Richmond students got an insider's view of health care reform and delivery from the CEO of  one of the nation's top hospitals when Leader-in-Residence Patricia M.C. Brown taught classes as part of her residency. Brown is president of Baltimore-based Johns Hopkins HealthCare LLC.

Health care reform was the topic for the "Doctors Becoming Doctors" class, which is designed to prepare pre-med students for the challenges ahead and issues they will face.

Hospital care is expensive. The future of medicine, she told the students, will include changing the entire health care delivery model to be less hospital-centered. “We need to reduce the high expense in our healthcare system by providing less high-cost services, pushing people back into the community, pushing them back into primary care, community-based care, and bringing care into their homes. [We need] new models of care and not to force them into these institutions if you will, these hospitals.” 

She said in the future hospitals should be only for intensive care, maternity and surgery, and people should be educated and coached in healthy lifestyles that reduce development of chronic disease. Video of that presention is posted below.

  • A class on "Sex, Power and Politics" was studying abortion practices and policies and Brown joined in discussions on readings, which included one text about how doctors were influential in getting abortion legalized but that today medical schools shy from teaching abortion procedures except as electives.
  • With the "Ethical Decision Making in Health Care" class, Brown discussed the historic healthcare reform legislation and then provided an overview of how hospitals, physicians and managed care companies negotiate reimbursement. With that as the context, the class discussed three scenarios, based on real circumstances and situations, in which managed care companies and health systems had to decide what they could or should do in terms of controlling healthcare utilization and incentivizing wellness. Students took on one of several roles: patient, physician, hospital, or managed care company, and role-played their responses and reactions to proposed changes.
  • In additon to informal meetings with students, faculty and class visits, Brown organized a field trip to Johns Hopkins for a dozen students. 

"Health care is a prime topic in the national conversation," said Jepson School Dean Sandra J. Peart, "and the leadership and ethical challenges are ongoing and complex.”

"Bringing the expertise of someone like Patty Brown into our classrooms is the reason we have the leader-in-residence program," said Sue Robinson, who administers the program for the Jepson School. "Students hear from established leaders who share insight into the practice of leadeship."

Here are photographs of Brown meeting with Dr. Karen Zivi's "Sex and Politics" class during spring semester, 2010, in Jepson Hall.

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