What path to take to become a hospital ceo

Working in a medical field, or elsewhere within the healthcare industry, presents a wide range of highly rewarding opportunities. Some of the possible career paths available to any one of a wide range of degree programs are also extremely lucrative, without sacrificing that hard-earned sense of professional satisfaction. One of those positions, that of the hospital CEO, provides a wide range of responsibilities and rewards which are unlikely be found elsewhere.

So, how long does it typically take to become a hospital CEO, and what steps are involved along the way?

Educational Requirements

Depending upon the size and reputation of a particular hospital or organization, the requirements to become chief executive of the institution can vary considerably. Technically, a healthcare management professional can enter into the field with a Bachelor’s degree in an appropriate discipline, and advance from there; to reach the executive level, however, most organizations will require a Master’s degree at a minimum. This will, at the very least, make one a much more viably qualified candidate. To become chief executive, even of a small organization, there really isn’t such a thing as over-qualification: a more advanced degree program would be even more preferable. Many larger and more prestigious institutions, particularly teaching hospitals, will often require executives to have clinical expertise and experience, as well as certifiable abilities in healthcare administration. The total time represented here may be as little as four years, but is much more likely to be closer to 12-16 before the position comes anywhere within reach.

Recommended resource: Top 9 Cheap Online Healthcare Administration Degree Programs (Bachelor’s)

Professional Prerequisites and Certifications

Certification specifically for the position of chief executive is unlikely to be an issue, but there are a range of other certifications available for healthcare administrators and management personnel. These certifications, such as those offered by highly accredited professional associations, are a must-have, even if they aren’t normally required to advance further within the specific field for which they are designed. The responsibilities of a chief executive for a hospital or other healthcare facility are significant, and the ideal candidate is expected to be able to manage and relate to the concerns of a range of professionals who are, themselves, required to maintain a broad range of certifications, in order to be taken seriously at their positions.

Duties of a Hospital CEO

The primary duties of a CEO in a healthcare setting relate to the creation of a positive and supportive workplace culture. The ideal candidate will have strong leadership skills, in which fashion they aren’t much different from the ideal candidate for any chief executive position. The CEO is also responsible, as they are elsewhere, for ensuring the hiring and training of qualified staff members. Beyond this, there are a number of particular requirements unique to the healthcare setting: the CEO must ensure quality patient care, and will be held personally responsible for common issues in today’s healthcare industry, such as the spread of MRSA and other treatment-resistant superbugs within their facility. They will be expected to remain compliant with a host of local, state and federal laws, which requires a familiarity born of experience in a healthcare administrative setting.

Becoming the CEO of a hospital will take years of dedication and hard work. Including educational requirements, at a bare minimum, a total of 12-16 years of academics and professional experience are to be expected. A broad range of practical and administrative expertise is required. At the end of the road is a position to be proud of, one that many people hold until retiring. It offers generous compensation, including one of the best benefits packages to be found in any professional field within the United States today.

As more nurses decided to step away from the bedside and into managerial and administrative roles, the healthcare administrator (HCA) is a popular career path. HCAs plan, direct, and coordinate healthcare services in healthcare facilities such as: 

  • Hospitals
  • Community clinics
  • Nursing homes
  • Private medical practices
  • Insurance companies

We had the chance to chat with Michael H. Goldberg, FACHE, MBA, MHCDS, healthcare administrator for Northwell Health's Long Island Jewish Medical Center. 

What path to take to become a hospital ceo

PW: When did you know you wanted to become a Healthcare Administrator?

MG: I joined Northwell Health as an intern in the corporate finance department in 2000, after which I received a full-time job opportunity. The part of finance in which I had worked provided me with direct access to sit in on meetings with the executive leadership of Northwell Health and the Board of Trustees. At that early point in my career, the executive team inspired me by their caring nature and passion for providing the best, compassionate health care to the New York area. This was when I decided, a career in healthcare was right for me.

What path to take to become a hospital ceo

@michaelhgoldberg

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PW: What is your role, and what are your duties? 

MG: I'm the Executive Director of Northwell Health's Long Island Jewish Medical Center. The simplest way to think of it is that I function as the hospital's CEO or President responsible for the quality, safety, experience, care, community relations, financial performance, and more.

Learn more about my complete duties in nurse.org’s Healthcare Administration Career Guide!

PW: What was your journey to this role? How did you get started in healthcare, and how did you get to where you are today?

MG: From the time that I could remember, my plan in life was to take over a family business in a completely different industry. I was to be the 4th generation to do so. However, due to changing market dynamics and the development of big-box stores, our family business closed while I was in college, leaving me to find another career. During my time in school, I found an interest in numbers and finance. After graduating with my undergrad in 3 years, I immediately enrolled for an MBA in finance as a full-time student.

After the first year, I searched for an internship in finance. There were two opportunities offered to me simultaneously:

  1. Wall Street
  2. Northwell Health (formerly North Shore - LIJ Health System)

I worked on Wall Street as an intern for three days before deciding that the culture at Northwell was a better fit for me.

At the end of the summer of my internship, I got the opportunity to work full time at Northwell in the Budget & Financial Planning Department, where I advanced through several roles over nine years. 

  • In this department, we were responsible for evaluating all business plans from the 13 hospitals that made up the organization, at the time. 
  • We now have 23 hospitals and over 800 ambulatory sites. 
  • We also developed multi-year forecasts to project the impact of our changing business structure-- utilized to set goals for margins, philanthropy, and borrowing capacity.

In 2009 the Chief Financial Officer of Northwell asked me if I would be interested in becoming the Hospital Chief Financial Officer (Associate Executive Director, Finance) for LIJ Medical Center. I welcomed this opportunity and moved into a new role. During that time, I attended a new degree program at Dartmouth College called a Master of Health Care Delivery Science program. This program afforded me a chance to expand my knowledge beyond finance into

  • Healthcare operations
  • Clinical care
  • Leadership
  • Clinical data analysis

Once graduating in 2013, the Executive Director of LIJMC, at the time, asked me to consider changing fields from finance to operations as the Chief Operating Officer (Associate Executive Director, Operations) of LIJ Medical Center.

The following year, I was promoted to Deputy Executive Director, a role reserved in our organization for those preparing to move into the Executive Director roles. In this capacity, I partnered with the hospital Chief Medical and Chief Nursing Officers to deliver exceptional patient care and operating performance.

In 2015, Northwell Health's President & CEO Michael J. Dowling, our EVP & COO Mark Solazzo, and my predecessor named me as the LIJ Medical Center Executive Director, where I have gratefully served to this day.

What path to take to become a hospital ceo

@michaelhgoldberg

PW: What degrees do you hold? What degrees do you suggest for your role? 

MG: My degrees include:

For most management roles in health care —from a director or above—my recommendation is to have a Master's degree and meaningful years of experience.

I had my first master's in my first year, but that didn't give me the knowledge and skill to manage. Time on the job and real situations, coupled with the knowledge taught in degree programs, can prepare you for management.

What path to take to become a hospital ceo

@michaelhgoldberg

PW: What type of person does well in this role?

MG: The people I believe do the best in my role are the 22 peers I work with at Northwell Health. Together, we are a group focused on doing the right thing for our patients and our team members. We are dedicated to improving all that we can, and we're great supporters of each other and Northwell Health.

PW: What can people do with a Healthcare Administration degree?

MG: Many of us find our way into a healthcare organization through a specialty. For me, it was finance. For others, it's by being a nurse, physician, or an advanced care provider. At some point, we find that we would like to advance into healthcare administration, but have lived in a relatively siloed discipline. A Healthcare Administration degree is a great way to gain exposure to various industries that can help round out experiences not received through work experience.

What path to take to become a hospital ceo

@michaelhgoldberg

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PW: Do you know the salary range for HCA?

MG: Many roles can be defined as an HCA, and across the United States, dynamics such as the cost of living can vary. If you're interested in a specific role, I suggest looking up the position in your market or talking with someone in your company's human resources department.

PW: What do you like most about your career?

MG: The people. I love the difference we get to make and the engagement and excitement our team has.

PW: What do you like least about your career?

MG: Healthcare is constantly a target for funding cuts. You can think of it this way, what if someone told you that every year your salary would go down by some amount, but every year the price of your groceries, utilities, and housing goes up, making it harder and harder to provide for your family. This dynamic happens every year in health care, and while we've avoided impacting patient care, it gets very challenging to continually do.

What path to take to become a hospital ceo

@michaelhgoldberg

PW: Advice for people interested in healthcare administration - if you could go back and give your younger self advice about this career path, what would it be?

MG: I believe that a limited number of careers have such a reward in life as being able to help another human being like a healthcare administrator. We get the opportunity to do this and be surrounded by those who many refer to as heroes every day.

If I could tell my younger self anything about my career path, it would be to:

  1. Embrace change
  2. Find a mentor and trust them
  3. Take chances
  4. Always learn
  5. Put in the hard work and extra hours because that's when you learn the most

PW: Unlike many other healthcare administrators and executives, you're very active on social media. Tell us about your Instagram and your mission behind that.

MG: I created a social media presence after an employee survey revealed that we weren't communicating enough with our team. Despite the vast number of emails, town halls, and rounding efforts, our messages weren't getting to our team. Staff only opened 17% of our emails. After some review, it made sense to me; most of our hospital team didn't use a computer and had little reason to log into work email.

So after a poll, I created an Instagram account — @michaelhgoldberg—to achieve several goals:

To recognize and highlight our team members

To share timely and relevant information

To inspire, motivate, and provide direct access to me for our team members, prospective employees, the community, and at times patients and their families.

I'm incredibly proud of the positivity that surrounds my account and how the world can see our team #insidelij.

What path to take to become a hospital ceo

@michaelhgoldberg

In addition to being popular on social media, Michael showcases the type of leadership all nurses seek. Pre-COVID, he asked his staff, which he calls "team members" to invite him to "walk in their shoes." He shadowed multiple team members in multiple areas for their entire shifts— including nurses.

Michael and the staff at Long Island Jewish Hospital also organized a silent protest on the hospital lawn in solidarity with protesters. 

Want to contact Michael?

Instagram: @michaelhgoldberg 

Twitter: @m_h_goldberg

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