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Lessons to Learn From Hahnemann University Hospital's Closure
Janis M Orlowski1, Thalia Thompson
1J.M. Orlowski is chief health care officer, Association of American Medical Colleges, Washington, DC. T. Thompson is senior specialist, Association of American Medical Colleges, Washington, DC.
Insights
The closure of Hahnemann University Hospital (HUH) disrupted academic medicine. Lessons from its collapse, including ownership and graduate medical education issues, are crucial for protecting institutional missions.
Area of Science:
- Academic Medicine
- Graduate Medical Education
- Hospital Operations
Background:
- Hahnemann University Hospital (HUH) in Philadelphia closed in June 2019, significantly impacting the academic medicine community.
- Numerous hospital closures have occurred, but HUH's closure presented unique challenges for faculty, students, and residents.
Purpose of the Study:
- To examine the factors contributing to the crisis following Hahnemann University Hospital's closure.
- To discuss lessons learned from this event for the academic medicine community.
Main Methods:
- This invited commentary analyzes the operational approach leading up to and during the hospital's closure.
- It considers the influence of HUH's ownership history and the complexities of graduate medical education.
Main Results:
- The operational approach during the closure period created significant uncertainty for trainees and faculty.
- Ownership history and graduate medical education landscape were identified as contributing factors to the crisis.
Conclusions:
- The closure of Hahnemann University Hospital offers critical lessons for academic medicine.
- There is a need for a strong commitment to preserving and protecting the educational mission of academic institutions.
Abstract:
Despite the number of hospital closures over the past decade, the June 2019 announcement of the closing of Hahnemann University Hospital (HUH) in downtown Philadelphia has greatly impacted the academic medicine community. Several factors contributed to the collapse of the hospital; however, the operational approach throughout the period leading up to and during the hospital's closing left faculty, students, and especially residents with many questions as they scrambled to determine how to continue their careers. This Invited Commentary examines factors that contributed to the crisis following the hospital's closure, such as the influence of HUH's ownership history and the complicated landscape of graduate medical education, and discusses the lessons that can be learned from this cataclysmic event. Above all, the academic medicine community must consider lessons learned from HUH's closure and make a firm commitment to preserve and protect the educational mission of our institutions.
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