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The Transformation of Academic Health Centers
Meeting the Challenges of Healthcare’s Changing Landscape
1st Edition - March 30, 2015
Author: Steven Wartman
Language: English
Hardback ISBN:9780128007624
9 7 8 - 0 - 1 2 - 8 0 0 7 6 2 - 4
eBook ISBN:9780128010044
9 7 8 - 0 - 1 2 - 8 0 1 0 0 4 - 4
The Transformation of Academic Health Centers: The Institutional Challenge to Improve Health and Well-Being in Healthcare’s Changing Landscape presents the direct knowledge…Read more
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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.
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
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
No. of pages: 290
Language: English
Edition: 1
Published: March 30, 2015
Imprint: Academic Press
Hardback ISBN: 9780128007624
eBook ISBN: 9780128010044
SW
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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