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Diversity: Not just good, but good business.
By Eli Amdur


[Special to North Jersey Media Group, April 15, 2007]             

            It’s been decades – six, in fact – since a chief executive took a formal step to bring diversity to his organization.  
         
            In 1948, fully 16 years before the historic Civil Rights Act of 1964, President Harry Truman, with a decision many historians consider more courageous and significant than that to use the atomic bomb to end World War II, desegregated the armed forces of the United States.

            On July 31, 1948, the Chicago Defender, one of the most prominent black owned and edited newspapers of that time in America, published the headline "President Truman Wipes Out Segregation in Armed Forces." Executive Order No. 9981 issued by President Truman provided for "equality of treatment and opportunity in the armed forces without regard to race, color, religion, or national origin."        

            Although history views this event more as a civil rights action than a diversity initiative, it serves very well as a business model for organizations today. Truman (interestingly, the last American president without a college degree) knew he was doing the right thing not only for African-American soldiers, but for the military as well. It was good business, as it were: fairness for the individual and strength for the organization. The two became fatefully and inextricably linked by Harry Truman’s pen.

            Today, diversity in the workplace has actually expanded in scope to include gender, age, GLBT persons (that’s gay, lesbian, bisexual, and transgender for those not yet familiar with this designation), and people with disabilities.

            Aside from its solid moral foundation, does diversity make good business sense? As it did to Truman, it does today. DiversityInc Magazine has just released its 2007 Top 50 Companies for Diversity Index™, and makes the following observation. “Examined over a 10-year period, The 2007 DiversityInc Top 50 Companies for Diversity Index™ outperformed the Nasdaq and the Dow Jones Industrial Average by 48 percent and the Standard & Poor's 500 by 23.4 percent. Results for one-, three- and five-year performance were competitive as well.”        

            Professor Cedric Herring of the Department of Sociology at the University of Illinois at Chicago has reached the same conclusion. An article from the Washington Post News Service cites a study by Professor Herring indicating that diversity does, indeed, make a difference.
 
            Herring found that companies with a higher degree of diversity also have “more customers, a larger share of their markets, and greater profitability.” In graphing his results, Herring found a linear relationship between diversity and business success, predictably similar to the performance analysis by DiversityInc.                
            Herring’s study encompassed data about diversity levels and business performance from approximately 250 companies, and verified this data with independent, third-party statistics as well as documents filed with the federal government. While DiversityInc’s list includes companies with 1,000 or more employees, Professor Herring’s sample included companies with as little as ten. He found the same correlation between diversity and business success irrespective of the size of the company.
           
            Herring cautions us that this “does not prove that companies do better because they are diverse.” The study does not link cause and effect, but does indeed show a correlation between diversity and business success. “The data I was using,” explained Herring in a recent phone interview, “would not let me tell which [diversity or business success] came first. It isn’t possible to disentangle them.” In other words, while diversity could be the cause of better business outcomes, according to Herring, “it is also possible, for example, that companies that are successful to begin with do a better job of attracting and retaining minorities.”
           
            Note: attracting and retaining. In their sweeping survey, DiversityInc, also looks at recruitment and retention. In the global war for talent, intensifying as the 21st century moves forward, smart companies are finding ways not only to recruit talent, but to keep it. And that talent is increasingly diverse, as DiversityInc describes: “people of color, women, GLBT people and people with disabilities.” Add to that the factor of age, as the older worker becomes more of a factor in the overall workplace each year.
           
            A key point derived from DiversityInc’s focus on recruitment and retention, especially in analyzing their top 10 companies in this area, is that “the top ten all demonstrate almost equal retention of the entire work force and management, regardless of race, ethnicity and gender.” Further, it was found that “twenty-seven percent of these firms’ management are people of color, compared with 12 percent people of color in management nationwide (Bureau of Labor Statistics).”
           
            Even more specifically, 90 percent of the top 10 for recruitment and retention have a resource group for GLBT employees, and 70 percent of these companies’ nondiscrimination policies include gender identity, compared with 24 percent of the Fortune 500 companies.
           
            A quick (albeit unscientific) analysis of the DiversityInc leads to an interesting observation, namely an apparent correlation between industries that have shown consistent job growth and their representation on the list.
           
            For example, the healthcare industry, which has added jobs to the economy every month for the last 14-plus years, has eight companies on DiversityInc’s list. The financial services industry, despite its employment ups and downs related to outsourcing, has still created jobs consistently, and has 11 companies on the list. Other job growth areas which are also prominent on the list (with number of entries) are food and food services (6), technology (5), professional services (3), communication and broadcasting (3), and hospitality and leisure (3).
           
            How were companies selected for the DiversityInc list or for Professor Herring’s study? Companies compete to appear on the list, earning their spots based on their responses to more than 200 detailed questions on human capital, CEO commitment, corporate communications and supplier diversity, as described on the DiversityInc web site. This year, questions were added on work/life, mentoring, Native Americans, people with disabilities, and GLBT people. This coming year, any company that fails to offer domestic-partner benefits to same-sex partners is automatically excluded.
           
            In the case of the Herring study, a scientifically chosen sample of 250 companies, nationally representative of all US business with 10 or more employees, was used. Professor Herring’s study has been hailed as one of the five best citations on this subject.            
           
            Globally, diversity matters, perhaps with even greater ramifications. Richard Florida, Hirst Professor at George Mason University’s School of Public Policy, has authored two landmark books, The Rise of the Creative Class (2002) and The Flight of the Creative Class (2005). In discussing the global competition for talent, Florida focuses on the role of creativity as an economic engine, and – simply – the most powerful magnet for talent. It is what made America the dominant world power in trade, science, arts, entertainment, invention, and so on for 200 years.

            Florida’s exhaustive research led him to the conclusion that creativity – and subsequently economic development – depends on three Ts: technology, talent, and tolerance. The first two require no comment here, but the third – tolerance – is germane. It was always because of America’s tolerance to new and different people, ideas, thoughts, and ways of doing things that we attracted the Albert Einsteins of the world, and – historically, Irving Berlin, the families of Cyrus McCormick and Andrew Carnegie, and – of recent day – Sergei Brin, one of the two founders of Google.            
           
            Florida’s second book documents America’s gradual loss of members of the creative class to new creative centers in the world such as Finland, Ireland, The Netherlands, Israel, Australia, New Zealand, and Canada. All these countries are opening their doors and actively recruiting the creative class, while America – especially in the last six years – is making it harder and less attractive for the next generation of creative leaders to come here.
           
            “Where America was once the first destination for foreign students and the last stop for scientists, engineers, musicians, and entrepreneurs wishing to engage in the most robust and creative economy on the planet,” according to Florida, “it has now become only one place among many where cutting-edge innovation occurs. The resulting global business trends are evident.”            
           
            Domestically, Florida’s research turned up a startling phenomenon. In the creative centers within the US – Silicon Valley, Austin (TX), Seattle, New York, Boston, Washington, DC, to name a few – there also happen to be significant gay populations. Not that you have to be gay to be creative or visa versa, but the tolerance factor just keeps showing up and persistently yields no ground in logical assessments of the relationship between diversity and business advantage.

               This all adds up to the unassailable position that diversity matters – personally, organizationally, and globally. Whether diversity is the cause or the effect of business success – the proverbial chicken or the egg – cannot, as Professor Herring says, be determined by these studies or surveys. But, in correlating diversity and business performance, as you continue to remove one variable after another – industry, sector, size of company, longevity, and others – the correlation remains.            
           
            And so does the conclusion that diversity is not just good, it’s good business.




The healthcare field – a look back is a look ahead
By Eli Amdur
 

[Special to North Jersey Media Group, September 16, 2007]  

            In discussing the field of healthcare, there is hardly a more applicable saying than “The more things change, the more they stay the same.”
       
            For the seventh time in the last three and a half years, we take a close look here at the most dominant field in the American economy and workplace – and in the very lives of Americans: healthcare. For the seventh time, we look at the continuation of sweeping trends and the endless parade of dynamic changes and startling innovations that characterize this field like no other. For the seventh time, we see validation of what has been discussed here all along, namely four indisputable conclusions:

            First, healthcare forcefully dictates not only how we Americans live, but how we make our livings and how we spend our money.
           
            Second, the healthcare field offers almost immeasurable career opportunities, both in pure numbers and in alternatives and options, certainly as much as – and probably more than – any other field.            

            Third, as large and dominant as it is, the healthcare field is growing. It has added jobs to the American economy every month for the last 15 years, with no end in sight. In New Jersey, healthcare will create one of every five new jobs in the next five years; nationally healthcare will create 3.8 million jobs by 2014. Further, Americans’ healthcare expenditures are growing at a rate two-and-a-half times that of our overall economy.
   
            And fourth, healthcare is a constantly changing picture, which means, simply, that each day brings new and different opportunities that did not exist the day before.

            To understand what’s driving these trends, let’s first look at some raw numbers from the  Bureau of Labor Statistics.

            One in nine Americans works in healthcare and social assistance, and that number – 16 million (as of August 2007, 10.9 percent of the workforce of 153 million) – is on the rise. Less than three years ago that number was only 10 percent. Interestingly, healthcare facilities account for only eight percent of all establishments (which includes individual practitioners’ offices, small clinics, and so forth all the way to the largest medical centers, public health, and scientific organizations). In other words, one out of twelve American workplace venues employs one out of nine workers. That’s a strong statement.

            Employment in healthcare and social assistance has been projected to increase 30.3 percent in the 10 year period between 2004 and 2014, the highest rate of growth of all sectors. Now almost four years into that period, the numbers are right on track.

            But the total number doesn’t come close to telling the whole story. Mean income is approximately four percent higher in healthcare than in other sectors, the same difference that existed in  2006. Healthcare’s position is holding steady.

            To many experts, the most compelling statement to be made about the healthcare field is that the unemployment rate, which for the overall economy is 4.6 percent (August 2007), is a stunning 3.0 percent in healthcare and social assistance. This, too, has not changed in years.

            A more detailed look at the employment picture within healthcare and social assistance shows that the growth opportunities are literally all over this sector. A key indicator of employment opportunity is where the fastest growing occupations are. The Bureau of Labor Statistics’ Occupational Outlook Handbook gives us the following breakdown.            

            For workers with their first professional degree, healthcare has all five of the fastest growing occupations by percentage and four of the top five by numerical growth. What are they? Pharmacists, physicians and surgeons, chiropractors, optometrists, and veterinarians (let’s not forget the healthcare needs of our furry friends).            

            For workers with their doctoral degree, three of the top five fastest growing occupations (both by percentage and raw numbers): medical scientists; biochemists and biophysicists; and clinical, counseling, and school psychologists.  

            Masters degree holders in healthcare will find four of five and two of five (percent and numerical) of the fastest growing occupations, among them, physical therapists, occupational therapists, hydrologists, substance abuse and behavioral disorder counselors, and rehabilitation counselors.

            For those who hold bachelors degrees, it’s two of the top five: physician assistants and medical and health services managers.

            For those who have attained associates degrees, the outlook is very strong: four of the top five by percentage and three numerically. Those jobs include physical therapist assistants, registered nurses, dental hygienists, veterinary technologists and technicians, diagnostic medical sonographers, and medical records and health information technicians.

            For postsecondary vocational award candidates, three of the fastest growing occupations by percentage and two numerically are within grasp: nursing aides, orderlies, and attendants; surgical technologists; emergency medical technicians and paramedics; licensed practical and licensed vocational nurses; and fitness trainers and aerobics instructors.

            Other occupations within healthcare that show fast and steady growth are medical assistants, dental assistants, social and human service assistants, home health aides, personal and home care aides, and occupational therapist aides.

            A window into these vast numbers reveals that, for example, the number of registered nurses will have jumped from 2.394 million in 2004 to 3.096 million in 2014, a 29.4 percent rise. That growth rate, for an occupation that already employs so many people, is astounding. Yet there is a national nursing shortage and that is projected to persist.

            We will see a 56.0 percent growth rate in the number of home health aides, from 624,000 to 974,000; an increase of 22.3 percent in the number of nursing aides, orderlies, and attendants, from 1.455 million in 2004 to 1.781 million in 2014; and a jump from 701,000 personal and home care aides to just under one million, a 41 percent rate of growth.

            Across the board the opportunities are there, not just now, but the foreseeable future. No other employment sector can approach these prospects.           

             Trends that drive this growth have been well documented, both here and in many other places. Most evident is the growth and aging of our population. We now live among 301 million Americans, but who are they?

            By 2010, one million Americans will be 100 years old or over, while our over-65 population, 35 million (12.4 percent) in 2000, will grow to 40 million (13.2 percent) by 2010. By 2050, when young Americans who are just now entering the workforce will still be working, the 65-and-up population will balloon to 82 million, slightly more than one out of every five of our 400 million Americans. As a result, not only will there be a dramatic rise in the healthcare needs of Americans, there will be a fundamental shift – a markedly different dynamic – in the demands on acute care, chronic care, and long term care. Anyone engaged in career planning can read between these lines.

            Just how big is healthcare? Last year, Americans spent $2.2 trillion, one out of every six dollars on healthcare, more than the gross domestic product of all by six countries on earth, more than we spent on food and national defense combined, or housing and transportation combined. By 2014 we will spend an unfathomable $4.2 trillion on healthcare. Clearly this is what is fueling the job growth in healthcare.

            So that we do not limit ourselves to parochial thinking, job growth in the healthcare field is not to be found just in those clinical jobs listed above. This field is spurring opportunities in virtually every non-medical occupation: information technology, public relations, operations, logistics, plant maintenance, fundraising, marketing, strategic planning, project management, and human resources, to name the more obvious ones.

            In this space three years ago, Dr. Donald Zimmerman, now Associate Professor of Pharmaceutical Business at the University of the Sciences in Philadelphia, was quoted as saying, “While many think of the healthcare industry as one that is changing, in fact, it already has changed, and is now in transformation.”

            That brings us back to the opening point of this report. With all the dynamic changes in healthcare – new technologies, new sciences, new occupations, new modalities of care, new delivery methods, new decision making processes, new perspectives on preserving wellness instead of fighting sickness, new complementary and alternative treatments, new shifts in access to knowledge from the physician to the patient, and so on – the one thing that hasn’t changed in the healthcare field is growth opportunity.

            As we look back over the seven times in this column in which we have examined the healthcare business, we see that the predictions and projections made by a wide array of experts have not only all turned out to be right on target, but they also point to a strong, unending current of more of the same – the four conclusions set forth earlier. One, healthcare is a dominant force in our lives; two, it offers huge career opportunities; three, it is a growing field; and four, it is a changing field.           

             In healthcare and social assistance, a look back is a look ahead.

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