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Academic health centers: leading change in the 21st century by Institute of Medicine, Board on Health Care Services,

By Institute of Medicine, Board on Health Care Services, Committee on the Roles of Academic Health Centers in the 21st Century, Linda T. Kohn

Policymakers might want to create incentives to help innovation and alter in AHCs. In reaction, AHCs might want to bring up the extent of co-ordination and integration throughout their roles and the person corporations that include the AHC in the event that they are to effectively adopt the categories of adjustments wanted. "Academic health and wellbeing facilities" lays out a method to begin a continuous and long term technique of swap.

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Establish an advisory group to suggest guidelines for measurement and examples of measures that could be used by AHCs. • Obtain information from AHCs related to the broad areas of performance and issue a report every 2 years on progress made in transforming the roles, identifying areas of success as well as obstacles encountered. b. University leaders and/or AHC boards of trustees should establish mechanisms for accountability and transparency that can be used to assess their progress toward meeting the goals established for transforming the roles of AHCs.

Html 33 FORCES FOR CHANGE The aging of the population, as well as a sharp drop in fertility rates during the 1960s and 1970s, will result in slower growth of the labor force in future years (Davis, 2002). 75 in 2040 (American Health Care Association, 2002), with implications for funding levels for Social Security and Medicare. The shift in demographics will also result in an increasingly tight labor market that can be expected to exert upward pressure on the wages of health workers, increasing demand to improve productivity in health care (Davis, 2002).

Patients, low-income populations, health plans), and experts in health policy and financing. The workshop agenda is presented in Appendix B. html. The committee also heard from a number of experts at its other meetings. Leaders from several universities, varying in size, ownership, and organizational structure, offered their views on the risks and rewards of sponsoring an AHC. Presentations were made by Judith Rodin, president, University of Pennsylvania; Lee Bollinger, president, Columbia University (formerly president, University of Michigan); Leonard Sandridge, executive Copyright © National Academy of Sciences.

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