Phillips Susan E, Rubenstein Arthur H
PENN Medicine, and University of Pennsylvania Health System, Philadelphia, Pennsylvania 19104, USA.
Acad Med. 2008 Sep;83(9):861-6. doi: 10.1097/ACM.0b013e318181f19f.
After a period of financial losses in the University of Pennsylvania Health System stemming from a combination of internal decision making and negative external market forces, the university set out to make substantial changes in the governance and administrative organization overseeing its health system and medical school. The changes were designed to assure the university and its trustees that financial controls were strengthened and that the missions of research, education, and patient care were balanced. The governance changes included creating a structure whereby a single administrative leader was responsible for all three missions--education, research, and clinical care--and reported directly to the president of the university. Further, existing governing boards responsible for various entities within the school of medicine and health system were disbanded, and a new single board was created to oversee PENN Medicine, the overarching organization established in 2001 and now responsible for oversight of the University of Pennsylvania School of Medicine and the University of Pennsylvania Health System. The realignment initiated by these major changes spawned additional refinements in leadership responsibilities and process controls that, together with the new governance model, are credited with financial recovery and stronger performance in all aspects of the enterprise. These structural changes led to greater emphasis on integrating and coordinating programs to take advantage of PENN Medicine's home in a leading university.
由于内部决策和外部负面市场力量的共同作用，宾夕法尼亚大学医疗系统经历了一段时间的财务亏损后，该大学着手对监管其医疗系统和医学院的治理与行政组织进行重大变革。这些变革旨在向大学及其受托人确保财务控制得到加强，并且研究、教育和患者护理的使命得到平衡。治理变革包括建立一种结构，由一位行政领导人负责教育、研究和临床护理这三项使命，并直接向大学校长汇报。此外，负责医学院和医疗系统内各个实体的现有理事会被解散，一个新的单一理事会成立，以监督宾夕法尼亚医学中心，该中心于2001年成立，现在负责监督宾夕法尼亚大学医学院和宾夕法尼亚大学医疗系统。这些重大变革引发的调整在领导职责和流程控制方面产生了更多改进，这些改进与新的治理模式一起，被认为促成了财务复苏以及该企业各方面更强劲的表现。这些结构变革导致更加注重整合和协调各项计划，以利用宾夕法尼亚医学中心位于一所顶尖大学的优势。
