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Career ladders can be an excellent way to improve retention in your patient access department. However, there are some pitfalls to avoid. "Career ladders must be current and relevant to the job," says Holly Hiryak, MNSc, RN, CHAM, director of hospital admissions and access services at University Hospital of Arkansas in Little Rock. "There may be complacency if [employees] are not goal-driven with measurable roles and responsibilities."

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