The Russian city of Murmansk probably isn't mentioned often in U.S. healthcare discussions, but for Charles Evans, it represents a vivid example of how organizations, communities, even countries, can renew their commitment to healthcare.
While living in Jacksonville, Fla., in the 1990s—first as an executive at Memorial Hospital, and later as president of HCA's First Coast Health Network—Evans became involved with the city's sister city project with Murmansk, a port city in far northwestern Russia. As the Soviet Union was breaking up, there was an interest from the Russian government in building infrastructure that included healthcare, and Evans was tasked to help, traveling back and forth between Jacksonville and Murmansk to provide consultation.
“It was the first time I had ever really observed the difference that professional management makes in healthcare,” he said. According to Evans, in most parts of the world, healthcare managers are clinicians with little to no management preparation, and don't usually have the master's of business or master's of healthcare administration typical of U.S. executives.