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Career Review Presentation to Creighton University. Vikram Acharya Administrative Director Lucile Packard Children’s Hospital at Stanford October 2011. Presentation Outline. My Background The Creighton “HAP” Experience Post Creighton Career Opportunities
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Career ReviewPresentation to Creighton University Vikram Acharya Administrative Director Lucile Packard Children’s Hospital at Stanford October 2011
Presentation Outline • My Background • The Creighton “HAP” Experience • Post Creighton Career Opportunities • What do I do everyday at Stanford? • Working in California and Healthcare Reform Challenges • What can you do today to prepare for a future career in Healthcare Administration?
My Background • Originally from Chicago, IL • Graduated from Creighton University in 2002 – “HAP” Major – Proud Resident of Gallagher Hall! • Graduated from Yale University in 2004 – MPH • Completed Administrative Fellowship and first Manager job at Barnes-Jewish Hospital in St. Louis, MO. • Served as an Administrative Director at the University of California, San Francisco Department of Surgery for 2 Years. • Presently serving as an Administrative Director at the Lucile Packard Children’s Hospital Stanford located in Palo Alto, CA.
The Creighton “HAP Experience” • Gave me the “tools” to be successful, specifically through a diverse and unique course curriculum. • Provided a network base that allowed me to gain my first exposure to healthcare administration. • Summer Intern at Physicians Clinic in 2001. • Summer Intern at Methodist Hospital in 2002. • Creighton undoubtedly gave me a “Path to Success” through a combination of academic and professional opportunities. It is unique to have a HAP Major for college graduates.
Post Creighton Career Opportunities • Yale University - MPH • Strong Hospital Administration focus • Smaller class sizes compared to other programs • Proven alumni track record • Opportunity to study on the East Coast • Provided an opportunity to work under the CEO as an Intern at NMH. • Barnes-Jewish Hospital – Administrative Fellowship and Manager • Academic Medical Center located in the Midwest • Exposure to multiple departments and projects (i.e. Diabetes Center) and reported to the COO. • First job out of Fellowship in Transplant – Business and Clinical Manager. • University of California, San Francisco – Administrative Director • Bay Area Experience and Personal Life • Promotion and Opportunity to be on the “University” Side. • Academic Medical Center
What do I do everyday at Stanford? • Service Line Director over multiple departments. • Personnel Management • Managers, RNs, NPs • Medical Staff Collaboration (Stanford University) • Report to one of the Vice Presidents at LPCH • Regulatory Compliance • CMS, TJC, UNOS • Financial Management • Operating Budget • Cost Containment • Profit and Loss Statements
What do I do everyday at Stanford? • Strategic Planning • Regional Presence and target specific new markets • Strong collaboration with referring physicians (Las Vegas, Reno, OHSU) in managing complex patients. • Innovation • VADs and Telemedicine • Quality and Performance Improvement: MOST IMPORTANT • Patient and Family Satisfaction • Ongoing Measurement and Improvement of Key Clinical Indicators with ongoing review • How can we continue to measure what we do and improve the lives of our patients?
Working in California • Nice weather, wine and the Oakland Raiders on Sundays. • Intense Competition amongst Academic Medical Centers (Stanford, UCSF, UCLA, USC, Seattle Children’s, Utah). • Kaiser Permanente has a strong presence. • Strong regulation of the healthcare market. • Educated and savvy patient population in the Bay Area (Apple). • Strong labor presence (CNA, SEIU).
Healthcare Reform and Overarching Challenges • Lower reimbursement from commercial and public payors. • Strong emphasis on quality and outcomes (i.e. readmissions). • Nationwide unemployment rates and impact on hospital finances. • Pediatric subspecialty shortages. • Supply and demand for transplant services nationwide. Paid less to do more. • How do you contain costs, yet enhance your outcomes and efficiency?
What can you do today to prepare for a career in Administration? • Where is your passion? Academic hospitals, community hospitals, community health, pharma? • Take on “anything and everything” to increase your experience in a healthcare setting: volunteering, internships, networking at ACHE events, ad hoc projects. This will enhance your knowledge base, professional contacts and experience. No matter the task, take it and run! • Develop an understanding of “Six Sigma” and process improvement techniques. • Find a Senior Executive Mentor who can guide and advise you on an ongoing basis. • Develop an understanding of the future of healthcare IT. How will services be delivered in context of healthcare reform, in a way that leverages technology? • Refine and continue to practice your communication, quantitative and leadership skills. Your performance in this area will undoubtedly be your key to success! • Take on a project where you are in charge, as you will see the subtle nuances to leadership and its importance in managing/engaging people (Gallup Scores).