Do Hospital CEOs or NFL Coaches Have Better Job Security?

Philip Betbeze, for HealthLeaders Media , May 9, 2014

Jobs Dwindling
He could be hard-hit financially by the fact that his state has decided not to expand Medicaid through the PPACA. It can be tough for a hospital leader to find a place for his or her organization in this rapidly evolving world of scale and value seeking.

Further, the healthcare industry is morphing toward being less hospital-centric, and that means healthcare leadership is morphing along with it. Talent is needed that can develop sticky ways to interact with, and ultimately better serve, the patient in a more holistic manner than hospitals are used to operating.

That's a bigger deal than it seems—as coordination of care with entities outside the hospital becomes increasingly more important, talent is following the trend. Hospitals are not a growth industry anymore, and increasingly talent doesn't see hospital leadership as an end in itself, career-wise. In many respects, given the increasing pressure in the job and reduced autonomy and responsibilities, maybe it's not even a means to an end anymore.

Finally, there are simply fewer CEO jobs out there. If you lose your job as a CEO, there are fewer landing spots.

A well-worn joke is that the NFL stands for "not for long" if you don't produce. Hospital leaders these days understand that better than most.

Philip Betbeze is senior leadership editor with HealthLeaders Media.
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