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Selection Under Scrutiny: Building a Valid Hiring Process at Cornerstone Health

A hospital's nursing test triggered a federal audit. Hiring is frozen. You need to redesign the process without losing what made it work.

Duration

90 min

Difficulty

Advanced

Stakeholders

4

Company Size

Large (500-5000)

Organizational Background

Cornerstone Health System operates four hospitals and 22 outpatient clinics across the mid-Atlantic region, employing 6,200 people. Three years ago, HR modernized its selection process with a cognitive ability test, a work sample simulation, and an unstructured panel interview. The cognitive test was purchased off-the-shelf and validated on a national normative sample. No local validation study was conducted. A recent adverse impact analysis by an outside consultant revealed a selection rate of 58% for white applicants vs. 34% for Black applicants - a 0.59 ratio, below the 0.80 threshold. The hospital's legal counsel has recommended ceasing use of the cognitive test pending a full review. The Head of Talent Acquisition has pushed back, arguing the test is 'the best predictor we have.' The CHRO needs a defensible path forward before the OFCCP audit begins in eight weeks.

Key Stakeholders

Learning Objectives

  • Apply the 4/5ths rule and adverse impact analysis in a real selection context
  • Evaluate the trade-offs between predictive validity and adverse impact in assessment selection
  • Understand OFCCP compliance requirements and the legal framework for defensible selection
  • Design a criterion-related validity study appropriate to the organizational context
  • Advise on alternative assessment strategies that reduce adverse impact without sacrificing validity

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