New York University School of Medicine.

نویسندگان

  • Steven B Abramson
  • Mel Rosenfeld
چکیده

Although much has been written about implementing mission-based management tools to help facilitate managing the primary academic missions at academic medical centers, there is surprisingly little written on standardized methodologies to align financial support across the academic and clinical missions. However, professional fee reimbursement has not kept pace with costs, and this, combined with potential decreases in research funding associated with the reductions in National Institutes of Health funding, creates additional financial challenges for academic clinical departments that do not share in technical fee reimbursement. As an integrated academic health system, the University of Pennsylvania School of Medicine and Health System recently took the opportunity to broadly restructure funds-flow opportunities, so as to help align the strategic goals across all of the clinical department activities. At the University of Pennsylvania (Penn) School of Medicine and Health System, as at many academic medical centers (AMCs), funding for the academic and clinical missions of clinical departments was traditionally based, in significant part, more on historical precedent than on a rationally defined allocation of resources. The funds-flow project, initiated in 2004, restructured the distribution of institutional funds across all the missions of the clinical departments, so as to provide clearly defined support for teaching, research and administrative duties, as well as rationally based clinical support and incentives for strategic clinical and research growth. In this article, the authors present the principles, process, and results of this undertaking. The framework may provide a basis for rationalization of financial support at other integrated academic medical institutions. DOI: 10.1097/ACM.0b013e318159e1b8

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عنوان ژورنال:
  • Academic medicine : journal of the Association of American Medical Colleges

دوره 85 9 Suppl  شماره 

صفحات  -

تاریخ انتشار 2000