Related Experiment Video
Updated: Aug 9, 2026
14:43
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Strategic planning for academic health centers
M R Weitekamp1, L E Thorndyke, C M Evarts
1Department of Medicine, Pennsylvania State University College of Medicine, Milton S. Hershey Medical Center, Hershey 17033-2390, USA.
The American Journal of Medicine
|September 1, 1996
Summary
Academic health centers face financial threats due to healthcare changes. Survival requires organizational redesign and strategic partnerships for continuous improvement and adaptability.
Area of Science:
- Healthcare Management
- Medical Education
- Health Services Research
Background:
- Traditional academic health centers face existential threats from evolving healthcare financing and delivery models.
- Managed care growth intensifies revenue decline, jeopardizing the patient base essential for education, research, and patient care.
- Current market practices challenge the sustainability of the tripartite mission in academic medical institutions.
Purpose of the Study:
- To analyze the challenges confronting academic health centers.
- To explore institutional strengths and weaknesses in the current healthcare landscape.
- To propose strategies for ensuring the future relevance and security of academic health centers.
Main Methods:
- Strategic planning framework applied to review background issues.
- Analysis of inherent strengths and weaknesses of academic institutions.
- Postulation of an idealized academic health center model.
Main Results:
- Academic health centers require fundamental organizational redesign, not just incremental changes.
- Strategic partnerships are crucial for navigating financial and operational challenges.
- Adoption of a cybernetic model for continuous measurement and adaptation is necessary.
Conclusions:
- The survival of academic health centers hinges on transformative change and strategic adaptation.
- A decrease in the size of the academic medical establishment is likely.
- Proactive strategies are essential for creating a secure and relevant future for these institutions.
More Related Videos
Related Concept Videos
01:23International Nursing Organizations I
International Nursing Organization (ICN) is a global union of national nurses' organizations. Individual nurses can be a part of ICN through member organizations. Each member organization strives to ensure quality nursing care, sound health policies, the advancement of nursing knowledge, respect for the profession, and a satisfied and competent nursing workforce.
ICN member organizations work to advance the field of nursing and healthcare via policies, partnerships, lobbying, professional...
ICN member organizations work to advance the field of nursing and healthcare via policies, partnerships, lobbying, professional...
01:30Primary Healthcare Services
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:30Specialized Care Centers and Settings-II
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:20Integrated Healthcare System
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
01:21Planning Nursing Care I
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
01:30Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include: