When a team member runs afoul of your hospital policies, you might be tempted to fire him or her on the spot. Or, at the other
extreme, you may shrug off the incident, thinking, "Surely this won't happen again." Both of these reactions are the wrong
The best approach? Progressive discipline. Here's how it works: The first time a team member breaks a rule, warn her not to
do it again. The second time there's an episode, create a written reprimand. The third infraction means probation. After the
fourth offense, it's time to send her packing. For the process to be fair and reasonable, the team member needs to know what
the problem is, what needs to be done to fix it, how long he or she has to make the change, and the consequences of inaction.
Communication among all involved parties is key.
Take some advice from your counterparts in chiropractic care. Dr. Dan Spencer, a chiropractor with offices in Hudson and Reading,
Mich., has a section in his practice's employee manual that's prefaced by this statement: "The officers of the corporation
reserve the right to determine if policy was violated, the significance of the violation, and what action is appropriate."
The manual then spells out four levels of disciplinary action: a verbal warning, a one-day suspension without pay, a one-week
suspension without pay, and termination.
If any level of discipline is required, Dr. Spencer continues, the incident is documented with a disciplinary form in the
employee's personnel file. The employee signs the form to acknowledge his or her understanding of the discipline received
and the corrective behavior required in the future. "This documentation is crucial in case the employee files an unemployment
claim or wrongful-termination lawsuit," Dr. Spencer says.
One final tip: In the interest of fairness, ask yourself, "How would I respond if my best-performing employee committed the
same error?" If you would respond the same way with your top team member as you would with an employee who's having difficulty
meeting job expectations, then you know you're acting reasonably.
Veterinary Economics Editorial Advisory Board member Bob Levoy is the author of 222 Secrets of Hiring, Managing, and Retaining Great Employees in Healthcare Practices (Jones and Bartlett, 2007).