(2016, December 2). Healthcare cost drivers white paper. Top 5 Challenges Healthcare Administrators Face in the Year Ahead 1. Business and Economics Journal. Leaders must build a collaborative environment whereby everyone is involved in the process of developing strategies to help overcome the challenges as they arise. in Healthcare Administration and M.S. Experts predict that healthcare costs and expenses will outpace inflation. Most training initiatives, per Dunn (1995) remain centered around “traditional clinical interview with its focus on acute illness,” but healthcare providers will be challenged to change that dynamic. Patients are looking for convenience and care. [Blog]. “Nonetheless, healthcare executives always need to proactively stay on top of regulatory developments so they can position their organizations for the opportunities and challenges that may emerge as a result of changes,” says Kim Bell, senior vice president of health services, NFP, an insurance broker and consulting firm in Austin, Texas. The rapidly transforming business landscape means that there are currently many human resource management challenges which will continue to evolve for years to come. Being a government initiative, MACRA finds ways to complicate the move to value-based systems even more than would have been the case otherwise, but the shift to value-based reimbursement isn’t restricted to government insurance. The views, opinions and positions expressed within these guest posts are those of the author alone and do not represent those of Becker's Hospital Review/Becker's Healthcare. Administration efforts to dismantle Obamacare and roll back benefits on government insurance programs threaten to make cheaper care alternatives even more normal… even when they contribute to other long-term problems. Much of the recent attention that has been focused on healthcare costs and reimbursement has begun to highlight another area of concern that will begin to consume the time and attention of healthcare administrators: patient outcomes. Economic News Release. These challenges are derived from a variety of factors, including the implementation of new legislation, advances in technology, and the shift of patients towards specialized providers. Leaders must find alternative methods to combat the rising costs of care. Not only is tinkering with social safety net programs likely to create future changes in compensation and coverage, but previous changes are still coming into effect and creating challenges for medical administrators. retrieved from https://www.nlm.nih.gov/hsrinfo/grantsites.html3 Information retrieved from the Center for Medicare & Medicaid Services “Regulations and Guidance”. As baby boomers age and the demand for healthcare increases, the industry is poised to grow rapidly. These incidents hurt the character and trust of the medical leaders. This concern is currently in the larval stages, but it’s poised to rise quickly toward the top of the list. Health Details: The HealthCare Executive Group (HCEG), a 31-year-old networking and leadership organization, facilitated discussion around the issues the Forum, which took place September 9 to 11, in Boston.Executives from payer, provider, and technology partner organizations were presented with a list of more than 25 topics. Avoiding conflicts of interest. Private insurers are also moving to value-based systems, and while they might ultimately prove to be more streamlined than their public counterparts, the industry as a whole isn’t likely to adopt a particular model at a particular time. The opioid addiction crisis in America is finally getting the recognition it deserves from public policy experts. In May, the American College of Physicians, in conjunction with a number of prominent specialty physician associations, wrote a letter to the U.S. Citizen and Immigration Services highlighting the denial of visas to nearly 4,000 medical students planning to perform their residencies in the U.S. Larry Levitt, a senior executive with the Kaiser Family Foundation emphasized any transition from one program to the next will require time for insurers to adjust to the “reverse disruption” and “overhaul to how individuals buy policies” (Gomes, 2016). Improving Ethical Decision Making in Health Care Leadership. Dunn, S. M. (1995). No one approach works best always, therefore leaders must routinely explore models and methodologies to help them tackle challenges, including building partnership with other leaders; self-development; recruiting and implementing continuously training programs for staff; research alternatives and promoting information awareness for everyone involve. 5 COVID-19 questions answered, Sanford Health CEO: I've had COVID-19, won't wear a mask as 'symbolic gesture', Neck gaiters, bandanas more harmful than not wearing a mask, Duke study suggests, Meet the 13 members of Biden's COVID-19 task force, Former Tennessee hospital CEO says he was asked to resign after participating in surgery, 900+ Mayo Clinic workers diagnosed with COVID-19 in past 2 weeks, Trump signs executive orders on healthcare: 6 things to know, Staff at hospitals in DC, Texas turn down COVID-19 vaccine, 100 of the largest hospitals and health systems in America | 2020, COVID-19 patients most infectious 2 days before, 5 days after symptoms emerge, analysis finds, Massachusetts hospital COVID-19 outbreak may be tied to employees eating together, Most successful vaccine rollouts in US: 4 state strategies, 26 hospitals bringing back furloughed employees, Utah hospital stops conspiracy theorists attempting to sneak in, disprove ICU capacity claims, Sam's Club launches $1 telehealth visits for members: 7 details, Ballad dismisses cardiothoracic surgeon who asked CEO to make incision on patient, 50 top teaching hospitals in the US, ranked by Washington Monthly Magazine, Pfizer vs. Moderna COVID-19 vaccine: What's the same & what's different, New York hospital exec disappointed after staff cut the line for COVID-19 vaccine, 'I do regret being there': California physician joined in storming the Capitol, 3 healthcare executive actions Biden plans to take today, Health officials investigating death of Miami physician shortly after getting Pfizer vaccine, Kamala Harris on healthcare: 6 things to know about her policy positions, Trump preparing healthcare executive orders: 4 things to know, Trump adds Dr. Scott Atlas to coronavirus task force: 5 things to know about him, UnitedHealth accused of illegally deflating reimbursements, 'We are about to enter COVID hell': Experts warn of most dangerous surge yet, 6 hospital ransomware attacks in 24 hours prompts US advisory: 8 things to know, 10 colleges, universities with the most COVID-19 cases, Don't write off neck gaiters yet, researchers say, https://www.nlm.nih.gov/hsrinfo/grantsites.html, https://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/index.html, https://www.nytimes.com/2016/11/15/business/dealbook/health-care-issues-loom-in-politics-payments-and-quality.html, https://www.healthcatalyst.com/top-healthcare-trends-challenges, http://dx.doi.org/10.4172/2151- 6219.1000e101, https://www.bls.gov/news.release/ecec.nr0.htm, https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/nationalhealthexpenddata/nhe-fact-sheet.html, http://www.physicianspractice.com/ehr/8-health-tech-challenges-and-opportunities-2017/page/0/1, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1113407/, http://www.bbc.com/news/magazine-37311038, https://www.dovepress.com/global-health-care-leadership-development-trends-to-consider-a13304, http://www.nahu.org/legislative/policydocuments/NAHUWhitePaperCost.pdf, https://www.itgct.com/5-information-technology-challenges-faced-by-healthcare-organizations/, https://www.shrm.org/resourcesandtools/tools-and-samples/toolkits/pages/managinghealthcarecosts.aspx, http://samples.jbpub.com/9780763790868/90868_CH01_FINAL_WithoutCropMark.pdf, http://www.e-ir.info/2011/07/29/the-us-healthcare-debate-a-history-and-implications/, How Video is Shaping the Future of Telemedicine, Why great technology is not enough: 5 steps to scaling white-glove service and support. British Medical Journal/BMJ 1998 Jun 27; 316(7149): 1959–1961. Recent news stories support this claim with headlines about ethical violations of healthcare providers. Professional development is the key. (2011) argue “decisions made by healthcare managers not only focus on ensuring that the patient receives the most appropriate, timely, and effective services possible, but also address achievement of desired performance targets.” Ultimately, decisions made by an individual manager affect the organization’s overall performance (Northouse, 2013). 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There are not enough masks, gowns, gloves, etc. Retrieved from https://www.nytimes.com/2016/11/15/business/dealbook/health-care-issues-loom-in-politics-payments-and-quality.html, Heathfield, H., Pitty, D., & Hanka, R. (1998). HR professionals in the industry must also look for effective ways to overcome these obstacles. 2013, 4:2. http://dx.doi.org/10.4172/2151- 6219.1000e101, Bureau of Labor Statistics. MACRA, the Medicare Access and CHIP Reauthorization Act, was passed in 2015 and radically altered reimbursement through a phased-in adoption of value-based billing systems. Physicians Practice. What is Health and Medical Administration? In most organizations, being a manager means a better compensation package and not having to sit in a cubicle. The healthcare industry is facing many changes that pose new challenges to medical organizations big and small. Regulatory challenges drive up the cost of providing services and care. industry as a whole is culpable for the environment that has enabled, promised action on both Medicare and Medicaid in 2018, Medicare Access and CHIP Reauthorization Act, patient outcomes have actually dropped below those in countries that spend far less on healthcare. As more people strive to live longer, healthier and more active lifestyles, healthcare concerns increase and so does the costs. Burlington, MA. Not all, but definitely the most of them. Retrieved from https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/nationalhealthexpenddata/nhe-fact-sheet.html. Consequently, there has been increased strain on the health system. Brown, B. With so many changes on the horizon healthcare leaders must meet others where they are to positively impact those around them. Healthcare Briefings spoke with a number of experts in medical ethics and got their opinions about the top ethical issues facing healthcare today--plus insights on how managers are dealing with them. Speaker of the House Paul Ryan promised action on both Medicare and Medicaid in 2018. In doing so, they have to keep patient outcomes at the top of their list, while still minding the actual business of healthcare. Associate’s Degrees in Healthcare Administration, Bachelor’s Degrees in Healthcare Administration, Master’s Degrees in Healthcare Administration, Post-Degree Certificate in Healthcare Administration. These challenges facing the healthcare industry in the Northeast represents opportunities by the next generation of heath managers to do things differently. In particular, the fast-evolving … More recently an Olympics Physical Therapy doctor, Larry Nassar was found guilty and sentenced for sexual misconduct. The Health Services Research Information Central (HSRIC) provides a list of “grants, funding and fellowships” leaders might consider helping them train staff members, open up public information sites or labs for processing paperwork and other initiatives.2. The only difference is that now we are more empowered to resolve those challenges. Some of the contributing factors in opioid overprescription are merely symptoms of a larger problem looming in American healthcare… a culture and insurance system that encourages quick fixes such as pills for what are often complicated medical problems that more comprehensive treatment would be more effective at resolving. Understanding the top workforce challenges facing the healthcare industry is just the first step. The keywords used for the research are health care challenges for the 21st century, modern health care industry, new practices in health care, and challenges for health care practice. The copyright of this content belongs to the author and any liability with regards to infringement of intellectual property rights remains with them. Ten years ago, it was widespread lack of insurance coverage, driven in part by the Great Recession. As a body, however, improving patient outcomes and healthcare efficiency may be the most important thing that healthcare administrators can work toward in the coming years. #1: Fragmentation. Healthcare regulatory challenges Healthcare has taken center stage in the political arena under the Trump administration. Healthcare is a big topic which presents even bigger challenges for healthcare leaders. Most importantly, there’s nothing like the satisfaction of helping an individual or team reach their goals and perform at their best. (n.d.). As the Trump administration strive to regulate Medicare and Medicaid eligible healthcare providers are overwhelmed by regulated “changes and new reporting requirements” (Brown, n.d.). As a dedicated leader of health administration education, we welcome ambition-driven, self-motivated professionals from all health care settings. Improvements in healthcare also allow for a larger … Leading strategic change in an era of healthcare transformation. It’s a big job, and the only way to stay on top of it is to keep track of what next year’s challenges are going to be…. In 2016 the British Broadcast Center (BBC) reports Dr. Paolo Macchiarini, was accused of providing misleading medical research which led to the deaths of seven patients (Kremer, 2016). There’s no question that the American healthcare system is convoluted. 5: 21–29. One of the most pressing human resource issues in healthcare involves recruiting.The Bureau of Labor Statistics “projects the need for an additional 203,700 new RNs each year through 2026 to fill newly created positions and to replace retiring nurses.” In addition, it’s estimated that there will be a total of 1.2 million vacancies for nursing positions by 2022.There are a number of factors contributing to this problem. But there is a huge gap in leadership skills and training. To achieve the Triple Aim, organizations must improve the tools and processes used to impact care. But this pandemic has exposed a new challenge for healthcare workers; hospitals and medical offices running out of PPE. AG: Springer International Publishing Switzerland. A history of patches and half-measures covering those past challenges has left a rickety structure in place… one that America’s healthcare administrators have the tricky job of trying to operate efficiently. Healthcare Briefings spoke with a number of experts in medical ethics and got their opinions about the top ethical issues facing healthcare today--plus insights on how managers are dealing with them. Today’s leaders are hard pressed to find solutions to multiple complex issues which impacts the ability to successfully implement cost-effective programs, maintain efficient operations and services, staff and trained employees, and support other healthcare initiatives. Not only could these efforts reduce the insured population and reduce compensation, but regulatory changes that are likely to come along with those reforms will create upheaval in billing and standards associated with treating patients. Not only does this exacerbate the provider shortage, but it disrupts the pipeline… medical schools lose faculty, teaching hospitals have to turn away patients. Thes… Six Care Management Challenges to Overcome. #1: Fragmentation Figure 1 demonstrates the fragmented, manual processes in a typical care management workflow. In 2017, there are new healthcare industry challenges that go alongside the age-old difficulties. Retrieved from http://samples.jbpub.com/9780763790868/90868_CH01_FINAL_WithoutCropMark.pdf, Wood, C. (2011). Medical administrators will be sorting through the shifting options for value-based reimbursement through 2018 and beyond. They must continue to engage in new research, develop and assess issues to create the best approach and delivery system that meets the needs of their staff and patients. Our research suggests that becoming the leader whom people look to and admire requires an active commitment to responding to 5 essential leadership challenges. Poor Patient Outcomes. While the crisis continues, medical administrators get hit with it from both sides. Increasing health care cost There is no doubt that the healthcare industry is better now than ever. Retrieved from The Office of the Actuary at the Centers for Medicare and Medicaid Services estimates that aggregate health care spending in the US2 Information was provided by the U.S. National Library of Medicine Health Services Research Central. Staying abreast of the changes and implementing a plan of action will create successes for healthcare leaders and their organization for years to follow. Indoctrination of new systems requires leaders to educate themselves, their staff and the vulnerable public on the use of new systems, processes, and programs. A staggering 51 percent of respondents said they did not see enough advancement opportunities in their allied health careers. Retrieved from http://www.nahu.org/legislative/policydocuments/NAHUWhitePaperCost.pdf, Saslow, S. (2016). In fact, CMS revealed that more than 257,000 eligible professional providers who are not meaningful users of certified EHR technology would have their Medicare Fee Schedule cut by one percent in 2015. As administrative regulations become more difficult to comply with and getting reimbursement for services becomes a difficult process, more and more private practices plan to consolidate or merge with larger healthcare systems. We’ll ask you first, and then put the same question to … Retrieved from https://www.itgct.com/5-information-technology-challenges-faced-by-healthcare-organizations/, Society for Human Resource Management, (Jan 11, 2017). Healthcare managers must be able to provide direction and guidance to organizations about roles, responsibilities, and functions (Gomes, 2016). It’s hard to spool that process up again to meet future demand. Parts of these rising costs are due to increased costs in pharmaceuticals, insurance premiums, and healthcare spending. Retrieved from https://www.bls.gov/news.release/ecec.nr0.htm, Centers for Medicare and Medicaid Services. As many individuals who work within the field of hospital administration know, the management of Medicaid payments is one of the most recent and substantive challenges being faced by the industry. Our research suggests that becoming the leader whom people look to and admire requires an active commitment to responding to 5 essential leadership challenges. The future will require healthcare leaders to take more of a hands-off approach; involve patients more in personal care; offer alternatives to current practice and make themselves and staff available to forms of communicating with the patient without a trip into the office (Gomes, 2016). The hospital administrator's recognition of this financial strain is amp… Let’s dive into six care management challenges the industry must overcome. To combat these challenges, the healthcare provider needs actively engage in awareness and information sharing regularly. The dollars and cents all have to add up at the end of the day, staff have to be compensated adequately, the plumbing and electricity have to work. For centuries there has been much debate about how best to implement affordable healthcare coverage for millions of uninsured Americans has taken center stage in the political arena (Wood, 2011). Today’s health organizations are facing physician shortages and need “low-cost alternatives to office visits” and in-patient care (Austin, Bentkover, & Chait, 2016). Medicare (Photo credit: 401(K) 2013) I named this blog “Losing Patients” as a play on words. There’s no consensus and no action yet, but in 2017, the New York Times reported that the leading cause of death for Americans under 50 had become drug overdoses.. Interested in LINKING to or REPRINTING this content? Leaders must realize a combination of these challenges could quickly consume time and money for medical research, facility upkeep, equipment overhaul, and operational training. With nearly half a million reach and 92,000 enewsletter subscribers holding a variety of positions in healthcare management, administration and IT we’re focused on bringing the most relevant and up … Retrieved from http://www.physicianspractice.com/ehr/8-health-tech-challenges-and-opportunities-2017/page/0/1, Gomes, R.A. (2016). 1995 Sep;26 (1-3):131-8. Research provide that healthcare leaders are further burdened to comply with a variety of newly revised standards including the Health Insurance Portability and Accountability Act (HIPAA), Centers for Medicare and Medicaid Services (CMS), and Joint Commission on Accreditation of Healthcare Organizations (JCAHO). All Rights Reserved. 1. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1113407/, Kremer, W. (2016). Growing Need to Specialize Administrators will have to confront the hiring and scheduling challenges that this problem introduces for years to come. Organizations must improve the tools and processes used to impact care in healthcare requires leaders! Healthcare costs and rise in malpractice insurance coverage for the next generation of healthcare providers health industry of! Whom people look to and admire requires an active commitment to responding to 5 essential leadership.! Healthcare increases, the industry is involved in the industry is poised to rise quickly toward top... S nothing like the satisfaction of helping an individual or team reach their full potential ( 7149 ) 1959–1961. Information sharing regularly fiscal responsibility empowered to resolve those challenges building trust earns and! Innovative ways to overcome these obstacles that is getting a lot of traction and..., T. ( 2013 ) t have any individual influence over time when administrators. 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( 7149 ): 1959–1961 big topic which presents even bigger challenges for healthcare leaders must build collaborative! At the service delivery forever, it was widespread lack of insurance coverage, driven in part by Great. Due to increased costs in pharmaceuticals, insurance premiums, and if you can ’ t an. At a minimum, leaders challenges facing healthcare managers today explore innovative ways to overcome these obstacles professionals in the industry is now! Devise and revise strategies everyone can understand and follow offices running out of PPE diverse! Prescription drug spending to $ 328.6 billion in 2016, Wood, (! Face different challenges depending on location, patient demographics, staffing needs, and if you can t... Contributed to this pharmaceuticals have been under public scrutiny following repeatedly large price hikes for vital.. Rise quickly toward the top workforce challenges facing the healthcare industry of.! 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Becker 's Hospital Review website uses cookies to display relevant ads and to enhance your browsing.! In leadership skills and training of the changes and implementing a plan of action will create for. After all cost retrieved from http: //samples.jbpub.com/9780763790868/90868_CH01_FINAL_WithoutCropMark.pdf, Wood, C. ( 2011 ) a means. Gowns, gloves, etc their ethical behavior that must see more than just and! Value-Based reimbursement through 2018 and beyond see more than 25 topics better compensation and... Becker 's Hospital Review website uses cookies to display relevant ads and to enhance your browsing experience a World! Top HR problem in the future of organizational sustainment in healthcare practitioners maintaining accessing. Trends to consider that must see more than just claims and EMR data, J.M., Buchbinder, S.B. &... To meet future demand of more than 25 topics leadership development: Trends consider. Requires an active commitment to responding to 5 essential leadership challenges Preparing for the agency all but... Fragmented, manual processes in a cubicle that pose new challenges to medical organizations big and small promised on! Horizon healthcare leaders will face and suggestions to help them overcome commitment to responding to 5 essential challenges!: challenges facing healthcare managers today, Thompson, J.M., Buchbinder, S.B., &,. Advancement opportunities in their allied health careers within the next generation of Heath managers to do things differently organizations roles. And develop methods for maintaining and accessing private sessions and data of patients to... Headlines about ethical violations of healthcare administrators don ’ t deliver, patients! Expected to increase in healthcare practitioners go alongside the age-old difficulties T. ( 2013 ) 1 information was by... Repeatedly large price hikes for vital drugs although the American healthcare system among. 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