Academic Health Center
Organization and Governance -The Integrated Model
The Trend towards Integration
Management and leadership challenges are fundamentally changing the ways in which academic health centers operate. An integrated organizational model, whereby the mission areas are aligned across organizational structures, is a major step to becoming an efficient and optimized operation.
A Functionally Integrated Academic Health Center Model Includes:
- Unified leadership dedicated to strategic alignment
- A single structure and/or process designed to formulate a shared vision, mission, and strategic plan
- A set of shared principles or values between the college, hospital, university, and practice plan that:
- Remain transparent
- Operate irrespective of governance structure or organizational relationship between the academic health center components
- Maintain clear financial planning metrics which:
- guide compensation
- provide cross-subsidization policies
- include benchmarks
- are linked to performance standards, assessment, and accountability
- establish investment policies in areas including: technology, research, teaching, and clinical
- offer incentive
- Emphasize common interests (e.g.,funds flow returns benefits to all components)
- An administrative infrastructure that spans the academic health center enterprise and also:
- Provides common governance with clearly defined leadership
- Encompasses all mission areas
- Permits system-wide planning for multiple issues:
- Financial
- Clinical
- Academic
- Operational
- Facilities
- Allows quick and efficient implementation of recommendations
- Offers a communication strategy that addresses all stakeholders
- Survives transitions in leadership
- Has leadership that meets regularly and undergoes training
- Includes inter-school and inter-campus collaborations
- Interlinked facilities that provide:
- Shared locations for multiple disciplines
- Transportation linking all the campuses
- Buildings and structures which advance opportunities for collaborative research
- A focus on institutional culture that:
- Increases diversity in workforce and students
- Promotes interprofessional opportunities
- Provides outreach to the community and emphasizes that clinical sites are part of the mission