A new conceptual framework for academic health centers

Academic Medicine : Journal of the Association of American Medical Colleges
William B BordenHerbert Pardes

Abstract

Led by the Affordable Care Act, the U.S. health care system is undergoing a transformative shift toward greater accountability for quality and efficiency. Academic health centers (AHCs), whose triple mission of clinical care, research, and education serves a critical role in the country's health care system, must adapt to this evolving environment. Doing so successfully, however, requires a broader understanding of the wide-ranging roles of the AHC. This article proposes a conceptual framework through which the triple mission is expanded along four new dimensions: health, innovation, community, and policy. Examples within the conceptual framework categories, such as the AHCs' safety net function, their contributions to local economies, and their role in right-sizing the health care workforce, illustrate how each of these dimensions provides a more robust picture of the modern AHC and demonstrates the value added by AHCs. This conceptual framework also offers a basis for developing new performance metrics by which AHCs, both individually and as a group, can be held accountable, and that can inform policy decisions affecting them. This closer examination of the myriad activities of modern AHCs clarifies their essential role in ou...Continue Reading

References

Apr 12, 2002·The New England Journal of Medicine·John D BirkmeyerDavid E Wennberg
Dec 29, 2006·The New England Journal of Medicine·Peter PronovostChristine Goeschel
Sep 13, 2013·The New England Journal of Medicine·Victor J DzauKrishna Udayakumar

❮ Previous
Next ❯

Citations

Nov 12, 2015·The Journal of Orthopaedic and Sports Physical Therapy·Marie A JohansonMarc Campo
Sep 23, 2016·Academic Medicine : Journal of the Association of American Medical Colleges·Jennifer E DeVoeElizabeth Steiner Hayward
Apr 26, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Susan J Lieff, Francis J Yammarino
Apr 4, 2017·Medical Education·Maria BacchusJane B Lemaire
Oct 27, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Patricia A McDaniel, Ruth E Malone
Jun 24, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Jane B LemaireWilliam A Ghali
Sep 15, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Ramya ChariChristopher Nelson
May 5, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Andrew S BzowyckyjMary S Knab
Sep 25, 2018·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Alissa S ChenJulio A Allo
Feb 28, 2018·Journal of Medical Ethics·Paul J MartinLeonidas G Koniaris
Aug 30, 2017·Journal of General Internal Medicine·Kirsten M WilkinsRobert M Rohrbaugh
Feb 2, 2019·Teaching and Learning in Medicine·Holly Wagoner, Barry Seltz
May 1, 2018·Journal of Clinical and Translational Science·Syed M AhmedDavid A Nelson
Jan 14, 2016·Academic Medicine : Journal of the Association of American Medical Colleges·Holly C GoodingAlan M Leichtner
Oct 12, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Herbert C SmithermanM Roy Wilson
Aug 29, 2019·BMC Medical Education·Samantha YangSanjeev Sockalingam
Apr 7, 2018·Journal of Health Organization and Management·Alexandra EdelmanStephanie M Topp
Apr 3, 2019·Journal of General Internal Medicine·Jane B LemaireHolly Wong

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association
Ian L Taylor, Ross McVicker Clinchy
Progress in Community Health Partnerships : Research, Education, and Action
Carla Boutin-FosterGail Love
© 2021 Meta ULC. All rights reserved