Strategic responses of academic medical centers to the growth in ambulatory care.

Alan M. Zuckerman, M.A., FAAHC, executive vice president of Chi Systems Inc., examines how academic medical centers are faring as ambulatory care becomes an increasing reality in this country. He presents geographic and integration strategies for these centers to maintain an economic edge as their markets shrink.

Zuckerman AM 《-》

The creation of a coordinated ambulatory care system.

This case study addresses the efforts of the School of Medicine (SOM) of a major American university to develop a coordinated ambulatory care system. For a number of years, each of the clinical departments of the SOM operated its clinic independently from the SOM and from the other departments. This is a description of the development of a plan to coordinate the efforts of these clinics.

Slaton RL 《-》

Ambulatory care growth: implications for academic organizations.

This article discusses the implications of the dramatic growth of outpatient activity in academic health care organizations, and, more broadly, in all forms of joint physician-hospital outpatient care. The authors describe several economic, operational, and regulatory factors that influence the success of ambulatory care expansion in the academic environment. A case study of the Metropolitan New York Medicaid managed care environment illustrates the impact of these factors and highlights the specific challenges confronting teaching hospitals and physicians. The attributes of ambulatory care providers that have successfully addressed these challenges are also discussed. Finally, the benefits of the model ambulatory practice structure, employed at a number of teaching institutions across the country, are explored.

Boll A ，Moore AJ ，Brown JP ，Kershaw JH ，Flanigan BE ... -  《-》

Strategic outsourcing of clinical services: a model for volume-stressed academic medical centers.

Many academic medical centers have significant capacity constraints and limited ability to expand services to meet demand. Health care management should employ strategic thinking to deal with service demands. This article uses three organizational models to develop a theoretical framework to guide the selection of clinical services for outsourcing.

Billi JE ，Pai CW ，Spahlinger DA 《HEALTH CARE MANAGEMENT REVIEW》

Opportunities for optimizing resource utilization in ambulatory academic practices.

Growing emphasis on ambulatory service delivery in academic medical centers has heightened interest in improving operational efficiencies, while providing an optimal educational experience for medical students and residents. One significant challenge in the academic environment is maximizing resource utilization (both physical plant and personnel), through scheduling and operational effectiveness. This article examines how academic ambulatory practices can apply operational and scheduling process redesign methodologies to improve throughput and productivity, while enhancing the educational experience for students/residents.

Hutchison M ，Dacso CC ，Sabin D ，Shaw A ... -  《-》