONGLY
DISAGREE
INTERPRETATION
The above data shows the responses on internal communication worked well. In which 16%
of the employees strongly agreed, 59% of them agreed, no employee remained neutral,
14% of them disagreed and 11% of them strongly disagreed.
Page | 66
Supervisor line Manager Had Sufficient Knowledge Of The Job
INTERPRETATION
The above data shows the satisfaction of employees over the sufficiency of the job
knowledge their supervisor had. Among them 16% of the employees strongly agreed, 64%
of them agreed, no employee remained neutral, 13% of them disagreed and 7% of them
strongly disagreed.
Page | 67
Supervisor/Line manager is experienced in supervision
INTERPRETATION
The above data shows the experience of supervisor line managers during the supervision.
In which 12% of the managers strongly agreed, 68% of them agreed, no employee
remained neutral, 13% of them disagreed and 7% of them strongly disagreed.
Page | 68
Supervisor/Line manager was open to suggestions
AGREE 68%
Neutral 0%
DISAGREE 14%
STRONGLY
5%
DISAGREE
AGREE
Neutral
DISAGREE
68%
STRONGLY DISAGREE
INTERPRETATION
The above data shows the openness of the supervisor line managers in taking
suggestions. In which 13% of the employees strongly agreed, 68% of them agreed, no
employee remained neutral, 14% of them disagreed and 5% of them strongly disagreed.
Page | 69
Supervisor line Manager Was Available to Discuss Job Related
Issues
STRONGLY AGREE 8%
AGREE 68%
Neutral 0%
DISAGREE 18%
STRONGLY DISAGREE 6%
Neutral
68% DISAGREE
STRONGLY DISAGREE
INTERPRETATION
The above data shows the employee satisfaction on the availability of supervisor line
manager for the discussion on job related issues. In which 8% of the employees strongly
agreed, 68% of them agreed, no employee remained neutral, 18% of them disagreed and
6% of them strongly disagreed.
Page | 70
Findings
FINDINGS
It was observed from the study that most of the employees exit the organization due to
the distance of the organization from their homes.
Most of the employees i.e., 37% of the employees felt home sickness and gave it as a
reason for their dissatisfaction.
Survey result showed that 24% of the employees found the working hours very long.
The employees are getting full support from CIMS in balancing their work life.
From the survey it was found that in CIMS there is good communication between the
employees and the supervisors.
The employees are very much satisfied with the HR persons as they treat the
employees friendly.
Employees are satisfied with the knowledge and experience their supervisors had in
their supervision.
68% of the employees agreed that their supervisors are always available for them to
discuss and solve their issues.
Page | 71
RECCOMENDATION
The distance and home sickness issues should be considered by the organization as
these two are the main reasons for their exit.
Introducing more recreational activities to give a feel of fun at work.
Reducing workload by eliminating staff shortage through new staff recruitment and
retaining the existing staff.
The dedicated employees should be appreciated on their work to increase nad
maintain their interest towards their work.
Page | 72
Conclusion
Due to high cost of staff replacement in health sector, controlling attrition is a priority for
organization. We found that during exit interviews leaving employees quote blanket
responses such as better opportunity and personal reasons as the reason for quitting the
job. However, existing employees when interviewed in-depth asked about reasons for
attrition quote several issues such as low salary, partiality/poor recognition for good work,
improper assignment of tasks, and monotonous work. However, none of these issues
emerged during exit interviews. Hence, exit interviews somewhere fail to probe into the
real reasons of attrition and existing employees are never asked about such issues.
To improve retention, it is imperative that the hospitals keep track of their existing
employee's intention to continue working in the organization. Further, any sign indicating a
poor intention to continue the job must be addressed immediately to avoid ripple effect
among other employees. Moreover, leaving employees must be interviewed in-depth and
face-to-face to uncover the actual reasons for quitting the job.
This will probably help the organization to use exit interview as a tool to improve
employee retention and enhance reputation of the organization.
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LEARNING FROM SIP
It has been a pleasure working with CIMS Hospital. I have a lot of praise and respect for
the Organization and its people. The environment that the Organization provided for the
internship was rich with opportunities for us to gain vital insights into the corporate world. I
have provided by the knowledge, guidance, direction, and a sense of oneness with the
company making us feel as if I am a part of their huge family.
Besides it being our first experience in a practical environment, we learnt the dynamics of
work in the corporate world, how the operations are managed and frictions handled.
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Bibliography
http://www.cims.org
http://www.nwfsc.edu/AboutNWF/HR/hr_pdf/hr_procedures/4_7007_Employee_Exi
t_Procedures.pdf
www.wikipedia.com
https://www.scribd.com
http://writingcenter.unc.edu
http://shodhganga.inflibnet.ac.in
International Journal of Research in Business Management (IMPACT: IJRBM)
ISSN(E): 2321-886X; ISSN(P): 2347-4572 Vol. 2, Issue 5, May 2014, 129-136
Human Resource Management Gary Dessler
CIMS Portal
Google Scholar
African Journal of Business Management pp. 049-054, June 2007 Available online
http://www.academicjournals.org/ajbm ISSN 1993-8233 2007 Academic
Journals
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Thank You
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