Leading the Change - A Crucial Role for Academic Medical Centers in Shaping the Future of Healthcare Academic Medical Centers
The contributions of academic medical centers (AMCs) have long been recognized as crucial to the health and well-being of the nation. Even so, AMCs today face pressures on every front. The clinical enterprise is challenged as the payment model moves toward shared risk and accountability. Reduced National Institutes of Health (NIH) funding and decreased philanthropy pose threats to research activities, while the education mission faces reduced government support and the inability of tuition to keep pace with inflation. This triple threat, however, also presents new opportunities for innovation — an area where AMCs historically have excelled.
Getting the clinical mission right — that is, aligning clinical strategies and performance with new market realities — is especially important given the role clinical operations play in supporting the other missions.
To manage transition to a value-based payment model, AMCs need to understand top-line revenue and how it may shift; focus on models that address all levels of care, facilities, and delivery points, starting before patients enter the hospital and continuing after they leave; reconsider issues of scale and integration; and, using their traditional emphasis on innovation and challenging the status quo, set the industry pace for operational efficiency.
As AMCs respond to these pressures with innovative ways of achieving their missions, they will also be creating a model all health systems can use as a guide to improve quality and decrease the cost of care.Download Now