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Global collaborative healthcare: assessing the resource requirements at a leading Academic Medical Center

INTRODUCTION: Academic Medical Centers (“AMCs”) have served as a hub of the United States (“US”) health system and represented the state-of-the art in American health care for well over a century. Currently, the global healthcare market is both massive and expanding and is being altered by the unpre...

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Autores principales: Rosson, Nicole J., Hassoun, Heitham T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5607605/
https://www.ncbi.nlm.nih.gov/pubmed/28931438
http://dx.doi.org/10.1186/s12992-017-0298-5
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author Rosson, Nicole J.
Hassoun, Heitham T.
author_facet Rosson, Nicole J.
Hassoun, Heitham T.
author_sort Rosson, Nicole J.
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description INTRODUCTION: Academic Medical Centers (“AMCs”) have served as a hub of the United States (“US”) health system and represented the state-of-the art in American health care for well over a century. Currently, the global healthcare market is both massive and expanding and is being altered by the unprecedented impact of technological advances and globalization. This provides AMCs a platform to enter into trans-national collaborative partnerships with healthcare organizations around the world, thus providing a means to deliver on its promise globally while also expanding and diversifying its resources. A number of leading US AMCs have engaged in global collaborative healthcare, employing different models based on services offered, global distribution, and inclination to assume risk. Engaging in these collaborations requires significant effort from across the health system, and an understanding of the resources required is paramount for effective delivery and to avoid overextension and diversion from the primary mission of these organizations. The goal of this paper is to discuss the role of US AMCs in this current global healthcare landscape and to also investigate our institutional faculty and staff resource requirements to support the operating model. METHODOLOGY: We extracted and retrospectively analyzed data from the JHI Global Services database for a 3-year period (Jan, 2013–Dec, 2015) to determine total utilization (hours and full time equivalent (FTE)), utilization by profession, and clinical and non-clinical areas of expertise. RESULTS: JHI utilized on average 21,940 h annually, or 10.55 FTEs of faculty and staff subject matter experts. The majority of the hours are for work performed by physician faculty members from 23 departments within the School of Medicine, representing 77% percent or on average 16,894 h annually. Clinical and allied health departments had an average annual utilization of 17,642 h or 7.8 FTEs, while non-clinical departments, schools and institutes averaged 4298 h or 1.9 FTEs, representing 80.4% and 19.6% respectively. CONCLUSION: We found that significant human resources are required within a broad range of AMC subject matter expertise across multiple disciplines, and that with adequate forecasting AMCs can successfully engage in these collaborations while continuing to fulfill their core mission.
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spelling pubmed-56076052017-09-24 Global collaborative healthcare: assessing the resource requirements at a leading Academic Medical Center Rosson, Nicole J. Hassoun, Heitham T. Global Health Review INTRODUCTION: Academic Medical Centers (“AMCs”) have served as a hub of the United States (“US”) health system and represented the state-of-the art in American health care for well over a century. Currently, the global healthcare market is both massive and expanding and is being altered by the unprecedented impact of technological advances and globalization. This provides AMCs a platform to enter into trans-national collaborative partnerships with healthcare organizations around the world, thus providing a means to deliver on its promise globally while also expanding and diversifying its resources. A number of leading US AMCs have engaged in global collaborative healthcare, employing different models based on services offered, global distribution, and inclination to assume risk. Engaging in these collaborations requires significant effort from across the health system, and an understanding of the resources required is paramount for effective delivery and to avoid overextension and diversion from the primary mission of these organizations. The goal of this paper is to discuss the role of US AMCs in this current global healthcare landscape and to also investigate our institutional faculty and staff resource requirements to support the operating model. METHODOLOGY: We extracted and retrospectively analyzed data from the JHI Global Services database for a 3-year period (Jan, 2013–Dec, 2015) to determine total utilization (hours and full time equivalent (FTE)), utilization by profession, and clinical and non-clinical areas of expertise. RESULTS: JHI utilized on average 21,940 h annually, or 10.55 FTEs of faculty and staff subject matter experts. The majority of the hours are for work performed by physician faculty members from 23 departments within the School of Medicine, representing 77% percent or on average 16,894 h annually. Clinical and allied health departments had an average annual utilization of 17,642 h or 7.8 FTEs, while non-clinical departments, schools and institutes averaged 4298 h or 1.9 FTEs, representing 80.4% and 19.6% respectively. CONCLUSION: We found that significant human resources are required within a broad range of AMC subject matter expertise across multiple disciplines, and that with adequate forecasting AMCs can successfully engage in these collaborations while continuing to fulfill their core mission. BioMed Central 2017-09-20 /pmc/articles/PMC5607605/ /pubmed/28931438 http://dx.doi.org/10.1186/s12992-017-0298-5 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Review
Rosson, Nicole J.
Hassoun, Heitham T.
Global collaborative healthcare: assessing the resource requirements at a leading Academic Medical Center
title Global collaborative healthcare: assessing the resource requirements at a leading Academic Medical Center
title_full Global collaborative healthcare: assessing the resource requirements at a leading Academic Medical Center
title_fullStr Global collaborative healthcare: assessing the resource requirements at a leading Academic Medical Center
title_full_unstemmed Global collaborative healthcare: assessing the resource requirements at a leading Academic Medical Center
title_short Global collaborative healthcare: assessing the resource requirements at a leading Academic Medical Center
title_sort global collaborative healthcare: assessing the resource requirements at a leading academic medical center
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5607605/
https://www.ncbi.nlm.nih.gov/pubmed/28931438
http://dx.doi.org/10.1186/s12992-017-0298-5
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