Home >Newsletters >December 2000
 
ASA NEWSLETTER
 
 
December 2000
Volume 64
Number 12
   
ASA to Offer Certificate in Business Administration

Asa C. Lockhart, M.D.


The ASA Committee on Practice Management has developed the Certificate in Business Administration (CBA) program. The purpose is to offer a skill set not covered in a traditional medical education that of core business skills. In an era that espouses managed care but practices managed premiums, this void has been detrimental to many of our members. We have an appreciation of the clinical pathways in patient care, but we often do not understand the complex financial pathways of health care. The course was designed under the assumption that the participant has no prior formal business education. It will provide an overall orientation of the business skills needed to successfully manage the operations and functions of your health care organization or medical practice and allow you to actively participate in its strategic success.

The program is a certificate program. Most physicians do not have an undergraduate degree in business, and few are willing to spend two years pursuing a formal degree program such as an M.B.A. that requires more than 750 lecture hours. These realities led the Committee on Practice Management to formulate a certificate program instead of an accredited degree program (which would have mandated subject matter) so that the distilled essence and core essentials could be selected because they were germane rather than just being a curriculum requirement of a degree plan.

The CBA is a 100-lecture-hour undertaking. The CBA will be presented in a mixture of live on-site and videotaped distance learning modules. There are 10 basic modules; most of the modules are 10 hours each. The modules and format follow:

1. Successful Leadership and Management – 10 hours, on site (OS). Covers topics such as competencies of physician executives, managerial functions and systems, transactional and transformational approaches, leadership styles language and developing leadership skills.

2. Business Communication – three hours, video distance learning (V). Covers the instructional objectives of providing an understanding of business communications and technical report writing.

3. Integrated Marketing Communications in Communications in Health Care – five hours, Web-based. Will help the participant to understand the basics of promotion strategy in marketing, examine the role of promotion within an integrated marketing communications, review marketing with respect to promotion and prepare for strategy development through case analyses.

4. Management for Human Resources – 10 hours (V). This module will help the physician to gain an appreciation for employment and labor law, effective selection techniques, compensation and reward systems, performance appraisal, coaching and counseling and handling employee problems and termination.

5. Organizational Behavior – 10 hours (OS). Offers such goals as developing skills in individual and group-based decision-making, assessing individual communication style, developing strategies to successfully negotiate with various parties and resolve conflict inherent in health care, gain an understanding of the team development process, and develop strategies to integrate goals and facilitate cross-functional effectiveness.

6. Health Care Services Marketing – 10 hours (V). Here, one will be exposed to the basic understanding of the principles of marketing, provide a review of the American Medical Association guidelines for health care marketing and develop skills in the development of a marketing plan for a specific organization.

7. Strategic Analysis and Business Plan Development – 12 hours (OS). This capstone course will integrate the earlier courses into the big picture: to conduct an internal and external analysis and Strength-Weakness-Opportunity-Threat (SWOT) profile of your own unit, developing scenarios and strategies relative to environmental assessment, niche, vision and mission, business plan development tied to SWOT analysis and needs assessment and assessing the market and the competition, marketing plan and the financial plan.

8. Accounting and Financial Analysis of Health Care Organizations – 10 hours (V). Provides a basic understanding of the concepts and principles of accounting, different types of business organizations and an understanding of the financial analysis of financial statements through a case analysis and provides an understanding of health care-specific ratios.

9. Financial Management and Budgeting – 10 hours (V). In this module, the participant learns to develop strategies for financial decision-making, flexible budgeting and variance analysis, cash budgeting and fiduciary responsibilities.

10. Integrated Delivery Systems and Managed Care – 10 hours (OS). Learn to level the playing field as you come to understand the terminology and basic concepts of integrated delivery systems, managed care basic concepts, contracting and fee schedules analysis and negotiation strategy and understand the legal and regulatory issues involving an integrated delivery system.

11. Legal Aspects of Health Care – 10 hours (V). Review compliance guidelines, regulatory and other legal constraints that affect the inter-relationship and functions within the health care industry, Stark implications and antitrust guidelines and provide an understanding of the organizational issues and requirements for the multitude of types of entities that comprise the health care industry.

After completing the CBA program, you will be able to make your own determinations and you will not be dependent on someone else's executive summary. It will enhance your ability to determine for yourself what a particular report does or does not say.

Since the interaction with fellow students offers a profound educational dimension and enhancement of the learning experience, the CBA plans to offer interactive chat rooms via an intranet that will be established for the class to complement the videotaped distance learning modules. The live sessions will be Saturday and Sunday mornings.

The first class will be on site in Houston, Texas, in late March 2001, where the students will undergo orientation to the course, have an opportunity to meet each other and the faculty that will be guiding them through this unique educational experience and begin the first modules. In case you need to secure the time for the upcoming live sessions, they will take place in Houston one of the last two weekends in March, one of the last two weekends in August prior to Labor Day and one of the first two weekends in January 2002. At this time, the only firm date is Friday, October 12, 2001, in conjunction with the ASA Annual Meeting in New Orleans, Louisiana.

Houston was chosen as the site for several reasons. It has logistical advantages as far as the location for the faculty, it is centrally located so that no one has a transcontinental flight and would not need to miss work time for travel, weather concerns are minimized and, finally, it gives ASA some negotiating advantages with the Houston hotels. In December after ASA confirms exactly how many are participating, we can confirm hotel space and finalize the dates.

What are some of the reasons one would choose to participate in the CBA program? After completing the CBA program, you will be able to make your own determinations and you will not be dependent on someone else’s executive summary. It will enhance your ability to determine for yourself what a particular report does or does not say. It is a combination of distance learning and on-site instruction that offers a balance between maximizing course content while minimizing time away from your practice. It is a competitively priced opportunity to obtain 100 hours of a fully developed program for the same price as some single-topic weekend courses. The tuition includes e-mail access to faculty, both distance and on-site learning as well as a graded project that provides feedback on your understanding of the material.

For those who later decide to pursue a formal M.B.A., they may petition their program to waive certain foundation courses since most physicians have not had these courses as undergraduates. While this cannot be assured, some universities have done so on a case-by-case basis for similar certificate programs. The bottom line: You will achieve self-edification, level the playing field and bring some balance to your side of the table.



    Asa C. Lockhart, M.D., is a private practitioner, East Texas Anesthesiology Associates, Tyler, Texas.


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