Aligned Institutional Mission Program


Purpose of AIM

The AAHCI Aligned Institutional Mission (AIM) Program™ is a voluntary opportunity for member organizations to:

  1. set and meet strategic goals;
  2. measure organizational alignment; and
  3. benchmark success in achieving 1 and 2 above

The program is multi-year, and designed to support continuous activity in organizational development and alignment.


Core Components

The AIM Program™ focuses on the following core components:

Mission Alignment

Upon completion of the AIM Program™, the academic health center demonstrates mission alignment, such that education, research, and patient care inform one another and make each other more effective. The institution will provide evidence of alignment – including organizational structure and leadership authority, informed and socially responsive governance, and defined strategic plans for enhancing this alignment.

Internal Accountability

AIM will work with academic health centers to determine its contribution to the health and well-being of its patients, students, faculty, and alumni, and create a roadmap for improving performance. Performance indicators will measure: patient safety, outcomes in chronic diseases, mental health, maternal child health, seniors’ health, the academic missions of research and innovation, health professionals’ education and training.

External Accountability

AIM will focus attention on the social determinants of health. The academic health center should determine its contribution to the community it serves (locally, regionally, and globally.) The institution should strive to demonstrate how the social determinants of health are acknowledged and aligned into its education, research and patient care programs and influenced by its practice. Tangible factors include population health management and outcomes, as well as economic and societal impact.

Interprofessional Education and Practice

Commitment to interprofessional education and practice is another focus of the AIM program™. Within the program evaluation and strategic planning will determine the degree to which there is commitment to interprofessional education and practice, ranging from combined curricular implementation to alignment among the various health professions educational programs, as well as the extent to which healthcare delivery is impacted by interprofessional teams.

Knowledge Sharing

AIM Program™ participants are committed to sharing new knowledge and best practices between its mission areas and with other academic health centers. During the program, a management plan for sharing information is developed and records of such practices kept.

Stages of Alignment*

Stage 1

No evidence of institutional alignment between education, clinical care, and research functions of the academic health center

Stage 2

Minimal alignment

Stage 3

Partial alignment

Stage 4

Substantial alignment

Stage 5

Fully aligned academic health center (administrative structure that spans conceptually and operationally the totality of the academic health center enterprises and encompasses all mission areas of education, research and clinical care)

*Note: academic health centers should select the stage that is appropriate for their stage of development and aspirations. Suitable levels of alignment will vary depending on region and country-specific laws, norms, finances, etc., as well as the unique circumstances of each academic health center.

These categories are meant to provide participants a means to assess their current level of alignment and where they aspire to be.