The Transformation of Academic Health Centers

The Transformation of Academic Health Centers

Meeting the Challenges of Healthcare’s Changing Landscape

1st Edition - March 30, 2015

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  • Author: Steven Wartman
  • Hardcover ISBN: 9780128007624
  • eBook ISBN: 9780128010044

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The Transformation of Academic Health Centers: The Institutional Challenge to Improve Health and Well-Being in Healthcare’s Changing Landscape presents the direct knowledge and vision of accomplished academic leaders whose unique positions as managers of some of the most complex academic and business enterprises make them expert contributors. Users will find invaluable insights and leadership perspectives on healthcare, health professions education, and bio-medical and clinical research that systematically explores the evolving role of global academic health centers with an eye focused on the transformation necessary to be successful in challenging environments. The book is divided into five sections moving from the broad perspective of the role of academic health centers to the role of education, training, and disruptive technologies. It then addresses the discovery processes, improving funding models, and research efficiency. Subsequent sections address the coming changes in healthcare delivery and future perspectives, providing a complete picture of the needs of the growing and influential healthcare sector.

Key Features

  • Outlines strategies for academic health centers to successfully adapt to the global changes in healthcare and delivery
  • Offers forward-thinking and compelling professional and personal assessments of the evolving role of academic health centers by recognized outstanding academic healthcare leaders
  • Includes case studies and personal reflections, providing lessons learned and new recommendations to challenge leaders
  • Provides discussions on the discovery process, improving funding models, and research efficiency


healthcare delivery practitioners and researchers affiliated with academic health centers; professional educators; health center administrators; health professions associations; and academic institutional leadership generally

Table of Contents

    • List of Contributors
    • Foreword
    • Preface
    • Acknowledgment
    • Section I. The Evolution of the Academic Health Center
      • Chapter 1. The Changing Ivory Tower: Balancing Mission and Business
        • Demystifying the Academic Health Center
        • The Emergence of Cost in Academic Medicine
        • The Costly Business of Academic Medicine
        • Responding to Change: Challenges and Opportunities for AHCs
        • Leading the Change in Health Care
      • Chapter 2. Presidential and Academic Health Center Leadership within the Modern University: Opportunities and Challenges
        • Introduction
        • Overview: The Role of AHCs within the Broader University
        • Pathways to Leadership, Core Competencies, and Leadership Development Opportunities
        • Conclusion
      • Chapter 3. How Academic Health Centers are Transforming in Leadership, Administration, and Management: A Case Study
        • Introduction
        • Development of Shared Vision
        • Forming the Leadership Team and Shaping Its Accountability
        • Enterprise Organization and Governance
        • Addressing Unfamiliar Organizational Challenges
        • Conclusion
      • Chapter 4. The Changing Roles and Expectations of Faculty
        • Introduction
        • The Educator
        • The Clinician Scientist
        • The Basic Scientist
        • The Population Health Academician
        • The Clinician
        • Institutional Considerations
      • Chapter 5. Universal Lessons for Academic Health Science Centers—Recognizing the Value of Integration
        • Academic Health Science Centers: Institutional Settings and Challenges
        • Defining the Value of the Academic Health Science Center
        • Alignment of Values in a Complex Academic Health Science Center
        • Value that Drives Impact within a Complex Health System
        • Incentive for Integration—The Successful Blended Mission
        • Shared Authority and Responsibility in the AHSC
        • Conclusion
      • Chapter 6. Future Directions
        • Unique Challenges Facing Academic Health Centers
        • Examining the Financial Situation
        • Academic Health Centers Must Transform
        • Vertical Integration of Care Delivery, Care Redesign, and Programs of Distinction
        • Reinventing Medical Education and Training
        • Going Global
        • A Focus on Innovation
        • Looking Ahead
        • The Need for Enterprise-Wide Planning and Management
    • Section II. Educating the Future Health Workforce
      • Chapter 7. Disruptive Technologies Affecting Education and Their Implications for Curricular Redesign
        • Disruptive Technologies and Disruptive Innovation
        • The Implications of Emerging Technology for Curricula
      • Chapter 8. Diversity in the Academic Health Center: Progress and Opportunities
        • Introduction
        • Beyond Diversity to Inclusion
        • The Value of Diversity
        • Developing a Contemporary Conceptual Framework
        • Case Study: The NEOMED–Cleveland State University Partnership for Urban Health
        • Case Study: The University of Illinois at Chicago, College of Pharmacy: Urban Pharmacy High School Pipeline Program
        • Case Study: New Mexico Community Health Workers and Health Extension Regional Offices
        • Lessons From the Private Sector: Kaiser Permanente
        • Case Study: The Minority Dental Faculty Development Program (MDFDP) Initiative
        • Lessons Learned and Opportunities for the Future
      • Chapter 9. The Growing Integration of Health Professions Education
        • The Challenge
        • The Context
        • IPECP: An Overview of the Current Status
        • Interprofessional Education and Collaborative Practice: What Do We Know
        • The National Center for Interprofessional Practice and Education
        • What Could the Future Look Like?
      • Chapter 10. Advancing Collaborative Global Education Programs
        • Introduction
        • Types of Collaborative Education Programs
        • Challenges/Barriers
        • Conclusion
      • Chapter 11. The Future of Graduate Medical Education: Is There a Path Forward?
        • How Did We Get to the Current State of Graduate Medical Education?
        • Is There a Path Forward? To What Degree Will This Require Disruptive Innovation?
        • There Is a Path Forward
      • Chapter 12. Guiding the Future of Medical Education through “Enlightened” Accreditation Policy
        • Introduction
        • Regulation Across the Continuum of Medical Education
        • Norming of Program Standards Qualifying Applicants for GME
        • Interprofessional Education: Coordination of Regulations Across Professions
        • Conclusion
      • Chapter 13. The Compelling Need for Education Reform: A Futurist’s View of Health Professions Education
        • Introduction
        • Development of Centers of Excellence in Education and Scholarship in the Health care Delivery Sciences
        • Reorientation of Health Professions Education with the Changing Locus of Modern Health care
        • Increased Commitment to Interprofessional Education and Leadership
        • Intensified Investment in Educational Technology to Support Effective Learning
        • Enhanced Focus on the Development of Leadership Skills
        • Improved Training in Professionalism and Personal Resilience
        • The Challenge of Change in Academic Health Centers
        • Conclusions
    • Section III. The Challenge of Discovery
      • Chapter 14. The Changing Spectrum of Biomedical and Clinical Research
        • Funding Research and the Value Proposition
        • Historical Trends in Public Research Funding (NIH)
        • The Physician-Scientist: Diminishing Contributions?
        • Interdisciplinarity and Convergence: Future AHC Research Model
        • Summary and Conclusions
      • Chapter 15. Managing, Funding, and Supporting Research
        • Financial Management of Medical Schools
        • Case Study of Models Affecting Growth of Research
        • Establishing and Using Research Metrics
        • Improving Efficiency of the Research Enterprise
        • Conclusion
        • About the Authors
      • Chapter 16. Transformative Changes to Embrace, Manage, and Exploit “Big Data”
        • Transforming the Academic Health Center Environment
        • Transforming the Academic Health Center Workflow
        • Transforming the Academic Health Center Workforce
        • A Transformational Case Study
        • Next Steps Toward a Transformed Academic Health Center
        • Appendix
      • Chapter 17. Bridging Science and Practice—A Case Study: The Military Translation of Innovative Responses to Urgent Military Medical Needs into Widespread Clinical Practice
        • Introduction
        • Medical Advances from Military to Civilian Practices
        • Personnel Considerations: Innovation in Expanding the Pool of Providers
        • Summary and Conclusions
      • Chapter 18. How Research Can and Should Inform Public Policy
        • The Use of Research in Developing Health Policy
        • Considerations in Using Research to Inform Policy
        • Roles of Organizations in Advancing Evidence-Informed Health Policy
        • Case Examples: Evidence-Informed Health Policies
        • Recommendations to Enhance Evidence-Informed Health Policy
    • Section IV. Preparing for Health System Change
      • Chapter 19. Population Health and the Patient
        • Introduction
        • Social Determinants of Health
        • Implications for AHCS
        • Priority Populations
        • Transforming AHCs through Infusion of SDH
        • Conclusion
      • Chapter 20. The Changing Delivery of Patient Care
        • Executive Summary
        • History of Academic Health Centers in the Landscape of the US Health Care System
        • Current Challenges
        • The Future of Care Delivery
        • Conclusion
      • Chapter 21. Making the Patient Paramount
        • Challenges to Patient-centered Care
        • Addressing the Barriers to Patient-centered Care
        • Patient Centeredness
        • Patients as Partners
        • Leading to Transform Patient-centered Care
      • Chapter 22. Positioning Academic Health Centers for Quality, Safety, and Patient Empowerment
        • Introduction: Case Example
        • Quality and Patient Safety Overview
        • AHCs Post-ACA
        • Challenges Facing AHCs in Patient Quality and Safety
        • Addressing the Barriers
        • AHCs and Patient Empowerment
        • AHCs: Moving Forward
        • Conclusion
      • Chapter 23. Information Technology and Better Health: Overcoming the Risks
        • Introduction
        • Goals and Risks
        • Creating the System
        • IT as a Reflection of the System
        • Electronic Health Records
        • Project Management and Execution
        • Case Example: Research Administration
        • Preparing for the Future
      • Chapter 24. Market Consolidation and Alignment
        • Merger Case Examples
        • Impact of the Changing Consolidated Health Care Landscape
        • Geographic Market Analysis: Philadelphia
        • Internal Consolidations and Alignment
        • Health Insurance Industry Consolidation
        • Payer–Provider Mergers
        • Conclusion
    • Section V. Conclusion
      • Chapter 25. Academic Health Center Transformation: Future Shock or Future Success?
        • Specific Challenges Facing Academic Health Center Missions
        • The Significance of Finding Optimal Leadership
        • Conclusion: Overarching Guidelines for the Path Forward
    • Index

Product details

  • No. of pages: 290
  • Language: English
  • Copyright: © Academic Press 2015
  • Published: March 30, 2015
  • Imprint: Academic Press
  • Hardcover ISBN: 9780128007624
  • eBook ISBN: 9780128010044

About the Author

Steven Wartman

Before becoming President and CEO of American Association for Health Centers, Steven A. Wartman served as dean of the Medical School at University of Texas Health Science Center. Dr. Wartman was the Edward Meilman Distinguished Chair of Medicine and physician-in-chief at the Long Island Jewish Medical Center. He also served as director of the Center for Quality Research of the North Shore-Long Island Jewish Health System and professor of medicine at the Albert Einstein College of Medicine.

Dr. Wartman’s honors include a Leadership and Achievement Award in 1997 from the Society of General Internal Medicine, of which he is also a past president, and the U.S. Health Resources and Services Administration's 1999 Award for Excellence for Outstanding Leadership and Interdisciplinary Collaboration for his role as co-director of the Interdisciplinary Generalist Curriculum Project. He is a Diplomate of the American Board of Internal Medicine and a Fellow of the American College of Physicians. Before joining the Long Island Jewish Medical Center in 1995, he was professor of medicine at the University of Miami and director of medical services and chairman of medicine at the Mount Sinai Medical Center in Miami Beach. Dr. Wartman has authored or contributed to more than 120 peer-reviewed journal articles, abstracts, book chapters, letters and other publications. His long-standing professional interests include health care delivery, health policy, medical ethics and medical education.

Affiliations and Expertise

President/ CEO, Association of Academic Health Center, Washington, DC, USA

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