Two program concentrations have been designed to capitalize on the market and clinical differences of Geisinger’s service area hubs. Typically two 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/western market concentration – Hospital and community practice operations based at Geisinger Medical Center (quaternary/teaching hospital) and the western service area
- 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), and the eastern service area
Upon mutual agreement, the Central/Western market or the Northeastern market 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. A formal assessment will be conducted with the fellow, leading to an agreed upon curriculum and training program objectives. On a monthly basis, progress to plan will be reviewed by the fellow and preceptor, with a written report generated upon six months and at conclusion of the first year. This will form the basis for transition into the second fellowship year.
First year rotations
The program 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. This progressive experience is supplemented with selected 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 rural community setting.
The first year includes significant experience in core staff functions through project work with time spent in each staff area consistent with requirements for successful project completion. Within the central/western market and the northeastern market concentrations there are two specific tracks the fellow can pursue: clinical operations track or practice management.
Second year opportunities
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 responsibility. This can come in the form of new program development and/or accountability for substantive project/program implementation, or “acting manager” responsibilities during times of vacancy.
Depending on the selected concentration, 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 several 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.