Experience

The Daniel K. Lewis Administrative Fellowship consists of rotations through several key areas at The MetroHealth System. During rotation planning discussions, fellows will be encouraged to envision the full range of experience they hope to gain, so that at the end of their fellowship, they will be strong candidates for the positions they wish to pursue.

Year 1: Core Functional Rotations

Establish working knowledge of clinical and administrative operations throughout the system with comprehensive rotations including larger projects to develop project management skills alongside smaller projects to build relationships and make an impact in all system areas.

Introduction to MetroHealth – Get to know the System (1st month)

• Meet with key leadership for introductions and potential mentorship opportunities
• Participate in shadowing experiences across the system departments to get a first-hand look at patient care and flow throughout the system and understand organizational structure
• Sit in on strategic and operational meetings around system initiatives and the experience the projects and working groups that drive them Tour all MetroHealth sites to understand our community-based footprint 
• Technical training in clinical and operational reporting systems 

Year 2: Flexible Assignments

Complete 2 additional rotations including comprehensive projects, project management or interim leadership assignments based upon interests and system priorities. Fellows will have the opportunity to work in tandem with an operations manager and take on management responsibilities. Additionally, fellows can opt to focus on projects and roles in a specific area of interest, such as strategy, human resources, and finance, among others.

Track 1: Operations

Year 1

Rotation 1: Hospital Operations

Objectives:

• Work closely with leadership on impactful operational, clinical, and strategic projects ranging from department-specific improvements to system-wide initiatives
• Develop skills in project management, project scope and resource identification, and appropriate execution techniques

Rotation 2: Ambulatory Operations

Objectives:

• Support the day-to-day operations and management of ambulatory clinics by recognizing ongoing challenges and developing recommendations to optimize clinical workflows and patient experience
• Participate in strategic planning initiatives of the growing Ambulatory Network by providing analytical support for decisions regarding new and existing locations and operationalizing those plans

Year 2

Rotation 3: Service Line Operations

Objectives:

• Integrate operational, clinical, and financial data in business case development to support strategic growth programs such as new services or implementation of new care models
• Collaborate with service line and nursing stakeholders to identify opportunities for operational improvement and expansion

Rotation 4: Opportunities based on the interests and goals of the fellow, as well as the system needs and priorities.

Opportunities can include:

• Management experience practicum 
• Population Health Operations
• System Strategy
• Healthcare Inclusion, Diversity, & Equity
• Human Resources
• Finance / Data & Analytics

Track 2: Population Health

Year 1

Rotation 1: Care Management, Managed Care, Value-Based Contracting

Objectives:

Gain expertise in developing, implementing, and analyzing population health management programs and strategies at MetroHealth and in the community

Learn and participate in negotiation of existing and future population health contracts, including the CMS, ODM, and private payer initiatives and how to optimize savings

Rotation 2: Virtual Care Enterprise & Hospital in the Home

Objectives:

• Support Virtual Care Enterprise initiatives such as Hospital in the Home, Virtual Clinical Care, ET3, Remote Patient Monitoring, and Chronic Disease Management
• Apply critical thinking skills and collaborate across multiple departments to evaluate business objectives to identify integrated care solutions

Year 2

Rotation 3: Institute for H.O.P.E and Community Responsive Care

Objectives:

• Participate in a wide range of current and emerging initiatives to improve outcomes related to social determinants of health, health disparities, health equity, patient education, and community outreach
• Explore additional community partnerships to provide more diverse and comprehensive care delivery services to patients beyond traditional medical care

Rotation 4:

Objectives:

Opportunities based on the interests and goals of the fellow, as well as the system needs and priorities.

Opportunities can include:

• Management experience practicum
• Population Health Operations
• System Strategy
• Healthcare Inclusion, Diversity, & Equity
• Human Resources
• Finance / Data & Analytics

Other Experiential Opportunities

• Participate in a structured mentorship program
• Attend annual American College of Healthcare Executives conference or other conference of choice
• Attend key leadership meetings for experience with high level discussions and decision-making