Academic Medical Centers "Must Become More Nimble"
At the U.S. News Hospital of Tomorrow forum, executives offer ways to help ACE's face the future.
Academic health centers need to look at their organizational cultures, examining how they make decisions." Culture seems to be the toughest part.Academic health systems are moving toward a "margin meltdown." They have done well in translational research and global health, so that may be a good place to focus.
Robbins presented four ideas:"Reward people for high quality." As he said Monday, however, he acknowledged that this may result in de facto rationing since, for example, some surgeons might decline to operate on high-risk."We are powerful. We've got brand recognition," Robbins said. "We have to get control of the faculty." Physicians at prestigious institutions often see themselves as "artistes," and habits need to change.Pay more attention to the patient experience.Emphasize collaboration among the whole team and partner with each other. Research and education are cost centers, not revenue centers, but academic organizations might find efficiencies through collaboration.