Share to FacebookShare to TwitterShare to LinkedinAn academy for healthcare leaders might be just what the doctors ordered.Corbis via Getty Images

分享给FacebookShare，推特分享给LinkedinAn医疗保健领袖学院，这可能正是医生们所要求的。通过盖蒂图像的Corbis

Those who follow my musings know about my deep conviction that our broken healthcare system is the result of a leadership crisis in American healthcare. We are saddled with inauthenticity, poor execution and incomplete consideration of the tradeoffs required to build and run systems that rein in costs while improving patient outcomes..

那些关注我思考的人都知道，我深信，我们破碎的医疗体系是美国医疗领域领导危机的结果。我们面临着不真实、执行不力以及对构建和运行系统所需权衡的不完整考虑，这些系统在控制成本的同时改善患者预后。。

One of the problems with healthcare leadership is that, too often, it fails to wrestle with ethical challenges. Financial success and virtue come into opposition; too often the former comes out the winner.

医疗保健领导力的问题之一是，它往往无法应对道德挑战。财务上的成功与美德对立起来；前者往往是赢家。

Lately I’ve been fantasizing about fixing these problems by building an academy to train the current next generation of principled healthcare leaders. In those fantasies, I’ve purchased some land in Westchester County, New York. It’s hard to spot from the air, and you’d never notice it if you walked by.

最近，我一直幻想着通过建立一所学院来培养下一代有原则的医疗保健领导者，从而解决这些问题。在这些幻想中，我在纽约的韦斯特切斯特县买了一些土地。从空中很难发现，如果你路过，你永远不会注意到它。

But peer behind the trees and rugged landscape and inside you’ll find what I call, with apologies to Marvel, The Xavier School for Healthcare Leaders..

但是，在树木和崎岖的景观后面以及内部，你会发现我所说的，并向泽维尔医疗保健领袖学校漫威道歉。。

Here's a look at some of the course offerings designed to produce industry leaders capable of producing a humane, affordable, accessible and equitable healthcare system where financial incentives are in balance with patient needs.

以下是一些旨在培养行业领导者的课程设置，这些领导者能够创建一个人性化、负担得起、可获得和公平的医疗保健系统，在该系统中，财务激励与患者需求相平衡。

Patient Care 200: The Lived Experience

病人护理200：生活体验

“If you’re going to change something, you should know something,” a colleague of mine used to say. SCAN, the diversified healthcare organization that I lead, used to have a program called Trading Ages; via high-tech headsets, people could gain a first-hand appreciation of the aging process. Similarly, this course will rely on low-tech solutions to create empathy for those facing common illnesses.

我的一位同事常说：“如果你要改变什么，你应该知道一些。”。我领导的多元化医疗保健组织SCAN过去有一个名为“交易年龄”的项目；通过高科技耳机，人们可以直接了解衰老过程。同样，本课程将依靠低技术解决方案为那些面临常见疾病的人创造同理心。

Students will wear glasses smeared with vaseline to get an idea of what it’s like to have cataracts, and noise-canceling headphones to better understand what hearing loss feels like. During a field trip, participants will shop for groceries using a walker and try to access public transportation while confined to a wheelchair.

学生们将戴上涂有凡士林的眼镜，以了解白内障的情况，并戴上消除噪音的耳机，以更好地了解听力损失的感觉。在实地考察期间，参与者将使用助行器购买杂货，并尝试在轮椅上使用公共交通工具。

During the final exam, participants will eat five super-sized fast food meals in 30 minutes and ride a roller coaster so they can get a sense of what polypharmacy often feels like.IRVINE, CA - APRIL 04: John Downing, a senior advocate with Scan Health Plan attempts to put on a ... [+] pair of glasses wearing thick gloves to simulate age related loss of dexterity during a aging sensitivity workshop titled, 'Trading Ages.'MediaNews Group via Getty Images.

在期末考试期间，参与者将在30分钟内吃五顿超大号快餐，然后坐过山车，这样他们就可以了解多种药物的感觉。4月4日，加利福尼亚州欧文：约翰·唐宁（JohnDowning），Scan健康计划（Scan Health Plan）的高级倡导者，试图将。。。[+]一副戴着厚手套的眼镜，在名为“交易年龄”的衰老敏感性研讨会上模拟与年龄有关的灵活性丧失媒体新闻组通过盖蒂图片。

MORE FOR YOUApple iPhone 16 New Design And Performance Upgrades Revealed In LeakSony Is Making A Truly Terrible Mistake With Helldivers 2 Apple Confirms Widespread iPhone Changes Coming To Millions Of iPads

《LeakSony》中透露的苹果iPhone 16的新设计和性能升级在Helldivers 2上犯了一个非常可怕的错误。苹果证实，数百万台iPad将面临iPhone的广泛变化

Engineering 300: Navigating the Healthcare System

工程300：导航医疗保健系统

In this hands-on course, students will work as care navigators inside a real health plan. They’ll take calls from members during a weeklong shift and help them access care, refill prescriptions, schedule appointments with specialists, arrange transportation to and from appointments, get the results of their labs faxed to various provider offices, and understand their care regimens.

在这门实践课程中，学生将在真正的健康计划中担任护理导航员。他们将在一周的轮班期间接听会员的电话，帮助他们获得护理，补充处方，安排与专家的预约，安排往返预约的交通，将实验室结果传真到各个提供者办公室，并了解他们的护理方案。

Students wishing to pursue advanced studies in the subject will have to demonstrate an ability to explain deductibles and co-pays in plain language..

希望在该学科继续深造的学生必须证明能够用通俗易懂的语言解释免赔额和共同支付额。。

Healthcare Economics 200: The Freedom to Capitate

医疗保健经济学200：资本化的自由

Too many physician groups and healthcare systems are reluctant to assume risk for their patients’ health outcomes by accepting global capitation arrangements. But in this course, we’ll learn that, as my mentor Leeba Lessin used to say, “capitation is freedom.” Often provider organizations complain that payers have them hamstrung by relentlessly focusing on costs.

太多的医生团体和医疗保健系统不愿意通过接受全球按人头计算的安排来承担患者健康结果的风险。但在本课程中，我们将了解到，正如我的导师利巴·莱辛（LeebaLessin）常说的那样，“按人头付费就是自由”。提供商组织经常抱怨，付款人无情地关注成本，使他们束手无策。

But by entering into capitated care agreements, providers can find the footing to dictate the path of care while focusing more fervently on outcomes. Designed for the skeptic, this course will provide participants with many examples of providers who have built successful and lucrative practices while achieving patient outcomes that put their peers to shame..

但通过签订按人头付费的护理协议，提供者可以找到支配护理路径的基础，同时更加专注于结果。这门课程是为怀疑论者设计的，它将为参与者提供许多例子，说明提供者在取得让同龄人感到羞耻的患者结果的同时，建立了成功且有利可图的做法。。

Healthcare Economics 310—aka “Follow the Money”

医疗经济学310，又名“追随金钱”

No one can effectively change—much less simply maintain—our healthcare system’s status quo without a rudimentary understanding of its economics. In this class, we will follow healthcare financing and learn how money flows between private and public payers, providers, pharmaceutical companies and the myriad other participants in the healthcare system.

没有人能够有效地改变，更不用说在不了解其经济学的情况下简单地维持我们医疗保健系统的现状了。在这门课中，我们将关注医疗融资，并了解资金如何在私人和公共付款人、提供者、制药公司以及医疗保健系统的无数其他参与者之间流动。

Coursework will focus on misaligned incentives, in which individuals and corporations are paid handsomely for producing consistently inferior outcomes..

课程将侧重于不一致的激励措施，即个人和公司因产生一贯较差的结果而获得丰厚的报酬。。

Patient Care 330: Medication Adherence

病人护理330：药物依从性

Almost everyone entering a healthcare profession comes in thinking the easiest way to treat a patient is to prescribe a medication for them. Little do they know that patients only take their prescription medications half the time. In fact, non-adherence likely causes 125,000 deaths and a quarter of all hospitalizations in the United States.

几乎每个进入医疗保健行业的人都会想到，治疗患者最简单的方法是给他们开药。他们几乎不知道患者只有一半的时间服用处方药。事实上，不依从可能导致125000人死亡，占美国所有住院人数的四分之一。

In this course, students will learn the causes of non-adherence, with an emphasis on those that are financial and cultural. To pass the class, students must demonstrate proficiency raising adherence rates, which takes time, money, hard work, cultural sensitivity and, most of all, patience. Note, it is likely that many students will come into this class thinking it’s an “easy A,” fail, and be asked to retake the course again and again.

在本课程中，学生将学习不遵守的原因，重点是财务和文化方面的原因。为了通过这门课，学生必须表现出熟练程度，提高坚持率，这需要时间，金钱，努力工作，文化敏感性，最重要的是耐心。请注意，很可能许多学生会认为这是一门“简单的A”，不及格，并被要求一次又一次地重修这门课程。

Just like clinicians do every day.Only a fraction of patients ever take medicines as directed—a fact lost on many healthcare leaders.NurPhoto via Getty Images.

就像临床医生每天做的那样。只有一小部分患者曾经按照指示服用过药物，这一事实在许多医疗保健领导者身上消失了。通过Getty Images拍摄NurPhoto。

Executive Management 420: The Role of Risk

执行管理420：风险的作用

Not to be confused with Healthcare Economics 310 above, this course focuses on the value of risk in management. The premise underlying the class is that too many healthcare leaders are risk-averse. They believe in sluggish incrementalism, running endless pilots and studies, and seeking out elusive consensus before enacting common-sense solutions.

不要与上面的医疗保健经济学310混淆，本课程侧重于管理中风险的价值。这门课的前提是，太多的医疗保健领导者都是规避风险的。他们信奉缓慢的渐进主义，无休止地进行试点和研究，并在制定常识解决方案之前寻求难以捉摸的共识。

In this class, we’ll learn how to quickly implement change and inject innovation into systems before resistance to it takes form. Special emphasis will be placed on learning from mistakes and making iterative improvements to bold programs and initiatives..

在这节课中，我们将学习如何快速实施变革，并在阻力形成之前将创新注入系统。我们将特别强调从错误中学习，并对大胆的计划和举措进行迭代改进。。

Being Human 101

做人101

Required for all degree candidates. No matter what you may hear, the future of healthcare—like the future of most industries—will depend on artificial intelligence. AI systems will scan medical records, read images, make diagnoses, create treatment recommendations, discover the most effective treatments, and so much more.

所有学位候选人都需要。无论你听到什么，像大多数行业的未来一样，医疗保健的未来将取决于人工智能。人工智能系统将扫描病历、读取图像、做出诊断、创建治疗建议、发现最有效的治疗方法等等。

Which means that the future’s best healthcare practitioners will bring a human touch to patient care that computers just can’t. In this class, we’ll learn how to talk in plain language, ask questions sympathetically, and demonstrate a genuine sense of caring. Successful candidates will learn that, in healthcare, human connections do what computers, diagnostics and treatment plans cannot.Genuine care and concern and compassion for patients will never go out of style—and will be at the ...

这意味着未来最好的医疗保健从业者将为患者护理带来计算机无法做到的人性化。在这节课上，我们将学习如何用通俗易懂的语言交谈，同情地提问，并表现出真正的关怀感。成功的候选人将学习到，在医疗保健领域，人际关系可以做计算机、诊断和治疗计划所不能做的事。对患者的真诚关怀、关心和同情永远不会过时，并将在。。。

[+] heart of any healthcare leadership curriculum.AFP via Getty Images.

[+]任何医疗领导力课程的核心。法新社通过盖蒂图片。

Admissions Criteria for all Courses

所有课程的入学标准

A professed desire to improve healthcare for patients. Applicants excessively focused on profits or policy-making and procedural tinkering for their own sake are strongly discouraged from applying.

声称希望改善患者的医疗保健。强烈反对申请人过分关注利润或政策制定以及为了自己的利益而进行的程序修补。

All of this is tongue in cheek - or is it? What would our industry look like if we did have an academy - and everyone who wanted to drive change—management, politicians, board members, investors—had to demonstrate these basic proficiencies. I suspect we would be much farther along the way to the healthcare system we want and need..

所有这些都是开玩笑的，或者是吗？如果我们真的有一个学院，我们的行业会是什么样子？每个想要推动变革管理的人，政治家，董事会成员，投资者都必须证明这些基本的技能。我怀疑我们将在通往我们想要和需要的医疗保健系统的道路上走得更远。。