Becker's Hospital Review

28 POPULATION HEALTH 28 CEO/STRATEGY Majority of women in healthcare say it will take 25+ years to reach parity in workplace By Emily Rappleye T he past year brought conversations about sexual harassment and assault in the workplace into mainstream discourse. Despite this newfound collective consciousness — or perhaps because of it — women are more pessimistic about how long it will take to reach gender parity in the workplace, according to an annual survey of women in healthcare conducted by Rock Health, a digital health venture fund. e 2018 survey is based on responses from more than 630 women working in healthcare across 46 organizations. It was conducted be- tween May 14 and June 15. Here are four top takeaways: 1. Compared to 2017, more women are pessimistic about the timeline to gender parity, but more believe it will eventually happen. In 2018, 55 percent of women surveyed said they believe it will take more than 25 years to reach gender parity in the workplace, compared to 45 percent in 2017. However, significantly fewer women say it will never happen (5 percent in 2018 com- pared to 16 percent in 2017). 2. Small companies and large compa- nies offer the most supportive environ- ments for women. Companies with fewer than 10 employees ranked the highest for sup- porting women (8.3 on a scale of 1 to 10), and this ranking declined as company size grew up to 1,000 employees. Aer that, the ranking in- creased again. Rock Health speculates that this may be because smaller companies are able to control their culture more and large companies have more resources to create diversity programs. 3. Race and age intersect gender dis- crimination in the workplace. Most African-American women (85.6 percent) said race was "very much" a barrier to career advancement, compared to 8.9 percent of non-Hispanic white or Euro-American wom- en. African-American women were most like- ly to report race as a barrier, followed by Asian or Asian-American women, 52 percent of whom reported race as "very much" a barrier to advancement. Most Asian or Asian-Amer- ican women (80 percent) reported undersell- ing skills as a top barrier to advancement. Similarly, women of all ages felt their age was a barrier for different reasons. Young women reported being judged for lack of experience, women in their 30s reported family obli- gations or time constraints as barriers, and women over 50 reported age discrimination. 4. Anecdotal commentary indicated women are often the least support- ive of other women. "Any poor treatment toward me in my many years within the cor- porate space has come from other women," a respondent from Louisville, Ky., said. is commentary is supported by other research, such as a study published in Gender in Man- agement that found women believe women are good managers, but do not want to work for them, Rock Health notes. n HCA turns 50: 7 facts about the hospital giant By Alyssa Rege I n 1968, a father and son physician team and their busi- ness partner sought to build a new type of healthcare organization by applying principles of scale to the hospi- tal business. Their corporation, Nashville, Tenn.-based HCA Healthcare, turned 50 years old in August. In honor of its 50th birthday, here are seven things to know about the hospital giant: 1. HCA comprises 178 hospitals and 1,800 care sites across 20 states and the U.K. The health system employs roughly 38,000 active physicians and 87,000 nurses across its facilities. 2. As of April 2018, the organization has recorded 28.2 mil- lion patient encounters, 8.6 million emergency room visits and 217,000 babies delivered this year. Roughly 5 percent of all hospital services occur at an HCA-owned facility. 3. HCA was founded by Thomas Frist Sr., MD; Thomas Frist Jr., MD; and businessman Jack Massey. The goal was to bring together several hospitals and combine their resources to strengthen each facility and improve the practice of medicine. At the time of its founding, the system was composed of 11 hospitals; by the end of the year, it had grown to encompass 26 hospitals with a total of 3,000 beds. 4. At its peak, the $20 billion corporation owned more than 350 hospitals, 145 outpatient surgery centers and 550 home care agencies, had 285,000 employees, and had par- ticipated in several large-scale mergers and acquisitions. In 1997, the younger Dr. Frist returned to serve as chairman and CEO of the institution, with plans to restructure the company to provide patient-centered care through a core group of market hospitals. 5. HCA has operated as both a private and public company throughout its 50-year history. The hospital chain has oper- ated as a publicly traded company since March 2011. 6. R. Milton Johnson serves as the chairman and CEO of HCA. A 35-year veteran of the organization, Mr. Johnson worked in a number of executive roles during his tenure, including head of the tax department, senior vice president and controller, and executive vice president and CFO. He was appointed president of HCA in 2011 and appointed chairman and CEO in 2014. 7. The hospital chain's most recent financial statement indi- cates it saw revenues increase 7.4 percent year over year to $11.5 billion during the second quarter of 2018. HCA ended the second quarter with net income of $820 million, up 25 percent from $657 million in the second quarter of 2017. n

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