| Governance of the academic health center: striking the balance between service and scholarship. | |
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MedLine Citation:
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PMID: 19174659 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Academic health centers (AHCs) rank among the most complex organizations. Spanning the domains of university, clinical practice, hospital, and research, AHCs encompass a range of strikingly different business models, each with its own economic potential. The ability to bring these diverse enterprises actively working together has been the unique strength of the AHC as a vehicle of patient care, education, and discovery. Unfortunately, the AHC has also proved at times to be a frustrating organizational matrix of indecision wrought by different aims and distributed influence, presenting substantial challenges to the success of these institutions. The question of how best to organize the fiduciary and executive management structures of the AHC continues to be the subject of much interest to those trustees responsible for these complex institutions. Although the question of what is the best governance model for an AHC is sometimes approached in simple terms of "one leader, or multiple," success is more likely defined by how well other critical factors are organized and managed. These include considerations of governance, including selection and education of key trustees, their ability to access key data for their specific institution and the AHC as a whole, performance evaluation of the operating executives with respect to both specific institutional criteria and those for the AHC as a whole, and management oversight by boards across the AHC. When more than one governing body is involved, joint participation of boards and key executives is recommended for selected aspects of these processes. |
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Authors:
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Mark Wietecha; Steven H Lipstein; Mitchell T Rabkin |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Academic medicine : journal of the Association of American Medical Colleges Volume: 84 ISSN: 1938-808X ISO Abbreviation: Acad Med Publication Date: 2009 Feb |
Date Detail:
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Created Date: 2009-01-28 Completed Date: 2009-02-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8904605 Medline TA: Acad Med Country: United States |
Other Details:
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Languages: eng Pagination: 170-6 Citation Subset: AIM; IM |
Affiliation:
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Kurt Salmon Associates, Atlanta, Georgia, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Academic Medical Centers
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economics,
organization & administration* Humans Models, Organizational* Organizational Affiliation / economics, organization & administration* Physician Executives |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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