Meet MHA @ GW Program Director Leonard Friedman: Part II of III
Can you describe some of the professions and career paths of MHA @ GW graduate could continue? Which segments of the field see increased growth and demand?
One thing we know is that hospitals continue to be the largest portion of health care spending in the United States in total. And hospitals are certainly changing. There are fewer of them, and how care is delivered, I think, is going to be fundamentally different.
There will be a continued need for people in the hospital sector. While that number may not be as large as in the past, it will make people across the administration - the first line of management to C-suite individuals -. Who can really imagine the delivery of health care differently
I think the real growth industry will be in the management of medical practice. Doctors move in practice increasingly large groups. They turn away from individual practices or very small medium-sized groups and even larger groups, and they are going to need very skilled people to run the business transaction - because, frankly, the doctors want to be doctors. That's why they went to medical school. They do not go to medical school to learn to be a leader or a manager or run the business side of their practice. They want to practice medicine. We let them do that
In terms of long-term care, demographics are clear. The baby boomers age and at some point will need health care, whether in an institutional setting, nursing home, assisted living, another type of retirement community or nursing home. So I think the long-term care in all its variants will provide immense opportunities for leaders in health care.
Another is the pharmaceuticals and pharmaceutical manufacturing. Research and development for medical equipment will be great. And of course, information technology and various IT segments are trying to understand what great thing is really going to pull all parts of the IT infrastructure together.
I'm incredibly optimistic about this industry. We need talented leaders who understand all the different elements of management, leadership, finance and computer and really do a good job. That's why I think the MHA @ GW is really well suited to provide this preparation.
What types of career resources and postgraduate MHA @ GW will offer?
The first is a network of 3,500 alums. Our program admitted its first students, at least residentially in 1960. In the nearly 54 years since we had a very distinguished alums group. Part of the MHA program will provide students access to this alumni network, which we believe is an invaluable addition. The other thing we have - we are very proud of this - is something we call our old program mentoring students. One of the things that we ask our elders to do is pay before, and our elders are absolutely committed to working with current students to help them move their careers forward. Thus, for every student who comes into our program, we give them the opportunity to be mentored by one, sometimes more than one, of our past - from the moment they walk in the door and continues long after their departure . We determine this based on the industry sectors they are interested in what can be a geographical consideration. it may be the sex or age; it may be the position. So we are not at random that connection. We ask what exactly are students seeking a mentor, and we'll move forward on that basis.
How the Affordable Care Act affected the field of health administration?
Basically what ACA did - and I'm sure there are people who may disagree with me - is the reform of the insurance market. The idea is to provide health insurance to a segment of the population that did not have access before. So that is one of the basic ideas behind the ACA. It does not fundamentally change the basic business proposition of providing health care. the delivery of health care will continue like that.
For the majority of places like hospitals, rather than taking care of people through their emergency services, I think it gives them an opportunity of income they have not seized . Ordinarily, they would have to take care of people in their emergency rooms who came following the Emergency Medical Treatment and Active Labour Act (EMTALA), and they are not compensated. Now they will. More people have access to doctors. Now, granted, there are a number of doctors who are accepting new Medicaid and Medicare assignments, simply because reimbursements are so poor. But I suspect that more and more doctors are now paid to see patients.
So when you really think about it, I do not think the fundamentals will change much. You would have had a whole new ball game if the ACA had been a single-payer system - then all paris would have been extinguished. Now, there are some considerations around the provision of care outside the institutional framework and as part of the community - the role of community health centers becomes more important. But for me, the fundamentals are not so different.
We are the only industrialized country on the face of the earth who has not found a way to provide universal health care. We just returned from a trip to Israel with our students, where we studied the health care delivery system. And about a third of US GDP, they are able to provide universal care to all their citizens. Their health effects are much better than ours, and they have an amazing EHR program that only provides huge levels of data and ease of access. Now, granted, they have only about 8 million people. Are their systems perfect? No, but Israel has understood how to provide universal health care as well as virtually all other industrialized countries.
The next week, we will hear more about Len industry resources, health IT, and career planning in the field of health administration.
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