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The Shocking Cost of Turnover in Health Care

Waldman, J. Deane; Kelly, Frank; Aurora, Sanjeev; Smith, Howard L.

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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.

J. Deane Waldman, MD, MBA, Health Sciences Center and Anderson Schools of Management, University of New Mexico, Albuquerque, NM. E-mail: Dwaldman@salud.unm.edu

Frank Kelly, PhD, Anderson Schools of Management, University of New Mexico, Albuquerque, NM

Sanjeev Aurora, MD, Health Sciences Center, University of New Mexico, Albuquerque, NM

Howard L. Smith, PhD, Anderson Schools of Management, University of New Mexico, Albuquerque, NM

© 2004 Lippincott Williams & Wilkins, Inc.