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July 11, 2020 01:00 AM

Letters: Few women in CEO roles? And they’re paid less? Little has changed

Modern Healthcare
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    The June 22/29 cover story “Few women leading the largest not-for-profit health systems, for less pay” included this quote regarding equity by Ellen Zane, CEO emeritus of Tufts Medical Center and an adjunct assistant professor in the Harvard T.H. Chan School of Public Health: “As our country evolves, as the demographics change, as the number of competent individuals is very clear, this should not have to be an extraneous activity. It really needs to be mainstreamed in the way the organization operates.”

    I think a similar quote can be found in Modern Healthcare 20 years ago.

    What’s the solution?

    Starting salaries for male and female physicians can have no disparity. Publish your data in this regard and be accountable to the data. If it continues to show disparities, leaders and board members should leave the organization.

    Create a group to support legacy white males in leadership to live up to their responsibility to replace themselves with women and minority associates who provide a more effective and relevant work-style orientation that the current leaders lack and therefore cannot recognize and reward.

    Make executive base pay dependent on creating a diverse executive leadership team and board. The demographics have changed and the requirement is to meet the moment. The bias against putting women in jobs that control profits and losses is laughable.

    Research consistently shows that healthcare management teams whose rosters reflect the diversity of their patients and staff perform better on virtually every measure of clinical, financial and operational performance. Not-for-profits need to be leading the way in this regard today.

    Linda Galindo
    President
    Galindo Consulting
    Half Moon Bay, Calif.

    U.S. faces uphill battle to improve health outcomes

    Regarding the story “NQF eyes improving health outcomes by 2030,” since the outcomes are about U.S. populations and there will likely be even less federal investment in these populations in the years ahead, there is no way to improve outcomes by 2030 and it is doubtful by 2050 or 2060.

    Even worse, the required investments in health insurance that’s least valuable for populations that are the most behind in healthcare access and outcomes, will worsen disparities and outcomes along with the increasing costs of micromanaging education.

    Even healthcare quality guru Dr. Don Berwick says that metrics, measurements and micromanagement have gone way too far.

    Why should we add billions more a year for minor process improvements or minor outcomes gains? Why should we hold physician practices and hospitals accountable for outcomes, since they care for populations that inherently have worse outcomes not to mention these communities have lower levels of access to the healthcare workforce and social services resources?

    How can we steal more billions a year from the team members who deliver the care, to pay consultants, corporations and CEOs who do not deliver care? Why should the practices and hospitals least supported and least valued be most abused by these value-based designs?

    Dr. Robert Bowman
    Basic Health Access blog
    Gilbert, Ariz.

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