Six program concentrations have been designed to capitalize on the market and clinical differences of Geisinger’s service area hubs. Six positions are available each year, and one fellow will be chosen for each concentration. Although each concentration will allow a unique experience, the core of our program lies in the knowledge gained through significant involvement with clinical operations, the health plan, community practice, finance, information technology and research.
- Central market concentration – Hospital and community practice operations based at Geisinger Medical Center (quaternary/teaching hospital), Geisinger Bloomsburg Hospital (small community hospital), and the western service area. This is sponsored by the chief administrative officer of Geisinger Medical Center.
- Northeastern market concentration – Hospital and community practice operations based at Geisinger Wyoming Valley Medical Center (tertiary/quaternary care), Geisinger South Wilkes-Barre Regional Ambulatory Campus (ambulatory and urgent care), Geisinger Community Medical Center, and the eastern service area. This is sponsored by the chief administrative officer of Geisinger Northeast region.
- Southern market concentration – Hospital and community practice operations based at Geisinger Holy Spirit (tertiary care/teaching hospital) and the southern service area by Harrisburg, PA. This is sponsored by the chief administrative officer of Holy Spirit Hospital.
- Western market concentration – Hospital and community practice operations based at Geisinger Lewistown Hospital (acute care Hospital), Lewistown, PA, and Grays Woods (ASC) and community practice operations in State College, PA. This is sponsored by the vice president of clinical operations at Geisinger Lewistown Hospital.
- Geisinger Health Plan concentration – Geisinger Health Plan serves 580,000 members in 42 counties of Pennsylvania, providing health insurance coverage for businesses of all sizes, individuals and families, Medicare beneficiaries, Children’s Health Insurance Program and Medical Assistance recipients. This is sponsored by the chief operating officer of Geisinger Health Plan.
- AtlantiCare/New Jersey market concentration – Administrative operations based at AtlantiCare, A Member of Geisinger Health System, which services the community at more than 90 locations throughout five counties in New Jersey. AtlantiCare is southeastern New Jersey’s largest healthcare organization and largest non-casino employer. This is sponsored by the vice president of strategic planning and partnership integration at AtlantiCare.
Upon mutual agreement, each concentration is pre-selected. During the initial fellowship month a formal orientation will be carried out and the fellow will meet staff from throughout the system and become familiar with the organization. The fellow and preceptor will jointly evaluate and select projects based on the fellow’s career interests. As the fellow’s strengths and interests evolve throughout the first year, a more focused curriculum will form the basis for transition into the second fellowship year.
The first year is a reasonably structured learning experience, focused around various management experiences in a fully integrated health system. Fellows will work in selected key departments and divisions of Geisinger with the objective of obtaining an applied understanding of their respective skills and of the interplay amongst organizational units. First-year roles and responsibilities include:
- Project management and operational program development
- Design and implementation of clinical service line business plans
- Committee leadership and management
- Administrator on-call (emergency administrative support as needed)
- Performance improvement leadership
- Presentation to community boards and stakeholders
The first-year experience is supplemented by exposure at the executive management and board level. The fellow should emerge with a firm understanding of relevant business principles and organizational dynamics. This foundation will include understanding and appreciation of the array of staff, technical, and professional capabilities that must integrate successfully to provide medical care in a large integrated delivery system.
Each incoming fellow will participate in new employee orientation, followed by numerous individual informational meetings with key organizational leaders system-wide. The objective of these meetings is to orient the fellow to the Geisinger system, increase visibility among senior leadership, and allow the fellow to begin exploring areas of interest and potential projects. The fellow and respective preceptor(s) will agree upon training program objectives and corresponding projects/experiences throughout the year, as necessary.
The second year is flexible, and placement is based on the mutual needs, interests, and goals of the fellow, as well as the organization. The intent of the second year is to provide real and significant management accountability. Fellows often fill a role as interim operations manager in the clinical service lines of the health system. Some fellows have opted for a second year focused more around a specific interest, such as strategic planning, or marketing at the health plan.
Depending on the selected concentration(s), this training is intended to provide a foundation for future management opportunities in a provider or insurance setting. It may also serve as a generic base for consulting, public policy, and advocacy opportunities.
This two-year training program carries no commitment of employment at Geisinger upon completion, although the majority of administrative trainees have continued their careers in the system. The knowledge and skills developed during the program are broadly applicable to any health care or insurance organization.