While I must agree the responsibility level is intense for an admin or CEO. Part of the major requirements is to ensure quality of care and adequate staffing. If a CEO or ADMIN is making more than 300,000 a year that is TOO MUCH!!!!Especially in light of the staffing of the facillity they are working for profit or non-profit.In one state a citizens watchdog group is intervening with a local CEO who secretly increased his salary 43% from a base of 320,000 albeit this gentlemen has held the position for 18 years, this is still outrageous.If a management salary cut makes the difference in providing quality care to patients by allowing the budget to hire more staff,then so be it I say.Here is the example of job responsibilities.Oh and take a look at the projected increase in the job market 31%.
HOSPITAL AND HEALTH SERVICES ADMINISTRATORS are responsible for overall
management of health services centers. Following policies set by a
governing board of trustees, administrators plan, organize, direct, control
or coordinate medical and health services in hospitals, out-patient clinics,
convalescent hospitals, drug-abuse treatment centers and similar long-term
Administrators see that health services centers operate efficiently and
provide adequate medical care to patients. Their responsibilities are
varied and usually require the cooperation of assistant administrators and
the medical and support staff. Administrators of large centers act as
liaisons between governing boards, medical staff, and department heads and
integrate the activities of all departments into a smooth-functioning whole.
Their job is difficult and demanding; they need to keep up with advances in
medicine, computerized diagnostic and treatment equipment, data processing
technology, government regulations, health insurance changes, and financing
Administrative functions include the following: planning and coordinating
departmental activities, program evaluation, development of policies and
procedures for various medical treatment and preventative activities,
quality assurance, patient services, and public relations activities such as
active participation in fund-raising and community health planning.
Administrators also direct the recruitment, hiring, and training of
personnel. Other activities include fiscal operations such as budget
planning, accounting, and rate-setting for health services. In addition,
administrators develop and expand programs and services for scientific
research, preventive medicine, and medical and vocational rehabilitation.
Large health services centers are run by chief executive officers (CEOs) who
assign work to assistant administrators to operate specific departments such
as physical therapy, personnel, and training or surgery. In small
facilities, the administrator is in charge of all departments.
Health Services Administrators often work long or irregular hours. Health
care centers operate around the clock seven days a week, and the
administrative staff may be called upon to solve emergency problems at any
time. Medical staff meetings, health planning councils, fund raising, and
professional association and educational activities all may demand extra
time and travel.
Health Services Administrators may join the American College of Healthcare
Executives. Administrators with experience in fiscal and financial
planning may join the Healthcare Financial Management Association.
The following information is from the California Projections of Employment
published by the Labor Market Information Division.
Estimated number of workers in 1993 14,660
Estimated number of workers in 2005 19,160
Projected Growth 1993-2005 31%
Estimated openings due to separations by 2005 4,560
(These figures do not include self-employment or openings due to turnover.)
Employment for Health Services Administrators is expected to grow at a rate
faster than the rate for all other occupations in California.
Opportunities will be best in major medical centers and in large public
hospitals. Specialized centers that are care givers for older people or
those who may need care more frequently and for longer periods--such as
hospice programs that treat terminally ill patients--will also provide
jobs. Health maintenance organizations (HMOs) that provide care to a large
membership covered by health insurance are increasing in numbers and will
have an ongoing need for administrators at various levels. Opportunities
may be limited in the rural area of the State.
WAGES, HOURS, AND FRINGE BENEFITS
Salaries of Health Services Administrators may vary greatly, according to
the type, size, and location of the hospital and the administrator's level
of responsibility, but the California median hourly wage for this occupation
is $23.35. Assistant administrators can earn over $7,000 a month. They
usually have a bachelor's or master's degree in public health or health
administration. Some have a master's degree in business and finance.
Experienced administrators with a master's degree in health services
administration (or related) can make as much as $9,000, or more a month.
CEOs can earn as much $210,000 per year or more. Public health services
centers and smaller facilities usually pay the lower wages.
Fringe benefits usually include vacations, holidays, and sick leave;
medical, dental, vision and life insurance; and retirement plans.
ENTRANCE REQUIREMENTS AND TRAINING
Health Services Administrators should have a master's degree in health
services administration from an accredited college or university.
A master's degree in public administration or business administration may
also qualify graduates for entry into health care administration. The
health services administration degree usually includes a one-year internship
(residency) in a health care center. Graduates with a BA degree in this
field may work in a health care center before starting a master's program.
Nursing home administrators need to be licensed by the Nursing Home
Administrators State Board of Examiners to work for health care facilities
that receive Medicare or MediCal funds.
High school students who plan careers in health care administration must
take college preparatory courses, including biology, chemistry, advanced
math, speech, and economics.
Hospital Administrator candidates are evaluated by the board of trustees who
assess their performance in previous positions or situations. Skills that
rank high are organizational and planning abilities, leadership and
knowledge of business principles. They also look for such talents as
skillful interaction with individuals and groups, the ability to evaluate
and utilize facts and figures, and the ability to work long hours, often
under stressful conditions.
Health Services Administrators normally start as administrative assistants
in large centers or assistant administrators in medium-sized institutions.
They advance by taking increasing responsibilities such as associate
administrator and, finally, CEO. Moving to a higher classification may
require transferring to a smaller State.
Some administrators of small facilities may choose to accept a lower-level
position in a larger center which often leads to professional growth