2010
DOI: 10.1097/hmr.0b013e3181e3940e
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The shocking cost of turnover in health care

Abstract: Review of turnover costs at a major medical center helps health care managers gain insights about the magnitude and determinants of this managerial challenge and assess the implications for organizational effectiveness. Here, turnover includes hiring, training, and productivity loss costs. Minimum cost of turnover represented a loss of >5 percent of the total annual operating budget. Editor's Note: This article is being reprinted with permission from Health Care Management Review 29(1), 2-7.

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Cited by 155 publications
(53 citation statements)
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“…For decades, employee turnover has been one of the main challenges of managers because of the costs involved in recruiting and training new employees (Lee, Gerhart, Weller, & Trevor, 2008). In healthcare organizations, total turnover costs are to a large extent caused by nurse turnover rates because of the considerable size of the workforce (Waldman, Kelly, Arora, & Smith, 2010). Both costs and, importantly, gaps in the supply of care and patient outcomes are a problem.…”
Section: Introductionmentioning
confidence: 99%
“…For decades, employee turnover has been one of the main challenges of managers because of the costs involved in recruiting and training new employees (Lee, Gerhart, Weller, & Trevor, 2008). In healthcare organizations, total turnover costs are to a large extent caused by nurse turnover rates because of the considerable size of the workforce (Waldman, Kelly, Arora, & Smith, 2010). Both costs and, importantly, gaps in the supply of care and patient outcomes are a problem.…”
Section: Introductionmentioning
confidence: 99%
“…Research in the related area of the antiretroviral therapy scale-up has pointed to the importance of limiting burnout and attrition, in addition to maintaining providers’ level of job performance and satisfaction, to achieve maximum program efficiency [6]. Previous studies, in other settings, also show high monetary costs are associated with the decreased productivity and turnover caused by health care provider burnout [7]. The physical strain of standing for many hours, potential for monotony with repeating the same procedure in high volume overextended time periods, and emotional exhaustion, are thought to contribute to burnout and attrition among VMMC providers.…”
Section: Introductionmentioning
confidence: 99%
“…Third, due to the difficulty of attributing revenues and costs, the net effect of the turnover is almost noncalculable. 13 Therefore, in this case study, we will consider the out-of-pocket costs that have been mentioned in Waldman et al 13 …”
Section: Resultsmentioning
confidence: 99%
“…Waldman et al 13 used several databases at an academic medical center as a foundation for measuring costs of employee selection, hiring, and training, as well as qualitative and quantitative yardsticks used to measure employee productivity. The study by Waldman et al 13 drew accounting records and data for specific organizational units within the academic medical center and categorized the costs of turnover by phase of recruiting process: hiring, training, working, and termination. Estimates have been made in few instanced.…”
Section: Resultsmentioning
confidence: 99%
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