Healthcare Administrator Of Insurance Industry : Director Integrated Health Management

As a health care administrator/manager it will be imperative for you to work with the

Health care administrators play a critical role in demanding medical field. There are many challenges and benefits within the administrator role. A great health care administrator can transform the healthcare organization. Within this in mind, Dionne Epstein agreed to conduct in-person interview to discuss her insight regarding the healthcare industry. Ms. Epstein has a unique background experience in healthcare and administrative services for over ten years. She even worked at Charity Hospital during and post-Katrina here in New Orleans, Louisiana. Ms. Epstein was a perfect candidate to discuss about the healthcare industry because of her educational background and experience.

Key People/Structures Dave Burton, & Brent James - Clinical Management System Design Linda Leckman – CEO Medical Group Nancy Nowak – Chief Nursing Officer Brent Wallace – Chief Medical Officer Guidance Councils – one for each of nine care areas – ensure CPMs are implemented Development Teams - developing of and responsibility for Clinical Process Models (CPM) Bill

The MHH is a team of healthcare providers who supply healthcare services. The goal is to increase access to care, improve quality of care, and decrease costs. The main components to achieve these goals are health information technology and payment revision. Nurses will need to be competent with technological venues such as electronic medical records and be advocates for reform regarding payment regulations.

As doctors are put into hospitals to keep patients alive and healthy, Hospital Administrators are put in hospitals to keep the facility alive and healthy. The day- to- day job of a Hospital Administrator is rigorous and detail oriented. He or she was chosen to keep the hospital operating efficiently, within budget while keeping many parties happy at the same time. Hospital Administrators work long and odd hours, possibly

Managed care in simple can be defined as an organized approach to delivering healthcare services in an efficient way to enrolled members by negotiation of prices and payments with the providers. Managed care is one of the dominant influence that as transformed the healthcare delivery system in the United States since the 1990s. Managed care has two different contexts to it.

The American Association of Healthcare Administrative Management (AAHAM) is the primary professional organization for health care administrators. Continue reading to learn more about this prestigious health care association.

Vertically integrated health care system that I have chosen is the Veterans Administration (VA) it's accountable for a large patient population for military veterans. As stated, The Veterans Health Administration is America’s largest integrated health care system with over 1,700 sites of care, serving 8.76 million Veterans each year (VA.GOV). The services that's provided to veterans is health care, rehabilitation, employment, education, home loan guaranties, and life insurance coverage. VA control costs by buying in bulk and control costs by engaging in a deep, single-source relationship with each patient. The Assistant Secretary for Management oversees all resource requirements, development and implementation of agency performance measures,

The different segments within the sector such as hospitals, home health rehabilitation services among other patient care facilities employ qualifies personnel to attend the needs of the patients at different capacities. Therefore, the managers in the health care need to possess skills and knowledge concerning the integration of change in the right manner and similarly, possess effective interpersonal skills, communication ability, and competent leadership skills to guide and direct diverse groups of individuals towards the achievement of a common organizational goal.

The management team in the healthcare environment has a very important role within their facility. There are ten managerial roles that fall within three categories. The three categories are: interpersonal roles, informational roles, and decisional roles. “A manager’s interpersonal roles involve interactions with people inside and outside the work unit. The information roles involve the giving, receiving, and analyzing of information. The decisional roles involve using information to make decisions, to solve problems, to address opportunities” (Lombardi & Schermerhorn, 2007. P. 13). Interpersonal roles involve interactions with people inside and outside the unit. Informational roles of a health care manager involve giving, receiving, and analyzing information.   Finally, the decisional roles of a health care manger involve using information for decision making, problem solving, and addressing opportunities (Lombardi & Schermerhorn, 2007. P. 13). Of all these different roles, I believe the most important role is the interpersonal role. The

Healthcare risk management ( HRM) began in The late 1970s, when hospitals are facing a malpractice crisis (Kavaler & Alexander, 2014). According to Kavaler and Alexander (2014), it is estimated more than 140,000 Americans die from medical errors and the cost ranges between $17 billion and $29 billion each year in the United States (Kavaler & Alexander, 2014). In this essay, the student will explain a healthcare risk management program, evaluate the program for compliance with the American Society for Healthcare Risk Management (ASHRM), and Examine the administrative process of management the risk program.

Health care administration is a very important and crucial role in today’s healthcare system. With an ever-changing national health care system, the role of a Health care Administrator or Healthcare Executive more than ever is needed. Healthcare facilities, organizations, and or offices rely on health care administrators to plan, direct and coordinate all medical health services (United States Department of Labor , 2014). Some areas where one might find administrators are managing entire medical facilities, specialized clinical departments, or a medical practice for a group of physicians (United States Department of Labor , 2014). The need for high-quality health care administers is more now than ever with the fast-changing health care laws.

Wow Hospital (WH) managers also called healthcare executives or healthcare administrators, plan, direct, analysis and coordinate medical and health services. They might manage an entire facility or specialize in managing a specific clinical area or department, or manage a medical practice for a group of physicians. Medical and health services managers must be able to adapt to changes in healthcare laws, regulations, and technology.

Health Information managers oversee and guard patient health information. Managers represent the patient’s in matters of privacy and security, information release, issues and guidelines regarding record access, and general public education about personal health records. They specialize in managing patient health information and medical records, administering computer information systems, and classifying using standard coding systems, the diagnoses, and procedures for health care services provided to patients.

I have gained a lot of clinical experience after my graduation as well as specialized further in field of physiotherapy, but at this point it has become indispensable for me to gain leadership and management skills to progress further in my career and to become a resourceful person to the concerned organization. It isn’t an easy task for someone from a purely clinical background to be able to introduce change in an organization at any level without having developed the knowledge and skills needed for it. I want to be able to effectively evaluate health care outcomes and identify any social or economic determinants affecting it as I understand it’s a challenging task to provide effective health care with smooth managerial