Health Systems Innovation at Academic Health Centers: Leading in a New Era of Health Care Delivery

Academic Medicine : Journal of the Association of American Medical Colleges
Andrew L EllnerRussell S Phillips

Abstract

Challenged by demands to reduce costs and improve service delivery, the U.S. health care system requires transformational change. Health systems innovation is defined broadly as novel ideas, products, services, and processes-including new ways to promote healthy behaviors and better integrate health services with public health and other social services-which achieve better health outcomes and/or patient experience at equal or lower cost. Academic health centers (AHCs) have an opportunity to focus their considerable influence and expertise on health systems innovation to create new approaches to service delivery and to nurture leaders of transformation. AHCs have traditionally used their promotions criteria to signal their values; creating a health systems innovator promotion track could be a critical step towards creating opportunities for innovators in academic medicine. In this Perspective, the authors review publicly available promotions materials at top-ranked medical schools and find that while criteria for advancement increasingly recognize systems innovation, there is a lack of specificity on metrics beyond the traditional yardstick of peer-reviewed publications. In addition to new promotions pathways and alternative evi...Continue Reading

References

Jan 5, 1989·The New England Journal of Medicine·D M Berwick
May 15, 1998·JAMA : the Journal of the American Medical Association·B E LandonP D Cleary
Sep 9, 1999·The New England Journal of Medicine·W Levinson, A Rubenstein
Sep 21, 2000·Academic Medicine : Journal of the Association of American Medical Colleges·D S Beattie
Apr 17, 2003·JAMA : the Journal of the American Medical Association·Donald M Berwick
Jun 27, 2003·The New England Journal of Medicine·Elizabeth A McGlynnEve A Kerr
Sep 3, 2003·Journal of General Internal Medicine·Ayse A AtasoyluEric B Bass
Jun 9, 2005·Annals of Internal Medicine·Thomas Bodenheimer
Oct 27, 2005·Academic Medicine : Journal of the Association of American Medical Colleges·Timothy J CainSusan M Kroll
May 27, 2006·Academic Medicine : Journal of the Association of American Medical Colleges·Wendy LevinsonEliot Phillipson
Sep 29, 2006·The New England Journal of Medicine·Molly CookeKenneth M Ludmerer
Sep 21, 2007·The New England Journal of Medicine·Steven A Schroeder
Feb 5, 2009·Annals of Internal Medicine·Brian W JackLarry Culpepper
Feb 20, 2009·JAMA : the Journal of the American Medical Association·Kaveh G Shojania, Wendy Levinson
Jan 29, 2010·Academic Medicine : Journal of the Association of American Medical Colleges·David M IrbyBridget C O'Brien
May 5, 2010·Health Affairs·Richard M J Bohmer
Apr 8, 2011·Health Affairs·Peggy A HonoréHoward K Koh
Jun 3, 2011·The New England Journal of Medicine·Sanjeev AroraClifford Qualls
Jun 3, 2011·The New England Journal of Medicine·Thomas D Sequist
Feb 3, 2012·The New England Journal of Medicine·Nicholas W Stine, Dave A Chokshi
Mar 16, 2012·JAMA : the Journal of the American Medical Association·Donald M Berwick, Andrew D Hackbarth
Nov 21, 2012·Academic Medicine : Journal of the Association of American Medical Colleges·D Clay AckerlyDaniel Stein
Jan 26, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·Elizabeth G Armstrong, Sylvia J Barsion
Feb 22, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·Susmita PatiJeane Ann Grisso
Mar 21, 2013·JAMA : the Journal of the American Medical Association·Barry ZuckermanKedar S Mate
Sep 13, 2013·The New England Journal of Medicine·Victor J DzauKrishna Udayakumar
Sep 28, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·Aaron E GeorgeJ Lloyd Michener
Nov 28, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·Sanjeev AroraDaniel Duhigg
Feb 22, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Marc N Gourevitch

❮ Previous
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Citations

Oct 25, 2016·The American Journal of Medicine·David L Coleman, David H Johnson
Jul 13, 2017·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Fawwaz AlaloulM Cynthia Logsdon
Dec 28, 2017·Quality Management in Health Care·Marilyn M LombardiSusan E Shapiro
Apr 14, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Marcelo R Malakooti
Sep 28, 2016·Academic Medicine : Journal of the Association of American Medical Colleges·Thomas Ungar, Madalyn Marcus
May 19, 2016·Academic Medicine : Journal of the Association of American Medical Colleges·David L ColemanPolly E Parsons
Jan 14, 2016·Academic Medicine : Journal of the Association of American Medical Colleges·Brian W PowersSachin H Jain
Mar 1, 2017·Journal of General Internal Medicine·Andrew L Ellner, Russell S Phillips
Apr 7, 2018·Journal of Health Organization and Management·Alexandra EdelmanStephanie M Topp
Jul 16, 2019·NPJ Digital Medicine·Devin M MannHelen Egger
Dec 7, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Alyssa L SiefertMichael K Dempsey
Nov 28, 2020·Journal of Clinical and Translational Science·Anita WaldenHari Eswaran
Feb 8, 2021·Joint Commission Journal on Quality and Patient Safety·George L JacksonLaura J Damschroder
Aug 24, 2017·Journal of the American College of Radiology : JACR·Khushboo JhalaPetra J Lewis

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