You will make decisions about your career throughout your life. No matter
what stage of the decision-making process you are in, we hope that this
essay will give you a better understanding of the exciting profession
of healthcare management. Healthcare is one of todays most dynamic
and growing fields, with a wide range of opportunities and challenges.
Healthcare executives work in a variety of settings, including hospitals
and integrated delivery systems, managed care organizations, long-term
care facilities, home health agencies, and consulting firms, to name
a few. The American College of Healthcare Executives wants to help you
make a positive, informed decision about your career. You can count
on us as a resource for career advice, resume consultation, continuing
education, and other career services.
C. Dolan, Ph.D., FACHE, CAE
President and Chief Executive Officer
American College of Healthcare Executives
Healthcare: A Changing System
Healthcare is changing more rapidly than almost any other field. The field is changing
in terms of how and where care is delivered, who is providing those
services, and how that care is financed. These changes are being driven
primarily by the growth of managed care. A number of other current trends
are expected to continue, including:
Integration of healthcare delivery organizations to create accessible, appropriate,
and comprehensive care pathways for all people
- Continual advances in medical technology
Collaboration among provider organizations, physicians, businesses, insurers,
and others to improve community health status
- Increased emphasis on disease prevention and wellness promotion
An elderly population that will grow exponentially with the "Baby
- Better-informed patients demanding high-quality care
Pressure from business, government, insurers, and patients to control costs
and demonstrate the value of the services delivered
Efforts to implement continuous quality improvement initiatives similar
to those found in other fields
Career Opportunities for Healthcare Executives
This is an exciting time for healthcare management. The field requires talented
people to help introduce and manage the changes taking place. In their
roles, healthcare executives have an opportunity to make a significant
contribution to improving the health of the communities their organizations
serve. As a result of the transformation taking place in the healthcare
system, career options for healthcare executives are becoming more diverse.
Increasingly, positions for healthcare executives may be found in a
wide variety of settings, such as:
- Ambulatory care facilities
- Consulting firms
- Healthcare associations
- Home health agencies
- Hospitals and hospital systems
- Integrated delivery systems
- Long-term care facilities
- Managed care organizations (such as HMOs and PPOs)
- Medical group practices
- Mental health organizations
- Public health departments
- University or research institutions
Today, an estimated 100,000 people occupy health management positions at numerous
organizational levels, from department head to chief executive officer.
Requirements for senior-level positions in healthcare organizations
are demanding, but these jobs also offer opportunities to improve the
system of care giving.
With the growing diversity in the healthcare system, many executives are
needed in settings other than the traditional hospital. However, competition
is intense at all job levels, and many positions that previously required
only a bachelors degree now require a masters degree. Each
year, about 2,000 students receive graduate degrees in healthcare management.
Salaries for beginning masters degree graduates generally range
from the high-30s to high-40s, depending on the type of organization
and its location. If you choose a career in healthcare management, your
first job might be an entry- to mid-level management position in a specialized
area, such as:
- Government relations
- Human resources
- Information systems
- Marketing and public affairs
- Materials management (purchasing of equipment and supplies)
- Medical staff relations
- Nursing administration
- Patient care services
- Planning and development
Do You Have What It Takes?
What do employers look for in their entry-level managers? Here are some of
Academic training/previous work experience
A degree in health administration from a school accredited
by the Commission on Accreditation of Healthcare Management
Education or another degree that may qualify you
A commitment to professional development and continuing
Previous positions, internships, and fellowships in healthcare
organizations or other business settings
- Strong written and oral communication skills
- Ability to develop and present reports and proposals
- Personal and career objectives that mesh with those of the organization
- Ability to work well with others, including superiors, subordinates, and peers
- Attitude and appearance that communicate confidence, maturity, and competence
Dependability, judgment, character
- Maturity to make decisions and take responsibility for them
- Honest and ethical business conduct
- Willingness to make a commitment to the organization
General management skills
- Leadership that inspires and motivates others
- Ability to train, delegate, evaluate, coordinate, and negotiate
Where Do You Start?
Begin planning as early as possible for a career in healthcare management.
A good scholastic record is importantespecially if you want to
attend a graduate program for a masters degree or a doctorate.
Many schools and colleges in the United States and Canada offer undergraduate
degrees with a concentration in health services management.
In the past, most students chose the traditional route of a masters
degree in health administration or public health. Today, however, students
are investigating other options, including graduate degrees in business
and public administration, with course concentration in health services
management. Some schools offer a joint degree-a masters degree
in both business administration and public health, or in both healthcare
management and law, for example.
Graduate programs generally last two years and lead to a masters degree.
They include course work in healthcare policy and law, marketing, organizational
behavior, healthcare financing, human resources, and other healthcare
management topics. The program may also include a supervised internship,
residency, or fellowship.
To learn more about student involvement with the American College of Healthcare
Executives, please consult the ACHE Higher Education Network Directory. To learn more about post-graduate
fellowships in healthcare administration, consult the Directory of Postgraduate Administrative Fellowships. You
may also obtain information on how to apply as a Student
Associate of the American College of Healthcare Executives.
Making Your Career Happen
Here are some general guidelines to help you begin to set and achieve your
Investigate many educational programsboth graduate and
undergraduatebefore you make a commitment of time
and money. (A list of links to CAHME-accredited graduate
programs follows.) Programs vary widely from location to
location. Some offer a broad summary of the field, while
others provide training in managing specific kinds of organizations.
Develop your people skills. Your success as a healthcare executive will
depend on your ability to get along with diverse groups of people: employees,
physicians, vendors, governing boards, and the public. Learn how to
motivate, negotiate, and manage.
Develop strong quantitative skills. Healthcare executives must understand
financial strategies and accounting principles, and they must be able
to interpret data.
Stay current on healthcare trends. Be aware of shifting opportunities
resulting from changing demographic and reimbursement trends to developments
in healthcare policy
Read about healthcare. You can find interesting articles
in local newspapers, national magazines such as Newsweek
and Time, and trade publications such as Healthcare
of Health Services Management, Journal
of Healthcare Management, and Modern Healthcare.
Visit university libraries.
Learn about healthcare providers. Nearby hospitals, HMOs, and mental
health facilities may offer free publications, health fairs, or community
health education programs. If possible, tour a facility or participate
in a volunteer program.
Be patient and flexible. You may have to relocate to another part
of the country to take advantage of a specific educational program or
Identify your career goals and take steps to attain them.
Determine your weaknesses and then develop a plan to correct them. Build on your strengths.
Use ACHE resources. The American College of Healthcare
Executives provides access to the Directory of Postgraduate Administrative Fellowships,
directories of local chapters,
and participants in the ACHE Higher Education Network, and many other tools to help you network
and develop your career.
Rely on the expertise of healthcare organizations.
- Some of these resources include:
Association of Health Plans
1129 20th St. N.W., Ste. 600
Washington, DC 20036
Association of Healthcare Consultants
11208 Waples Mill Rd., Ste. 109
Fairfax, VA 22030
Association of Homes and Services for the Aging
901 E St., N.W., Ste. 500
Washington, DC 20004-2037
College of Healthcare Executives
1 N. Franklin St., Ste. 1700
Chicago, IL 60606-3529
College of Medical Practice Executives
104 Inverness Terrace, E.
Englewood, CO 80112-5306
College of Physician Executives
4890 W. Kennedy Blvd., Ste. 200
Tampa, FL 33609-2575
1 N. Franklin St., Ste. 2700
Chicago, IL 60606
Organization of Nurse Executives
1 N. Franklin St., Ste. 3400
Chicago, IL 60606
Public Health Association
1015 15th St., N.W., Ste. 300
Washington, DC 20005
Association of Behaviorial Healthcare Managers
60 Revere Dr., Ste. 500
Northbrook, IL 60062
of University Programs in Health Administration
2000 N. 14th St., Ste. 780
Arlington, VA 22201
( 703) 894-0940
Canadian College of Health Leaders
350 Sparks St., Ste. 402
Ottawa, ON K1R 7S8 Canada
Canadian Hospital Association
17 York St., Ste. 100
Ottawa, ON K1N 9J6 Canada
on Accreditation of Healthcare Management Education
730 Eleventh Street, NW, Ste. 410
Washington, DC 20001
Financial Management Association
Two Westbrook Corporate Center, Ste. 700
Westchester, IL 60154
American College of Healthcare Executives
The American College of Healthcare Executives is an international
professional society of 30,000 healthcare executives. ACHE
is known for its prestigious credentialing and educational
programs and its annual Congress on Healthcare Management,
which draws more than 4,000 participants each year. ACHE
is also known for its journal, the Journal of Healthcare
Management, and magazine, Healthcare Executive,
as well as ground-breaking research and career development
and public policy programs.
ACHEs publishing division, Health Administration Press, is one of the largest
publishers of books and journals on all aspects of health services management
in addition to textbooks for use in college and university courses.
Through such efforts, ACHE works toward its goal of being the premier
professional society for healthcare leaders by providing
exceptional value to its members.
Commission on Accreditation of Healthcare Management Education
on Accreditation of Healthcare Management Education
was organized in 1968 to provide accreditation to individual
academic programs offering a major course of study in health
services administration, leading to a professional masters
degree. CAHME has been granted formal recognition by the
Commission on Recognition of Postsecondary Accreditation
and the U.S. Department of Education. The Commission is
the only organization recognized to grant accreditation
to masters level health administration programs in
the United States and Canada.
CAHME establishes criteria for graduate education in health services
administration, planning, and policy; conducts surveys that
encourage universities to maintain and improve their programs;
determines compliance with the Commissions criteria;
and provides ongoing consultation to health services administration
programs. CAHME promotes quality education in health services
The Commission has ten corporate members: the American College of Healthcare
Executives, the American College of Medical Practice Executives, the
American College of Physician Executives, the American Hospital Association,
the American Medical Association, the American Organization of Nurse
Executives, the American Public Health Association, the Association
of University Programs in Health Administration, the Canadian Institute
of Health Management, and the Healthcare Financial Management Association.