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In 2015, the AAMC Advisory Panel on Health Care (APHC) was reconvened to examine an issue of significant importance to academic medicine and, in particular, to the interface between the clinical, the academic and the research enterprises that together comprise academic medicine.  The Panel includes some APHC veterans and some new members, including deans and other medical school leadership, CEOs and other top executives from academic medical centers, and leaders of faculty practice plans.

In response to the recent resurgence in provider mergers, acquisitions, joint ventures and other variations on provider affiliations, many of which involve AMCs, the APHC selected the topic [working title]  Provider Affiliation Strategies and Implications for Academic Medicine for its current study. 


The study will seek to identify:

  • How academic medicine is responding to a climate of increasing inter-institutional affiliation and system formation/growth?

  • How do strategies designed to create thriving and sustainable clinical entities impact the professional education and research missions and what options can best assure the sustainability of all of academic medicine’s missions?

  • How can academic medicine demonstrate the value proposition for inclusion/support in system formation, including emphasizing how academic medicine can bring value to non-academic system participants?

The objectives for the study are to develop tools for AMCs and their academic partners that:

  • Stimulate discussion and planning by AMCs,  schools of medicine and their faculty

  • Encourage proactive rather than reactive responses

  • Describe macro/micro-level strategic options and some of the inherent risks/rewards

  • Provide evidence base –What are the key issues? What are different approaches to these issues? What has /hasn’t worked?

  • Build a case for support of  the role of academic medicine in health systems/ networks


As part of the study process, project staff are using the methods and information.

  • A focused  review of relevant literature and industry data

  • Presentations by and interviews with industry experts and leaders of AMCs, health systems and schools of medicine that have merger, acquisition and affiliation experience

  • Onsite visits to selected, diverse AMCs/systems

Ongoing review and input from APHC members


The APHC report is expected to be completed in late 2016 or early 2017 and will include an integrative summary of key issues and findings, as well as appendices with approximately ten in-depth case studies from the various health systems and schools of medicine that participated in the study.

For more information please contact

Janis Orlowski, MD, MACP
Chief Health Care Officer
Telephone: 202-828-0562

Roberta Shapiro, MPH, MBA
Project Contractor/Consultant
Telephone: 202-828-6108

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