Evolution of an academic medical center to an academic health system

Objective: To provide lessons learned for colleges of pharmacy and large health systems that are contemplating or in the process of undergoing integration. Method: This report describes the merger of an academic medical center and large health system with a focus on the implications of the merger for pharmacy from the perspectives of both a college of pharmacy and a health system’s pharmacy services. Results: Overarching pharmacy issues to consider include having an administrator from the college of pharmacy directly involved in the merger negotiation discussions, having at least one high-level administrator from the college of pharmacy and one high-level pharmacy administrator from the health system involved in ongoing discussions about implications of the merger and changes that are likely to affect teaching, research, and clinical service activities, having focused discussions between college and health system pharmacy administrators on the implications of the merger on experiential and research-related activities, and anticipating concerns by clinical faculty members affected by the merger. Conclusion: The integration of a college of pharmacy and a large health system during the acquisition of an academic medical center can be challenging for both organizations, but appropriate pre- and post-merger discussions between college and health system pharmacy administrators that include a strategic planning component can assuage concerns and problems that are likely to arise, increasing the likelihood of a mutually beneficial collaboration.

Download Full-text

Commentary: A Call to Leadership: The Role of the Academic Medical Center in Driving Sustainable Health System Improvement Through Performance Measurement

Academic Medicine ◽

10.1097/acm.0b013e3181bf9c9c ◽

2009 ◽

Vol 84 (12) ◽

pp. 1645-1647 ◽

Cited By ~ 5

Author(s):

Susan M. Nedza

Keyword(s):

Health System ◽

Performance Measurement ◽

Medical Center ◽

Academic Medical Center ◽

Health System Improvement ◽

Academic Medical ◽

System Improvement ◽

Sustainable Health

Download Full-text

Defining the Domain of Geriatric Medicine in an Urban Public Health System Affiliated with an Academic Medical Center

Journal of the American Geriatrics Society ◽

10.1111/j.1532-5415.2008.01941.x ◽

2008 ◽

Vol 56 (10) ◽

pp. 1802-1806 ◽

Cited By ~ 20

Author(s):

Christopher M. Callahan ◽

Michael Weiner ◽

Steven R. Counsell

Keyword(s):

Public Health ◽

Health System ◽

Public Health System ◽

Medical Center ◽

Academic Medical Center ◽

Geriatric Medicine ◽

Academic Medical

Download Full-text

Internally Developed Antimicrobial Use Benchmarking at a Large Academic Medical Center and Integrated Health System

Open Forum Infectious Diseases ◽

10.1093/ofid/ofw172.678 ◽

2016 ◽

Vol 3 (suppl_1) ◽

Author(s):

Vasilios Athans ◽

Elizabeth Neuner ◽

Andrea Pallotta ◽

Jeffrey Chalmers ◽

Eric Vogan ◽

...

Keyword(s):

Health System ◽

Medical Center ◽

Academic Medical Center ◽

Antimicrobial Use ◽

Academic Medical ◽

Integrated Health

Download Full-text

Establishment of a Pharmacogenetics Service Focused on Optimizing Existing Pharmacogenetic Testing at a Large Academic Health Center

Journal of Personalized Medicine ◽

10.3390/jpm10040154 ◽

2020 ◽

Vol 10 (4) ◽

pp. 154

Author(s):

Amy L. Pasternak ◽

Kristen M. Ward ◽

Mohammad B. Ateya ◽

Hae Mi Choe ◽

Amy N. Thompson ◽

...

Keyword(s):

Patient Safety ◽

Laboratory Tests ◽

Medical Center ◽

Academic Medical Center ◽

Clinical Implementation ◽

Academic Health ◽

Implementation Processes ◽

Academic Medical ◽

Multiple Groups ◽

Test Ordering

Multiple groups have described strategies for clinical implementation of pharmacogenetics (PGx) that often include internal laboratory tests that are specifically developed for their implementation needs. However, many institutions are not able to follow this practice and instead must utilize external laboratories to obtain PGx testing results. As each external laboratory might have different ordering and reporting workflows, consistent reporting and storing of PGx results within the medical record can be a challenge. This might result in patient safety concerns as important PGx information might not be easily identifiable at the point of current or future prescribing. Herein, we describe initial PGx clinical implementation efforts at a large academic medical center, focusing on optimizing three different test ordering workflows and two distinct result reporting strategies. From this, we identified common issues such as variable reporting location and structure of PGx results, as well as duplicate PGx testing. We identified several opportunities to optimize our current processes, including—(1) PGx laboratory stewardship, (2) increasing visibility of PGx tests, and (3) clinician and patient education. Key to the success was the importance of engaging clinician, informatics, and pathology stakeholders, as we developed interventions to improve our PGX implementation processes.

Download Full-text