AAHC Books and Reports

AAHC books and reports cover a wide range of topics impacting academic health centers and provide insights on leadership challenges, the tri-partite mission, the transforming healthcare landscape, social determinants of health, and cutting-edge issues.

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21st Century Academic Health Centers

President’s Council Cybersecurity

Cybersecurity at Academic Health Centers: Key Considerations for CEOs and C-suite Leaders

(2020) Cybersecurity is a central, high-level, and high-priority issue for academic health centers. An AAHC President's Council on Cybersecurity was created to work on outlining immediate steps that academic health center leadership can take in support of their management team and institution in the domains of readiness, response, and recovery. This resultant guide is the product of their deliberations and examination of this critical topic for our institutions.

Remembering the Suffering

(2017) Steven A. Wartman, MD, PhD, MACP:: Delivered at NEOMED, this commencement address spoke about the future dynamic of the healthcare professions with the technologic integration of a vast and uncertain infrastructure. Yet, while fundamental changes are reshaping medicine and science, compassion remains an unchanged essential in healthcare delivery, research, and education today and tomorrow.

The Transformation of Academic Health Centers: Meeting the Challenges of Healthcare’s Changing Landscape

(2015) This book provides comprehensive and forward-thinking perspectives that are of deep value to those who lead and work at academic health centers as well as those interested in the future of health professions education, biomedical and clinical research, and patient care and population health. The book consists of 25 chapters that include compelling case studies, professional best practices, and provocative assessments, and is divided into four main sections: (I) The Evolution of the Academic Health Center; (II) Educating the Future Health Workforce; (III) The Challenge of Discovery; and (IV) Preparing for Health System Change. 

Price: $99.95

Author Commentaries The Transformation of Academic Health Centers: Meeting the Challenges of Healthcare’s Changing Landscape

(2015) These personal reflections by the chapter authors in AAHC’s book, The Transformation of Academic Health Centers, reveal insights that dip beneath the surface and add meaning and depth to the material covered in the book.

Searching for Leadership: Best Practices for Academic Institutions

(2014) Developed with the advice and insight of academic leaders and leading search firm executives, this valuable resource offers a clear and efficient approach to finding the right candidate for high-level appointments and key faculty positions by breaking down the search process into three coordinated phases. Because the process of searching for new leaders and key faculty cannot be separated from the characteristics of successful leaders, the guide also presents a straight-forward analysis of leadership skills. The goal is to increase the potential for a successful choice through structuring a search process that speaks to the values and needs of the institutions.

Price: Members - $18.95/Non-members - $28.95

Improving Health Care in the Middle East and North Africa

(2014) The Lancet, By Edward Hillhouse, Steven Wartman
Healthcare delivery, education of health professionals, and health research are rapidly changing. Trends—such as an aging population, an increasing burden of chronic diseases, and economic shifts—are generating new needs, and academic health centers are at the nexus of these important changes. It is now generally recognized that the best education, research, and care models result when these three areas are inter-related in what has been described as a virtuous cycle.

Confluence of Policy and Leadership at Academic Health Science Centers: A Professional and Personal Guide

(2012) A groundbreaking publication that provides in-depth accounts and details of the knowledge and skills necessary to lead these complex organizations that educate health professionals, conduct research, and deliver advanced care. > Read More

Price: Members - $45.00/Non-members - $59.95

An International Association of Academic Health Centres

(2009) The Lancet, By Steven A Wartman, Edward W Hillhouse, Louise Gunning-Schepers, John EL Wong
Governments around the world struggle with the challenges of providing good-quality healthcare, but knowledge on which to base sound rational decisions is in short supply. This lack of knowledge has presented a convincing case for a new organizational model that more closely links academic medicine and clinical practice. Academic medicine—along with its access to multiple disciplines, including the engineering, physical, and social sciences—holds a critical key to developing solutions to the challenges of effective healthcare.

Facts at a Glance

(2009) AAHC conducted an extensive survey on the organization, management, operations, and finances of academic health centers nationwide. The results of the survey identified key statistics, trends, and gauges that clearly reveal the vital importance of academic health centers to the nation’s economic development, in the advancement of biomedical research nationally and globally, and for the provision of and access to needed and diverse health care services in our communities.

Toward a Virtuous Cycle: The Changing Face of Academic Health Centers

(2008) This editorial article summarizes 10 articles that appeared in a 2008 issue of Academic Medicine, highlighting evolutionary trends under way within academic health centers and the importance of striving for strategic alignment of the enterprise as a whole. The author notes the management and leadership challenges that are changing fundamentally the ways in which academic health centers operate. These challenges have catalyzed a remolding of the academic health center from an ivory tower to a complex business enterprise that captures the power of a “virtuous cycle,” whereby clinical revenue and academic performance support each other by being strategically and tactically aligned.

Managing Emergency Preparedness: Academic Health Centers Organize and Innovate

(2008) This brochure provides academic health center leaders and policymakers at the local, state, and national levels with a short-hand guide on managing emergency response activities within academic health centers to help ensure that institutions and communities can respond to an array of emergencies and natural disasters.

Guide for Academic Health Center Disaster Preparedness and Response

(2006) In this brief guide, academic health center leaders share their advice, insights, and concerns based on firsthand experiences with Hurricanes Katrina and Rita, as well as major involvement in local, regional, and national disaster planning operations for terrorism and biodefense.

Best Practices in Faculty Recruitment, Retention, and Development in Academic Health Center

(2005) Academic health centers are actively engaged in innovative and successful efforts in faculty recruitment, retention, and development. This report is a compilation of case studies submitted by academic health centers that deal primarily with faculty development and retention and illustrate a variety of approaches for ensuring greater faculty success and longevity.

Price: $10

Budgeting, Development, and Nursing Shortages: Views from Academic Health Centers

(2004) With increasing costs and shrinking budgets, academic health centers must seek new and creative strategies to maintain or improve the financial viability. In this report, academic health center leaders offer commentaries on some of the most critical issues facing academic health centers today: budgeting, development, and nursing shortages.

Price: $10


GME Reform Report: Report and Summary of AAHC Regional Roundtable Series on Graduate Medical Education Reform

(2015) After the release of the IOM report on GME in July 2014, many members urged AAHC to convene a meeting to discuss the Association’s role, if any, given the IOM’s recommendations. It was made clear that AAHC could make an important contribution by serving as a convener on the topic—and should do so with the larger perspective of the healthcare workforce and the changing healthcare delivery system in mind. A regional approach to this effort was chosen to gain knowledge that is specific to various parts of the country as well as to limit the discussion groups to manageable sizes. This report summarizes the major themes that emerged from these discussions.

Healthcare Workforce

AAHC Senate Testimony: Workforce Issues in Health Care Reform; Assessing the Present and Preparing for the Future

(2009) This testimony presented before the Senate Finance Committee addressed the findings, conclusions, and recommendations of AAHC’s report, Out of Order, Out of Time: The State of the Nation’s Health Workforce and their relevance to the Committee’s consideration of workforce issues in health care reform. The testimony stressed that health system reform cannot be successful without simultaneously reforming how we make and implement health workforce policy.

A Call to Action: Out of Order, Out of Time; The State of the Nation’s Health Workforce

(2013) AAHC issued this update to its landmark 2008 report on the health workforce, Out of Order, Out of Time: The State of the Nation’s Health Workforce, noting that much had changed and that much still needs to be done. This report focuses on other factors at play in the current health workforce environment beyond the numbers, including misaligned incentives, long-standing barriers to interprofessional collaboration, and rapidly evolving technology.

A Policy Framework: Out of Order, Out of Time; the State of the Nation’s Health Workforce

(2013) This update to AAHC’s milestone report on the health workforce, Out of Order, Out of Time: The State of the Nation’s Health Workforce, addresses important developments that changed the environment in which health workforce reform policies must be formulated and implemented, and provides recommendations for the work that still must be done to address the strains on the nation’s health workforce.

Out of Order, Out of Time: The State of the Nation’s Health Workforce

(2008/2013 Update) This AAHC report focuses attention on the critical need for a new, collaborative, coordinated, national health workforce planning initiative. The report’s seven chapters include more than 40 findings that document what is “out of order” with respect to the nation’s health workforce, as well as the looming social and economic forces that leave no time for further delay before the problems get dramatically worse.

From Education to Regulation: Dynamic Challenges for the Health Workforce

(2008) This book includes a set of papers commissioned by the Association of Academic Health Centers (AAHC) to elucidate some of the thorny issues related to producing and retaining a 21st century U.S. health workforce. Authors include national experts who delineate some difficult yet unresolved challenges, including workforce regulations, professional and educational standards, and workplace practices and offer possible responses on multiple fronts.

For the Health-Care Work Force, a Critical Prognosis

(2007) The Chronicle of Higher Education, By Daniel W. Rahn and Steven A. Wartman
In this article, the authors present findings showing that the healthcare shortage in the United States is serious. Some experts may argue that there is no cause for alarm because workforce shortages are cyclical, market-driven, and easily ameliorated. But that perspective is not valid today, and the workforce shortfall in healthcare cannot be resolved in the marketplace alone.


AIM Mission Alignment Survey Results

The Association of Academic Health Centers (AAHC) believes that optimizing alignment between the education, research, and clinical missions of academic health centers is crucial to the future of these vital organizations and the populations they serve. Such alignment—where education, research, and patient care inform one another and make each other more effective—creates enormous potential for improved health and well-being as a learning health system progresses. This is the rationale for the creation of the Aligned Institutional Mission (AIM) Program™.

To that end, AAHC distributed a survey to member institutions to help guide the AIM Program as it prepares for the full roll-out to all members in 2018. The mission alignment survey garnered a total of 42 responses from AAHC and AAHCI member institutions.

How Much Does Research Cost? Key Findings: AAHC Report

(2014) The majority of research conducted by academic health centers occurs within medical schools. There is considerable confusion among policy-makers regarding the relative contribution of sponsored research – by government, industry and foundations – toward the total cost of research. This report provides key findings from AAHC’s Benchmarks & Metrics Initiative, Financial Expense and Funding Source Data Project that address: the proportion of medical schools’ expenses attributable to research; the relationship between medical schools’ external grants & contracts funding and total research expenditures; and the proportion of research expenditures funded from internal institutional funds (not external sponsored research).

The Bayh-Doyle Act: Issues, Concerns, and Conflicts

(2005) The Bayh-Dole Act, a cornerstone of the academic research enterprise, has been one of the most significant forces to advance the commercialization of research. However, questions have been raised about research relationships and the policies and practices involved in the academic government-industrial triad.

Price: $10

Research Infrastructure: Declining Support, Increasing Challenges

(2005) Academic health centers face a growing challenge to fund the crucial research facilities that benefit the nation. This report presents data on research facilities, current funding sources, and construction costs, and includes several recommendations to help academic health centers ensure that the nation’s research infrastructure is viable for the future.

Organization and Management of the Research Enterprise: Vice Presidents for Research

(2004) Recognizing the need to strengthen their research infrastructure, academic health centers have reorganized to consolidate research administration into a key leadership position. To ensure effective planning, oversight, and implementation of a broad spectrum of complex research activities, vice presidents for research bear responsibilities to direct research for the entire academic health center.

Social Determinants of Health

Academic Health Centers and the Social Determinants of Health: Challenges and Barriers, Responses and Solutions

(2015) This report identifies consensus challenges and barriers to addressing social determinants of health, proposes a variety of responses and solutions, and focuses in particular on the role of academic health centers in collaboration with other stakeholders

Medical Education Must Move from the Information Age to the Age of Artificial Intelligence

(2018) Academic Medicine, By Steven A. Wartman and Donald C. Combs
Medical education has undergone numerous changes since the Flexner Report, but the changes enacted thus far are inadequate to meet the needs of 21st century medicine powered by artificial intelligence. Medical knowledge is increasingly being externalized as healthcare consumers, companies, and evolving new types of practitioners enter the field. This article highlights the contention that changes in medical education will be insufficient if they are not responsive to the new skills required by practitioners in the age of artificial intelligence.