HEALTHCARE HIRING PERSPECTIVES BLOG

What Do You Do When a Promising Candidate Fails a Pre-Employment Assessment?

Posted by  Laurie Wasko, Ph.D.

assessment-fail.jpgPre-employment behavioral assessment implementations in healthcare organizations often go something like this:

Client: “We are raising the bar! We’ve identified what we are looking for in our nurses/front line staff/managers and between the application, pre-employment assessment, structured behavioral interview, and reference-checking tool, we are going to significantly increase our ability to make the right hire, more often. We love the more objective approach. If a candidate scores below X on the assessment or the interview, we will NOT hire them. We’ll never rely on subjective, unreliable, and inconsistent ways to evaluate candidates again!”

The Select Team: “Great!”

Then we get the call . . .

Client: “Oh no – we have a candidate who a) looks good on paper, b) worked with so and so before and he/she swears they are really good, or c) is the niece of the director of such and such – and they failed the assessment!!!!”

Select: “Well, we did a job analysis – the competencies that we’re measuring are critical to success, right? We did a validation study. We decided that for certain positions, if someone fails the assessment, they won’t move forward because they data shows they don’t meet the minimum requirements and aren’t likely to succeed, right?”

Client: “But the hiring manager or the Aunt isn’t happy!”

We then end up reminding them:

  1. What it takes to fail the assessment – that the candidate likely scored REALLY low in some important attributes like compassion, collaboration, or patient-focus and service-orientation.
  1. That the test isn’t perfect and there will be the occasional candidate who does poorly but could have been a decent performer in the role and similarly, a few people who do well on the assessment but aren’t that good on the job. However, data shows the test is a better predictor than what’s currently in place when you look at the applicant pool, as a whole. With the structured, objective approach, we’re making better decisions over time.
  1. That although we may have a preconceived notion about a candidate based on a resume review, interview, or simply because we know them, the candidate still may not be a high performer in a particular job. The assessments are measuring key behavioral competencies and tendencies that are hard to observe in casual interactions. No source of information is as predictive or well-developed as an objective assessment.
  1. To think about their past experience relying solely on the resume, or the opinion of a former co-worker or the candidate’s aunt – how often do those candidates turn out to NOT be what you were looking for? Are you saying you’d let the niece through if she didn’t interview well? Sounds like in the past, an informal reference from a former co-worker, a stellar resume or being someone’s niece trumped the sort of objective data that predicts performance – how likely is THAT approach to help you build a high-performance, patient-centered culture where the performance bar is being raised, not lowered?
  1. That your team recognized that there will be the occasional situation where keeping the position open a bit longer, rather than taking a middling candidate, is a better option.
  1. The importance of consistency in hiring, from a legal defensibility perspective. Exceptions to objective decision-making processes cause chinks in your armor.

Some recommendations and considerations:

  1. Use pass/fail methodology only when it makes sense. When you have a large candidate pool and you need to narrow your focus on those most likely to succeed, a pass/fail methodology has a lot of utility. Otherwise, consider using the assessment results as information considered as part of the overall decision-making process (rather than a hard cut).
  1. Do NOT use the assessment as the ONLY data point. You should have clear application requirements, resume requirements, phone screening requirements, interviewing requirements, and reference requirements – all of these make up an effective selection “system.”
  1. DO NOT underestimate the importance of senior team buy-in and manager-level training when implementing a structured selection solution. The organization needs to know that you are establishing a new bar for hiring quality and it will be different than what they’ve done traditionally. They’ll understand the idea of “evidence-based” hiring – i.e. putting tools and processes in place that statistically increase the likelihood of making better hiring decisions – decisions that support the organization’s goals. Know that you’ll likely need to re-do the training soon after someone’s niece (or best friend, or former coworker) fails the test. Constant education and reinforcement is key to a sustained implementation.
  1. Finally – make sure you establish clear program performance metrics. Nothing gets everyone over these concerns faster than data showing that hiring managers are saving time by interviewing fewer, better-qualified candidates, that time to fill is going down, turnover is reduced, that selection system data correlates with job performance, and that patient satisfaction scores are going up.

Using tests as a hard cut point in the hiring process can have great utility. Many companies do it, but you probably need an assessment vendor/consultant who knows how to do this in an effective/legally defensible manner, and in a way that’s likely to “stick” in your organization.

You may need guidance on how to perform a valid job analysis or validation study specific to your situation. You maybe need some advice or guidance on the types of difficult conversations that might be coming your way with an assessment solution implementation, and ways to effectively address those concerns. You may not – but may need some guidance on these points. If a vendor avoids even discussing these topics, they may not have that expertise.

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Tags:   healthcare hiring, pre-employment assessment, evidence-based hiring

Laurie Wasko, Ph.D.

Laurie Wasko, Ph.D. is the Director of Consulting Services at Select International, a PSI Company.

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