Abstract
The academic medical center in the modern era must simultaneously support medical education and research while frequently delivering complex, specialized care. The structure of an academic health care system and the methodology by which resources are allocated among the various entities significantly influence the conduct of the clinical, research, educational, and administrative functions of an academic clinical department. Ultimately, functional alignment determines the funds flow model. Success in achieving financial viability while simultaneously addressing the tripartite academic mission requires ongoing vigilance, agility, fluidity, innovation and ultimately, compromise.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
McCue MJ, Thompson JM. Analysis of cash flow in academic medical centers in the United States. Acad Med. 2011;86(9):1100–7.
Itri JN, Mithqal A, Krishnaraj A. Funds flow in the era of value-based health care. J Am Coll Radiol. 2017;14(6):818–24.
Bulleit T, Caron MM, Peloquin D. New frontiers in AMC funding: mission support alternatives post halifax; 2017. Accessed on 23 Aug 2018. Available from: https://www.healthlawyers.org/Members/PracticeGroups/Documents/AMC-TH_Topical_Library/Program_Paper_bulleit_wahler.pdf.
Barnes K, Valletta R. The future of the Academic Medical Center: PwC Health Research Institute; 2012. Available from: http://www.aahcdc.org/Portals/41/AIM-Program/Best-Practices/Financial_Alignment/The_Future_of_the_Academic_Medical_Center_Strategies_to_Avoid_Margin_Meltdown.pdf.
Dzau VJ, Gottlieb G, Lipstein S, Schlichting N, Washington E. Essential stewardship priorities for academic health systems. NAM perspectives [Internet]; 2014. Available from: https://nam.edu/wp-content/uploads/2015/06/AcademicHealthSystems.pdf.
Enders TC, Conroy J. Advancing the academic health system for the future: Association of Academic Medical Colleges; 2014. Available from: https://www.aamc.org/initiatives/patientcare/aphc/357864/academichealthsystem.html.
Mann S. New report encourages leaders to envision the future of academic medicine. AAMC news [Internet]; 2016. Accessed on 23 Aug 2018. Available from: https://news.aamc.org/research/article/faculty-engagement-advancement/.
Collins C, Horrison D, Potter K, Banty K. Are integrated academic health systems better?; 2015. Accessed on 23 Aug 2018. Available from: http://www.ecgmc.com/thought-leadership/whitepapers/are-integrated-academic-health-systems-better.
Keroack MA, McConkie NR, Johnson EK, Epting GJ, Thompson IM, Sanfilippo F. Functional alignment, not structural integration, of medical schools and teaching hospitals is associated with high performance in academic health centers. Am J Surg. 2011;202(2):119–26.
Hegwer LR. New structures new roles for the future of health care; 2016. Accessed on 23 Aug 2018. Available from: http://www.hfma.org/Leadership/Archives/2016/Spring/New_Structures,_New_Roles_for_the_Future_of_Health_Care/.
Kennedy DW, Johnston E, Arnold E. Aligning academic and clinical missions through an integrated funds-flow allocation process. Acad Med. 2007;82(12):1172–7.
Cohen M, Comstock M, Day T, Meeks C. Funds flow models – budget consistency in academic medical centers; 2015. Accessed on 23 Aug 2018. Available from: https://s36.a2zinc.net/clients/mgma/MGMA15/Custom/Handout/Speaker0_Session897_1.pdf.
Stanford Health Care & Stanford University School of Medicine. Stanford clinical funds flow model; 2016. Accessed on 23 Aug 2018. Available from: https://www.yumpu.com/en/document/view/17892310/funds-flow-model-stanford-university-school-of-medicine.
UCSF. New clinical funds flow overview; 2014. Available from: https://fundsflow.ucsf.edu/new-clinical-funds-flow-overview.
UCSF. Funds flow overview: manager’s meeting; 2014. Accessed on 23 Aug 2018. Available from: https://fundsflow.ucsf.edu/sites/fundsflow.ucsf.edu/files/Funds%20Flow%20Overview_Manager%27s%20Meeting_09-23-14.pdf.
Bland KI. University of Alabama Birmingham funds flow model; 2015. Accessed on 23 Aug 2018. Available from: https://www.facs.org/~/media/.../outcomes%20at%20uab%20%20kirby%20bland.ashx.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Kuo, M.C., Anderson, D.O., Kuo, P.C. (2019). Understanding Different Health Care Systems and Funds Flow Models in Surgery. In: Kibbe, M., Chen, H. (eds) Leadership in Surgery. Success in Academic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-19854-1_13
Download citation
DOI: https://doi.org/10.1007/978-3-030-19854-1_13
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-19853-4
Online ISBN: 978-3-030-19854-1
eBook Packages: MedicineMedicine (R0)