May 2001

Grant Results

SUMMARY

In 1999, the Association of Academic Health Centers (AAHC) published a collection of commissioned essays to serve as a guide to innovation for leaders of academic health centers (AHCs).

Key Results

  • Edited by Clyde H. Evans and Elaine R. Rubin, the collection, entitled Creating the Future: Innovative Programs and Structures in Academic Health Centers, was published by AAHC in August 1999.
  • The 12 collected essays provide concrete examples of the kinds of innovative programs some academic health centers have implemented and also explore ideas and concepts that might enrich and challenge the thinking of academic health center leaders. It includes papers on:
    • Tools for implementing necessary changes.
    • Innovations within particular institutions that exemplify attributes likely to lead to future success.
    • Organizational structure, governance, and community issues hindering change.
    • The struggles of an academic health center caught in the rapid changes of one particular health care marketplace.

Funding
The Robert Wood Johnson Foundation (RWJF) supported the project with a grant of $38,595.

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THE PROBLEM

Academic health centers are under enormous competitive pressure from the growth of managed care and the uncertainty of research funding. How they respond to new realities may depend on their organizational structures.

A collection of essays aimed at helping innovation in academic health centers were developed following a previous RWJF-sponsored project, "Study of the Organizational Structures of Academic Health Centers" (see Grant Results on ID# 029330).

That grant identified characteristics of those academic health centers responding most successfully to change.

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THE PROJECT

The Association of Academic Health Centers (AAHC) published a collection of commissioned essays to serve as a guide to innovation for leaders of academic health centers.

Building on work for an earlier AAHC publication, Mission Management: A New Synthesis, the collection is intended to increase the understanding of AHC leaders regarding the economic and organizational forces affecting their institutions.

Supplementing the grant, the Association of Academic Health Centers provided all of the staff support for the project.

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RESULTS

  • Edited by Clyde H. Evans and Elaine R. Rubin, the collection, entitled Creating the Future: Innovative Programs and Structures in Academic Health Centers, was published by Association of Academic Health Centers in August 1999.
  • The 12 collected essays provide concrete examples of the kinds of innovative programs some academic health centers have implemented and also explore ideas and concepts that might enrich and challenge the thinking of academic health center leaders. It includes papers on:
    • Tools for implementing necessary changes.
    • Innovations within particular institutions that exemplify attributes likely to lead to future success.
    • Organizational structure, governance, and community issues hindering change.
    • The struggles of an academic health center caught in the rapid changes of one particular health care marketplace.
    • The papers comprising the book were presented at the Association of Academic Health Centers annual meeting, "Creating the Future," held in September 1998 in Tucson, Ariz.

      The meeting was attended by approximately 100 individuals from academic health centers and their parent universities, other health professional associations, and interested consulting and corporate organizations.

    • A total of 1,240 copies of the book have been disseminated throughout the United States to:
      • More than 100 institutional members of Association of Academic Health Centers.
      • Selected foundations and government officials.
      • Professional association executives.
      • Selected university presidents.
      • Others interested in academic health centers.

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GRANT DETAILS & CONTACT INFORMATION

Project

Preparation and Dissemination of a Book of Collected Essays from a Study of the Organizational Structures of Academic Health Centers

Grantee

Association of Academic Health Centers, Inc. (Washington,  DC)

  • Amount: $ 38,595
    Dates: October 1998 to August 1999
    ID#:  035557

Contact

Clyde H. Evans, Ph.D.
(202) 265-9600
cevans@acadhlthctrs.org

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BIBLIOGRAPHY

(Current as of date of this report; as provided by grantee organization; not verified by RWJF; items not available from RWJF.)

Books and Reports

Clyde H. Evans and Elaine R. Rubin, (eds.). Creating the Future: Innovative Programs and Structures in Academic Health Centers. Washington, D.C.: Association of Academic Health Centers, August 1999. 1,240 distributed as of July 2000.

  • "On Creating the Organization for the Age of Learning," Michael Maccoby, Ph.D.
  • "Complexity Science and Leadership of Academic Health Centers," F. Stephen Larned, M.D.
  • "The Growth in American Productivity and Its Implications for the Health Care Industry."
  • Paul C. Brucker, M.D., "Health Systems and Education: Responsibilities and Benefits," Regina E. Herzlinger, Ph.D.
  • "Academic Health Centers: Analysis of Community Perceptions," Jay Noren, M.D., M.P.H.; Heather Hartley; Aaron Katz, Ph.D.; Ed Perrin, Ph.D.; Patricia Lichiello; and Jack Thompson.
  • "Funds Flow Initiative: Collaborative Efforts with Mission-Based Business Transformation," David A. Burnett, M.D., M.B.A., and Kathleen T. O'Connell, M.B.A.
  • "Combining Funds Flow Analysis with Financial Goal Setting." Michael M. Geheb, M.D., F.A.C.P.
  • "The Cincinnati Funds Flow Study," Donald C. Harrison, M.D.
  • "Resource and Mission Restructuring: The Allegheny Story," Barbara F. Atkinson, M.D.
  • "A Report Card for Faculty and Academic Departments on Education, Research, Patient Care, Service, and Finance," Arthur Garson, Jr., M.D., M.P.H.
  • "Doctoral Education at a Distance: Interdisciplinary Program in Health-Related Sciences," Delores G. Clement, Dr.P.H., and Hermes A. Kontos, M.D., Ph.D.
  • "Innovative Financing of Ambulatory Education," Denise D. Kornegay, M.S.W., and David A. Rearick, D.O., M.B.A.

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Report prepared by: Jan Hempel
Reviewed by: Robert Crum
Reviewed by: Janet Heroux
Program Officer: Susan B. Hassmiller