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Reports

REPORT 18  | SPRING 2014
A Call to Lead: The Case for Accelerating Academic Health Center Transformation (PDF)
This report describes the imperative for value-based enterprise transformation in academic health centers (AHCs) and offers specific recommendations for implementing such change as well as examples of successful strategies at five AHCs.

REPORT 17  | SPRING 2013
Health Professions Education: Accelerating Innovation Through Technology (PDF)
This report explores the impact and implications of online learning in the health professions and argues that educators must articulate a new vision, pool resources, confront structural barriers, and establish mechanisms for sharing content and best practices to maximize benefit from emerging technology.

REPORT 15 & 16 | Apr. 9, 2012
The Affordable Care Act of 2010: The Challenge for Academic Health Centers in Driving and Implementing Health Care Reform
and Academic Health Center Change and Innovation Management in the Era of Accountable Care (PDF)
Special double-issue: In this special double issue, including Reports 15 & 16, we examine the new health insurance and care delivery landscape as created by the enactment of health care reform legislation in March of 2010.

REPORT 14 | Feb. 4, 2010
The Role of Academic Health Centers in Addressing the Social Determinants of Health
(PDF)
This report is written to shine a bright light on the importance of the social determinants of health and the impact they have upon the health and wellbeing of society, as well as to call for research examining which models of health promotion and health care delivery best improve the health of individuals affected by these social factors.

REPORT Special | Nov 18, 2008
Fall 2008 Policy Proposal: A United States Health Board
(PDF)
Proposal: A framework for health policy development and strategic direction, with a long-term planning horizon, buffered from the political considerations that attend to every-other-year election cycles.

REPORT 12 | Nov. 3 2008
The Emerging Transformational Role of Informatics
(PDF)
Since the publication in 1999 of the Institute ofof Medicine's seminal report, To Err is Human, followed by its 2001 report, Crossing the Quality Chasm, improving both the quality and safety of health care have been major foci of health policy and practice (IOM 1999 and 2001). Much has changed since then.

REPORT 11 | Nov. 3, 2007
Health Care Quality and Safety in the Academic Health Center
(PDF)
Evidence of significant problems in the quality of US health care accumulated and generated a genuine sense of urgency in the health sector over the past two decades. Academic Health Centers (AHCs) could have provided stronger leadership in addressing these systemic quality and safety issues; but for the most part, like most of the hospital industry, they focused on the credentials of individual providers and not on systems of care and performance per se.

REPORT 10 | Sep. 1, 2006
Managing Conflict of Interest in AHCs to Assure Healthy Industrial and Societal Relationships
(PDF)
Conflict of interest is an increasingly significant problem in the complex relationships between ANG sector health professionals and institutions and their private sector partners and sponsors. COI can compromise the integrity of research, education, health care, and service. Even the appearance of COI can undermine the public's trust in and support for this vital work. For the sake of achieving optimal progress in advancing health and healing, ANG health professionals and institutions must better understand and manage COI.

REPORT 9 | Nov. 1, 2005
Getting the Physician Right: Exceptional Health Professionalism for a New Era
(PDF)
The Blue Ridge Group believes that, at the dawn of the 21st Century, given the pace of change and the increasing complexity of systems of clinical care and health care technology, medical competency and medical professionalism in the United States require renewed definitions. These definitions need to recognize population approaches in addition to the traditional focus on the individual patient. While physicians and other health workers have become increasingly sophisticated knowledge workers, the future of medicine as a profession may be at risk. To some commentators and policy makers the demise of medicine as a profession or "privileged occupation" would be a positive development (Reich 2000). We hold the opposite view. We believe that medical professionalism is critical to the values, quality and future of health care and to the research, education and training upon which it is founded.

REPORT 8 | Oct. 1, 2004
Convering on Consensus: Planning the Future of Health and Health Care
(PDF)
The Blue Ridge Academic Health Group (Blue Ridge Group) has been concerned with the imperative for health care reform since our Group's inception in 1997. Our second report, entitled, Promoting Value and Expanded Coverage: Good Health is Good Business, advocated the establishment of a "value-driven" and evidence-based health care system, one that... promotes the health of individuals and the population by providing incentives to health care providers, payers, communities and states to improve population health status and reward cost-effective health management" (BRAHG 1998a). In the intervening years, some progress has been made and a great deal has been learned on the subject of national health care reform based upon these and related principles. Nevertheless, as a nation, we have yet to achieve anything approaching effective, system-wide reform.We have yet to bridge the chasm between the reality and the promise of our health care system. In this, our 8th report, the Blue Ridge Group reviews the progress of and prospects for comprehensive health system reform and provides an academic health center (AHC) leadership agenda for reaching this critical goal.

REPORT 7 | May 1, 2003
Reforming Medical Education: Urgent Priority for the Academic Health Center in the New Century
(PDF)
Improving health and health care are among the most widely supported and important goals for our nation and the world today. Vitally important to progress in health is the proper education and training of the health professional workforce. Yet there is evidence of increasing dissatisfaction with the predominant models of health professional education, especially with the education of physicians. There is a growing consensus among scholars, policy makers, and health professionals that long-accepted education and training programs from preprofessional preparation through continuing, lifelong learning must be substantially redesigned and modernized to meet the projected health care needs of the 21st century (eg, Ludmerer 1999; AAMC 1998, 2000; IOM 2001, 2003). This report is primarily concerned with needed reform in the education of physicians, the area where the Blue Ridge Group members have the greatest experience and expertise.

REPORT 6 | Dec. 1, 2001
Creating a Value-driven Culture and Organization in the Academic Health Center
(PDF)
The academic physician, academic medicine, and the health professions in general are in the midst of an extended period of organizational and professional turbulence. Beginning with the explosive growth of managed care in the 1980s, the relatively closed, professionally self-regulated health services sector has been pushed into a more classically competitive marketplace (Blue Ridge Academic Health Group, 1998b). The 1990s brought additional impetus for change with shifting public policy, changing demographics, increasing consumerism, and the growing influence of information technologies (Blue Ridge Academic Health Group, 2000a and 2001). Now, at the turn of the new century, there is renewed public concern with deficiencies and inconsistencies in the quality of health care delivery services.

REPORT 5 | Jun. 1, 2001
e-Health and the Academic Health Center in a Valuedriven Health Care System
(PDF)
The advent of the Internet has been almost universally heralded. It has been compared to most of the important technological milestones in human history, from the capture of fire to the development of electricity, the steam engine, and the telephone. The Internet's dynamic, even explosive, growth is often described using biological metaphors (e.g.,"a squirming, protoplasmic nexus of informational activity" (Valovic, 2000, p. 24)) that suggest the development of a nascent hypertrophic organism of uncertain but highly promising ontogeny.

REPORT 4 | Dec. 1, 2000
In Pursuit of Greater Value: Stronger Leadership in and by Academic Health Centers
(PDF)
Leaders of academic health centers (AHCs) have always experienced a widerange of formidable challenges during their tenure. AHCs are complex organizations to lead because of their multiple missions, substantial size, highly specialized products and services, diverse internal and external constituencies, and culture marked by autonomy of faculty and departments. They operate as academic, business, and (in many cases) public organizations simultaneously, in an industry that is in the midst of evolving its production modes (i.e., from cottage to manufacturing to knowledge-based). Across AHCs, financial threats abound as a result of reduced government support and declining clinical revenues.

REPORT 3 | Jun. 1, 2000
Into the 21st Century: Academic Health Centers as Knowledge Leaders
(PDF)
Enabled by technological developments and accompanied by an economy undergoing fundamental changes, the knowledge age has arrived. Its impact is already evident in the nature, scope, and pace of competition among businesses, work of individuals, and expectations of the public. As this new era unfolds, organizations are assuming new roles, acquiring new capabilities, developing new business models, and interacting with consumers in different ways. Simultaneously, a flood of advances in the ability to preserve health and treat disease is creating exciting prospects and greater challenges for health care organizations and professionals and their patients.

REPORT 2 | Dec. 1, 1998
Academic Health Centers: Good Health Is Good Business
(PDF)
American workers, business owners, taxpayers, policy makers, and health care professionals and organizations face an issue of such magnitude and complexity that it remains unsolved after a century of effort. Despite being a nation of wealth, 43 million people in this country lack health insurance and often go without needed health care services. Moreover, the number of uninsured has been increasing despite a robust economy, an increasing number of firms offering health insurance coverage, and expansion of some public health insurance programs.

REPORT 1 | Mar. 13, 1998
Academic Health Centers: Getting Down To Business
(PDF)
Despite the turmoil and challenges AHCs face, the potential is compelling for a renaissance in health care, spirited by a new kind of leadership. Rather than simply enduring the buffeting of external forces, AHCs can transform themselves in response to the changing needs of society and the reality of market forces. They can do so by looking beyond concerns about cost, renewing their focus on health, and emphasizing the value of their services. This renewed focus provides distinct opportunities for AHCs.