Manage My Practice

So you’ve been trying to become employed in healthcare, or you’ve tried to enter healthcare management, or you’re trying to move from one job in healthcare to another.  You’ve read my post about my search for a job in healthcare and have been soldiering on, but you’re just not getting anywhere.  You might have education, but no experience or you might have experience but no formal education.

Healthcare is no different from any other field.  It’s a hodgepodge of what you know and who you know.  What everyone is looking for is expertise and authority and that can’t always be demonstrated by a degree or years of experience.  A new buzz phrase is “What is your value proposition?” or “How will you pay for your salary and make me (doctor, practice, hospital, health plan) money besides?”

If you want to enter the field or climb the ladder in healthcare management, you need to demonstrate that you have something of value that someone wants.  Try some non-traditional ways of gaining expertise and demonstrating value, like the ones I list here.  Yes, each of these will take time in addition to your current job, but it has the potential to give you a hand up to your next job.  If you don’t currently have a job, you have lots of time to work on the list below, and when potential employers ask what you’ve been doing while unemployed, you have a great answer!

1. Blog about the field you want to enter – learn about the field and write about it.
2. Write about being in the middle of a transitional field and your experiences along the way – if you’re a compelling writer, I’ll publish it as a series on my blog!
3. Create a site of resources for others that already do what you want to do.
4. Interview others in the field you want to enter and publish the interviews.
5. Ask people if you can shadow them for one day or a half day to understand what they do to see if you’re on the right track (who would say “no”? I wouldn’t.)
6. If you haven’t used voice recognition, invest in a basic copy of Dragon and learn it inside and out.
7. Learn how electronic health records (EHRs) work.  If you’ve never used one, gain experience by finding someone who has one and volunteer your time to write a user’s guide for them, or to use their user’s guide and critique it for them. Do that for as many different EHRs as you can find.
8. Think creatively about jobs in a department you want to be in, just not in the job you want to be in – call temp agencies, computer schools, software companies, any healthcare entity going through a conversion, etc.
9. Tell everyone (if you’re free to talk about it) what you’re looking for – you never know who might help you find it.
10. Volunteer to do an informal project for someone in the field – some topic they need information about but never have the time to do.
11. Join the American College of Medical Practice Executives (ACMPE) and pursue board certification and become a Fellow in the college.  These credentials are quickly becoming the standard in the field.
12. Get a Google Health account and learn how to use it inside and out.
13. Get a Microsoft Health Vault account and learn how to use it inside and out.
14. Get accounts on any other personal health record (PHR) platform you can find.
15. Publish case studies on common problems in other fields and how they were solved, and apply those solutions to healthcare problems.
16. Put a chart on your resume showing each skill you have and how it transfers to healthcare and brings added value to your potential employer.
17. If you don’t yet, get a Twitter account (free) and start conversations with others in the field.
18. If you don’t yet, get a LinkedIn account (free) and join groups that are talking about the things you want to learn about (Twitter will give you more info and friends, LinkedIn will make you more business connections)
19. If you aren’t already, sign up for websites that focus on what you are interested in, read them religiously and comment on their posts.
20. If you don’t already, get your resume on visualcv.com (still free I think) Add any goodies you can to your visualcv that demonstrate you know your stuff – recommendations, videos, charts, white papers, etc.
21. Find someone to mentor you who is well-positioned (locally, regionally and nationally.)
22. Volunteer to do some pro bono work for your local professional group – your state MGMA, your state medical society, etc.
23. Join Toastmasters and polish your “elevator speech” so you can effortlessly let others know who you are and where you’re heading.
24. Let me know what you plan to do, and how I can help.

Best wishes,

Mary Pat

ARRA: American Recovery and Reinvestment Act of 2009, also called “The Stimulus Package” or “The Stimulus Bill.”  Of the $850B in the bill,  $51B is pegged for the health care industry and $19B of that will be used to incent medical practices to adopt EMRs/EHRs.

CCHIT: the Certification Commission for Health Information Technology is a private organization that certifies EMRs and EHRs based on 475 criteria spanning functionality, interoperability and security.  CCHIT does not evaluate ease of use of products, financial viability of the company offering the software; or the quality of customer support offered by the software vendor.  Whether or not CCHIT will be THE certifying organization to approve “qualified EMRs” will be announced at the end of the year.  (Can be pronounced “SEA-CHIT” or each letter can be pronounced as in “C.C.H.I.T.”)

Comparative Effectiveness: Comparative Effectiveness Research (CER) compares treatments and strategies to improve health.  For CER, HITECH provides $300M for the Agency for Healthcare Research and Quality, $400M for the National Institutes of Health, and $400M for the Office of the Secretary of Health and Human Services. (more…)

Google Health announced today that the newest version of its patient-managed medical record is accessible to visually-impaired users.  Using voice prompts and auditory icons, users of assistive technology are now able to open Google Health profiles and populate them with their own medical information including vitals, conditions, medications, allergies, procedures, test results and immunizations.

Assistive technology such as screen readers, which translate  text into speech or text into Braille, offer computer access to the blind, visually impaired and illiterate.

Writing about the launch of Google Health’s newest enhancement, Google Blogger and Research Scientist T.V. Raman, notes that

“Google Health gives me a single unified web interface to manage all of my health-related information. Kudos to the Google Health and GWT teams for creating an extremely useful and usable solution!”

T.V. Raman is also the author of Emacspeak, a speech interface available free on the Internet that allows visually-impaired users to access computer applications, including video gaming.  T.V. Raman, himself a visually-impaired user, discusses the software requirements to use the Google Health.

“Note that the accessibility support in Google Health requires support from both the browser as well as the adaptive technology in use. At present, we recommend Firefox 3.0 with screenreaders that support ARIA, alternatively, you can also use Fire Vox, the self-voicing extension to Firefox 3.0.”

In addition to improving accessibility for users, Google Health continues to seek relationships with innovators in healthcare, including those developing applications for disease management, secure messaging, and research.

Look at Google Health here.

It’s been both a long time and a short time since I decided to launch this blog. The idea dawned on me as I was returning from the East Coast in May – less than two months ago. I bought a Wired magazine to read on the plane and read it from cover to cover. After reading Wired and having a whole new awareness of web 2.0, I wondered how others in my field were keeping up with this new world.

I’ve always been keenly interested in IT and I have a special fondness for taking ideas from other fields and applying them to healthcare management. For years I’ve been reading Fast Company and recommending it to others. For years I’ve been involved in launching websites, practice management systems, and EHRs/EMRs/PHRs. But I’ve never found a place for healthcare executives to find information, read leading edge ideas and explore technology as it is changing the world. I hope I can bring these things together and stimulate lots of discussion at this site.

In the past two months, I’ve talked to people, searched the web, and tried to educate myself about what’s out there. I found some great sites related to technology, but so far, I haven’t found anything quite like what I hope this blog will become. I’ve been talking at length to my special advisers, my son and my husband, and they have been a great support in helping me and telling me I could indeed do this!

I’d like to end this first post by asking for your input:

What topics, links, resources and information would you like to see here?

Thanks, and visit again soon.