Rotation Experience

The administrative fellowship offers the flexibility to accommodate the individual’s interests with exposure to a broad range of learning opportunities. The first year of the fellowship consists of rotations (one to three months in length). During the second year, responsibilities and assignments are primarily project-oriented. Throughout the duration of the program, the fellow will be exposed to senior-level decision-making processes and participate in team decision making to learn about the interdependent nature of colleges, departments, units, and the enterprise.

Year 1: Core Experiences

  • Pre-rotation-orientation for observation and shadowing
  • Exposure to the day-to-day operations of an academic, tertiary care medical center to provide a system-wide perspective and help understand our structure (hospital-based and ambulatory-based operations)
  • UK HealthCare finance and general accounting functions (expected to attend financial closes)
  • Strategic planning and system and new business development (both hospital and college finance)
  • Quality Improvement, safety, and lean processes
  • Compliance and contract negotiations
  • Academic department administration (clinical or basic science, human resources, physician practice plan operations, and organizational development)
  • Information technology and management in business operations

Year 2: Additional Areas to Explore

  • Marketing and communications
  • Customer service and behavioral expectations
  • Service line patient services
  • Supply chain management
  • Facilities planning
  • Exposure to governance and decision making
  • Infrastructure systems, procedures, and support services
  • Basic and clinical translational research
  • Kentucky Medical Services Foundation practice plan administration (board, management, and medical staff meetings)
  • Undergraduate and graduate medical education
  • Experience through work on various in-depth projects upon approval
  • Interim managerial experience upon approval and completion of core competencies
  • Area of individual interest (must be approved)

Core Competencies

Our Administrative Fellowship Competencies are organized into four areas: Leadership, Professionalism, Knowledge of the Health care Environment, and Business Acumen. Each area encompasses specific skills and areas of expertise relevant to health care management. The goal is for fellows to identify their strengths within each area, as well as opportunities for growth, so they can intentionally develop and strengthen these competencies throughout the duration of the fellowship.  

Leadership 

  • Emotional Intelligence: Identifies and understands the emotions of self and others to manage behavior and responses while directing emotions to motivate and inspire.
  • Leading and Managing Others: Ensures self and others are held accountable for organizational goal and attainment by establishing clear expectations, defining what success looks like, and providing continuous feedback. 
  • Project Management: Exercises basic project management principles to promote timely completion of projects.
  • Change Management: Identifies and manages consistent barriers/themes to change through the implementation of strategies for effecting change, controlling change, and helping others adapt to change in support of the mission, vision, and strategic plan of the organization. 
  • Clinical Relationship Building: Demonstrates the capability to form relationships with nursing and provider staffs across different health care delivery environments.

Professionalism

  • Verbal and Written Communication: Prepares and provides clear, concise business communications to others in verbal, written, electronic and other communication formats for public and organizational consumption, including communication plans, meeting agendas, presentations, and reports.
  • Honest Self-Assessment: Demonstrates reflection through self-assessment by viewing failures optimistically and success realistically. 
  • Ethical Behavior: Exercises personal, professional, and behavioral integrity while adhering to professional standards and codes of ethical behavior and takes measure to mitigate the influence of bias in business decisions. 
  • Decision-Making: Applies evidence-based decision-making techniques to health care questions and demonstrates confidence in decisions while remaining objective. 
  • Interpersonal Communication: Demonstrates the ability to effectively build a network of collaborative relationships with internal and external partners and customers to facilitate accomplishing organization objectives.

Knowledge of Health Care Environment

  • Health Policy: Articulates the impact of health policies on the delivery of health care services and understands how the regulatory and administrative environment impacts the patients served by the organization.
  • Health Care Legal and Regulatory Environment: Comprehends health-related legal and regulatory principles, including laws, regulations, standards, and risk management.
  • Health Care Economics: Analyzes and applies economic theory and concepts to inform decision-making, understands the impact providers and patients have on supply and demand, and stays informed of current drivers of health care spending growth.
  • Health Care Trends: Explains and discusses current health care issues and trends and understands how they impact the health care professionals within the organization, including staying up to date on major industry changes and reform in the U.S. health care delivery.
  • Population Health: Understands and articulates the major factors in population health status.
Chandler Medical Center interior entrance area

Business Acumen

  • Systems Thinking: Demonstrates the ability to view organizational systems holistically and understand how they interact and influence each other, as well as assess the inadvertent impact of decisions on stakeholders and systems, both internal and external. 
  • Financial Management: Demonstrates the ability to compile and analyze financial data, present financial information to others in a meaningful way, and understand the potential impacts of financial decision-making on health care operations, human resources, and quality of care.
  • Human Resources Management: Applies methods and techniques related to the management of health care organizations, employees, and professional staff.
  • Organizational Dynamics and Governance: Articulates and explains the roles, responsibilities, structures, and influence of governing bodies in health care organizations.
  • Strategic Planning and Marketing: Demonstrates the ability to perform environmental analysis and develop strategic alternatives; discern competitive strategy; formulate evidence-based business strategy; and analyze markets, market segmentation, and evolving best practices to promote awareness of service offerings.
  • Performance and Quality Improvement: Participates in the assessment, planning, designing, and implementation of new technologies in an effort to maximize the return on investment.
  • Quantitative Analysis: Analyzes and interprets quantitative data in an effort to facilitate informed decision-making and recommend organizational action.
  • Teamwork: Demonstrates the ability to work collaboratively with team members towards shared goals while embracing and promoting equity.