Creating an integrated clinical enterprise at the University of Kentucky: the emergence of UK HealthCare.
If the medical system in the United States is to change, as has been recommended, academic medical centers must, in fact, lead this change process. To prepare for the future, the University of Kentucky decided to move aggressively toward developing an integrated clinical enterprise branded as UK HealthCare, where leadership of the various components of the academic medical center make strategic and financial decisions together to achieve common organizational goals. The authors discuss senior leadership's development of the vision for the enterprise and the governance structure that was established to engage board members and faculty of the institution. They examine the rigorous strategic, facilities, financial, and academic planning that ensued, and the early successes achieved. The authors introduce some of the lessons learned by the organization during the emergence of UK HealthCare and describe the corporate structure and senior management team that was established to support the quick and efficient implementation of the planning strategies. It was this corporate structure and senior management team which has proven to be an effective agent of change and a key to the successful development of a truly integrated clinical enterprise.
Karpf
Michael
M
University of Kentucky, Lexington, KY 40536-0200, USA. mkarpf@uky.edu
Perman
Jay
J
Lofgren
Richard
R
Melgar
Sergio
S
Butler
Frank
F
Day
Zed
Z
Clark
Murray
M
Claypool
Joseph O
JO
Gilbert
Peter
P
Gombeski
William
W
Higdon
Courtney M
CM
D000046:Academic Medical Centers / Q000191:economics / Q000458:organization & administration*; D017598:Efficiency, Organizational; D005376:Financial Management / Q000458:organization & administration; D006075:Governing Board / Q000458:organization & administration; D006801:Humans; D007629:Kentucky; D007857:Leadership; D017146:Models, Organizational; D019982:Organizational Case Studies; D015279:Organizational Culture; D009937:Organizational Objectives; D010934:Planning Techniques; D016730:Program Development