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Healthcare Management & Administration Masterclass
Role Play
Highest Rated
Rating: 4.5 out of 5(16 ratings)
53 students

Healthcare Management & Administration Masterclass

Master hospital operations, healthcare finance, quality improvement, compliance, workforce, and population health strate
Created byISO Horizon
Last updated 6/2026
English

What you'll learn

  • Map the organizational structures of hospitals, health systems, integrated delivery networks, and accountable care organizations
  • Compare reimbursement models including fee-for-service, capitation, bundled payments, and value-based purchasing
  • Navigate Medicare, Medicaid, and commercial payer systems with confidence and context
  • Lead revenue cycle improvements that reduce denials and accelerate cash flow
  • Apply PDSA, Lean, and Six Sigma to real healthcare quality and safety problems
  • Build a patient safety culture grounded in just-culture principles and high-reliability practice
  • Manage physician relations, nursing retention, credentialing, and interprofessional teams
  • Interpret major healthcare regulations including EMTALA, Stark Law, and the Anti-Kickback Statute
  • Evaluate EHR systems, interoperability standards, and health information governance practices
  • Design strategic plans and population health initiatives that improve community outcomes

Course content

21 sections33 lectures
  • The Healthcare Ecosystem Landscape11:01
    Healthcare in any developed nation is delivered by a sprawling ecosystem of providers, payers, regulators, manufacturers, and patients, and understanding the players is the first step to managing within it. This lecture maps the full landscape from acute care hospitals and ambulatory clinics to insurance companies, pharmaceutical firms, medical device makers, government agencies like CMS and HHS, accreditors, professional associations, and the patients and communities they all serve. You will see how money, information, and patients flow between these stakeholders, why fragmentation creates both opportunities and frustrations, and how a manager's job changes depending on where they sit in the ecosystem. Concrete examples drawn from a typical patient journey anchor the abstract structure in something tangible.
  • Hospitals and Their Organizational Models9:57
    Hospitals come in many flavors — community, academic medical centers, critical access, specialty, for-profit, nonprofit, and government-owned — and each one carries a distinct mission, funding model, and governance structure. This lecture breaks down the major hospital types you will encounter, explains how a typical hospital organizes itself into clinical departments, administrative divisions, and a medical staff structure, and clarifies the relationship between the board of trustees, the CEO, the chief medical officer, the chief nursing officer, and department chairs. You will also explore matrix reporting relationships, the unusual dual hierarchy of medical staff and administration that distinguishes hospitals from other organizations, and how hospital size and ownership shape strategic priorities and management style.
  • Clinics, Ambulatory Care, and Specialty Practices13:42
    Most healthcare encounters never happen inside a hospital. Ambulatory care — primary care offices, specialty clinics, urgent care centers, ambulatory surgery centers, and retail clinics — is where the majority of medicine is practiced, and managing these settings demands a different toolkit than inpatient management. This lecture walks you through the major ambulatory care models, the economics of physician practices ranging from solo practitioners to large multispecialty groups, and the operational rhythms of high-volume outpatient sites. You will learn how appointment scheduling, throughput, supply management, and physician productivity drive financial performance in clinic settings, and how independent practices differ from hospital-owned outpatient networks in culture, governance, and strategy.
  • Health Systems and Integrated Delivery Networks8:31
    When hospitals merge, acquire clinics, employ physicians, and partner with insurers, they become health systems and sometimes integrated delivery networks that span a region or even a country. This lecture explains why consolidation has reshaped healthcare over the past three decades, the difference between a loose health system and a true integrated delivery network, and the strategic advantages large systems pursue including market leverage, care coordination, capital access, and economies of scale. You will see how systems are organized at corporate, regional, and facility levels, what synergies they aim to capture in shared services and contracting, and the persistent challenges of integrating cultures, technology, and clinical workflows across acquired entities.
  • Accountable Care Organizations Explained10:06
    Accountable care organizations are voluntary networks of providers who agree to be jointly accountable for the cost and quality of care for a defined population, sharing in savings when they perform well and sometimes in losses when they do not. This lecture explains the origins of ACOs in the Affordable Care Act, the difference between Medicare Shared Savings Program tracks, commercial ACOs, and Medicaid ACOs, and how risk-sharing arrangements push providers toward coordinated, preventive, and cost-conscious care. You will learn how ACOs are governed, how attribution and benchmarking determine financial rewards, what infrastructure ACOs need to succeed, and why some thrive while others struggle to deliver on the promise of value-based care.
  • Section 1 Quiz: Healthcare Organizational Structures and Leadership
  • Roleplay: Healthcare Organizational Structures and Leadership

Requirements

  • Basic familiarity with healthcare terminology is helpful but not required
  • Comfort reading basic numbers, percentages, and simple charts
  • Curiosity about how healthcare organizations operate behind the scenes
  • No prior business, finance, or management coursework required
  • An interest in the policy, finance, and leadership side of medicine

Description

This course contains the use of artificial intelligence.

Healthcare is the most complex industry on the planet — multi-trillion-dollar budgets, life-or-death stakes, dense regulation, and a workforce that includes everyone from custodians to neurosurgeons. Running a hospital, clinic, or health system requires far more than clinical knowledge; it demands a mastery of finance, operations, policy, quality, and human behavior. Whether you are stepping into a management role for the first time or sharpening the skills you already use every day, understanding the business of healthcare is what separates leaders who thrive from those who simply survive in a relentless environment.

This course walks you through the full landscape of healthcare management and administration in plain English. You will explore how hospitals, ambulatory clinics, integrated delivery networks, and accountable care organizations are structured and governed. You will learn how money actually moves through the system, from fee-for-service and capitation to bundled payments and value-based purchasing, and how Medicare, Medicaid, and commercial insurers shape every clinical decision. You will dive into revenue cycle management, budgeting and cost accounting, quality improvement methodologies like PDSA, Lean, and Six Sigma, patient safety culture, accreditation through The Joint Commission and NCQA, and the regulatory minefield of EMTALA, Stark Law, and Anti-Kickback compliance.

You will also build practical knowledge of healthcare human resources, including physician relations, nursing workforce strategy, credentialing and privileging, interprofessional teams, and burnout prevention, alongside the technology backbone of modern care including electronic health records, interoperability standards like HL7 and FHIR, and health information management. The course is designed for healthcare administration students, practicing hospital managers, practice administrators, aspiring healthcare executives, and clinicians moving into management positions. No prior business degree is required, only curiosity and a willingness to think systemically about how care gets delivered, paid for, and improved across communities and populations.

What sets this course apart is its commitment to clarity. Every concept is grounded in real organizational examples, every framework is connected to the daily decisions managers actually face, and every lecture builds toward a coherent picture of how a high-performing healthcare organization works. By the end you will be able to read a payer contract, evaluate a service line, lead a quality improvement project, navigate a regulatory audit, and contribute to strategic planning conversations with confidence. Enroll now and start building the management toolkit modern healthcare leaders need to succeed.

Who this course is for:

  • Healthcare administration students preparing for their first management role
  • Practicing hospital managers and department directors sharpening their skills
  • Medical practice administrators running clinics and physician groups
  • Aspiring healthcare executives building toward C-suite leadership positions
  • Clinicians transitioning from bedside care into administrative roles