R O B E R T O N E W M A N , M B A

H C A 5 5 0

A P R I L 1 1 , 2 0 1 4

THE PUBLIC’S VIEW OF HEALTHCARE MANAGEMENT

IS NOT ALWAYS FLATTERING.

A PREVIOUSLY INVISIBLE OCCUPATION

• Although healthcare management, also known as nursing home, or

hospital administrators, is a very old profession. Many people are just

now realizing the contributions that these professionals provide.

• The position has recently become more noticeable to the public as

many websites are now mentioning it as one of the biggest up and

coming careers.

• Many people have wrongly assumed that other medical doctors are

exclusively the force behind these operations, which while somewhat

true – is not always the case.

WHAT IS THE ROLE OF HEALTHCARE

ADMINISTRATION? Healthcare Administration works to make sure that the establishment

that they work for can adequately provide care while staying within

their budget to provide care for the whole community.

Similarly, Healthcare administration may also work to assist the human

resources department with hiring, firing, and day to day management of

their facilities.

If the administrator works inside of a nursing home facility there is an

added pressure to make sure that all of the records are up to the

notoriously strict laws in place to protect elders from abuse.

Following all state/federal laws that make sure that a facility either,

home care, skilled care, nursing home, hospital, or specialty clinic

adheres to the states rules and regulations for that particular field.

THE PERCEPTION OF AMERICAN HEALTHCARE

HOW ADMINISTRATORS HELP

• An administrator often falls victim to the assumption that they are only after money, or that the

American system is only after money.

• However, without a licensed person acting as a type of coach – having that many people work

together either in an American system or universal healthcare system can be a difficult task.

• The fact is that no matter how the system is structured, someone is going to want to know

where all of the money for healthcare is going and if it is actually helping.

• It is for these reasons that the cartoon on the previous slide is inaccurate – because the first

panel only shows “front line” healthcare employees – but neglects to point out that :

• A.) managers would have to be involved in either scenario. Or

• B.) that many managers (depicted in the second panel) were often medical professionals before

deciding to get in to administration.

WHAT QUALIFIES A MANAGER?

• Every state has its own requirements – and some are more restrictive than

others.

• In the United States an administrator must pay to sit and take an

administrators exam to work in a medical setting.

• If the applicant were to pass than they have demonstrate that they

understood, in detail how to keep a company up and running in the medical

field.

• A large part of what an administrator does on a day to day basis is to make

sure that clients are receiving the services they need while also not violating

any of the laws against the patients that could scot the company millions of

dollars and possibly being shut down.

WHAT QUALIFIES A MANAGER? PT. II

• Not every state requires the same test – Colorado for one, requires all

applicants to take both a state & a federal exam to be able to practice in the

state.

• Other states may require only a state exam for the particular state that the

applicant is residing in.

• A nursing home administrators license is required in many states to run a

hospital or other medical establishment. This is interesting because

although the two fields are similar many assume that the two positions

would have a different exam for each.

• This is not the case and the nursing home administrator test is a type of

“golden ticket” to work other administration jobs in the medical field.

ADMINISTRATORS IN OTHER COUNTRIES

• Administrators are in need in many areas of the globe and some countries

have created a “fast track” program to prepare them for the bare basics of

the medical field.

• Below are two videos that highlight this current world situation and need for

administrators as well as other medical personnel.

• http://www.youtube.com/watch?v=uOCC6QkaRBA

• http://www.youtube.com/watch?v=eaF5oRfEDnc

ADMINISTRATORS IN THE FUTURE

• As more countries in the developed nations are choosing to go a

system of universal or single payer healthcare. There will be more of a

need for administrators.

• The affordable care act alone may be a cause for much of the increase

in jobs in this field due to how many people who were previously

uninsured, will now be insured.

• The focus for new administrators should be to make sure that they stay

proficient in their chosen states of residence while pushing to create a

responsible and efficient facility that runs under their care.

REFERENCES

References

Poz, M. D., Quain, E., O'Neil, M., McCaffery, J., Elzinga, G., & Martineau, T. (2006, June 6). Addressing the health workforce crisis: towards a common approach. Human Resources for Health. Retrieved April 11, 2014, from www.human-resources-health.com/content/4/1/21

Emanuel 100. (n.d.). - Legacy Emanuel Hospital. Retrieved April 8, 2014, from http://www.legacyhealth.org/locations/hospitals/legacy-emanuel-medical-center/emanuel-100.aspx

Garciaa-Prado, A., & Chawla, M. (No Date). The impact of hospital management reforms on absenteeism in Costa Rica . Oxford Journals | Medicine | Health Policy and Planning. Retrieved April 9, 2014, from http://heapol.oxfordjournals.org/content/21/2/91.full

Health Care Administration: Health Care : Careers & Jobs: Navy.com. (n.d.). America's Navy - A Global Force for Good: Navy.com. Retrieved April 10, 2014, from http://www.navy.com/careers/healthcare/healthcare-administration.html

REFERENCES

Norman, M. (1999). Chapter six: Human resources management in organized delivery systems. Health care administration: planning, implementing, and managing organized delivery systems (3rd ed., pp. 249-285). Gaithersburg, Md.: Aspen Publishers.

Schulze, A. (2010, June 9). Human resources in healthcare - The Tanzanian Training Centre for International Health - YouTube. YouTube. Retrieved April 15, 2014, from http://www.youtube.com/watch?v=eaF5oRfEDnc

Sullivan, P. (2013, March 29). Smart in Medicine or Law, but Not in Managing Money Money Advice for Doctors and Lawyers and the Rest of Us -NYTimes.com. The New York Times - Breaking News, World News & Multimedia. Retrieved April 10, 2014, from http://www.nytimes.com/2013/03/30/your-money/money-advice-for-doctors-and-lawyers.html?pagewanted=all&_r=0

Wang, W., & Gupta, D. (n.d.). Nurse Absenteeism and Staffing Strategies for Hospital Inpatient Units. University of Minnesota College of science & engineering. Retrieved April 11, 2014.

REFERENCES

Cartoons:

http://www.theparasitologist.com/gallery/

http://www.ips-dc.org/blog/this_week_in_otherwords_august_21_2013