Today’s healthcare professionals have the burden of stepping up and assuming leadership roles. 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. In the context of efficiency approaches, health system and service managers are facing instances of poor human and technical resource allocation, creating a disconnect between demand and supply. Sanicola (2016) argue “telemedicine” – the use of “electronic communication” such as “two-way video, phone, email, wireless tools, and other forms of telecommunications technology.” Telemedicine “works well for treating common conditions such as colds, flu, pink eye and sprains” and “more easily manages patient care for chronic illnesses that require daily interventions” adds Sanicola (2016). © Copyright ASC COMMUNICATIONS 2021. Retrieved from https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/nationalhealthexpenddata/nhe-fact-sheet.html. 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. The opioid addiction crisis in America is finally getting the recognition it deserves from public policy experts. Experts predict that healthcare costs and expenses will outpace inflation. Healthcare is a big topic which presents even bigger challenges for healthcare leaders. Ethical challenges in healthcare is a big deal. Our research suggests that becoming the leader whom people look to and admire requires an active commitment to responding to 5 essential leadership challenges. Parts of these rising costs are due to increased costs in pharmaceuticals, insurance premiums, and healthcare spending. They want the experience to mirror customer service, and if you can’t deliver, then patients will look elsewhere. Healthcare Business & Technology, powered by SuccessFuel, is a healthcare information brand focusing on trends and issues facing executives working in the healthcare industry. As a United States Air Force Veteran, she is especially interested in enhancing the quality of life for elderly Veterans by helping them to obtain benefits and entitlements, process claims, and understand medical processes and instructions in a technologically advancing era. A key financial issue facing Healthcare managers is offering affordable healthcare rates despite rising costs. They must do the research to find funding, grants and contributors to help them conduct research, set up programs and implement processes at the pace of change. Comments Off on 3 Biggest Challenges Facing Healthcare Administrators For many practices, the burden of daily challenges like budgeting, office operations and staff management falls on healthcare administrators. Saslow (2016) argue the pressure and “growing influx of patient data, legal requirements for strict privacy and security, rapidly advancing clinical technology increases costs, and other factors. tial to the success of the organization and of the people it serves. 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. Dunn, S. M. (1995). One approach to overcome these obstacles that is getting a lot of traction, and for good reason, is employee engagement. 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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. Duly, the medical field currently faces four prominent challenges: service integration, service quality, Internet connected medical device security and publicly sustainable pharmaceutical pricing. 5: 21–29. 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. While the crisis continues, medical administrators get hit with it from both sides. Talent acquisition is a top HR problem in the health care industry, especially in rural areas. As baby boomers age and the demand for healthcare increases, the industry is poised to grow rapidly. More recently an Olympics Physical Therapy doctor, Larry Nassar was found guilty and sentenced for sexual misconduct. Other formulations of the main research topic yielded the same results and so only these four key phrases were considered for this section of the paper. List of Top 10 Healthcare Challenges Faced by Healthcare Service Providers Retrieved from https://www.healthcatalyst.com/top-healthcare-trends-challenges, Bruning, P., & Baghurst, T. (2013). (2016, December 8). 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). Executive Master’s in Health Administration: Who Is It Right For? As tension and uncertainties mound regarding Trump’s threats to repeal and replace Obamacare, insurance and medical executives scramble to determine “what business is going to look like in the years ahead” (Gomes, 2016). Improvements in healthcare also allow for a larger … Most importantly, there’s nothing like the satisfaction of helping an individual or team reach their goals and perform at their best. Leaders will be challenged to counter frustration and confusion from Americans, once deemed otherwise uninsurable, who have formed a sense of security their current coverage, argues Wood (2011). Consequently, there has been increased strain on the health system. Improving Ethical Decision Making in Health Care Leadership. Retrieved from https://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/index.html, Abelson, R. (2016). 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. Avoiding conflicts of interest. But the social safety net, comprising private insurance, Medicare, and Medicaid, has been fraying in recent years and looks to be coming under more pressure soon. Let’s dive into six care management challenges the industry must overcome. Leaders must realize a combination of these challenges could quickly consume time and money for medical research, facility upkeep, equipment overhaul, and operational training. Managing Healthcare Cost Retrieved from https://www.shrm.org/resourcesandtools/tools-and-samples/toolkits/pages/managinghealthcarecosts.aspx, Thompson, J.M., Buchbinder, S.B., & Shanks, N.H. (2016). Medical administrators will be sorting through the shifting options for value-based reimbursement through 2018 and beyond. Speaker of the House Paul Ryan promised action on both Medicare and Medicaid in 2018. (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). To achieve the Triple Aim, organizations must improve the tools and processes used to impact care. One of the challenges facing healthcare in Northeast is inadequate funding. in Healthcare Administration, Bachelor and Master of Science in Health Care Administration, Master - Online Master of Health Administration, Master - Master of Health Administration in Health Systems Management, MS in Health Administration - General (Informatics/Organizational Development and Leadership specializations offered), Bachelor of Science in Healthcare Administration, highlighting the denial of visas to nearly 4,000 medical students, already predicting a shortage of some 100,000 doctors by 2030. Top health industry issues of 2021: Will a shocked system emerge stronger? 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 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. 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. The leader’s training efforts must be a continuous initiative to keep up with the continual change of technology and medicine in the future. The U.S. healthcare system continues to experience phenomenal growth of recurring themes of important service delivery issues within the industry. Independent physicians and private practices are facing a myriad of challenges in 2015. Paolo Macchiarini: A surgeon’s downfall (September 10, 2016) http://www.bbc.com/news/magazine-37311038, MacPhee, M., Chang, L., Lee, D., Spiri, W. (2013). And while this list of 10 challenges facing physicians seems daunting and nearly insurmountable for smaller office-based practices, many believe there is tremendous upside for primary care physicians in leading healthcare delivery in the United States in 2014 and beyond. 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. Other formulations of the main research topic yielded the same results and so only these four key phrases were considered for this section of the paper. Neither patients nor insurers nor taxpayers like the idea of paying more for less, and pressure can drop onto healthcare administrators rapidly once that feeling surfaces. 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. The Biggest Issues Facing Healthcare Today. Currently, there is a “noticeable gap between the belief that change is necessary and actual support for specific reform plans designed to achieve that change” (Wood, 2011). Whether by instituting better controls over drugs, or finding alternative pain management therapies, many administrators will spend the year ahead dealing with the opioid crisis. But now, eligible physicians are starting to feel the penalty phase of CMSs quality reporting and Meaningful Use initiatives. Associate’s Degrees in Healthcare Administration, Bachelor’s Degrees in Healthcare Administration, Master’s Degrees in Healthcare Administration, Post-Degree Certificate in Healthcare Administration. NHE fact sheet. 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. 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. Interested in linking to or reprinting our content? Retrieved from https://www.itgct.com/5-information-technology-challenges-faced-by-healthcare-organizations/, Society for Human Resource Management, (Jan 11, 2017). Every challenge is an opportunity. Retrieved from https://www.dovepress.com/global-health-care-leadership-development-trends-to-consider-a13304National Association of Heath Underwriters. Some of these problems have evolved slowly overtime as a result of growing, complex, and diverse healthcare offerings. These structural issues are squarely the responsibility of healthcare administrators to address. Healthcare leaders must inform themselves, and staff on how to handle the changes in coverage. Patient EducCouns. Medicare (Photo credit: 401(K) 2013) I named this blog “Losing Patients” as a play on words. New York Times. Staying abreast of the changes and implementing a plan of action will create successes for healthcare leaders and their organization for years to follow. Research suggests technological advancements will present additional challenges with programming, control, and support issues. Although the American healthcare system is among the most advanced in the world, it’s also the most costly. 1995 Sep;26 (1-3):131-8. Physicians Practice. In particular, the fast-evolving … We’ll ask you first, and then put the same question to … There are not enough masks, gowns, gloves, etc. 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. Retrieved from http://www.physicianspractice.com/ehr/8-health-tech-challenges-and-opportunities-2017/page/0/1, Gomes, R.A. (2016). Different offices will face different challenges depending on location, patient demographics, staffing needs, and so on. These incidents hurt the character and trust of the medical leaders. Giving the very serious ramifications, healthcare leaders must ensure their behavior and their employees are above reproach. Employers can mitigate this by providing social bonuses, unique responsibilities, and leadership positions to … 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. But this pandemic has exposed a new challenge for healthcare workers; hospitals and medical offices running out of PPE. The challenges in healthcare today often center around these changing patient/consumer behaviors, especially when practices and hospitals fail to adapt to what patients need. It seems like there is never not a time when healthcare administrators are facing major challenges in the industry. Employer costs for employee compensation. Economic News Release. In most organizations, being a manager means a better compensation package and not having to sit in a cubicle. Most traditional leadership and professional development programs do not address the unique challenges within the healthcare industry. Brown, B. Retrieved from http://samples.jbpub.com/9780763790868/90868_CH01_FINAL_WithoutCropMark.pdf, Wood, C. (2011). Today at $3.35 trillion, the healthcare industry represents 18% of the US GDP. Healthcare Industry challenges are always going to be evolving alongside the breakthroughs and innovations. The Society for Human Resource Management present that the Office of “1 the Actuary at the Centers for Medicare and Medicaid Services estimates that aggregate health care spending in the United States will grow at an average annual rate of 5.8 percent from 2015 through 2025, or 1.3 percentage points higher than the expected annual increase in the gross domestic product.” This causes a huge concern for leaders as they seek to provide coverage for their employees. 8 Health Tech Challenges and Opportunities in 2017. 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. 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. As a dedicated leader of health administration education, we welcome ambition-driven, self-motivated professionals from all health care settings. Although overprescription of opioids is at heart a medical responsibility that rests with the prescribing physicians, the industry as a whole is culpable for the environment that has enabled—and possibly even encouraged—that problem in the first place. Avoiding conflicts of interest. Burlington, MA. Gain special insight into areas like management, communications, health informatics, and health policy through our Online Master of Health … (n.d.). 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. Healthcare leaders must take steps to assess, develop and fine tune key personal and professional skills to remain proficient (Northouse, 2013). Healthcare managers must be able to provide direction and guidance to organizations about roles, responsibilities, and functions (Gomes, 2016). Health care in the United States faces new challenges each day and the decision largely falls on administrators to strategize and address these issues and to continue to provide adequate care for patients. 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. Studies suggest leaders must implement document control programs, compliance training, routine audits and address non-conformance incidents immediately utilizing integrated healthcare platforms.3, Medicinal and technological advancement challenges. Over the next five to ten years, healthcare leaders should expect to encounter a plethora of challenges including regulatory and policy changes; medicinal and technological advancements; funding; education; and ethical issues. #1: Fragmentation. Care management is a patient-centric, longitudinal ambulatory activity that must see more than just claims and EMR data. Figure 1 demonstrates the fragmented, manual processes in a typical care management workflow. retrieved from https://www.nlm.nih.gov/hsrinfo/grantsites.html3 Information retrieved from the Center for Medicare & Medicaid Services “Regulations and Guidance”. Author’s BioPrinsez Teel is a third year Doctoral Strategic Leadership (DSL) student at Regent University, Virginia Beach, VA. Although the restrictions of the recession arent over yet, companies are recognizing that they will … The healthcare staffing crisis has been coming on for a long time but the slowly rising temperature is about to hit a boil thanks to a few recent surprise developments. (2015, June). #1: Fragmentation Figure 1 demonstrates the fragmented, manual processes in a typical care management workflow. Lack of advancement opportunities. Rising costs in almost every area have been impacting hospitals and other healthcare providers as well as patient willingness to seek care. 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. The copyright of this content belongs to the author and any liability with regards to infringement of intellectual property rights remains with them. In doing so, they have to keep patient outcomes at the top of their list, while still minding the actual business of healthcare. These challenges facing the healthcare industry in the Northeast represents opportunities by the next generation of heath managers to do things differently. Adjustments in Reimbursement Methods. 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. in Healthcare Administration and M.S. 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 … 1. At a minimum, leaders should explore innovative ways to manage and store the information adequately adds Saslow (2016). Here are five challenges they must overcome in order to successfully improve patient care while maintaining fiscal responsibility. With so many changes on the horizon healthcare leaders must meet others where they are to positively impact those around them. This concern is currently in the larval stages, but it’s poised to rise quickly toward the top of the list. British Medical Journal/BMJ 1998 Jun 27; 316(7149): 1959–1961. Have been under public scrutiny following repeatedly large price hikes for vital drugs new healthcare industry poised... 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